Date range

Why an Insurance Carrier’s Denial of Coverage Should Be a Warning to the Insurance Producer

An insurance producer often finds itself dragged into litigation, not for any particular act or omission that it allegedly engaged in, but as the fall-back position for a client who has had a claim rejected by its insurance carrier. Legal Update for Insurance Agents & Brokers, August 2023 has been prepared for our readers by Marshall Dennehey.

Superior Court affirms decision denying claimant’s petition for increased medical bill payments for ketamine infusions under the theory that the Delaware Fee Schedule does not apply and the Board should order payment of “reasonable cost” of treatment.

Ms. Taylor was injured in a compensable work accident on September 16, 2016. The injury later developed into Complex Regional Pain Syndrome (CRPS) involving her right arm and right leg. What’s Hot in Workers’ Comp, Vol. 27, No.

Act 111, which enacted the Impairment Evaluation Provisions of Section 306(a.3) of the Pennsylvania Workers’ Compensation Act, is applicable to injuries sustained prior to its effective date and is not an unlawful delegation of legislative authority.

In this case, the claimant sustained a work injury on February 12, 2006. Subsequently, an IRE was performed on September 5, 2008, and an impairment rating of 0% was given. What’s Hot in Workers’ Comp, Vol. 27, No.

Sanctions awarded after court determines insurer knew/should have known its improper venue defense was not supported by application of existing law to material facts where same clause had been determined ambiguous by District Court of Appeal.

This suit involved the defendant’s failure to pay the plaintiff’s claim for PIP benefits for treatment rendered to Mr. Rither. Case Law Alerts, 3rd Quarter, July 2023 is prepared by Marshall Dennehey to provide information on recent developments of interest to our readers.