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Fighting a Health Plan’s “Investigational” Denial of a Medical Claim

Health insurance policies typically have exclusions for treatments that an insurance company considers “investigational” or “experimental.” Insurance companies say there is insufficient proof demonstrating that certain ...

Class Certified Against United HealthCare for Refusing to Cover Artificial Lumbar Disc Surgery

The United States District Court of the Central District of California has certified a class of plaintiffs in a Gianelli & Morris lawsuit alleging that UnitedHealthcare Insurance Company categorically denies coverage for artificial lumbar disc ...

LaRue V. Accountable Health Care, IPA

Rob Gianelli of Gianelli & Morris and Rene Kern of the Kern Law Group obtained a $7,225,000 jury verdict on behalf of plaintiff Terry LaRue, against Accountable Health Care, IPA ("Accountable") for failure to provide LaRue with timely ...

Addressing the Defenses of Abstention, Primary Jurisdiction and Exclusive Jurisdiction in Insurance Class Actions

Published in: Advocate - Journal of Consumer Attorneys Associations for Southern California, September 2016 Issue Authored by: Robert S. Gianelli Downloadable format : To download this document in.pdf format [ Click Here ] I. Introduction So you have ...

Use and abuse of medical necessity criteria – Health insurers’ denial of the Hepatitis C drug Harvoni

Use and abuse of medical necessity criteria – Health insurers’ denial of the Hepatitis C drug Harvoni. These drugs offer a cure for the estimated 3.2 million people living in the United States with chronic Hepatitis C infection.​ ...

Gianelli & Morris wins class certification against Blue Shield over its refusal to cover artificial lumbar disc surgery as “investigational."

Gianelli & Morris wins class certification in case against Blue Shield over its refusal to cover artificial lumbar disc surgery as “investigational.” Gianelli & Morris has won class certification in a class action lawsuit against ...

Gallimore v. Kaiser

Gallimore v. Kaiser Foundation Health Plan, Inc. Alameda County Superior Court Case No. RG12-616206 Gianelli & Morris Wins Class Action Lawsuit Gianelli & Morris has won a class action lawsuit against Kaiser Foundation Health Plan ...

Zhang v. Superior Court

(2013) 2013 Cal. LEXIS 6520 The Zhang case represents a victory for California insureds who have had to endure misconduct in the handling of their claims by their insurers. For many years, insurers were able to avoid liability for mishandling claims ...

Insurance Agents vs. Insurance Brokers

INSURANCE AGENT OR INSURANCE BROKER: A DISTINCTION WITH A DIFFERENCE Published in : Advocate - Journal of Consumer Attorneys Associations for Southern California - June 2013 issue Authored by : Robert S. Gianelli & Jully C. Pae Downloadable ...

CERTIFYING THE INSURANCE CLASS-ACTION CASE

ONLY 14 PERCENT OF INSURANCE CASES FILED GET CLASS CERTIFIED, BUT 90 PERCENT OF THOSE WILL SETTLE Published in: Advocate - Journal of Consumer Attorneys Associations for Southern California, November 2011 Issue Authored by: Robert S. Gianelli ...

SEEKING CLASS CERTIFICATION OF AN INSURANCE CASE

CARE MUST BE TAKEN TO ADDRESS EACH OF THE RELEVANT CLASS-CERTIFICATION ELEMENTS- A LOOK AT THE DO'S AND DON'TS Published in: Advocate - Journal of Consumer Attorneys Associations for Southern California, August 2014 Issue Authored by: Robert ...

ROBERT GIANELLI RECEIVES A 2015 CLAY AWARD UNDER THE DISABILITY RIGHTS CATEGORY

California Lawyer magazine is a prestigious and trusted legal publication in California. Every year, the magazine publishes a list of the “California Lawyer Attorneys of the Year,” also known as the CLAY Awards. The awards recognize 27 ...

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