Utah ERISA Law

J.H., A.H. v. Anthem Blue Cross Life and Health Insurance Company

Salt Lake City, Utah employment law lawyers represented the parties in an employment welfare-benefit plan dispute. J.H. participated through her employer in an employee welfare-benefit plan (the Plan) fully insured by Anthem Blue Cross Life and Health Insurance Company. Her son, A.H., was a beneficiary.1 After Plaintiffs sought benefits for A.H.'s yearlong stay at a mental-health... More...

$0 (05-21-2025 - UT)

G.F. v. Aetna Life Insurance, et al.

<h2> Salt Lake City, Utah Employee Retirement Incomes Security (E.R.I.S.A.) lawyer represented the Plaintiff. </h2> The Employee Retirement Income Security Act (ERISA) is a federal law that protects the retirement assets of American workers and sets minimum standards for certain employer-sponsored plans: Retirement plans ERISA requires plans to provide partic... More...

$0 (10-09-2024 - UT)

L.L. V. Anthem Blue Cross Life and Health Insurance, et al .

<h2> Salt Lake City, Utah employment law lawyers represented the Plaintiff who sued on an E.R.I.S.A. law theory. </h2> The Employee Retirement Income Security Act of 1974 (ERISA) is a federal law that sets minimum standards for most voluntarily established retirement and health plans in private industry to provide protection for individuals i... More...

$1 (06-14-2024 - UT)

Patrick S. v. United Behavioral Health, et al.

Salt Lake City, Utah labor law lawyers represented the Plaintiff who sued the Defendants on E.R.I.S.A.: Employee Retirement labor law theories. The Employee Retirement Income Security Act of 1974 (ERISA) is a federal law that sets minimum standards for most voluntarily established retirement and health plans in private industry to provide protection for individuals in these plans. <br... More...

$0 (01-30-2024 - UT)

Robert D. v. Anthem Blue Cross, et al.

Salt Lake City, Utah labor law lawyers represented the Plaintiff who sued the Defendants on E.R.I.S.A.: Employee Retirement Law theories. The Employee Retirement Income Security Act of 1974 (ERISA) is a federal law that sets minimum standards for most voluntarily established retirement and health plans in private industry to provide protection for individuals in these plans. ... More...

$0 (01-30-2024 - UT)

United States of America, ex rel. Gerald Polukoff v. St. Marks Hospital, et al.

This is a qui tam action alleging violations of the False Claims Act (“FCA”), 31 U.S.C. §§ 3729–33, involving fraudulent reimbursements under the Medicare Act, 42 U.S.C. §§ 1395–1395ccc. Plaintiff Gerald Polukoff, M.D., is a doctor who worked with Defendant Sherman Sorensen, M.D. After observing some of Dr. Sorensen’s medical 3 practices, Dr. Polukoff brought this... More...

$0 (07-10-2018 - UT)

Ute Indian Tribe of the Uintah and Ouray Reservations v. Honorable Barry G. Lawrence

This appeal arises from a contract dispute between Lynn Becker and the Ute Indian Tribe of the Uintah and Ouray Reservation.1 Our concern, however, is not the merits of the dispute but jurisdiction. Mr. Becker, who is not an Indian, pursued his claim against the Tribe in Utah state court. The Tribe responded by filing suit in the United States District Court for the District of Uta... More...

$0 (08-25-2017 - UT)

Brent Middleton v. J. Hoyt Stephenson

Brent Middleton and othersâ€”all Utah citizensâ€”brought several federal-law claims against J. Hoyt Stephenson in the United States District Court for the District of Utah. Stephenson fought back with state-law counterclaims and a third-party complaint asserting state-law claims against multiple third-party defendantsâ€”also all Utah citizens. But the district court dismissed... More...

$0 (04-24-2014 - UT)

Eugene S. v. Horizon Blue Cross Blue Shield of New Jersey

Plaintiff-Appellant Eugene S. appeals from the district court's denial of his motion to strike and entry of summary judgment in favor of Defendant-Appellee Horizon Blue Cross Blue Shield of New Jersey ("Horizon BCBSNJâ€ or "Horizonâ€). We have jurisdiction under 28 U.S.C. Â§ 1291, and we affirm. Background Eugene S. sought coverage for his son A.S.'s residential treatment... More...

$0 (11-15-2011 - UT)

Terrie Hancock v. Metropolitan Life Insurance Company

Terri Hancock challenges the denial by Metropolitan Life Insurance Company (MetLife) of accidental-death-and-dismemberment (AD&D) benefits for the death of her mother, Verla Hancock. Applying arbitrary-and-capricious review, the United States District Court for the District of Utah affirmed MetLife's decision. On appeal Ms. Hancock contends (1) that judicial review of MetLife's decision should be ... More...

