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What CA Workers Should Know About ERISA Denials

Legal advisor reviews insurance contract with client

Facing a denial for a disability, health, or life insurance claim can be overwhelming—especially when your benefits are governed by a federal law called ERISA. Many California workers rely on employer‑sponsored insurance plans for peace of mind, but when a claim is denied, the process for fighting back is complex and requires specialized knowledge. At […]

Is Oregon Going to Allow Suits For Insurance Bad Faith?

Oregon to date has declined to recognize first-party bad faith claims against insurers, and only allowed tort claims against an insurer in limited circumstances where a special relationship existed between insured and insurer. This means that in Oregon, first-party claims against insurers have been limited to contract damages and not allowed the recovery of extra-contractual […]

Three reasons why hiring an attorney to handle your appeal may have advantages you had not considered

Suppose you are appealing the denial of your insurance benefits. In that case, there is a greater chance that you will end up in litigation with the insurance company. That is simply a fact. Of course, a well-presented appeal makes litigation less likely, but it still happens. After all, it is difficult to convince an […]

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.” […]