• Outpatient surgical center sued health insurer for alleged underpayment of claims under ERISA.  Insurer asserted various defenses, including statue of limitations, failure to exhaust administrative remedies under ERISA, lack of standing due to anti-assignment provisions in health plans, and that all benefits due under the contracts were paid.

  • Insurance bad faith lawsuit for denial of long term disability benefits, failure to reasonably accommodate plaintiff employee in a new position, and wrongful termination.

  • Insurance bad faith termination of long term disability benefits based on the mental illness limitation in a long term disability policy and dispute over whether the disability was a mental or physical illness.

  • Bad faith lawsuit for improper offsets of Social Security benefits against long term disability benefits and denial of short term disability benefits.

  • Insurance coverage dispute over claim for water intrusion that allegedly occurred during high winds and a rain storm at a sound stage and post production studio including whether policy exclusions for defective maintenance, age-related deterioration, wear and tear, and failure to mitigate damages barred coverage under the Policy.

  • Claim for bad faith denial of long term care benefits and financial elder abuse arising from the denial of a claim for benefits under a long term care policy where the issue was whether the claimant satisfied the policy definition of a “Chronically Ill Individual.”

  • Insurance bad faith action for denial of claim for property damage to rental property from vandalism.

  • Interpleader action regarding a dispute between the insured’s children and the insured’s spouse (the children’s stepfather) over entitlement to life insurance benefits.

  • Suit to recover additional retirement benefits under a retiree supplemental health plan.

INSURANCE

REPRESENTATIVE CASES

Mediator

Margaret Levy, Esq.

Tel: (310) 201-0010