Discover how to reverse your long term disability insurance claim denial via the company’s ERISA administrative appeals process.
Category Archives: ERISA
How to Choose a Lawyer to Fight a Denial of Your ERISA-Governed Life, Health, or LTD Benefits
You have made a claim for Life, Health, or LTD benefits under your employer’s Benefit Plan. The claim has been denied or your benefits terminated. You need[1] to appeal the denial, or if you have already appealed, and the appeal was denied, and you now want to file a lawsuit to obtain the benefits. You […]
Cigna Doctors Rejecting Health Claims Without Reading Them
ProPublica released a scathing article on March 25, 2023, detailing the manner by which Cigna has systematically denied hundreds of thousands of medical claims in recent years by using automated systems which allow Cigna doctors to “instantly reject a claim on medical grounds without opening the patient file.” Claimants were left with unexpected bills and […]
The Limits Of Arbitration Provisions In The ERISA Context
From the perspective of plan sponsors and fiduciaries, the main advantage of mandatory arbitration is that it has been perceived as a way of avoiding the potentially large recoveries available to plaintiffs in class action lawsuits. But in the Employee Retirement Income Security Act of 1974 context, accomplishing this through arbitration provisions may not be […]
Six Kantor & Kantor LLP Lawyers Named Super Lawyers for 2023
FOR IMMEDIATE RELEASE: DECEMBER 19, 2022Kantor & Kantor congratulates the following attorneys on being selected as Super Lawyers 2023Northridge, California, United States — Six Kantor & Kantor LLP Lawyers Named Super Lawyers for 2023 • Anna Maria Martin Partner | Employee Benefits | 10 Years• Alan Kassan Senior Partner | Employee Benefits & Insurance Coverage […]
Ninth Circuit Holds That Trial Courts May Not Rely on Arguments Not Raised During the Claims Process
Collier v. Lincoln Life Assurance Co. of Bos., No. 21-55465, __ F.4th __, 2022 WL 17087828 (9th Cir. Nov. 21, 2022) (Before Circuit Judges Paez and Watford, and District Judge Richard D. Bennett)Kantor & Kantor received a victory on a notable decision in the Ninth Circuit that addressed what arguments ERISA plan administrators and judges […]
UMR Denies Power Wheelchair to College Student With Cerebral Palsy
Spencer Hoff is a young college student with a diagnosis of congenital cerebral palsy with spastic quadriplegia. He is non-ambulatory and has used a power wheelchair for years. The power wheelchair is Spencer’s means of mobility, independence, and freedom.Spencer is a productive and independent college student because of the power wheelchair with a joystick to […]
The Tide Is Turning For Insureds Seeking Coverage For Proton Beam Radiation Therapy
Proton Beam Radiation Therapy (“PBRT”) is a type of radiation cancer treatment. PRBT delivers a beam of protons directly to the cancerous tumor causing less damage to surrounding healthy tissue. Traditional radiation therapy provides for a less targeted approach, damaging surrounding tissue and causing greater side effects. Insurers have been reluctant to approve PRBT claiming […]
How Do You Win A Bad Faith Lawsuit?
What is bad faith? In many states, including California, Washington, Arizona, Nevada and Colorado, when your insurance company breaches their contract with you, it could potentially be more than a breach of contract. It could also be a breach of the implied covenant of good faith and fair dealing, which is known as “bad faith.” […]
HELP WITH LONG-COVID CLAIMS
The pandemic has taught us that the world has changed with COVID. Those trying to recover from this deadly disease are navigating a new world with medical practitioners who are unfamiliar with the long-lasting side effects and insurers who have never been receptive to conditions which cannot be measured by an x-ray or “dipstick.”“Long COVID” […]
