all - Opinion Summaries

MACKEY v. BRISTOL WEST INS. SERVS. OF CALIFORNIA, INC.

Contracts, Injury & Tort Law, Insurance Law
Notice of cancellation for "nonpayment of premium," issued at a point when an insured had not failed to discharge his premium payment obligation, was...

HALL v. LIFE INS. CO. OF N. AM.

ERISA, Insurance Law, Labor & Employment Law
A reduction of monthly disability benefits, by an amount received through coverage under a group certificate, was proper where the employee obtained...

LC CAPITAL PARTNERS, LP v. FRONTIER INS. GROUP, INC.

Civil Procedure, Insurance Law, Securities Law
Plaintiffs suing for stock fraud were on inquiry notice, based on evident "storm warnings" and related publicly available documents, that started the...

BRIGHAM v. SUN LIFE OF CANADA

ERISA, Insurance Law, Labor & Employment Law
A decision to terminate long-term disability benefits was not arbitrary and capricious under ERISA, as insurer did not lack a reasonable basis for its...

COAST PLAZA DOCTORS HOSP. v. UHP HEALTHCARE

Antitrust & Trade Regulation, Contracts, Health Law, Insurance Law
The Knox-Keene Health Care Service Plan Act of 1975 does not bar a health care provider from seeking direct compensation from a health care insurer on...

AM. STATES INS. CO. v. DASTAR CORP.

Civil Procedure, Insurance Law
Parties engaged in manipulation to manufacture appellate jurisdiction after a district court grant of partial summary judgment on the issue of whether...

SHAPS v. PROVIDENT LIFE & ACCIDENT INS. CO.

Contracts, Health Law, Insurance Law
In an action alleging that insurers breached a disability insurance contract, the district court erred in placing the burden of proof on the insured...

DARLAND v. FORTIS BENFITS INS. CO.

ERISA, Insurance Law, Labor & Employment Law
The "treating physician" rule should apply in ERISA cases, and the district court should have deferred to the opinions of a long-term disability...

OLANDER v. STATE FARM MUT. AUTO. INS. CO.

Contracts, Insurance Law
An insurance agent agreement was unambiguously terminable at will as a matter of North Dakota law, and the district did not err in declining to...

VENCOR, INC. v. STANDARD LIFE & ACCIDENT INS. CO.

Contracts, Government Benefits, Health Law, Insurance Law
The district court did not err in determining that the provisions of life insurance policies at issue were not ambiguous under Tennessee law, and that...