PHILADELPHIA - In a breach of contract suit over asbestos insurance claims, a Pennsylvania federal judge on Aug. 1 ordered an insurer to produce to a reinsurer original, unredacted versions of documents concerning proprietary information, historical loss reserves and information related to other reinsurance companies (R&Q Reinsurance Co. v. St. Paul Fire & Marine Insurance Co., No. 16-1473, E.D. Pa., 2017 U.S. Dist. LEXIS 120858).
HARRISBURG, Pa. - A federal judge in Pennsylvania on July 25 sentenced a woman to 46 months in prison for obtaining $84,500 in compensation from Medicaid for behavioral health services she provided even though she was excluded from the program for previous convictions for health care fraud, the U.S. Department of Justice announced (United States of America v. Tammie Sensenig, No. 17cr0043, M.D. Pa.).
HARRISBURG, Pa. - A cadet at a military academy who never obligated himself to subsequent military service does not qualify for veterans' preference for testing and hiring in Pennsylvania, the Pennsylvania Supreme Court ruled July 25 (Scott R. Blake v. State Civil Service Commission, No. 103 MAP 2016, Pa. Sup., 2017 Pa. LEXIS 1739).
HARRISBURG, Pa. - A trial court judge properly denied a man's petition under the Post-Conviction Relief Act (PCRA) seeking reversal of his conviction for insurance fraud, the Pennsylvania Superior Court ruled July 26, holding that the man was ineligible for such relief because he was not incarcerated or under supervised relief at the time the request was filed (Commonwealth v. Robert Carl Bolus, No. 1300 MDA 2016, Pa. Super., 2017 Pa. Super. Unpub. LEXIS 2858).
PHILADELPHIA - The Third Circuit U.S. Court of Appeals on July 26 affirmed a Pennsylvania federal jury's verdict in favor of an insured after the stone facade on her home collapsed, rejecting the insurer's argument that the main cause of the collapse is excluded under the homeowners policy (Ahsaki Gordon, et al. v. Allstate Property and Casualty Insurance Co., No. 16-3671, 3rd Cir., 2017 U.S. App. LEXIS 13507).
WILLIAMSPORT, Pa. - A State College, Pa., restaurant facing a class complaint by five delivery drivers over the restaurant's tip-pooling policy denied the claims in its July 21 answer filed in a Pennsylvania federal court and brought counterclaims accusing the lead named plaintiff of fraud, negligent and intentional misrepresentation and breach of the duty of loyalty (Jacob Wilson, et al. v. Wings Over Happy Valley MDF, LLC, et al., No. 17-915, M.D. Pa.).
HARRISBURG, Pa. - A Pennsylvania judge on July 25 approved a direct payment of reinsurance by a reinsurer to an insured in the liquidation of Reliance Insurance Co. (In re: Reliance Insurance Co. in liquidation, No. 1 REL 2001, Pa. Cmwlth.).
PHILADELPHIA - A Pennsylvania man on July 21 sued Monsanto Co. in the U.S. District Court for the Eastern District of Pennsylvania, contending that the company is liable for negligent conduct because he developed cancer as a result of using the company's herbicide Roundup, which contains glyphosate (Frederick Johnson v. Monsanto Company, No. 17-3260, E.D. Pa.).
PHILADELPHIA - A Pennsylvania federal judge on July 24 granted in part and denied in part motions by several generic drug companies to dismiss claims by a union health fund that they inflated their average wholesale prices (AWPs), costing the union money while providing a "spread" to pharmacies to dispense the companies' drugs (Plumbers' Local Union No. 690 Health Plan v. Apotex Corp., et al., No. 16-665, E.D. Pa., 017 U.S. Dist. LEXIS 114733).
PHILADELPHIA - A Pennsylvania federal judge on July 21 decertified a conditionally certified collective action class and granted an employer's motion for summary judgment in a suit filed by a health aide who alleged that she and other similarly situated workers were denied timely wage payments (Markisha Gordon v. Maxim Healthcare Services, Inc., No. 13-7175, E.D. Pa., 2017 U.S. App. LEXIS 113736).
PHILADELPHIA - A Third Circuit U.S. Court of Appeals panel ruled July 19 that administrators of an outpatient surgical facility cannot be found liable for violating Pennsylvania's insurance fraud statute because the anti-kickback provision of the statute applies only to health care providers (Aetna Life Insurance Company v. Huntingdon Valley Surgery Center, et al., No. 16-1468, 3rd Cir., 2017 U.S. App. LEXIS 12971).
PHILADELPHIA - The parents of a man who became permanently disabled as a result of the assault filed suit July 20 in Pennsylvania state court against two fraternities, their members and other businesses, claiming that the fraternities were irresponsible by allowing their members to get into a fight and failing to call an ambulance in a timely manner (Roderick J. McGibbon, et al. v. Alpha Upsilon Chapter of Pi Kappa Phi Fraternity, et al., No. 001934, Pa. Comm. Pls., Philadelphia Co.).
PHILADELPHIA - Blood reagent manufacturer Ortho-Clinical Diagnostics Inc. will face antitrust allegations that a 2001 price increase was fixed and that the defendant fraudulently concealed relevant facts from purchasers, a Pennsylvania federal judge ruled July 19 (In Re: Blood Reagents Antitrust Litigation, No. 09-md-2081, E.D. Pa., 2017 U.S. Dist. LEXIS 112091).
HARRISBURG, Pa. - Reliance Insurance Co.'s liquidator on July 20 sought the approval of a Pennsylvania court for a direct payment of $269,341 in proceeds by a guarantor of a reinsurer to an insured (In re: Reliance Insurance Co. in liquidation, No. 1 REL 2001, Pa. Cmwlth.).
HARRISBURG, Pa. - A Pennsylvania Superior Court panel on July 18 upheld a defense verdict in favor of a hospital and a university that sent students to be residents at the hospital in a medical malpractice suit after finding that the trial court did not err in excluding the plaintiff's expert witness during trial (Raymond Seels v. Tenent Health System Hahnemann, et al., No. 1838 EDA 2015, Pa. Super., 2017 Pa. Super. LEXIS 532).
PHILADELPHIA - A Pennsylvania federal magistrate judge on July 13 granted approval of a $865,000 settlement to be paid by a behavioral health services company to end claims that it misclassified and underpaid its clinicians, consultants and therapists (Sarina Brown, et al. v. Progressions Behavioral Health Services, Inc., No. 16-6054, E.D. Pa., 2017 U.S. Dist. LEXIS 108487).
PHILADELPHIA - A Pennsylvania federal judge on July 12 again issued an order stating that a False Claims Act lawsuit against the former Cephalon Inc. has been settled (United States of America, ex rel. Matthew Cestra, et al. v. Cephalon, Inc., No. 14-1842, E.D. Pa.).
PHILADELPHIA - A federal judge in Pennsylvania on July 7 denied a motion for pretrial release filed by a man accused of health care fraud, conspiracy to commit and 15 counts of possession of oxycodone with intent to distribute, finding that the nature of the drug trafficking claims showed that no condition would reasonably assure the safety of other people in the community (United States of America v. Michael Milchin, No. 17-cr-284, E.D. Pa., 2017 U.S. Dist. LEXIS 105570).