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Insurance Companies in Denial regarding Long COVID

Insurance Companies in Denial regarding Long COVID September 15, 2022. By Jane Mundy.
Santa Clara, CA Despite government entities recognizing Long Covid as a disability, attorneys are litigating against health insurance companies that deny disability benefits to COVID long haulers.
Read [ Insurance Companies in Denial regarding Long COVID ]

$90 Million Missing -- “Embezzlement and fraud,” cry AME Pastors in Pension Lawsuit

$90 Million Missing -- “Embezzlement and fraud,” cry AME Pastors in Pension Lawsuit September 14, 2022. By Anne Wallace.
Memphis, TN  Count IX of this class-action ERISA lawsuit, alleges the “Tort of Outrage.” That, if nothing else, captures the flavor of the case.
Read [ $90 Million Missing -- “Embezzlement and fraud,” cry AME Pastors in Pension Lawsuit ]

Costco Settles Excessive Fee ERISA Lawsuit for $5.1 Million

Costco Settles Excessive Fee ERISA Lawsuit for $5.1 Million August 29, 2022. By Anne Wallace.
Green Bay, WI  The Eastern District of Wisconsin has approved a $5.1 million settlement in Soulek v. Costco Wholesale Corporation. The settlement brings to an end another ERISA lawsuit, which alleged that plan fiduciaries failed to manage employee retirement funds prudently, as required by ERISA.
Read [ Costco Settles Excessive Fee ERISA Lawsuit for $5.1 Million ]

Emergency Departments Still Overcharging Patients, Lawsuit Filed

Emergency Departments Still Overcharging Patients, Lawsuit Filed August 18, 2022. By Jane Mundy.
Nashville, TN There was a flurry of reports and studies about five years ago that found routine price gouging in emergency rooms nationwide, and it was worse for the most vulnerable populations – poor and minority patients. It appears that, no matter how advanced medical technology gets, many emergency room patients are left in the dark, and left with an unexpectedly huge ER overcharges bill.
Read [ Emergency Departments Still Overcharging Patients, Lawsuit Filed ]

United Airlines Appears to Stiff Early Retirees

United Airlines Appears to Stiff Early Retirees August 8, 2022. By Anne Wallace.
Chicago, IL Cast your mind back to 2020. We were staying at home, fully masked, wearing blue gloves, bleaching our kitchen counters and very worried about people living in congregate settings, like nursing homes. Needless to say, we weren’t flying anywhere. United Airlines, like all other airlines, had a powerful incentive to reduce overhead, including employee costs. Such is the background for this ERISA lawsuit.
Read [ United Airlines Appears to Stiff Early Retirees ]

Former Head of Third-Party Billing Company on trial for Health Care Fraud

Former Head of Third-Party Billing Company on trial for Health Care Fraud July 21, 2022. By Anne Wallace.
Islip, NY A number of elements go into the calculation of emergency room fees. Apart from the cost of providing care, hospitals must factor in reasonable expectations that some bills will go unpaid and that insurance companies will try to negotiate certain charges down – sometimes because of suspicions of healthcare fraud. The net effect, however, is that patients pay more.
Read [ Former Head of Third-Party Billing Company on trial for Health Care Fraud ]

Mental Health Patient Advocates Fight Wit Reversal

Mental Health Patient Advocates Fight Wit Reversal July 18, 2022. By Anne Wallace.
San Francisco, CA In 2019, the Northern District of California’s decision in Wit v. United Behavioral Health was hailed as a big win for patients seeking coverage parity for mental health disorders. But on March 22, 2022 the Ninth Circuit panel reversed the District Court’s decision. The latest twist in this ERISA lawsuit has thrown longstanding and developing law concerning mental health patients’ rights into turmoil.
Read [ Mental Health Patient Advocates Fight Wit Reversal ]

Can my Employer Cut my Health Benefits after I Retire?

Can my Employer Cut my Health Benefits after I Retire? July 6, 2022. By Anne Wallace.
Rochester, NY Vollmer v. Xerox Corp., an ERISA lawsuit pending in the Western District of New York, raises a question that weighs heavily on the minds of many retirees. Can an employer offer a valuable incentive to encourage workers to retire and then unilaterally change the deal after the employee is out the door? 
Read [ Can my Employer Cut my Health Benefits after I Retire? ]

Increased Emergency Room Charges Loom for Patients at Critical Access Hospitals

Increased Emergency Room Charges Loom for Patients at Critical Access Hospitals July 5, 2022. By Anne Wallace.
Clear Lake, CA On April 8, the DC Circuit Court, which has jurisdiction over Medicare cases, held that Medicare need not reimburse St. Helena Clear Lake Hospital for the cost of maintaining nonemergency room specialists on call. Without Medicare reimbursement, the cost of maintaining these doctors on call will ultimately be passed along to patients through higher emergency room charges.
Read [ Increased Emergency Room Charges Loom for Patients at Critical Access Hospitals ]

Covid Long-Haulers and Denied Disability

Covid Long-Haulers and Denied Disability June 24, 2022. By Jane Mundy.
Santa Clara, CA If you are a COVID 19 long-hauler and your disability claim has been denied, don’t give up – don’t accept excuses from your insurer. The medical and legal community, state and federal governments (including the CDC) and a recent global survey recognize Long COVID as a disability and insurers will increasingly find it difficult to deny LTD benefits.

Read [ Covid Long-Haulers and Denied Disability ]

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