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Monthly Archives: March 2016

Gov’t Employees Ins. v. Avanguard Med. Group

(Court of Appeals of New York) – In an insurance action, brought by plaintiff insurance companies seeking declaratory relief, the Appellate Division’s order is affirmed where Insurance Law section 5102 does not require no-fault insurance carriers to pay a facility fee to reimburse New York…

CA Ins. Guarantee Assoc. v. Workers’ Comp. Appeals Bd.

(California Court of Appeal) – In an action challenging the Workers’ Compensation Appeals Board denial of a Legislatively-created insurance guarantee’s motion to be dismissed from the underlying workers’ compensation cases on the ground that it was authorized to pay only covered claims from which the…

Tenet Healthsystem Desert v. Blue Cross of Cal.

(California Court of Appeal) – In a suit by a hospital over defendants’ refusal to pay approximately $1,996,265.50 for the cost of medical services it provided to an insured patient following extensive communications with insurer-defendant over a period of approximately 50 days regarding ‘authorization’ for…

Medina-Padilla v. US Aviation Underwriters, Inc.

(United States First Circuit) – In a suit bringing tort-based claims arising out of the same set of underlying facts alleged in an earlier contract action, which was dismissed the on the basis that the insurance policy did not provide coverage for contract claims, the…

Gobeille v. Liberty Mut. Ins. Co.

(United States Supreme Court) – In an action seeking a declaration that the Employee Retirement Income Security Act of 1974 (ERISA) pre-empts application of Vermont’s law requiring certain entities, including health insurers, to report payments relating to health care claims and other information relating to…

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