Legal Opinion

Access Mediquip, L.L.C. v. Unitedhealthcare Insurance

Court of Appeals for the Fifth Circuit

Decided October 5, 2012No. 10-20868PublishedCited by 54 opinions

1Per curiam

The court took en banc this case, which raises questions about the scope of liability of an ERISA plan administrator and fiduciary for allegedly misrepresenting a plan beneficiary’s coverage in its advice to a provider of health devices. The vacated panel opinion relied primarily on this court’s decisions in Transitional Hosp. v. Blue Cross & Blue Shield of Texas, Inc., 164 F.3d 952 (5th Cir.1999), and Memorial Hosp. Sys. v. Northbrook Life Ins. Co., 904 F.2d 236 (5th Cir.1990), in reaching the conclusion that three of the provider’s state law claims, for negligent misrepresentation,…

2Cases cited4 opinions

  1. Memorial Hospital System v. Northbrook Life Insurance CompanyCourt of Appeals for the Fifth Circuit · 1990
  2. Hermann Hospital v. Meba Medical & Benefits PlanCourt of Appeals for the Fifth Circuit · 1988
  3. Hermann Hospital v. Meba Medical and Benefits PlanCourt of Appeals for the Fifth Circuit · 1992
  4. Cypress Fairbanks Medical Center Inc. v. Pan-American Life Insurance Company National Insurance Services, Inc.Court of Appeals for the Fifth Circuit · 1997

3Cited by54 opinions

  1. Cardionet, Inc. v. Cigna Health Corp.Court of Appeals for the Third Circuit · 2014
  2. Spinedex Physical Therapy USA Inc. v. United Healthcare of Arizona, Inc.Court of Appeals for the Ninth Circuit · 2014
  3. Plastic Surgery Center, P.A. v. Aetna Life Insurance CoCourt of Appeals for the Third Circuit · 2020
  4. Almont Ambulatory Surgery Center, LLC v. UnitedHealth Group, Inc.District Court, C.D. California · 2015
  5. Dialysis Newco, Incorporated v. Commty Hlth Sys TrCourt of Appeals for the Fifth Circuit · 2019

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