Legal Opinion

Phillips v. Kaiser Foundation Health Plan, Inc.

District Court, N.D. California

Decided July 25, 2011No. C 11-02326 CRBPublishedCited by 17 opinions

1Opinion of the Court

MEMORANDUM AND ORDER DENYING MOTION TO REMAND AND GRANTING MOTION TO DISMISS WITH PREJUDICE

CHARLES R. BREYER, District Judge.

This is a case by a disgruntled enrollee in Kaiser’s Medicare Advantage Plan (“MAP”). She was injured in a car accident, received medical treatment paid for by Kaiser via her MAP, and then got a $100,000 settlement from a liability insurer in connection with the car accident. Kaiser attempted to recover a substantial portion of that settlement pursuant to its rights under the Medicare statutes as a secondary payer to a third party source of funds (liability insurance).

Pl…

2Cases cited4 opinions

  1. Antonio Abrego Abrego v. The Dow Chemical Co Shell Oil Company, D/B/A Shell Chemical Company, and Shell Agricultural Chemical CompanyCourt of Appeals for the Ninth Circuit · 2006
  2. Heckler v. RingerSupreme Court of the United States · 1984
  3. Do Sung Uhm v. Humana, Inc.Court of Appeals for the Ninth Circuit · 2010
  4. Clay v. Permanente Medical Group, Inc.District Court, N.D. California · 2007

3Cited by17 opinions

  1. Potts v. Rawlings Co.District Court, S.D. New York · 2012
  2. Lilly v. Jamba Juice Co.District Court, N.D. California · 2014
  3. Collins v. Wellcare Healthcare Plans, Inc.District Court, E.D. Louisiana · 2014
  4. Roberts v. United Healthcare Services, Inc.California Court of Appeal · 2016
  5. Einhorn v. CarePlus Health Plans, Inc.District Court, S.D. Florida · 2014

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