$0 (01-05-2010 - UT)

Terrence D. Holdeman v. Michael W. Devine

Plaintiff Terrence Holdeman, the representative of a class of employees and dependents of employees who were participants in a self-funded employee benefit plan, appeals the district court's decision that defendant Michael Devine, as trustee of the plan, is not personally liable for outstanding medical claims that the plan did not pay or never fully paid prior to the employer's termination of the ... More...

$0 (07-22-2009 - UT)

Kelly Te'o v. Morgan Stanley & Co., Inc., et al.

Kelly Te'O, as personal representative of the estate of Marvin Anderson, appeals from the district court's entry of judgment in favor of defendants on Mr. Anderson's claims under the Employee Retirement Income Security Act of 1974, as amended (ERISA). See 29 U.S.C. Â§Â§ 1001-1461. Exercising jurisdiction under 28 U.S.C. Â§ 1291, we affirm. I. Background Mr. Anderson worked for ... More...

$0 (02-11-2009 - UT)

Cherilyn Kellogg v. Metropolitan Life Insurance Co.; Pfizer Accidental Death and Dismemberment Insurance Plan

Plaintiff Cherilyn Kellogg brought this action against defendants Metropolitan Life Insurance Company and Pfizer Accidental Death and Dismemberment Insurance Plan, claiming she was wrongly denied accidental death and dismemberment benefits under an employee welfare benefit plan regulated by the Employee Retirement Income Security Act of 1974 (ERISA), as amended, 29 U.S.C. Â§Â§ 1001-1461. Cheri... More...

$0 (12-04-2008 - UT)

Securities and Exchange Commission v. David M. Wolfson, et al.

In this civil enforcement action, the Securities and Exchange Commission ("Commissionâ€ or "SECâ€) charged that Jon R. Marple ("Marpleâ€) and Grateful Internet Associates, LLC ("Gratefulâ€),1 violated Section 10(b) of the Securities Exchange Act of 1934 ("Â§ 10(b)â€), 15 U.S.C. Â§ 78j(b); Commission Rule 10b-5 ("Rule 10b-5â€), 17 C.F.R. Â§ 240.10b-5; and Section... More...

$0 (09-02-2008 - UT)

<a href="http://www.kscourts.org/ca10/cases/2006/11/05-4142.htm" target="_new">Michael Geddes and Kari Geddes, individually and as parents and guardians of Andrew Geddes v. United Staffing Alliance Employee Medical Plan, et al.</a>

Since the Supreme Court's decision in Firestone Tire and Rubber Co. v. Bruch, 489 U.S. 101 (1989), federal courts have reviewed an ERISA health plan's denial of benefits for arbitrariness and capriciousness, so long as the plan explicitly grants discretionary authority to an administrator or other fiduciary to render benefit decisions. Now we are called upon to decide whether a fiduciary's deci... More...

$0 (11-17-2006 - UT)

<a href="http://www.kscourts.org/ca10/cases/2003/08/03-7045.htm" target="_new">Kathy Lefler, et al. v. United Healthcare of Utah, Inc.</a>

In 1995, Ms. Kathy Lefler and other plaintiffs (Class) brought this class action against United HealthCare of Utah, Inc. (United), a health maintenance organization, under the Employee Retirement Income Security Act of 1974 (ERISA)(2), seeking to recover benefits due under an employee welfare benefit plan, 29 U.S.C. §1132(a)(1)(B)(3), and for other equitable relief, 29 U.S.C. §1132(a)(3). The... More...

$0 (08-18-2003 - UT)

<a href="http://www.kscourts.org/ca10/cases/2002/08/00-4082.htm" target="_new">Irene Hickman, et al. v. Gem Insurance Company, Inc.</a>

The class action plaintiffs in this case brought their claims under the provisions of the Employee Retirement Income Security Act of 1974 (ERISA), 29 U.S.C. §§1001 through 1461.(1) They alleged that their medical benefits insurer, defendant Gem Insurance Company, had wrongfully refused to fully pay certain hospital room and board charges. Specifically, plaintiffs alleged that defendant was liabl... More...

$0 (08-14-2002 - UT)

<a href="http://www.kscourts.org/ca10/cases/2001/01/99-4114.htm" target="_new">Thomas E. Winkel v. Kennecott Holdings, et al.</a>

Appellant, Thomas E. Winkel, appeals the district court's dismissal of the lawsuit he brought against his former employer, Kennecott Corporation ("Kennecott") and several other defendants. Winkel had been employed by Kennecott for approximately thirty years before his retirement in early 1997. Shortly after Winkel left his job, Kennecott publicly announced the adoption of an involuntary employee b... More...

$0 (01-10-2001 - UT)