In HUMC Opco, LLC v. United Benefit Fund, the United States District Court for the District of New Jersey addressed motions to dismiss an ERISA action brought against a health insurer and insurance claims administrators. The action concerned medical bills in excess of $7 million, for medical care provided by a hospital over the course of nearly a year. According to the Complaint, the patient’s health insurer was obligated to pay over $789,000.00 for the medical care based upon the so-called “Medicare rate,” but instead paid less than $12,900.00. Following the patient’s death, his spouse assigned his right to benefits
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Monthly Archives November 2016
New Jersey Appellate Division Affirms Defense Verdict in Slip-and-Fall Case
New Jersey Appellate Division Affirms Defense Verdict in Slip-and-Fall Case In Anderocci v. Coach, Inc., the New Jersey Superior Court, Appellate Division reviewed a trial court decision granting summary judgment to the defendants in a slip-and-fall case. The fall occurred in a retail store in a shopping mall. The plaintiff contended that the fall was caused by a slippery floor. The plaintiff supported her claim with an expert opinion concluding that the establishment’s wood floor became slippery due to the use of excessive water in cleaning it. In granting summary judgment for the defendants, the trial court determined that the
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Clark & Fox Partner Michael Savett Quoted in Law360
https://www.law360.com/insurance/articles/860106/nj-justices-may-bolster-insurers-in-policy-assignment-feuds
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