Fifth Circuit Affirms Aetna's Denial of Reimbursement Claims
ca5 · 2025-12-18 · Defendant Win · Impact: 25/100
Aramark Services v. Aetna Life Ins, decided by Fifth Circuit on December 18, 2025, resulted in a defendant win outcome. The Fifth Circuit affirmed the district court's grant of summary judgment to Aet...
Eleventh Circuit Affirms Denial of Disability Benefits
ca11 · 2025-11-21 · Defendant Win · Impact: 25/100
Cheriese Johnson v. Reliance Standard Life Insurance Company, decided by Eleventh Circuit on November 21, 2025, resulted in a defendant win outcome. The Eleventh Circuit affirmed the district court's ...
Preauthorization Clause Upheld: Insurer Not Liable for Unapproved Services
ca5 · 2025-10-23 · Defendant Win · Impact: 25/100
Angelina Emergency Med v. Blue Cross, decided by Fifth Circuit on October 23, 2025, resulted in a defendant win outcome. The Fifth Circuit affirmed the district court's grant of summary judgment to Bl...
Appellate Court Affirms Dismissal of Bad Faith Claim Against Insurer
illappct · 2025-09-12 · Defendant Win · Impact: 25/100
In re Conservation of NextLevel Health Partners, decided by Illinois Appellate Court on September 12, 2025, resulted in a defendant win outcome. The appellate court affirmed the trial court's decision...
Insurance policy exclusions for wear and tear bar coverage for storm damage.
calctapp · 2025-07-21 · Defendant Win · Impact: 25/100
Wing Inflatables v. Certain Underwriters at Lloyd's, decided by California Court of Appeal on July 21, 2025, resulted in a defendant win outcome. The plaintiff, Wing Inflatables, sought coverage under...
Tenth Circuit Upholds Insurer's Denial of Disability Benefits
ca10 · 2025-07-08 · Defendant Win · Impact: 25/100
Stark v. Reliance Standard Life Insurance Company, decided by Tenth Circuit on July 8, 2025, resulted in a defendant win outcome. The Tenth Circuit affirmed the district court's grant of summary judgm...
Sixth Circuit: Non-participating provider cannot recover under ERISA plan.
ca6 · 2025-07-01 · Defendant Win · Impact: 30/100
AMISUB (SFH), Inc. v. Cigna Health & Life Ins. Co., decided by Sixth Circuit on July 1, 2025, resulted in a defendant win outcome. The Sixth Circuit affirmed the district court's grant of summary judg...
Court Affirms Denial of Emergency Care Claims Under Prudent Layperson Standard
tenn · 2025-04-25 · Defendant Win · Impact: 30/100
Emergency Medical Care Facilities, P.C. v. BlueCross BlueShield of Tennessee, Inc., decided by Tennessee Supreme Court on April 25, 2025, resulted in a defendant win outcome. This case concerns a disp...