<?xml version="1.0" encoding="UTF-8"?>
<rss version="2.0"
	xmlns:content="http://purl.org/rss/1.0/modules/content/"
	xmlns:wfw="http://wellformedweb.org/CommentAPI/"
	xmlns:dc="http://purl.org/dc/elements/1.1/"
	xmlns:atom="http://www.w3.org/2005/Atom"
	xmlns:sy="http://purl.org/rss/1.0/modules/syndication/"
	xmlns:slash="http://purl.org/rss/1.0/modules/slash/"
	>

<channel>
	<title>Passion for Subro &#187; Exclusion</title>
	<atom:link href="http://www.passionforsubro.com/category/exclusion/feed/" rel="self" type="application/rss+xml" />
	<link>http://www.passionforsubro.com</link>
	<description>The personal subrogation blog of Attorney Adam V. Russo.</description>
	<lastBuildDate>Thu, 09 Feb 2012 15:03:37 +0000</lastBuildDate>
	<language>en</language>
	<sy:updatePeriod>hourly</sy:updatePeriod>
	<sy:updateFrequency>1</sy:updateFrequency>
	<generator>http://wordpress.org/?v=3.1</generator>
		<item>
		<title>ERISA-Fifth Circuit Holds That Accidental Death Benefit Is Not Payable Due To Exclusion In The Plan For Drunk Driving</title>
		<link>http://www.passionforsubro.com/federal-circuits/5th/erisa-fifth-circuit-holds-that-accidental-death-benefit-is-not-payable-due-to-exclusion-in-the-plan-for-drunk-driving/</link>
		<comments>http://www.passionforsubro.com/federal-circuits/5th/erisa-fifth-circuit-holds-that-accidental-death-benefit-is-not-payable-due-to-exclusion-in-the-plan-for-drunk-driving/#comments</comments>
		<pubDate>Thu, 05 May 2011 18:19:44 +0000</pubDate>
		<dc:creator>cmonfils</dc:creator>
				<category><![CDATA[5th]]></category>
		<category><![CDATA[Exclusion]]></category>

		<guid isPermaLink="false">http://www.passionforsubro.com/?p=6356</guid>
		<description><![CDATA[www.erisalawyerblog.com  May 3, 2011   By Stanley D. Baum May 3, 2011  In Redeaux v. Southern National Life Insurance Company, No. 10-30670 (5th Cir. 2011), the Court faced the question of whether an accidental death benefit was payable from a plan subject to ERISA (the &#8220;Plan&#8221;). In this case, Bryan Redeaux (&#8220;the Insured&#8221;) died in 2002. The [...]]]></description>
		<wfw:commentRss>http://www.passionforsubro.com/federal-circuits/5th/erisa-fifth-circuit-holds-that-accidental-death-benefit-is-not-payable-due-to-exclusion-in-the-plan-for-drunk-driving/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Kehoe v. 1st Source Bank Healthcare Benefits Plan</title>
		<link>http://www.passionforsubro.com/claims-review/kehoe-v-1st-source-bank-healthcare-benefits-plan/</link>
		<comments>http://www.passionforsubro.com/claims-review/kehoe-v-1st-source-bank-healthcare-benefits-plan/#comments</comments>
		<pubDate>Fri, 09 Jul 2010 20:06:01 +0000</pubDate>
		<dc:creator>Adam V. Russo</dc:creator>
				<category><![CDATA[Claims Review]]></category>
		<category><![CDATA[Exclusion]]></category>
		<category><![CDATA[Indiana]]></category>

		<guid isPermaLink="false">http://www.passionforsubro.com/?p=3526</guid>
		<description><![CDATA[In Kehoe v. 1st Source Bank Healthcare Benefits Plan,190 the court affirmed an ERISA plan administrator’s denial of health coverage where claimant had a blood alcohol level of 0.128, as tested at the treating hospital, and the plan excluded “[c]harges resulting from an illness or injury incurred while under the influence of alcohol or illegal [...]]]></description>
		<wfw:commentRss>http://www.passionforsubro.com/claims-review/kehoe-v-1st-source-bank-healthcare-benefits-plan/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Shelby County Health Care Corp. v. Majestic Star Casino, LLC</title>
		<link>http://www.passionforsubro.com/summary-plan-description/shelby-county-health-care-corp-v-majestic-star-casino-llc/</link>
		<comments>http://www.passionforsubro.com/summary-plan-description/shelby-county-health-care-corp-v-majestic-star-casino-llc/#comments</comments>
		<pubDate>Fri, 09 Jul 2010 20:04:46 +0000</pubDate>
		<dc:creator>Adam V. Russo</dc:creator>
				<category><![CDATA[6th]]></category>
		<category><![CDATA[Exclusion]]></category>
		<category><![CDATA[Summary Plan Description]]></category>

