Eleventh Circuit finds Denial of Disability Benefits to be Arbitrary and Capricious

The Plaintiff was a hospital pharmacist for Emory Healthcare, Inc.  She suffered a spinal injury in a fall at work, leaving her in significant pain.  Unum, which insures the Plaintiff's employer-sponsored ERISA disability plan, granted her long-term disability benefits for two years, after which time she was required to prove that she...
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The Plan Strikes Out

Garner v. Central States, __ F.4th __, 2022 WL 1160386 (4th Cir. Apr. 20, 2022) (Before Circuit Judges Wilkinson, Diaz, and Floyd). A recent decision from the Fourth Circuit indicates that, even under an abuse of discretion standard, one flawed medical report can taint the entire “deliberate, principled reasoning...
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Listen to episodes of “ProfitSense with Bill McDermott” and Anthony Chen’s “Family Business Radio” featuring Nancy Pridgen

Listen to episodes of "ProfitSense with Bill McDermott" and Anthony Chen's “Family Business Radio” featuring Nancy Pridgen Nancy Pridgen has been honored to appear on "ProfitSense with Bill McDermott" and “Family Business Radio with Anthony Chen.”  Click on the links below to hear the conversations with Nancy about how...
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Listen to episodes of “ProfitSense with Bill McDermott” featuring Leslie Bassett

Leslie Bassett been honored to appear on “ProfitSense with Bill McDermott.”  Click on the links below to hear her conversations about how and why Pridgen Bassett Law loves serving our clients with their benefits disputes and employment law needs. Click Below to listen to Episode 19 with Leslie Bassett: 
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The No Surprises Act

Overview On January 1, 2022, the No Surprises Act (“NSA”) will take effect.  The NSA was signed into U.S. law on December 27, 2020, as part of the Consolidated Appropriations Act, 2021.  The provisions in the NSA will boost patient protections by limiting patient responsibility for out-of-network “surprise...
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COBRA Continuation Coverage

COBRA continuation coverage can help you and your family maintain health insurance coverage if your employment situation changes. COBRA allows you to extend your coverage under your employer-provided group health plan even if your employment is ended or your hours are reduced. Also, the American Rescue Plan (ARP) offers additional benefits that...
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