News & Resources

Insurers Use Social Media to Investigate Disabled Claimants

January 26, 2018 Posted in Blog

Disability insurers — both long-term and short-term — now regularly investigate the social media profiles (i.e., Facebook, Instagram, Twitter, etc.) of their policyholder-claimants to determine...

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Health Insurance Claim Denials: Aetna Doesn’t Review Med Records

January 12, 2018 Posted in Blog

Recently, in a California insurance lawsuit involving the wrongful denial of health insurance benefits to a 19-year old claimant suffering from a rare immune-system disorder, a former medical director...

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Ariana M v. Humana — Fifth Circuit Reconsiders ERISA Abuse of Discretion Standard

December 29, 2017 Posted in Blog

On September 19, 2017, the en banc (full) Fifth Circuit Court of Appeals — in a health benefits case in which the Plan Administrator denied benefits to a plan participant — held oral argument...

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