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UnitedHealth Tells 9th Circ. to Undo Punitive ERISA Ruling
Law360 (June 3, 2021, 4:04 PM EDT) A UnitedHealth Group Inc. unit urged the Ninth Circuit to unravel a classwide judgment requiring the insurer to reprocess over 67,000 claims for behavioral health treatment, claiming the lower court s decision was based on improper shortcuts.
In its Wednesday reply brief, United Behavioral Health argued that the district court s sweeping March 2019 ruling and subsequent order, which required UBH to reprocess claims initially evaluated using guidelines that the court said were incompatible with updated medical literature, were premised on a series of legally flawed quick fixes.
UBH s brief asked the appeals court to undo the lower court s judgment and toss the.
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The U.S. Secretary of Labor, state of California and a slew of healthcare groups are urging a federal appeals court to uphold a lower court's orders finding that a UnitedHealth Group Inc unit unreasonably denied mental health and substance abuse coverage and ordering it to reprocess 67,000 claims.
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The Employee Benefits Practice is pleased to present the Employee Benefits Developments Newsletter for the month of April 2021. Click on the links below for more information on each specific development or case.
Circuit Court Finds Claims of ERISA Fiduciary Breach Do Not Relate to Employment for Purpose of Employment-Based Arbitration Agreement
Release of Claims Fails to Block ERISA Lawsuit
Amounts Paid for Personal Protective Equipment Treated as Medical Expense
Fidelity Not Acting as ERISA Fiduciary in Charging Access Fee to Mutual Funds Hosted on its Retirement Plan Investment Platform