		<guid isPermaLink="false">http://www.passionforsubro.com/?p=3524</guid>
		<description><![CDATA[This year, while the Sixth Circuit held that an illegal act exclusion could not be applied because of a lack of causation between the illegal act and the injuries for which benefits were sought, an Indiana district court found that an administrator’s decision to deny health benefits based on a plan exclusion was “not reasonable” [...]]]></description>
		<wfw:commentRss>http://www.passionforsubro.com/summary-plan-description/shelby-county-health-care-corp-v-majestic-star-casino-llc/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Nally v. Life Insurance Co. of North America</title>
		<link>http://www.passionforsubro.com/federal-circuits/3/nally-v-life-insurance-co-of-north-america/</link>
		<comments>http://www.passionforsubro.com/federal-circuits/3/nally-v-life-insurance-co-of-north-america/#comments</comments>
		<pubDate>Fri, 09 Jul 2010 19:58:46 +0000</pubDate>
		<dc:creator>Adam V. Russo</dc:creator>
				<category><![CDATA[3rd]]></category>
		<category><![CDATA[Exclusion]]></category>

		<guid isPermaLink="false">http://www.passionforsubro.com/?p=3519</guid>
		<description><![CDATA[In considering the administrative record in ERISA benefits cases, courts this year addressed both what must be included in the administrative record and the admissibility of its contents. In Nally v. Life Insurance Co. of North America, plaintiff argued her deceased husband’s employee benefit plan impermissibly relied on evidence such as police and expert reports [...]]]></description>
		<wfw:commentRss>http://www.passionforsubro.com/federal-circuits/3/nally-v-life-insurance-co-of-north-america/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Catledge v. Aetna Life Insurance Co.</title>
		<link>http://www.passionforsubro.com/claims-procedures/catledge-v-aetna-life-insurance-co/</link>
		<comments>http://www.passionforsubro.com/claims-procedures/catledge-v-aetna-life-insurance-co/#comments</comments>
		<pubDate>Fri, 09 Jul 2010 19:56:48 +0000</pubDate>
		<dc:creator>Adam V. Russo</dc:creator>
				<category><![CDATA[Claims Procedures]]></category>
		<category><![CDATA[Exclusion]]></category>
		<category><![CDATA[South Carolina]]></category>

		<guid isPermaLink="false">http://www.passionforsubro.com/?p=3517</guid>
		<description><![CDATA[In the context of an ERISA claim in which the insurer’s structural conflict of interest was a factor in the court’s analysis, the court concluded the record was insufficient to determine if the insured’s drinking antifreeze was accidental in Catledge v. Aetna Life Insurance Co. The policy excluded loss “caused or contributed to by: an [...]]]></description>
		<wfw:commentRss>http://www.passionforsubro.com/claims-procedures/catledge-v-aetna-life-insurance-co/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Munger v. Transguard Insurance Co. of America, Inc.</title>
		<link>http://www.passionforsubro.com/state-law/michigan/munger-v-transguard-insurance-co-of-america-inc/</link>
		<comments>http://www.passionforsubro.com/state-law/michigan/munger-v-transguard-insurance-co-of-america-inc/#comments</comments>
		<pubDate>Fri, 09 Jul 2010 19:54:23 +0000</pubDate>
		<dc:creator>Adam V. Russo</dc:creator>
				<category><![CDATA[Exclusion]]></category>
		<category><![CDATA[Michigan]]></category>

		<guid isPermaLink="false">http://www.passionforsubro.com/?p=3515</guid>
		<description><![CDATA[The court in Munger v. Transguard Insurance Co. of America, Inc. distinguished between a foreseeable event and a foreseeable injury in upholding a denial of an accident claim. The plaintiff, a tractor and trailer operator, sustained injury to his back while performing the duties of his employment, which he had done “hundreds of times” over [...]]]></description>
		<wfw:commentRss>http://www.passionforsubro.com/state-law/michigan/munger-v-transguard-insurance-co-of-america-inc/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Kay-Woods v. Minnesota Life Insurance Co.</title>
		<link>http://www.passionforsubro.com/summary-plan-description/kay-woods-v-minnesota-life-insurance-co/</link>
		<comments>http://www.passionforsubro.com/summary-plan-description/kay-woods-v-minnesota-life-insurance-co/#comments</comments>
		<pubDate>Fri, 09 Jul 2010 19:52:44 +0000</pubDate>
		<dc:creator>Adam V. Russo</dc:creator>
				<category><![CDATA[Exclusion]]></category>
		<category><![CDATA[Illinois]]></category>
		<category><![CDATA[Summary Plan Description]]></category>

