In American Orthopedic & Sports Medicine v. Independence Blue Cross Blue Shield, the United States Court of Appeals for the Third Circuit examined a lawsuit by a medical provider against health insurers. The lawsuit concerned shoulder surgery performed by the provider on an insured patient. As the provider did not participate in the insurers’ network,… Read More

In HUMC Opco, LLC v. United Benefit Fund, the United States District Court for the District of New Jersey addressed motions to dismiss an ERISA action brought against a health insurer and insurance claims administrators. The action concerned medical bills in excess of $7 million, for medical care provided by a hospital over the course… Read More

​The Pennsylvania Superior Court has held that pursuant to a fraudulent acts policy exclusion, a policyholder was not entitled to liability coverage for a class action verdict arising from the policyholder’s misleading description of an ERISA benefits plan. In Cigna Corp. v. Executive Risk Indem., Inc.,the policyholder sought coverage for a class action challenging the… Read More