Benefits

  • September 20, 2023

    States' Rights, Trans Protections To Collide At 4th Circ.

    The full Fourth Circuit will hear arguments Thursday from state-run health plans in North Carolina and West Virginia challenging lower court decisions finding that their coverage exclusions for gender dysphoria treatments amount to unlawful discrimination, weighing in on two cases that experts say could impact employee benefit plans nationwide. Here's what to watch as the states and health plan participants square off before the Fourth Circuit.

  • September 20, 2023

    Southwest Flies From Investors' Safety Lapse Suit, For Now

    A Texas federal judge on Tuesday tossed without prejudice an investor suit alleging that Southwest Airlines lied for years to conceal a record of safety lapses that led to a deadly 2018 engine explosion, saying that executives' alleged misleading statements amount to puffery and not actionable fraud.

  • September 20, 2023

    Union Pension Fund Urges 1st Circ. To Uphold $1.7M Win

    An International Longshoremen's Association pension fund has urged the First Circuit to back a lower court's finding that a union local owes the fund about $1.7 million, saying the local's argument on appeal rests on "fabricated" information about the preconditions of a merger.

  • September 20, 2023

    UnitedHealth Narrows ERISA Suit Alleging Overcharging

    UnitedHealth trimmed a proposed class action alleging it overcharged plan participants for out-of-network medical services to line its own pockets, as a New York federal judge ruled that some claims were too repetitive, but others had enough detail to proceed.

  • September 20, 2023

    Biden Admin Extends Comment Period On Mental Health Regs

    The U.S. Department of Labor and two other agencies announced Wednesday that they will give the public more time to weigh in on proposed rules that would require employer health plans to comply with a federal law restricting coverage limitations on mental health and substance use disorder treatments.

  • September 20, 2023

    Del. Justices Urged To Reverse AmerisourceBergen Dismissal

    An attorney for AmerisourceBergen Inc. stockholders urged Delaware's top court Wednesday to reverse a Chancery Court finding that dismissal of federal opioid-related damage claims in West Virginia justified scuttling a multibillion-dollar board liability action.

  • September 20, 2023

    Opiate MDL Special Master Faces DQ Bid Over 'Reply All' Goof

    Pharmacy benefit managers OptumRX Inc. and Express Scripts Inc. called for the disqualification of the special master overseeing multidistrict litigation brought against the PBMs over the national opioid epidemic after he allegedly revealed a bias against them in an email they said he inadvertently sent as a "reply all."

  • September 20, 2023

    NC Justices Probe Workers' Comp Limits In Weight Loss Row

    The North Carolina Supreme Court on Wednesday grappled with the outer limits of the state's Workers' Compensation Act when it comes to compensable workplace injuries, questioning to what extent an employer might be on the hook for a woman's weight loss surgery after she hurt her knee on the job.

  • September 20, 2023

    PNC Employees Ink $6.1M Deal In 401(K) Suit

    Workers accusing PNC Financial Services Group Inc. of mismanaging their employee 401(k) plan asked an Alabama federal judge for initial approval of a $6.1 million settlement they finalized with the company.

  • September 19, 2023

    SEC Urged To Drop 'Irreparable' Predictive Data Rule Proposal

    A group of retirement and financial industry trade groups urged the U.S. Securities and Exchange Commission on Tuesday to withdraw a proposal targeting brokerage firms' and investment advisers' use of predictive data analytics, pointing to "numerous irreparable flaws" they said would cause any eventual rule to be struck down by a judge.

  • September 19, 2023

    Merck Chided By AARP, Democrats Over Drug Price Suit

    The AARP, along with Democratic lawmakers and physician groups, lambasted Merck & Co. Inc.'s challenge to the Medicare drug price negotiation program on Tuesday, disputing the pharmaceutical company's constitutional arguments and saying it wants to eviscerate a program that will improve drug access and reduce federal spending.

  • September 19, 2023

    SEC's 'Swing Pricing' Plan Gets Slammed At House Hearing

    A U.S. Securities and Exchange Commission plan to regulate liquidity risks at open-end mutual funds through so-called swing pricing came under fire Tuesday at a House Financial Services subcommittee hearing, with lawmakers from both parties urging the agency to withdraw it.

  • September 19, 2023

    NC Doc Fights 25-Year Sentence For Reusing Medical Devices

    A North Carolina ear, nose and throat doctor is fighting her 25-year sentence and an order that she pay back nearly $6 million after being convicted of defrauding Medicare by reusing single-use medical devices, according to an appeal notice filed Monday.

