CIGNA and Benefit Manager Sued for Alleged Med Equipment Overcharges
A Texas resident has filed a federal lawsuit against Connecticut-based Cigna Health and Life Insurance Co. and one of its pharmacy benefit managers, CareCentrix Inc., charging they conspired to drive up the consumer costs of home patient care and durable medical equipment.
In his Insurance Law column, Jonathan A. Dachs writes: In a series of recent cases, the courts have analyzed the insurer’s obligation to disclose the contents of its files, including attorney communications with regard to the decision of whether to accept or reject a claim, notwithstanding the insurer’s invocation of the “material prepared for litigation” and/or attorney-client privileges—with mixed results.
In a nearly full reversal of a 2015 lower court ruling, an appeals panel has ruled that Susan Kassapian, a principal administrative law judge from 2009-13, stated several claims that should survive the city’s motion to dismiss.
Rejecting an interpretation by the Appellate Division, First Department, the Court of Appeals found that a local Cayman Islands rule didn't require derivative suits against Cayman-based companies to visit the courts there first.
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