In 2009, the West Virginia Supreme Court of Appeals created a formal Access to Justice program for the State of West Virginia. The Access to Justice program was established to determine the needs of citizens accessing the justice system in the state. One of the issues identified by the Access to Justice Commission was the lack of ability for claimants to obtain counsel in the litigation of denied medical treatment issues in workers’ compensation claims. Accordingly, Supreme Court Justice Brent Benjamin formed a committee to address this issue.
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U.S. AIRWAYS, INC. V. MCCUTCHEN: SCOTUS SAYS ENFORCEMENT OF ERISA PLAN TERMS IS NOT “INEQUITABLE”
Employer-sponsored group heath plans typically allow reimbursement to the plan for benefits paid in connection with injuries sustained as a result the tortious conduct of a third party. That right of reimbursement arises when the injured plan participant obtains a recovery against the tortfeasor and is enforceable, as an equitable lien by contract, against the proceeds of any recovery. Plan terms also, as an alternative remedy, subrogate the plan to the rights of the injured participant and allow the plan to pursue the participant’s tort claim in its own name. Read More »