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    Post: Causes of action under ERISA?

    Posted by mark on 8/19/07


    I represent a client who was pre-approved by his health
    insurance carrier for a much-needed back surgery.
    Alhtough the surgery was pre-approved, the carrier
    subsequently denied his claim for benefits on the basis
    that the surgery was experimental. We filed suit in state
    court alleging breach of contract, fraud, bad-faith, and
    seeking a declaratory judgment. the carrier then removed
    the matter to federal distirct court on the basis that the
    health insurance was an employee benefit plan under
    ERISA. Simultaneously, the defendant filed a motion to
    dismiss onm the absis that all of plaintiff's claims are
    preempted and that he has no remedy under federal law.

    I am filing a motion to remand which I expect to be
    denied. In that event, I want to be ready to file an
    amended complaint which sets forth colorable claims under
    ERISA. I've never dealth with ERISa before and am getting
    a headache. How do I couch my claims in sucha manner to
    set forth claims under ERISA?



    Posts on this thread, including this one
  • Causes of action under ERISA?, 8/19/07, by mark.
  • Re: Causes of action under ERISA?, 10/26/07, by Rob.


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