  • September 19, 2023

    BCBS Affiliate Must Face Trimmed Wilderness Therapy Suit

    An Illinois federal judge has trimmed a father's suit alleging a Blue Cross Blue Shield affiliate wrongfully refused to reimburse him $203,761 for his son's residential treatment at two Vermont mental health facilities that provide wilderness therapy treatment and other medically necessary services, but she gave him another shot at amendment.

  • September 19, 2023

    NC Doctor Was Misled In $11M Medicare Fraud, Jury Told

    Prosecutors are using a Charlotte, North Carolina, doctor accused of submitting $10.9 million worth of bogus claims for Medicare reimbursements as a scapegoat, her defense attorneys told a federal jury Tuesday, saying she never had any intention of defrauding the government.

  • September 18, 2023

    Investors' Suit Over Norfolk Southern Derailment Lands In Ga.

    A proposed securities class action accusing Norfolk Southern of misleading investors by not disclosing the heightened risk of train derailments prior to the East Palestine, Ohio, accident in February has been transferred from the Buckeye State to Georgia, where the company's headquarters and key witnesses are located.

  • September 18, 2023

    Airlines Trade Group Sues Colo. Over Sick Leave Law

    Airlines for America has filed a federal lawsuit challenging Colorado's 2020 law creating sick leave requirements for workers, arguing that the regulations are preempted by federal law.

  • September 18, 2023

    Cooley, Latham Steer Delivery App Instacart's $660M IPO

    Grocery shopping app Instacart Inc. priced an $660 million initial public offering at the top of its upwardly revised range on Monday, adding fresh momentum for a recovering IPO market, represented by Cooley LLP and underwriters' counsel Latham & Watkins LLP.

  • September 18, 2023

    Union Fund Says Adviser Pushed $30M Bad Investment

    A pension fund for union-represented construction workers in Southern California squandered $30 million due to bad advice from an investment adviser, the fund alleges in a new lawsuit filed in California federal court seeking to recoup the money.

  • September 18, 2023

    Brown Rudnick Tax Group Adds Partner From Davis Polk

    Brown Rudnick LLP has named a Davis Polk & Wardwell LLP counsel as a partner in its tax practice group.

  • September 18, 2023

    Catching Up With Delaware's Chancery Court

    Identity-based voting provisions, claim-rejecting algorithms, splattered waffles and complaints from Elon Musk about "egregious" legal fees: All this and more graced the Chancery Court docket last week. The First State's court of equity also saw more Fox Corp. shareholders pile onto derivative suits, and approved an $84 million settlement challenging biotech venture Bioverativ Inc.'s 2018 sale to Sanofi Inc.

  • September 18, 2023

    Class OK'd In Research Org Retirement Fee Dispute

    A Boston federal judge signed off Monday on a proposal from Mitre Corp. and a group of the R&D nonprofit's former workers to certify a 12,000-person class action on claims that the organization mismanaged its workers' retirement savings.

  • September 18, 2023

    Steel Co. Owes $2.2M In Unpaid Benefits, Mich. Judge Rules

    A Nevada steel company must pay Michigan ironworkers' pension funds more than $2 million in unpaid benefits and other fees for more than a year's worth of employees' work on a project in Detroit, a Michigan federal judge ruled Sunday.

  • September 18, 2023

    L3Harris Says Its 401(k)s Are 'Solid Performers' In Worker Suit

    L3Harris Technologies Inc. urged a Florida federal judge to dismiss a class action brought by ex-workers who alleged the defense contractor's 401(k) retirement plans were too expensive, saying the plans are "solid performers" and that lower-fee alternatives did worse than the options offered by the company.

  • September 18, 2023

    Kellogg Skimped On Retirees' Pension Payments, Suit Says

    Kellogg lowballed thousands of retirees' retirement benefits by using outdated formulas to calculate pension payments, a former employee said in a proposed class action filed in a Michigan federal court.

Expert Analysis

  • How To Protect Atty-Client Privilege While Using Generative AI

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    When using generative artificial intelligence tools, attorneys should consider several safeguards to avoid breaches or complications in attorney-client privilege, say Antonious Sadek and Christopher Campbell at DLA Piper.

  • How New Lawyers Can Leverage Feedback For Growth

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    Embracing constructive criticism as a tool for success can help new lawyers accelerate their professional growth and law firms build a culture of continuous improvement, says Katie Aldrich at Fringe Professional Development.

