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Date: 09-22-2023

Case Style:

Sanjeev Kaul, M.D., FACS, LLC v. Horizon Blue Shield of New Jersey, Inc.

Case Number: 2:23-CV-415

Judge: Kevin McNulty

Court: United States District Court for the District of New Jersey (Essex County)

Plaintiff's Attorney:

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Defendant's Attorney: Andrew I. Hamelsky, Cameron Redfern, