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19 Oct 9:29 am by Mark S. Humphreys
... earlier Texas case law. The earlier case law was a Texas Supreme Court case styled Barnett v. Aetna Life Insurance Company and was decided in 1987. What this means is that rights and obligations arising from an insurance policy, and the ... be interpreted in more than one way, the court is supppose to interpret it in such a way as to find coverage under the policy. When an insurance contract covers certain risks, such as liability, but the policy contains exclusions or limitations of coverage, then ...
Dallas Fort Worth Insurance Lawyer Blog - http://www.dallasfortworthinsurancelawyerblog.com/
4 Mar 4:13 am by David Harlow
... Health 3.0 and while we may debate the definition of Health 3.0, what I heard from you about what you are doing at Aetna was fascinating. I would like to ask you to speak a bit about your work in connection with the personal health records online ... information in his or her medical record, and that is a patient can ask an individual provider not to share information with insurance companies if it's not for purposes of treatment or payment, and I imagine that currently the PHR that you describe, ...
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HealthBlawg :: David Harlow's Health Care Law Blog - http://healthblawg.typepad.com/healthblawg/
3 Nov, 2008 10:03 pm by Kantor & Kantor LLP
... U.S. District Judge Faith Hochberg approved a class action settlement that awarded nearly $300,000 to 119 Aetna Insurance Company policyholders who were denied benefits for eating disorders, reports the New Jersey Law Journal. Hochberg also allowed $ ... mother's "decision to take Laura outside the Kaiser treatment system may have saved her daughter's life." The case was reversed and remanded with instructions for the lower court to reimburse the Jacobs for the non-plan services and to pay attorney ...
California Insurance Lawyer Blog - http://www.californiainsurancelawyerblog.com/
29 Jun 7:22 am by Thom Lambert
... less cost.") (2) It will have lower administrative costs than private insurers. ("[Insurance company critics say that] the public plan starts off with an unfair advantage because ... companies and other providers.") (5) Because it's optional, it can't really hurt anybody because people can always just choose a private insurer. ... no reason to expect a Medicare-like public plan to match the administrative efficiency of Aetna, Blue Cross-Blue Shield, Cigna, UnitedHealth Group, and WellPoint. Medicare ...
Truth on the Market - http://www.truthonthemarket.com
12 Apr, 2008 4:38 pm
... access to material should be limited to noncoverage related items. Policyholder counsel should request that the insurance company set forth the basis for audit counsel's investigation and review, including the ... failure to provide a sufficiently detailed privilege log, Carfagno v. Jackson Nat'l Life Ins. Co., 2001 U.S. Dist. LEXIS 1768 *7 (W.D. Mich., ... way of defining a breach of the covenant of good faith and fair dealing. Barney v. Aetna Cas. & Sur. Co., 185 Cal. App. 3d 966, 978 (1986). B ...
Gauntlett on Insurance - http://www.gauntlettoninsurance.com/
17 Aug 8:30 am
... stated: ¶4 Oklahoma law governing insurance coverage disputes is well-established. The foremost principle is that an insurance policy is a contract. Cranfill v. Aetna Life Ins. Co., 2002 OK 26, ¶5, 49 P.3d 703, 706. "Parties are at ... less money on insurance coverage by not purchasing the additional coverage for code upgrades, it is an economic decision. Likewise, if an insurance company chooses to structure its product so as to make coverage available at an increased cost, it is an open and free ...
Oklahoma Insurance Law - http://www.okinsurancelawblog.com/
25 Jul, 2008 11:55 pm by Robert L Abell
... the Social Security Administration, the New York Times reports ("Senate Asks 9 Insurers To Furnish Information"). Unum, Cigna, MetLife, Aetna, Hartford Life, Lincoln, Prudential, Standard and Reliance Standard have received letters for a Senate ... of compelling their insureds to apply for Social Security disability benefits. Most disability insurance policies allow the insurance company to reduce their payments to the claimant if they begin receiving Social Security disability benefits. Therefore, ...
Abell Law Blog - http://abelllaw.typepad.com/abell_law_blog/
6 Mar, 2008 8:19 pm by Thornhill & Collings, L.C.
... uses and applications of digital video tapes are the result of defense surveillance videos and plaintiff day in the life productions. When considered as a tool for presenting the plaintiffs case, everyone assumes that the information presented will be in the ... after this incident. There was no mention, however, of the surveillance film from the service elevator. • Defendant, Aetna Life Insurance Company, responded to the initial discovery requests on April 23, 2002. A copy of the surveillance tape ...
Louisiana Insurance Litigation Blog - http://www.louisianainsurancelitigation.com/
17 Nov, 2008 6:46 am by Barry Barnett
... national and supervising trial counsel for Aetna Life Insurance Company and ING USA Annuity and Life Insurance Company in connection with asbestos related litigation ... Brian Melton, Ian Crosby and Lexie White argued that Nokia's insurers wrongfully denied coverage. The ruling by the Texas Supreme Court now opens the way ... won the appeal in a Texas-wide class action against The Hertz Corporation in connection with the company's rental car fuel-service charge. The class consisted of tens of thousands ...
Blawgletter - http://blawgletter.typepad.com/bbarnett/
4 Sep 2:18 am
... . v. Dir., Div. of Taxation TAXATION - Corporation Business Tax "The sale of CD-ROMs in New Jersey by out-of-state companies with no presence in the state does not create a substantial nexus between those companies and New Jersey to justify taxation under the Corporation Business Tax Act." FEDERAL DECISIONS: Kao v. Aetna Life Insurance Company LABOR AND EMPLOYMENT - Long-Term Disability Benefits "Aetna was within its discretion to conclude that ...
