Relevant Issues: Plaintiffs denied coverage for ABA for son.
Status: McHenry’s Motion for Partial Summary Judgment (docket # 13) is GRANTED and the de novo standard of review applies.
Relevant Issues: Parties have filed cross motions for a summary judgment. Issue regards the eligibility of a provider.
Status: Plaintiff’s motion is denied and Defendants’ motion is granted; however, conclusions of law state that ABA therapy does not fall within any exclusion under the 2007 Plan and is therefore a covered benefit.
Relevant Issues: Plaintiff has filed a motion for Contempt and Sanctions (docket #152) based on an alleged failure by PacificSource to comply with the September 2010 Order and Amended Judgment.
Status: At a hearing on July 19, 2010, this court denied that motion. This opinion explains the basis for the ruling.
Relevant Issues: Putative Class Action for denial of ABA coverage requested.
Status: Plaintiffs’ motion for class certification is granted.
Relevant Issues: Putative Class Action for denial of ABA coverage requested.
Status: The court grants partial summary judgment for Plaintiffs and denies Defendant’s cross motion.
Relevant Issues: Class Action for denial of ABA coverage requested.
Status: Plaintiffs’ motion for summary judgment is granted in part and denied in part, and Providence’s motion to dismiss is denied.
Relevant Issues: Class Action for denial of ABA coverage requested.
Status: Plaintiffs’ Motion to Compel is granted in part, as described in this Opinion and Order.
Relevant Issues: Kaiser’s Denial of Coverage for Behavioral (ABA) and Speech Therapy. They appeal the lower judge re. certification as a Class Action.
Status: Court concludes that the trial court erred and reverses the decision.
Relevant Issues: Issue regarding whether plaintiffs can be certified as a class against the insurance company.
Status: Plaintiff’s Motion for Class Certification is Denied, and the court reserves their ruling on defendent motion to Dismiss.
Relevant Issues: BC/BS-NC Denial of Coverage for ABA for child due to an Out of Network ABA Provider.
Status: Denial of Benefits granted because the services rendered are out of network.
Relevant Issues: Parents seek reimbursement and a declaration of entitlement to future coverage for ABA.
Status: Empire Blue Cross motion to dismiss is Denied.
Relevant Issues: Class Action Suit re. wrongful denial of coverage to 1000’s of children with ASD for ABA treatment
Status: Plaintiffs’ motion to remand is granted and the case is remanded to Los Angeles Superior Court.
Relevant Issues: Plaintiffs ask the court to add more representatives to the class action for denial of ABA coverage.
Status: Court will grant in part and deny in part Plaintiffs’ motion to expand the class definition, deny without prejudice to reassertion CIGNA’s partial motion to dismiss, and grant in part and deny in part Plaintiffs’ motion to amend the class definition for the previously certified class and the newly certified subclass.
Relevant Issues: Plaintiff claim denial of benefits under their health insurance plan ABA for their minor child.
Status: Court will grant in part and deny in part Plaintiffs’ motion to expand the class definition, deny without prejudice to reassertion CIGNA’s partial motion to dismiss, and grant in part and deny in part Plaintiffs’ motion to amend the class definition for the previously certified class and the newly certified subclass.
Relevant Issues: Plaintiff claims exclusion of coverage including ABA, EIBT and Lovaas.
Status: Some companies granted motion to dismiss plaintiff’s claims. Blue Cross’s motion granted in part and denied in part.
Relevant Issues: Plaintiff claims exclusion of coverage including ABA. The issue is whether there is the right to judicial review of a denial of insurance coverage.
Status: The order of the Superior Court is reversed and the matter is remanded to the tribunal for consideration of the merits of the appeal.
Relevant Issues: Dispute relates to maximum coverage limits imposed by the Health Plan and denial of coverage beyond those limits.
Status: Both parties are granted leave to file various briefs and conduct discovery.
Relevant Issues: Plaintiff R.H.’s motions for certification of neurodevelopmental therapy (“NDT”) and applied behavior analysis therapy (“ABA”) as a settlement class.
Plaintiff accuse Premera of failing to comply with WA Mental Parity Act.
Status: The court GRANTS the motion for certification.
Relevant Issues: Class-action complaint alleging breach of contract (among other complaints) against a Health Plan.
Status: Regence BlueShield’s blanket exclusion of neurodevelopmental therapies violates the mental health parity act. If neurodevelopmental therapies are medically necessary to treat mental disorders (and the contract provides coverage for medical and surgical services), Regence BlueShield must provide coverage for the therapies.
Relevant Issues: ERISA denial-of-benefits class action for ABA.
Status: Order overruling objections, adopting report and recommendation and granting in part plaintiffs motion for attorney’s fees and costs.
Relevant Issues: Although this case was not about autism treatment, it was very important for the coverage of medically necessary treatment.
Status: The judgment is reversed. Appellants are to recover their costs on appeal.
Relevant Issues: Plaintiffs require ABA treatment to be covered.
Status: Court approves settlement agreement and approves and directs disbursements from settlement trust.
Relevant Issues: Plaintiffs present motion for certification of settlement subclasses for ABA and NDT therapies to be included.
Status: Court grants the motion for certification and denies the motion for preliminary approval.
Relevant Issues: Plaintiff sought coverage for 36 hours of ABA, Aetna authorized 20 hours.
Status: Ortiz’s agreement with Aetna requires arbitration. Defendants’ motion to compel arbitration is granted.
Relevant Issues: Request for Class Action Certification for Behavioral Treatment (not specifically related to autism).
Status: Court granted motion for class certification.