ERISA and Health Insurance Subrogation in All 50 States - Sixth Edition

ERISA and Health Insurance Subrogation in All 50 States is the most complete and thorough treatise covering the complex subject of ERISA and health insurance subrogation ever published. Health insurance subrogation requires its practitioners to be familiar with applicable state law, with the nuances of health insurance subrogation in each state, but also with the treatment of health insurance subrogation through ERISA, as applied by the Federal District Courts, Federal Appellate Courts, and the U.S. Supreme Court. Familiarity with the general trends within each of the 12 Federal Circuits is also cited. This book is written to help inexperienced and seasoned subrogation professionals alike gain or improve upon their proficiency, by guiding readers through the complex and challenging world of health insurance subrogation in today s insurance subrogation marketplace. Written by one of the world's leading experts on insurance subrogation, this authoritative work, refined now in its Sixth Edition, is designed to be used by educators, professionals, or attorneys writing briefs or arguing their positions in various situations. It provides convenient summaries of each chapter, a detailed TOC, and chapters broken down by state, to make locating needed information easy. Key complex issues are explained in language that is easy to read and easy to digest. The new edition also offers: ---strategic explanation of statutory amendments, and case decisions; ---identification of specific areas in a subrogation professional's arsenal that were typically weak, now addressed; ---a completely new, detailed history of health insurance, revealing the trend toward employer-sponsored health insurance, the development of HMOs, ERISA, and the growth of federal regulation of health insurance; ---break-down of the new law on the subrogation of capitated HMO Plans by federal circuit; ---expanded analysis of the fast-growing field of Medicare, Medicaid, and Medicare Advantage subrogation; ---examination of all the newest cases in this field, including Montanile v. Board of Trustees of the National Elevator Industry Health Benefit Plan, Collins v. Wellcare Healthcare Plans, Inc., Care Choices HMO v. Engstrom, In re Avandia Mktg., Sales Practices & Products Liability Litigation, and Parra v. PacifiCare of Ariz., Inc., and much more. With a summary and exposition of the various causes of action and avenues of potential recovery that subrogated Plans may have directly against plaintiffs' attorneys, and many new suggestions and recommendations for improving Plan language, readers can be sure they possess an invaluable, practical resource that explores every area of importance to practitioners in the health insurance subrogation field.