Mental illness affects a significant number of Americans, and many of them are not able to get the treatment they need. Even when health plans cover mental health benefits, they can be harder to access and less comprehensive than other types of health benefits. The Mental Health Parity Act (MHPA) of 1996 was the original […]
We retained this firm a few months ago to assist us with a long term disability claim. We worked specifically with Mr. Amar Raval. He and his staff have been very accommodating and attentive to our case.
Life insurance is usually purchased to make sure a beneficiary has some financial means if the policyholder should die. Life insurance contracts promise to pay a beneficiary in a timely manner upon proof of death and compliance with policy terms and conditions. However, because insurance companies would rather not pay out any more than is […]
Many patients who are receiving treatment for cancer may pursue proton therapy. This recent development in radiation therapy uses protons instead of X-rays. Since X-rays are known to put patients at risk of additional illnesses, proton therapy is extremely promising with fewer side effects. However, the availability of this treatment is limited to only a […]
Amar Raval and the team at Berg, Plummer, Johnson, and Raval are amazing lawyers and great to work with. They explain everything in detail and make the process a better learning experience. They are always available to help quickly and maintain a high level of professionalism.
The answer to the question of “Can insurance companies deny cancer treatment?” is often different from the answer to the question of “Do insurance companies deny cancer treatment?” Although federal law often prohibits insurance companies from denying certain vital cancer treatments, patients are often forced to fight for coverage. In some cases, patients may even […]
Mr. Raval was the first attorney I found in a web search. Three other attorneys I spoke with as well recommended him. So, we first encountered his excellence among his peers. We hired him to represent my wife against an LTD (long term disability) claim denial. He convinced the insurance company to reverse its decision […]
Amar Raval and his team are who you want on your side when dealing with an insurance company that is delaying your benefits. He stays in contact and is a go-getter. I enjoyed working with him.
Mental Health Matters Act Advances to Senate In May, the Employee and Retiree Access to Justice Act (H.R. 7740) was introduced in the U.S. House of Representatives. The bill seeks to ban discretionary clauses in all employer-sponsored benefit plans governed by ERISA. If passed, this federal ban on discretionary clauses would return ERISA cases to […]
I would like to recommend this firm. I have no words to express my gratitude to them for everything they did for me and my claim. I was denied my private long term disability claim by a well known Insurance company.
If you have been denied benefits provided through an employer-sponsored plan, your claim will generally fall under the Employee Retirement Income Security Act (ERISA). ERISA is a federal law that governs most employee benefit plans. While ERISA was originally enacted to safeguard employees’ retirement and pension benefits, its reach and scope has been expanded over the years. […]
Earlier this month, the Employee and Retiree Access to Justice Act (H.R. 7740) was introduced in the U.S. House of Representatives. A companion bill was also introduced in the Senate as S. 4219. The bill seeks to ban discretionary clauses in all employer-sponsored benefit plans governed by ERISA. If passed, this federal ban on discretionary […]
Earlier this month, a Las Vegas jury awarded the family of a man who was wrongly denied health insurance coverage a $200 million civil verdict against Sierra Health and Life Insurance. William George “Bill” Eskew was diagnosed with lung cancer in 2015. Mr. Eskew and his wife purchased a health insurance policy from Sierra Health […]
We are proud to represent clients against Blue Cross Blue Shield of Texas when it wrongly denies proton beam radiation therapy for cancer. This is because regardless of medical necessity, BCBS has a uniform policy to deny proton therapy treatment and force insureds to seek suboptimal treatment. Our client seeks to hold BCBS responsible for […]
At Berg Plummer Johnson & Raval, we often deal with long term disability claim denials. We are pleased to report the good news for our client, Kristy Midkiff, where we served as local counsel alongside Terry Coleman. The case of Midkiff v. Prudential is a study in some of the twists and turns a long term disability claim […]
Roslyn Gonzalez was out of options when she decided on her cancer treatment. Blue Cross Blue Shield of Texas (BCBS) chose to save a few thousand dollars to ensure more profits for its shareholders. In doing so, it denied Ms. Gonzalez a safer course of treatment and ensured that she would never bear children. Ms. […]
Mr. Raval was awesome. In the wake of the passing of my father, several issues arose regarding his life insurance. Mr. Raval was referred to me for this instance. He was kind, courteous, compassionate, truthful, and most of all he helped myself and my family understand the situation we had chosen to undertake.
I received a bill from the hospital for $25,000 stating my insurance company did not approve my knee surgery. After investigating, attorney Amar Raval found that the hospital did not follow the proper procedure or process to get my surgery authorized through my insurance company.
Recently, in a California insurance lawsuit involving the wrongful denial of health insurance benefits to a 19-year old claimant suffering from a rare immune-system disorder, a former medical director at Aetna (the defendant health insurer) admitted under oath to having never reviewed patient medical records when determining whether to deny health insurance claims. The testimony […]