In Yox v. Providence Health Plan, No. 12–cv–01348, 2013 WL 865968 (D. Or. Mar. 8, 2013), a federal district court held that the review of benefit denials by an independent review organization (IRO) is not akin to an...more
3/20/2013 - Arbitration Denial of Benefits ERISA Independent Review Organization
In this Issue: - Editor's Overview - Risk of Addiction Relapse May Entitle Plan Participants to Disability Benefits - Rulings, Filings, and Settlements of Interest ...more
3/13/2013 - Disability Disability Insurance Drug & Alcohol Abuse ERISA Fiduciary Duty Healthcare Indemnification SCOTUS Settlement Standing
In This Issue: - Editor's Overview - View from Proskauer: Are Your Conversations Privileged under ERISA? - Rulings, Filings, and Settlements of Interest ...more
2/19/2013 - 401k Attorney-Client Privilege COBRA Confidential Communications Conflicts of Interest Employee Benefits Employer Group Health Plans ERISA Fiduciary Duty Health Insurance Overpayment Standing Statute of Limitations Third-Party
In This Issue: - Editors' Overview - The Future Role of Experts in ERISA Class - View from Proskauer: Health Insurance Exchanges and Retiree Medical Exits--Five Ways To Make Sure It's Really a "Soft...more
1/25/2013 - Affordable Care Act Class Action Class Certification Employee Benefits ERISA Expert Witness Health Insurance Exchanges Retirement Stocks Wal-Mart
In This Issue: - Editors' Overview - Supreme Court Revisits Meaning of 'Appropriate Equitable Relief' in US Airways v. McCutchen - Rulings, Filings, and Settlements of Interest ...more
12/20/2012 - Appropriate Equitable Relief Employer Group Health Plans ERISA Exhaustion Doctrine Medical Reimbursement Preemption Retirement Plan Standard of Review Statutory Penalties
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