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Medical plan preauthorization language violates SPD standards
- Hodgson Russ LLP
- -
- USA
- -
- August 29 2012
In Koehler v. AETNA Health Inc., the U.S. Court of Appeals for the Fifth Circuit held that Aetna’s benefits decision was not, as a matter of law, entitled to deference where the same document, Aetna’s certificate of coverage, served as both the plan document and summary plan description (SPD
Supreme Court considers constitutionality of individual mandate
- Hodgson Russ LLP
- -
- USA
- -
- April 27 2012
At the end of March, the U.S. Supreme Court heard arguments on the constitutionality of a provision in the Patient Protection and Affordable Care Act (ACA) that requires most U.S. residents to maintain health care coverage for themselves and their dependents
District Court holds that insurer breached fiduciary duty when crediting below market interest to retained asset accounts
- Hodgson Russ LLP
- -
- USA
- -
- April 27 2012
Unum Life Insurance Company of America issued group life insurance policies to two employers
Legal challenges to health care reform continue to work through the courts
- Hodgson Russ LLP
- -
- USA
- -
- April 15 2011
In late January, a district court in Florida ruled that the Patient Protection and Affordable Care Act (PPACA) is unconstitutional
Same-sex domestic partner policy does not discriminate against opposite-sex couples
- Hodgson Russ LLP
- -
- USA
- -
- April 15 2011
Reversing a decision by the Westchester County Human Rights Commission, a New York appeals court recently held that a policy adopted by a local Board of Cooperative Educational Services (BOCES) to offer health care to same-sex domestic partners did not unlawfully discriminate against opposite-sex domestic partners
Insurer not a fiduciary when negotiating rates
- Hodgson Russ LLP
- -
- USA
- -
- February 11 2011
The Court of Appeals for the Sixth Circuit ruled that an insurer was not acting as a fiduciary when it negotiated rates with hospitals that favored its health maintenance organization clients over its self-funded plan clients
Recent cases involving beneficiary designations
- Hodgson Russ LLP
- -
- USA
- -
- September 29 2010
Two recent cases are instructive when it comes to determining the validity of beneficiary designations
Conflict between plan and SPD ruled in favor of participant
- Hodgson Russ LLP
- -
- USA
- -
- August 31 2010
The US Court of Appeals for the Eighth Circuit recently reversed and remanded a decision of a district court that upheld an insurer's decision to deny long-term health benefits
Current Search
- Jurisdiction - USA
- Workarea - Insurance & Reinsurance
- Workarea - Employee Benefits & Pensions
- Workarea - Litigation
- Author - Arthur A. Marrapese III
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