$10 Million

Confidential.  General areas addressed: health insurance; treatment and procedure coverage; physician recommendations; critical organ, brain, cancer or spinal cord issues; and out of network coverage issues.

$3 Million

Confidential.  General areas addressed: health insurance; mental health coverage; Mental Health Parity Act; procedures and policies; health insurance coverage; physician recommendations; eating disorders, and discharge policies and procedures.

$9.29 Million

Arce v. Kaiser.  Kaiser Permanente sued for denying ABA and speech therapy to children with Autism Spectrum Disorders.  Kaiser agrees to change its policy and stop systemically denying ABA and speech therapy, and agrees to pay 9.29 million to reimburse families with children with ASDs for ABA and speech therapy.

$2 Million

Confidential.  General areas addressed: health insurance; treatments and procedures for special needs child; health insurance coverage; Mental Health Parity Act; physician and medical provider recommendations; and medically necessary treatments and procedures.

$8.5 Million

Confidential.  General areas addressed: health insurance; treatment and procedure coverage; physician recommendations; critical organ, brain, cancer or spinal cord issues; and outside of network coverage issues.

$1.8 Million

Confidential.  General areas addressed: health insurance; treatment and procedure coverage; physician recommendations; critical organ, brain, cancer or spinal cord issues; and in or outside of network issues.

$4.65 Million

Glick/Chase v. Anthem Blue Cross.  Anthem Blue Cross sued for denying ABA and to children with Autism Spectrum Disorders.  Anthem agrees to pay 4.65 million to reimburse families with children with ASDs for ABA.

$2 Million

Jones v. 3M Company et al. Personal injuries from asbestos exposure caused mesothelioma. Los Angeles case settlements resulted in recovery in excess of $2 million.

$4 Million

Confidential.  General areas addressed: wrongful death; health insurance; insurer-required premature hospital discharge; procedures and policies; nursing home treatments; elder abuse;  health insurance coverage; physician recommendations; and discharge policies and procedures.

$1.7 Million

Confidential.  General areas addressed: health insurance; treatments and procedures for special needs child; mental health parity; health insurance coverage; physician and medical provider recommendations; and medically necessary treatments and procedures.

Settlement Confidential

Automobile case involving loss of an eye. Case against automobile manufacturer (for defective windshield glass) and negligent driver. Case settled for confidential amount.

$1.2 Million

Gonzales v. Hickman et al. Civil Rights violations against California prison officials resulting in death of correctional officer in Chino, California.

Settlement Confidential

Automobile crash resulting in significant personal injuries.

$1 Million

Mandell v. Driver. Personal injuries to a bicyclist hit by negligent driver in Encino, California.

Settlement Confidential

Insurance provider refused to provide defense and indemnity to a company required by the policy. 

$1 Million

Confidential.  General areas addressed: health insurance; treatments and procedures for special needs child; health insurance coverage; physician and medical provider recommendations; and medically necessary treatments and procedures.

Settlement Confidential

Bad faith insurance claim against insurance company for denying a defense and claim for the theft of property.

Settlement Confidential

Life insurance company denies coverage after insured dies claiming that there was no accident resulting on bodily injury.

Settlement Confidential

Young woman denied life-saving treatment at a residential treatment facility as not medically necessary.

Settlement Confidential

Fraud and bad faith cases involving an insurance company selling health insurance without performing underwriting. After policyholder develops rheumatoid arthritis, insurance company cancels policy in bad faith and engages in post-claims underwriting.

Settlement Confidential

Fraud and bad faith over sale of an annuity to a senior. A life insurance company and its agent unlawfully deceived and exploited a 79 year-old senior citizen in connection with the sale of a deferred annuity. 

Settlement Confidential

Health insurance company denies robotic laparoscopic radical prostatectomy for the treatment of prostate cancer.

Settlement Confidential

Insurance company denies defense and indemnity coverage under malpractice policy. After a Pasadena psychologist is wrongfully sued, insurer refused to provide Cumis counsel (independent counsel) and refused to promptly resolve a meritless case.

Settlement Confidential

Health insurance company denies coverage to a young anorexic and bulimic woman for an eating disorder at a residential treatment facility as being not medically treatment.

Settlement Confidential

Fraud and bad faith involving the canceling of a health insurance policy. Insured developed a tumor and the insurance company cancels the policy in bad faith and engages in post-claims underwriting.

Settlement Confidential

Health insurance company denies young woman treatment for breast cancer, including chemotherapy, radiation and surgery.

Settlement Confidential

Insured dies and life insurance company denies coverage based on the ground of misrepresentation on the application.

Settlement Confidential

Case involves an insurance company selling health insurance without performing underwriting. After policyholder develops cancer, insurance company cancels policy in bad faith and engages in post-claims underwriting. Policyholder left with bills exceeding $100,000 and cannot obtain further treatment. 

Settlement Confidential

Policyholder developed a condition known as complex regional pain syndrome (CRPS), formerly called reflex sympathetic dystrophy (RSD). Health insurer denied coverage for various treatments including hyperbaric oxygen treatments, pain management program and a spinal stimulation implant, resulting in the progression of RSD.

Settlement Confidential

Bad faith insurance claim involving a policyholder hit by an under-insured motorist. Insurer delayed for over two years before paying the policy limits. 

