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A Plan Document a Day Keeps the Physician Lawsuits Away
Haynes Boone
Sept. 3, 2025 "The U.S. Court of Appeals for the Fifth Circuit ... made the following points: [1] When assignment forms are broadly drafted, they may be ambiguous as to who the assignee is, but that does not invalidate the assignments. [2] There is not a requirement that an assignment form include a standalone 'right to sue' provision when the form assigns 'all rights' or 'all insurance benefits.' [3] An ERISA plan administrator may be prevented from enforcing plan provisions ... against a claimant if the administrator refuses to provide the document containing those provisions to the claimant." [Angelina Emergency Med. Assoc. v. Blue Cross and Blue Shield of Ala., No. 24-10306 (5th Cir. Aug. 8, 2025)] MORE >> |
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