Princeton, NJ
Litigation Lawyer at Princeton, NJ
Practice Areas: Litigation, Health Care ... +6 more
OUTCOME: Conditionally certifying a class of out of network healthcare providers pursuing claims under ERISA relative to retroactive adverse benefit determinations issued by Defendants.
No. 11-cv-425, 2014 U.S. Dist. LEXIS 120589 (D.N.J., August 28, 2014)
OUTCOME: Awarding injunctive relief to a professional chiropractic association on behalf of its members against a private insurance carrier for violations of ERISA relative to the carrier’s retroactive recoupment practices.
No. 09-cv-5619, 2014 U.S. Dist. LEXIS 41749 (N.D. Ill. March 28, 2014)
OUTCOME: Granting partial summary judgment to provider plaintiffs and holding that retroactive recoupments resulted in arbitrary and capricious adverse benefit determinations under ERISA.
Case No. 09-cv-5619, 2012 U.S. Dist. LEXIS 147026 (N.D. Ill. November 7, 2013)
OUTCOME: Reversing the District Court’s dismissal of claims brought by a Durable Medical Equipment provider under ERISA challenging post payment audit and recoupment practices on behalf of a putative class of licensed healthcare providers.
Case No. 12-2308 (3d Cir. August 16, 2013)
OUTCOME: Upholding claims brought by a statewide putative class of chiropractic physicians under ERISA and under state law challenging Horizon’s policy of “bundling” reimbursement for adjunctive procedures into reimbursements for chiropractic manipulation.
Case No. 2:11-cv-7298 2013 U.S. Dist. LEXIS 107422 (D.N.J. July 31, 2013)
OUTCOME: The Court denied Defendant Insurers' motion for summary judgment and helding that retroactive recoupments from providers based upon coverage determinations can amount to adverse benefit determinations under ERISA, thus giving rise to claims thereunder.
Case No. 09-cv-5619, 2012 U.S. Dist. LEXIS 147026 (N.D. Ill. October 12, 2012)
OUTCOME: Upholding claims under ERISA asserted by a putative class of licensed healthcare providers and several chiropractic professional associations against United Healthcare and Health Net
Case No. 11-cv-425 (ES)(CLW), 2012 U.S. Dist. LEXIS 44871 (D.N.J., Mar. 30, 2012)
OUTCOME: Partial Dismissal of state law claims asserted in Counterclaim/Third-Party Complaint based upon ERISA Preemption
Case No. 1:10-cv-03194-RJS (S.D.N.Y) (March 16, 2012) (Lead Counsel to Plaintiff and Third-Party Defendant)
OUTCOME: Upholding concurrent claims under Sections 502(a)(1)(B) and 503 of ERISA as adequately pled in an action challenging the manner in which Defendant calculates benefits payable to insureds with primary coverage through Medicare.
Case No. 11-cv-1185, 2011 U.S. Dist. LEXIS 135202 (D.N.J. Nov. 22, 2011) (Co-Lead Counsel to Plaintiff and the Putative Class)
OUTCOME: Upholding claims under ERISA asserted by a putative class of licensed healthcare providers and several chiropractic professional associations against Aetna.
Case No. 09-cv-3761, 2011 U.S. Dist. LEXIS 67718 (D.N.J. June 17, 2011)(Co-Lead Counsel for Plaintiffs and the Putative Class)