Cowart v. Anthem Blue Cross, et al. Anthem sued for misleading California individual plan members about the doctors in its networks for its ACA (“Obamacare”) plans in 2014. Anthem agrees to reimburse members who paid…

Confidential. General areas addressed: health insurance; treatment and procedure coverage; physician recommendations; critical organ, brain, cancer or spinal cord issues; and out of network coverage issues.

Confidential. General areas addressed: health insurance; mental health coverage; Mental Health Parity Act; procedures and policies; health insurance coverage; physician recommendations; eating disorders, and discharge policies and procedures.

Arce v. Kaiser. Kaiser Permanente sued for denying ABA and speech therapy to children with Autism Spectrum Disorders. Kaiser agrees to change its policy and stop systemically denying ABA and speech therapy, and agrees to…

Confidential. General areas addressed: health insurance; treatments and procedures for special needs child; health insurance coverage; Mental Health Parity Act; physician and medical provider recommendations; and medically necessary treatments and procedures.

Confidential. General areas addressed: health insurance; treatment and procedure coverage; physician recommendations; critical organ, brain, cancer or spinal cord issues; and outside of network coverage issues.