Eleventh Circuit: Kaiser violated ERISA by improperly denying emergency medical claims
ca11 · 2025-11-19 · Reversed · Impact: 65/100
REACH Air Medical Services LLC v. Kaiser Foundation Health Plan Inc., decided by Eleventh Circuit on November 19, 2025, resulted in a reversed outcome. The Eleventh Circuit addressed whether Kaiser Fo...
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...
First Circuit Affirms Denial of Out-of-Network Physical Therapy Coverage
ca1 · 2025-03-19 · Defendant Win · Impact: 15/100
Cannon v. Blue Cross and Blue Shield of Massachusetts, Inc., decided by First Circuit on March 19, 2025, resulted in a defendant win outcome. The First Circuit affirmed the district court's dismissal ...