Settlement Confidential

Negligence case against health plan and health care providers for negligent placement of breathing tube during surgery resulting in brain death of elderly Pasadena resident.

Settlement Confidential

Fraud and bad faith claim involving the cancelation of a health insurance policy after insured develops Hepatitis C. Insurance company sold health insurance without performing underwriting. After policyholder developed Hepatitis C, the insurance company canceled the policy in bad faith and engaged in post-claims underwriting. Policyholder left uninsured and unable to obtain other insurance. 

Settlement Confidential

Fraud and bad faith case involving the canceling of a health insurance policy after insured required a hysterectomy. Insurance company sold health insurance without performing underwriting. Policyholder left uninsured and unable to obtain other insurance.

Settlement Confidential

Bad faith and fraud cases involving an insurance company that sold health insurance without performing underwriting. After policyholder developed an illness, insurance company cancels policy in bad faith and engages in post-claims underwriting.

Settlement Confidential

Health insurance company denied transplant to policyholder. Policyholder needed a transplant to stay alive. Health insurer denied transplant claiming that the provider was out-of-network and that the transplant was not medically necessary. After month long trial, case settled confidentially before the second phase of trial.

Settlement Confidential

Fraud and bad faith in canceling health insurance after insured needs medication for high blood pressure and diabetes. Insurance company sells health insurance to Central Valley resident without performing underwriting. After policyholder needs medication for high blood pressure and diabetes, insurance company cancels policy in bad faith and engages in post-claims underwriting. Policyholder left uninsured and unable to obtain other insurance.

Settlement Confidential

Policyholder required a special surgery to alleviate back problems. Health insurer denied coverage for the surgery and post surgical care, resulting in physical deformation. 

Settlement Confidential

Insurance company denies coverage over theft of an automobile and accuses minority insured of fraud. 

Settlement Confidential

Health insurance company denied coverage for proton beam therapy to treat a rare form of cancer.

Health Insurance Coverage Reinstated

Doe v. Anthem Blue Cross of California.  Anthem Blue Cross repeatedly kicks UCLA physician with terminal cancer out of the hospital against wishes of his treating physician. After physician retained my firm, Anthem Blue Cross repeatedly reversed its denials and covered the hospitalization.

Settlement Confidential

A life insurance company and its agent unlawfully deceived and exploited a 76 year-old senior citizen in connection with the sale of a deferred annuity.

Settlement Confidential

Fraud and bad faith in canceling health insurance after insured becomes pregnant. Insurance company sold health insurance to Sherman Oaks musician without performing underwriting. After policyholder becomes pregnant, insurance company cancels policy in bad faith and engages in post-claims underwriting. Policyholder left uninsured and unable to obtain other insurance.

Settlement Confidential

Health insurance company denies coverage for medication necessary for pregnant mother to bring her baby to term. Denial based on ground that treatment was investigational.

Settlement Confidential

Health insurance company denies coverage for treatment of eating disorder and disassociative identity disorder. Insurer denied coverage to Orange County mother of four for intensive cognitive therapy, as not medically necessary, resulting in suicidal ideation and hospitalization.

Settlement Confidential

Health insurance company delays authorization to repair aortic aneurysm, causing aneurysm to rupture.

Settlement Confidential

Fraud and bad faith case involving an insurance company selling health insurance without performing underwriting. After policyholder undergoes surgery, insurance company cancels policy in bad faith and engages in post-claims underwriting.

Settlement Confidential

Health insurance company denies authorization for proton beam therapy for prostate cancer.

Settlement Confidential

Fraud and bad faith in canceling health insurance after insured develops cardiac problems. Insurance company sells health insurance to Thousand Oaks single mother without performing underwriting. After policyholder requires cardiac procedures, insurance company cancels policy in bad faith and engages in post-claims underwriting. Policyholder left uninsured and unable to obtain other insurance.

Settlement Confidential

Health insurance company denies veteran authorization for proton beam therapy for prostate cancer.

Settlement Confidential

Insurance company refused to pay reasonable value of property damage to restore Judge’s home to pre-damaged condition.

Settlement Confidential

Property insurance company refused to pay for mold damage.

Settlement Confidential

Health insurer refused to cover specific treatment for erectile dysfunction for prostate cancer patient.

Settlement Confidential

Insurance company offers lowball payment in wrongful death claim involving an under-insured motorist.

Settlement Confidential

Fraud and bad faith in canceling health insurance after insured requires shoulder surgery. Insurance company sold health insurance to Central Valley woman without performing underwriting. After policyholder requires shoulder surgery, insurance company cancels policy in bad faith and engages in post-claims underwriting. Policyholder left uninsured and unable to obtain other insurance.

Settlement Confidential

Insurance company refuses to pay full value of claim in under-insured motorist claim.

Settlement Confidential

Insurance company refuses to pay claim for traumatic brain injury (TBI) involving under-insured motorist.

Settlement Confidential

Property insurer refuses to pay for property damage to rental properties.

Settlement Confidential

Case involved doctor denied payment from Medical Group for services to patients.

Settlement Confidential

Health insurance company denied transplant to member. After our firm was retained, insurer agrees to cover transplant without the need for a lawsuit.

Settlement Confidential

Health insurance company denied rehabilitation therapies for woman that suffered brain injury (cerebral hemorrhage).