New York Supreme Court Criminal Term Library Blog - http://www.bloglines.com/blog/PLL
22 Aug, 2006 1:52 am by John Wood
The claimant, Toni Dramse, worked for Delta Air Lines between 1984 and 2000. She contacted Aetna Life Insurance Company in 2000 stating that she was suffering from the effects of her 1997 work-related injury. The Administrative Committee of Delta Air...
ERISA and Disability Benefits Law Blog - http://www.erisaontheweb.com/
12 Jun, 2007 12:15 pm by Michael Smith
... 's Motion for Summary Judgment GRANTED Defendant the ExxonMobil Plan sought summary judgment on Plaintiff Andrew W. Campbell, M.D., d/b/a Medical Center for Immune & Toxic Disorders' claims that Aetna Life Insurance Company's denial of payment for medical services Dr. Campbell provided to several patients under the benefits plan was arbitrary and capricious and an abuse of its discretion in violation of the Employment Retirement Income Security Act of ...
Eastern District of Texas Federal Court Practice - http://mcsmith.blogs.com/eastern_district_of_texas/
2 Aug, 2008 11:54 pm by Monroe Freedman
... for tortious interference with existing contractual relations, fraudulent misrepresentation and fraudulent concealment, in a suit against his company by Caperton of Harman Mining. With post-trial interest, the award grew to $76 million. Between the verdict and ... only when a judge has a "direct, personal, substantial, pecuniary interest" in the case before him. Aetna Life Insurance v. Lavoie, 475 U.S. 813. "Simply put," he wrote, he does not have, nor was there any evidence to show he had, such an ...
Legal Ethics Forum - http://legalethicsforum.typepad.com/blog/
16 Sep 11:02 am by Constance Camus
... . Here are the 2007 insurance company executive salaries, should you need any incentive: ANNUAL COMPENSATION 2007: * Ronald A. Williams, Chair/ CEO, Aetna Inc., $23, ... get beaten again than the average person and are therefore more expensive to insure. In human terms, it's a second punishment for a victim of domestic violence. In 2006, Democrats ... leadership, had his staff survey 16 insurance companies. He found that eight would not write health, life or disability policies for women who have been ...
Maryland Trial Lawyer - http://marylandtriallawyer.net
31 Aug 2:41 pm by Goldberg Segalla LLP
Download Allstate Insurance Company v. Miller Download Alta Bates Summit Medical Center v. United of Omaha Life Ins. Co. Download American National v. York County ... American Fam. Mut. Ins. Co. Download Peerless Ins. Co. v. Carleton Download Polygon Northwest Company v. Steadfast Ins. Co. Download Prestia v. United States Fidelity & Guaranty Co ... , LLC v. Cummins Mid-South, Inc. Download Thomas M. Carpenter v. Aetna Life Ins. Co. Download United Automobile Ins. Co. v. Salgado Download Verhoev v. ...
The Insurance and Reinsurance Report - http://insurancecoverage.typepad.com/insurance_and_reinsurance/
20 Oct 9:02 am
... right." I'm very pleased to say that this is one of the latter. In an email I received yesterday, Aetna says that it's finally had enough of agents and employers taking advantage ... absorb the occasional catastrophic claim, because they've sent less money to the insurance company. A classic "win-win" scenario. Except when it isn't: Apparently, a number ... pay plan it replaced. If this sounds like an HRA (Health Reimbursement Arrangement), you're not far off. Aetna finally figured out that a lot of their ...
InsureBlog - http://insureblog.blogspot.com/index.html
12 Aug 6:00 am by Lucas A. Ferrara, Esq.
... you want a health care system that works for the American people -- (applause) -- as well as it works for the insurance companies, I need your help -- knocking on doors, talking to your neighbors. Spread ... to give people more information so that they could handle issues of end-of-life care when they're ready, on their own terms. It wasn't forcing ... private plans or they could be non-for-profit, Blue Cross Blue Shield, or Aetna, or what have you -- they would have these plans that were offered. And ...
Real Estate Law Blog - http://www.nyrealestatelawblog.com/
29 Apr, 2008 2:17 pm
... Claimant's Poor Draftsman Skills Cannot Avoid a Finding of Potential Coverage An insurer is excused from defending only where "the basis for claiming potential liability under the policy is . . . tenuous ... Mariscal v. Old Republic Life Ins. Co., 50 Cal. Rptr. 2d 224, 225 (Ct. App. 1996) ("If [an insurance company] seeks to discover only ... against the policyholder are so vague, ambiguous, or incomplete that potential coverage arises. Arizona - Aetna Cas. & Sur. Co. v. Dannenfeldt, 778 F. Supp. 484 ...
Gauntlett on Insurance - http://www.gauntlettoninsurance.com/
16 Aug 12:45 am
... were) all top execs of health insurance companies and made the Forbes list of the top 500 bosses (ranked by pay). Ron Williams of Aetna earned $8.9 million, ... the big paychecks they are able to deliver a product that is priced competitively with other health insurance carriers. Go figure. Does Oprah really need $260 million to live? Can ... $45 million. And when was the last time Dr. Phil cured anyone of cancer or performed a life saving heart transplant? Edward Hanway may not be able to sink a 40 foot ...
InsureBlog - http://insureblog.blogspot.com/index.html
3 Jul, 2008 2:06 pm
... him of the requirement, refused to give him the life insurance plan documents that would have revealed it, and repeatedly assured him he was covered when the company switched insurers to Aetna from another insurance company. These failures ... worse, the Court subsequently held that ERISA preempts state law claims for redress of unlawful conduct by employers, insurers, or others administering employee benefit plans. The result is that for most victims of ERISA violations, the law created legal ...
ACSBlog - http://www.acsblog.org/
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