Non-Contracted Emergency Care Providers Cannot "Balance Bill" Plan Enrollees
Prospect Medical Group, Inc. v. Northridge Emergency Medical Group, 45 Cal. 4th 497 (2009) The California Supreme Court was recently faced with the issue of whether emergency care providers that do not...
View ArticleCalifornia Supreme Court Holds that Only the Class Representative Needs to...
In Re Tobacco II Cases, 46 Cal.4th 298 (2009) Following the passage of Proposition 64 on November 2, 2004, in order to bring a representative claim under the unfair competition law (“UCL”), a...
View ArticleFederal Bill for Health Care Reform Unveiled
Earlier this week, House Democrats introduced H.R. 3200: America's Affordable Health Choices Act of 2009 that seeks to make affordable health care available to an estimated 97% of Americans. The key...
View ArticleFederal Mental Health Parity Interim Rules Published
Two weeks ago, federal agencies published the interim final rules amending the mental health parity provisions, which appear in the Federal Register at Volume 75, Number 21, page 5409 (the “Rules”)....
View ArticleInsurers That Fund ERISA Plans and Administer Claims Are Proper Defendants in...
Martin E. Rosen and Misty A. Murray In Cyr v. Reliance Standard Ins. Co., 2011 U.S. App. LEXIS 12601 (9th Cir. 2011), an en banc panel of the Ninth Circuit Court of Appeals was presented with the...
View ArticleSupreme Court Considers Accrual of Statute of Limitations in ERISA LTD Plan
On April 15, 2013, the United States Supreme Court agreed to review a case involving the question of when the statute of limitations accrues for judicial review of an adverse benefits determination...
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