15 August 2023

ERISA Update: Sixth Circuit Decision Reminds To Review Plan Documents Carefully

On August 1, 2023, the United States Court of Appeals for the Sixth Circuit issued its decision in Patterson v. United HealthCare Insurance Company.  The Court’s decision serves as a reminder to carefully scrutinize health plan provisions when dealing with plan reimbursement claims. Eric Patterson was injured in an auto accident.  United HealthCare paid for […]

18 November 2022

Motorcycle Accidents that Involve a Motor Vehicle: Unintended Consequences of the 2019 Amendments to the Michigan No Fault Act

According to the Michigan State Police, 282,640 traffic crashes happened in Michigan in 2021 – 1068 of those accidents resulted in a fatality.  Accidents involving a motorcycle accounted for 1.1% (3,271).  But motorcycles were involved in 16% (171) of the traffic crashes that resulted in a fatality.  From a potential for injury standpoint – motorcycle […]

04 November 2022

Choose Wisely: Select Uncoordinated (Primary) Unlimited Pip Coverage

In the new world of “PIP choice,” consumers can now choose how much PIP (primarily medical coverage) to carry on their no-fault insurance policies.  Depending upon eligibility, some are choosing only $50,000; others are selecting $250,000 or $500,000; and many have wisely continued with unlimited lifetime coverage.  Still others have decided to exclude medical coverage […]

20 October 2022

ERISA Health Plan Claims Update: Claims Review Poised To Change

On September 29, 2022, the U.S. House of Representatives approved passage of the Employee and Retiree Access to Justice Act, a bill that if enacted into law has significant implications for providers seeking payment of health plan claims governed by the Employee Retirement Income Security Act, commonly known as ERISA. Currently, ERISA authorizes benefit plan […]