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Description Date Docket #

AMGEN INC. v. SCULLY

United States DC Circuit
Administrative Law, Drugs & Biotech, Health Law, Insurance Law
42 U.S.C. section 1395l(t)(12)(A) precludes review of an equitable adjustment, made pursuant to section 1395l(t)(2)(E), to the Medicare Part B rate at...
02/13/2004 03-5046

VALMONT ENERGY STEEL, INC. v. COMMERCIAL UNION INS. CO.

United States Fifth Circuit
Contracts, Insurance Law
The "your product" exclusion in defendants' policies with Continental Manufacturing plainly excluded coverage of the damages suffered by plaintiff as...
02/10/2004 03-40650

EVANS v. METRO. LIFE INS. CO.

United States Fourth Circuit
ERISA, Insurance Law, Labor & Employment Law
Plaintiff did not quit work on December 2, 1999, when he originally claimed to be disabled, nor does the plan require a quit date to serve as the...
02/10/2004 03-1065

OCHS v. PACIFICARE OF CALIFORNIA

California Court of Appeal
Health Law, Insurance Law
A health care service plan is not statutorily obligated to pay for emergency services when it has non-negligently delegated that responsibility to a...
02/09/2004 B160624

BUTTS v. CONT'L CAS. CO.

United States Eighth Circuit
ERISA, Insurance Law, Labor & Employment Law
Plan administrators' decision to deny long-term disability benefits was reasonable. Plaintiff was not continuously, totally disabled for the requisite...
02/09/2004 03-1134

KING v. HARTFORD LIFE & ACCIDENT INS. CO.

United States Eighth Circuit
ERISA, Injury & Tort Law, Insurance Law, Labor & Employment Law
Deceased insured's voluntary intoxication did not render his death a "self-inflicted injury" under the accidental death policy issued by defendant....
02/09/2004 02-3934

MUT. SERV. INS. CO. v. FRIT INDUS., INC.

United States Eleventh Circuit
Attorney's Fees, Insurance Law
In a duty to defend a product liability action, entitlement to attorneys' fees based on the offshore insurers' failure to admit they had a duty to...
02/06/2004 00-15856

GRISPINO v. NEW ENGLAND MUT. LIFE INS. CO.

United States First Circuit
Injury & Tort Law, Insurance Law
Plaintiffs' fraud, negligence and breach of fiduciary duty claims are time-barred, having accrued in 1998, when plaintiffs were still required to make...
02/06/2004 03-1899

COLONIAL LIFE & ACCIDENT INS. CO. v. HARTFORD FIRE INS. CO.

United States Eleventh Circuit
Contracts, Injury & Tort Law, Insurance Law
Breach of the enhanced duty of good faith sounds in contract under Alabama law, and Alabama applies the doctrine of lex loci contractus. Plaintiff's...
02/05/2004 03-11688

ALLSTATE INS. CO. v. MURRAY MOTOR IMPS. CO.

United States Tenth Circuit
Insurance Law
The auto dealership's insurer was the primary insurer for the accident involving the service manager while driving one of his employer's "loaner...
02/04/2004 02-1500

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