Why Won’t the At-Fault Driver’s Insurance Company Pay My Medical Bills?

Anyone who has been in a car accident is familiar with exchanging insurance information with the other driver or drivers involved in the accident. If there is a police report, the investigating officer includes the insurance information for each vehicle involved in the accident. Louisiana law requires all Louisiana residents who own a car to carry liability insurance in the …

What Should I Do If a Life Insurance Claim Is Denied on the Basis of Misrepresentation in Louisiana?

When a proposed insured applies for larger life insurance policies, it is common for an insurance company to require answers to a series of health questions. Usually, insurers will not request medical records to confirm the accuracy of the answers to the questions before issuing the policy and accepting premiums. However, if an insured dies within two years of the …

Judge Oldham Writes Concurring Decision Questioning the Fifth Circuit’s Deferential Standard of Review for ERISA Cases

Published by The Pellegrin Firm November 1, 2021

Judge Oldham argues that the Fifth Circuit has strayed from the Supreme Court’s instructions, and that law, logic, and history cannot square the legislative purposes of ERISA with the Fifth Circuit’s deferential review of benefit determinations (at least those in which the plan gives discretionary authority to the claim administrator).

Federal Court in Kentucky Awards Woman Disability Benefits Due to Parkinson’s, Chronic Pain, and Cervical Disk Degeneration

Published by The Pellegrin Firm May 18, 2021

In a recent decision, a federal district court in Kentucky found that United of Omaha erred in denying short-term disability (“STD”) and long-term disability (“LTD”) benefits to a worker disabled by Parkinson’s disease, chronic pain, and disk degeneration.

U.S. Court of Appeals for the Tenth Circuit Construes “Actively at Work” Provision Against Reliance Standard Life Insurance Company

Published by The Pellegrin Firm March 24, 2021

In a recent decision, The U.S. Court of Appeals for the Tenth Circuit affirmed a district court’s decision ruling that Reliance Standard Life Insurance Company was wrong in finding that a man disabled due to prostate cancer was not covered by his employer’s group policy when he became disabled.

Massachusetts Judge Finds for Insurance Company in ERISA Case After Widow Sues on Denied Accidental Death Insurance Claim

Published by The Pellegrin Firm February 15, 2021

In a recent decision, a judge of the U.S. District Court for the District of Massachusetts found for an insurer in a lawsuit brought by a widow challenging the denial of an accidental death insurance claim. The plaintiff was an employee of PricewaterhouseCoopers LLP, which sponsored the spousal accidental death insurance as an employee benefit.

The Importance of Timely Filing a Claim in Any Limitation Action If a Worker is Injured in an Incident Involving a Vessel

Published by The Pellegrin Firm January 31, 2021

The Uniform Statute of Limitations for Maritime Torts establishes a three-year statute of limitations for claims arising from injury occurring on navigable waters. The Uniform Statute applies to actions under the Jones Act, as well as to claims by seamen for injuries based on unseaworthiness of a vessel and claims for any other party’s negligence arising under general maritime law. The statute is codified at 46 U.S.C.A. § 30106.

Court Finds Aetna Erred in Denying Long-Term Disability Benefits to Software Management Engineer

Published by The Pellegrin Firm December 26, 2020

A federal district court in California recently found that Aetna erred in denying long-term disability benefits to a Software Management Engineer employed by Jet Propulsion Laboratory, a federally funded research facility owned by NASA and managed by California Institute of Technology (Caltech).