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TRENTON, N.J. - A proposed class of self-insured health plans in which Aetna Life Insurance Co. allegedly imposes undisclosed internal standards for coverage would require access to plan documents the plaintiffs have not submitted, a federal judge in...

CHICAGO - A federal judge in Illinois on Aug. 13 held that she lacked jurisdiction over a case filed by an insolvent health insurer's liquidator against the Centers for Medicare and Medicaid Services (CMS) and the U.S. government in which the liquidator...

SALT LAKE CITY - Allegations that a health insurer covers subacute care in surgical settings but denies coverage in mental health settings provides a basis for a couple's Parity Act claim under the Employee Retirement Income Security Act, a federal...

SAN FRANCISCO - Both named and unnamed plaintiffs in a drug-pricing class action allege the same injury from the same conduct, satisfying the typicality requirements for a class action, a Ninth Circuit U.S. Court of Appeals panel held June 14 in reinstating...

SAN FRANCISCO - Both named and unnamed plaintiffs in a drug-pricing class action allege the same injury from the same conduct, satisfying the typicality requirements for a class action, a Ninth Circuit U.S. Court of Appeals panel held June 14 in reinstating...

SALT LAKE CITY - A federal judge in Utah on June 4 affirmed complete denial of coverage for treatment at one mental health treatment facility under the Employee Retirement Income Security Act, but found treatment at a second medically necessary for longer...

WASHINGTON, D.C. - States lack standing to challenge a Patient Protection and Affordable Care Act (ACA) rule expanding association health plans, and in any case, a judge erred in finding the rule did "violence" to the Employee Retirement Income...

WASHINGTON, D.C. - The United States never grapples with the disastrous consequences and far-reaching impact a decision allowing the government to simply skip out on Patient Protection and Affordable Care Act (ACA) risk-corridor obligations, a pair of...

ATLANTA - Insubstantial procedural errors do not require anything other than the capricious and arbitrary standard in an Employee Retirement Income Security Act case challenging an insurer's denial of coverage for eating disorder treatments, an 11th...

MIAMI - Defendants portrayed health insurance products as comprehensive plans compliant with the Patient Protection and Affordable Care Act (ACA) when in reality they offered little to no coverage, a federal judge in Florida held May 14 in granting a...

WASHINGTON, D.C. - The United States told the Supreme Court on May 8 that the Patient Protection and Affordable Care Act's risk corridor never entitled insurers - some of them now defunct - to subsidies and that Congress' latter actions erased...

BOSTON - While the exact amount of Massachusetts' alleged injury from rules granting expanded employers expanded exemptions to the Patient Protection and Affordable Care Act (ACT) may not be known, it stands to reason that it is not zero and provides...

WASHINGTON, D.C. - The Department of Labor on May 1 appealed to the District of Columbia Circuit U.S. Court of Appeals a ruling invalidating a Patient Protection and Affordable Care Act (ACA) rule expanding the availability of association health plans...

WASHINGTON, D.C. - In its April 15 orders list, the U.S. Supreme Court denied certiorari in a dispute between a medical provider and United Healthcare Insurance Co. over an anti-assignment provision in a group health benefit plan (W.A. Griffin v. United...

NEW ORLEANS - Hundreds of Indian tribes, more than 50 economic scholars, a handful of constitutional law experts who in the past opposed the Patient Protection and Affordable Care Act (ACA) and two Republican-led states said striking down the entire law...