Clik here to view.
California Appeals Court Affirms Health Insurer Properly Denied Benefits
LOS ANGELES - In an unpublished opinion, a California appeals court on March 5 affirmed that a health insurance company properly denied benefits for treatments related to the plaintiff's autoimmune...
View ArticleClik here to view.
Federal Judge Denies Class Certification In Dentists' Reimbursement Case
SAN JUAN, Puerto Rico - A Puerto Rico federal judge on March 13 declined to grant class certification in a reimbursement suit brought by dentists and their employer against multiple health insurers,...
View ArticleClik here to view.
Supreme Court Declines Review Of Medicare Reimbursement Suit
WASHINGTON, D.C. - The U.S. Supreme Court on March 18 denied a petition for writ of certiorari brought by psychiatric providers alleging that they were not fully reimbursed for services provided to...
View ArticleClik here to view.
Federal Judge Declines To Dismiss Medicaid Dispute; Claims Sufficiently Pleaded
CHICAGO - An Illinois federal judge on March 4 denied a motion to dismiss made by a managed care organization in a Medicaid fraud case, saying the plaintiffs met pleading standards for false claims...
View ArticleClik here to view.
Ruling In Medicare Case Leaves Claims Against 1 Facility, Individual Doctors
CHICAGO - An Illinois judge on March 6 dismissed two medical facilities from a Medicare and Medicaid fraud case but left claims against a third facility and individual doctors (Robert S. Goldberg,...
View ArticleClik here to view.
6th Circuit Finds No Error In Decision To Vacate Sanctions Ruling
CINCINNATI - A federal judge in Tennessee did not err in vacating an order imposing sanctions against the state's Medicaid program after he was assigned to the case, a Sixth Circuit U.S. Court of...
View ArticleClik here to view.
Texas Federal Judge Says Ceiling Lift Outside Scope Of Medicaid Benefits
DALLAS - A federal judge in Texas on March 13, denied a motion for summary judgment filed by four disabled Medicaid beneficiaries and granted a motion for summary judgment by the Texas Health and Human...
View ArticleClik here to view.
Federal Judge Finds Annuity Payments Aren't Countable In Medicaid Eligibility
JONESBORO, Ark. - A federal judge in the Arkansas on March 13 held that annuity payments to a noninstitutionalized spouse are considered income to that spouse and cannot be counted when determining the...
View ArticleClik here to view.
UnitedHealth Group Divisions Sued For Insufficient Mental Illness Coverage
NEW YORK - The New York State Psychiatric Association Inc. and several of its patients filed a class complaint March 11 in New York federal court accusing several divisions of a health insurer,...
View ArticleClik here to view.
9th Circuit Majority Affirms Insurer Has No Standing To Assert Subrogation...
SAN FRANCISCO - The majority of the Ninth Circuit U.S. Court of Appeal on March 15 affirmed that an insurer has no standing to assert claims for subrogation and reimbursement for costs it paid in...
View ArticleClik here to view.
Federal Judge Dismisses Insured's Counterclaims In Environmental Coverage Suit
SAN ANTONIO - A Texas federal judge on March 11 dismissed an insured's counterclaims for breach of contract and bad faith in an environmental coverage dispute after determining that the insured failed...
View ArticleClik here to view.
Judge Finds Policy Excluded Mold Damage In Townhouse Development
MINNEAPOLIS - A Minnesota federal judge on March 18 granted summary judgment for an insurer, finding that a policy issued to the builder of a townhouse complex that contained numerous construction...
View ArticleClik here to view.
No Coverage Owed For Water Damage Claims, Utah Appeals Panel Says
SALT LAKE CITY - A liability insurance carrier has no duty to defend its insured against underlying property damage claims because the policy did not provide coverage for property damage claims, the...
View ArticleClik here to view.
No Occurrence Alleged In Underlying Suit, Pennsylvania Federal Judge Determines
HARRISBURG, Pa. - An insurer has no duty to defend its insured against an underlying breach of contract suit because the underlying suit does not allege an occurrence pursuant to the terms of the...
View ArticleClik here to view.
Insurer Was Prejudiced By Insured's Failure To Notify, Federal Judge Says
MIAMI - Because an insured seeking coverage for damages caused by its roofing work failed to notify its excess insurer of the underlying lawsuit filed against it until after a judgment was entered in...
View ArticleClik here to view.
Florida Supreme Court Upholds $2.5M Verdict In Engle Tobacco Case
TALLAHASSEE, Fla. - The Florida Supreme Court on March 14 affirmed, with one dissent, a trial court's application of its landmark decision in Engle v. Liggett Group, Inc. (945 So. 2d 1246 $(Fla....
View ArticleClik here to view.
Soffer Decision Does Not Control Punitive Damages, Federal Plaintiffs Argue
JACKSONVILLE, Fla. - Certification of a case for appeal means the trial court's decision barring punitive damages in that case is not binding on consolidated federal plaintiffs asserting injury and...
View ArticleClik here to view.
Proposed Questionnaire Will Not Resolve Claims, Federal Plaintiffs Say
JACKSONVILLE, Fla. - A proposed tobacco industry questionnaire geared toward statute of limitations dismissals will not accomplish its stated goal of streamlining the litigation, consolidated federal...
View ArticleClik here to view.
City's Ordinance Banning Bar Smoking Upheld In Federal Court
INDIANAPOLIS - An ordinance to protect the public from secondhand smoke (SHS) that bans smoking in bars and taverns but not in betting parlors and private clubs survived a constitutional challenge...
View ArticleClik here to view.
Man Loses Challenge To Indianapolis Ban On Smoking In Taverns
INDIANAPOLIS - Claims by a pro se Indianapolis man that the city's 2012 anti-smoking ordinance is "humiliating" to smokers and violates their constitutional rights were thrown out March 13 in an...
View Article