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In late September 2024, the U.S. Department of Health and Human Services (“HHS”), Office for Civil Rights (“OCR”) announced a settlement with Cascade Eye and Skin Centers, P.C., a health care provider in the state of Washington (“CESC”), concerning potential violations of the Health Insurance...

This month’s Friday Five covers cases relating to Long-COVID, a class action RICO suit, the physical illness exclusion to accidental death and dismemberment claims, consideration due to an Administrative Law Judge’s disability determination, and self-reported claims of fatigue. The Saul Ewing ERISA...

NEW YORK (September 17, 2024) – Marshall Dworkin, an experienced litigator, has become counsel in Saul Ewing’s New York office, joining former colleagues James Chou and Peter Zlotnick. Mr. Dworkin is a litigator with substantial experience representing clients in commercial, insurance and...

This month’s Friday Five discusses cases addressing the effect of continuing to receive benefits during the period of alleged disability, reliance on an employer’s records in making a disability determination, the admissibility of expert and lay testimony from a physician in a trial over LTD...

Saul Ewing LLP, a full-service national law firm, today announced that attorneys from the firm were named to the 2025 editions of The Best Lawyers in America and Best Lawyers: Ones to Watch in America. Recognition by Best Lawyers is based entirely on peer review. Baltimore Attorneys from the firm’s...

On August 1, 2024, the U.S. Department of Health and Human Services (“HHS”) Office for Civil Rights (“OCR”) announced a civil monetary penalty of $115,200 against American Medical Response (“AMR”) based on a complaint that AMR failed to provide a patient with timely access to their medical records...

NEW YORK (AUG. 6, 2024) – William Latza, a go-to attorney in New York’s legal and regulatory market for insurance, is the newest member of Saul Ewing’s Insurance Practice. In joining the firm, he brings clients his insight from his four decades of experience in private practice for the insurance...

This month’s Friday Five explores decisions from around the country discussing differences between the scope of discovery and ability to add documents to the record on a claim for review challenging the denial of LTD benefits, LTD and LWOP policies, the breadth of discretion available to claims...

Pennsylvania recently enacted two new insurance laws that significantly expand the permissible kinds of value-added products and services that may be provided by insurance licensees in general and the fees that may be charged by surplus lines licensees to an insured in a personal lines policy...

On July 1, 2024, the U.S. Department of Health and Human Services (“HHS”) Office For Civil Rights (“OCR”) announced a $950,000 settlement with Heritage Valley Health System (“Heritage Valley”) and a three-year Corrective Action Plan (“CAP”). What You Need to Know: HIPAA Security Rule (and Privacy...

This month’s Friday Five explores decisions addressing the burden of proving accidental death, policy language and “any occupation” disability, an interpleader case where the insurer was not dismissed from the case, the weight to be afforded to non-treating expert opinions and SSDI determinations...

This month’s Friday Five explores recent decisions with issues spanning physician power of attorney to preexisting exclusions and the fiduciary duty of an insurance company. The Saul Ewing Employee Benefits/ERISA Litigation Team Whether a provider has sufficiently pleaded the existence of a valid...

This month’s Friday Five explores decisions from around the country discussing differences between LTD and LWOP policies, the breadth of discretion available to claims administrators and the always important topic of timely action by insurers in issuing claims decisions. The Saul Ewing Employee...

On April 22, 2024, the U.S. Department of Health & Human Services (“HHS”) Office for Civil Rights (“OCR”) announced a final rule to support reproductive health care privacy (the “Reproductive Rule”). According to the HHS OCR press release, the Reproductive Rule, “is one of many actions taken by HHS...

Current Issues in Insurance Regulation 2024 The 34th annual program on Current Issues in Insurance Regulation features regional and national leaders exploring topical issues of importance to the insurance industry, with opportunities for questions and interaction with the faculty. As in prior...

​The U.S. Department of Health and Human Services ("HHS"), Office for Civil Rights ("OCR") continues to be actively engaged in investigating and settling alleged HIPAA violations. In advance of Mother's Day, two decisions were announced for HIPAA-covered entities that allegedly did not provide...

This month’s Friday Five covers the treatment of job-related stress in assessing an attorney’s disability, the requirements surrounding the qualifications of a medical professional to review a claimant’s medical records in making disability determinations, the requirements for determining disability...