  • Corporate Compliance Lessons From FirstEnergy Scandal

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    Fallout from a massive bribery scheme involving Ohio electric utility FirstEnergy and state officeholders — including the recent sentencing of two defendants — has critical corporate governance takeaways for companies and individuals seeking to influence government policymaking, say attorneys at Wilson Sonsini.

  • Asset Manager Considerations For Soliciting Calif. Pensions

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    With California public pension and retirement plans representing close to $1 trillion in assets, managers must understand the lobbying laws that may be applicable to soliciting investments from the state's plans, say Chelsea Childs and Catherine Skulan at Ropes & Gray.

  • Twitter Legal Fees Suit Offers Crash Course In Billing Ethics

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    X Corp.'s suit alleging that Wachtell grossly inflated its fees in the final days of Elon Musk’s Twitter acquisition provides a case study in how firms should protect their reputations by hewing to ethical billing practices and the high standards for professional conduct that govern attorney-client relationships, says Lourdes Fuentes at Karta Legal.

  • Why It's Time To Regulate Plan Data As An Asset

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    With cyberattacks on the rise and the availability of artificial intelligence technology to the public, now is the time for the U.S. Department of Labor to regulate plan data as a plan asset to help protect participants from cybertheft and misuse, say attorneys at Michael Best.

  • ABA's Money-Laundering Resolution Is A Balancing Act

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    While the American Bar Association’s recently passed resolution recognizes a lawyer's duty to discontinue representation that could facilitate money laundering and other fraudulent activity, it preserves, at least for now, the delicate balance of judicial, state-based regulation of the legal profession and the sanctity of the attorney-client relationship, say attorneys at Ballard Spahr.

  • Law Firm Professional Development Steps To Thrive In AI Era

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    As generative artificial intelligence tools rapidly evolve, professional development leaders are instrumental in preparing law firms for the paradigm shifts ahead, and should consider three strategies to help empower legal talent with the skills required to succeed in an increasingly complex technological landscape, say Steve Gluckman and Anusia Gillespie at SkillBurst Interactive.

  • Opinion

    9th Circ.'s Latest UBH Ruling Ignores Case's Core Issue

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    The Ninth Circuit’s recent decision to vacate its earlier opinion in Wit v. United Behavioral Health frustratingly disregards the case’s key issue of benefits coverage for mental health treatment, and illogically elevates an insurer's discretionary authority over the medically necessary needs of patients, says Mark DeBofsky at DeBofsky Law.

  • The Basics Of Being A Knowledge Management Attorney

    Excerpt from Practical Guidance
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    Michael Lehet at Ogletree Deakins discusses the role of knowledge management attorneys at law firms, the common tasks they perform and practical tips for lawyers who may be considering becoming one.

  • $735M Tesla Settlement Drives Home Lessons For Boards

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    As one of the largest settlements of its kind, the recent $735 million deal between Tesla and 11 nonemployee directors highlights the increased scrutiny placed on compensation practices and director independence, and provides further caution to members of boards and their compensation committees, say attorneys at Cleary.

  • To Hire And Keep Top Talent, Think Beyond Compensation

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    Firms seeking to appeal to sophisticated clients and top-level partners should promote mentorship, ensure that attorneys from diverse backgrounds feel valued, and clarify policies about at-home work, says Patrick Moya at Quaero Group.

  • 2nd Circ. Goldman Ruling May Hinder Securities Classes

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    The Second Circuit's recent Arkansas Teacher Retirement System v. Goldman Sachs decision, decertifying a class of investors and seemingly resolving a decadelong dispute, makes it substantially more difficult for plaintiffs to certify securities classes based on generic misstatements — a significant win for the defense bar, say attorneys at Willkie.

  • Opinion

    More States Should Join Effort To Close Legal Services Gap

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    Colorado is the most recent state to allow other types of legal providers, not just attorneys, to offer specific services in certain circumstances — and more states should rethink the century-old assumptions that shape our current regulatory rules, say Natalie Anne Knowlton and Janet Drobinske at the University of Denver.

  • Opinion

    10th Circ. Remand Of ERISA Claims To Insurer Is Problematic

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    The Tenth Circuit recently gave the defendant another bite at the apple in David P. v. United Healthcare by remanding Employee Retirement Income Security Act claims for reprocessing, but the statute lacks any provision authorizing remands of ERISA cases, says Mark DeBofsky at DeBofsky Law.

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