Some of our recent published decisions:

  • Carrier v. Aetna Life Insurance Co., 116 F.Supp.3d 1067 (2015)--Aetna's denial of disability benefits was improper when it was purportedly based on the opinion of a psychiatrist when in fact no psychiatrist review the file prior to the denial.
  • Ventura Kester, LLC v. Folksamerica Reinsurance Co., 219 Cal. App. 4th 633 (2013)--Court of Appeal found that the owner of a commercial building that had suffered a vandalism loss while the building was vacant had coverage for loss of rents even though the building was not leased to a tenant.
  • Barrowes v. Aetna Health, 472 Fed. Appx. 449 (9th Cir. 2012)--Ninth Circuit finds that out-of-network brain surgery was an emergency and therefore fully covered under HMO health plan.
  • Evans v. Mutual of Omaha Insurance Co., 134 Fed. Appx. 194 (9th Cir. 2005)--Agent for group plan is proper defendant and defeats diversity jurisdiction, requiring remand back to state court.
  • E.M.M.I. Inc. v. Zurich American Insurance Co., 32 Cal. 4th 465 (2004)--California Supreme Court ruled that jeweler's block policy covered loss when driver was outside of the vehicle as he was still "in or upon" the vehicle.