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Results: 1-10 of 249

Standing and certification: Kennedy v. United Am. Ins. Co

  • McGuireWoods LLP
  • -
  • USA
  • -
  • May 14 2013

Brenda Kennedy was hospitalized in 2009 for four days. She had an insurance policy from United American that paid benefits for each day that she

US Airways v. McCutchen: when silence is not golden

  • Jones Day
  • -
  • USA
  • -
  • May 14 2013

Sponsors and administrators of self-insured health and welfare plans, as well as insurance companies that offer insured health and welfare products

Let the seller beware: hospitals treating HMO patients employed by the federal government are “subcontractors” governed by affirmative action laws

  • Sherman & Howard LLC
  • -
  • USA
  • -
  • May 3 2013

When a health planHMO ("Plan") provides group health coverage to employers, including the federal government, the hospitals that treat federal

Court dismisses challenge to the legality of manufacturer-sponsored co-payment assistance programs

  • Arent Fox LLP
  • -
  • USA
  • -
  • May 3 2013

On April 29, 2013, a judge in the District of New Jersey dismissed three class action suits against Merck & Co., Inc. (Merck) challenging the

U.S. Supreme Court affirms the primacy of plan language, but demands specificity

  • Epstein Becker Green
  • -
  • USA
  • -
  • May 2 2013

On April 16, 2013, the U.S. Supreme Court unanimously decided in US Airways, Inc. v. McCutchen that equitable doctrines, such as unjust enrichment or

United States Supreme Court decision: US Airways Inc. v. McCutchen

  • Franczek Radelet PC
  • -
  • USA
  • -
  • May 1 2013

Most group health plans state that if a plan pays benefits to a participant who has suffered from an injury caused by a third party, the plan may

Supreme Court rules on equitable defenses to reimbursement claim by employee health plan

  • Womble Carlyle Sandridge & Rice LLP
  • -
  • USA
  • -
  • April 19 2013

With the United States Supreme Court’s decision released Tuesday, U.S. Airways, Inc. v. McCutchen, 2013 U.S. LEXIS 3156 (April 16, 2013), health plan

Supreme Court says employer's group health plan entitled to reimbursement from recovery from third party

  • Parker Poe Adams & Bernstein LLP
  • -
  • USA
  • -
  • April 19 2013

Employers' group health plans typically contain language that requires the participant to reimburse the plan for expenses paid if the participant

High court rules equitable defenses don’t override ERISA plan terms

  • Ogletree Deakins
  • -
  • USA
  • -
  • April 18 2013

On April 16, 2013, the U.S. Supreme Court issued its decision in US Airways, Inc. v. McCutchen (No. 11-1285), deciding the issue of whether equitable

U.S. Supreme Court: equity cannot trump ERISA plan terms in ERISA reimbursement case

  • Lane Powell PC
  • -
  • USA
  • -
  • April 17 2013

The U.S. Supreme Court yesterday strengthened the ability of employer health insurance plans to recoup payments for medical expenses paid for an