		<guid isPermaLink="false">http://www.passionforsubro.com/?p=3513</guid>
		<description><![CDATA[This year’s lone felony/intoxication case raises an interesting question: when is driving under the influence a felony? In Kay-Woods v. Minnesota Life Insurance Co.,13 the insured died in a single-vehicle accident while driving with a revoked license and under the influence of alcohol and cocaine. The policy provided that benefits would not be paid if [...]]]></description>
		<wfw:commentRss>http://www.passionforsubro.com/summary-plan-description/kay-woods-v-minnesota-life-insurance-co/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Pollitt v. Health Care Service Corp</title>
		<link>http://www.passionforsubro.com/claims-procedures/pollitt-v-health-care-service-corp/</link>
		<comments>http://www.passionforsubro.com/claims-procedures/pollitt-v-health-care-service-corp/#comments</comments>
		<pubDate>Fri, 09 Jul 2010 18:48:58 +0000</pubDate>
		<dc:creator>Adam V. Russo</dc:creator>
				<category><![CDATA[7th]]></category>
		<category><![CDATA[Claims Procedures]]></category>
		<category><![CDATA[Claims Review]]></category>
		<category><![CDATA[Exclusion]]></category>

		<guid isPermaLink="false">http://www.passionforsubro.com/?p=3501</guid>
		<description><![CDATA[Juli Pollitt, a federal employee, had health insurance administered by Health Care Service Corp. (HCSC). In July 2007, HCSC stopped paying claims submitted on behalf of Pollitt’s son Michael and began trying to collect from health care providers any payments made on Michael’s behalf since 2003. According to HCSC, it did this because the Department [...]]]></description>
		<wfw:commentRss>http://www.passionforsubro.com/claims-procedures/pollitt-v-health-care-service-corp/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Drunk-Driving Crash Still an &#8216;Accident,&#8217; Court Says</title>
		<link>http://www.passionforsubro.com/plan-language/drunk-driving-crash-still-an-accident-court-says/</link>
		<comments>http://www.passionforsubro.com/plan-language/drunk-driving-crash-still-an-accident-court-says/#comments</comments>
		<pubDate>Mon, 23 Nov 2009 14:20:11 +0000</pubDate>
		<dc:creator>Adam V. Russo</dc:creator>
				<category><![CDATA[Exclusion]]></category>
		<category><![CDATA[Ohio]]></category>
		<category><![CDATA[Plan Language]]></category>

		<guid isPermaLink="false">http://www.passionforsubro.com/?p=1781</guid>
		<description><![CDATA[By TIM HULL (CN) &#8211; An insurance company must award benefits to an Ohio man who lost his leg in a drunken motorcycle crash, the 6th Circuit ruled, because the incident falls within the broad definition of an &#8220;accident.&#8221; Thomas Kovach ran a stop sign and hit another vehicle while riding his motorcycle intoxicated in [...]]]></description>
		<wfw:commentRss>http://www.passionforsubro.com/plan-language/drunk-driving-crash-still-an-accident-court-says/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>When Updating Your Plan Documents, Don&#8217;t Forget The Following:</title>
		<link>http://www.passionforsubro.com/hipaa/when-updating-your-plan-documents-dont-forget-the-following/</link>
		<comments>http://www.passionforsubro.com/hipaa/when-updating-your-plan-documents-dont-forget-the-following/#comments</comments>
		<pubDate>Wed, 28 Oct 2009 19:20:06 +0000</pubDate>
		<dc:creator>Adam V. Russo</dc:creator>
				<category><![CDATA[Exclusion]]></category>
		<category><![CDATA[HIPAA]]></category>
		<category><![CDATA[Medicare]]></category>
		<category><![CDATA[Summary Plan Description]]></category>
		<category><![CDATA[Welfare Benefit Plans]]></category>

		<guid isPermaLink="false">http://www.passionforsubro.com/?p=1648</guid>
		<description><![CDATA[Reporting to Medicare The purpose of these reporting requirements is to enable the Centers for Medicare &#38; Medicaid Services (CMS) to determine whether those covered by Medicare are also covered by other insurance that, by law, must pay primary to Medicare. For employer-sponsored group health plan benefits, the employer who sponsors the plan will generally [...]]]></description>
		<wfw:commentRss>http://www.passionforsubro.com/hipaa/when-updating-your-plan-documents-dont-forget-the-following/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
	</channel>
</rss>

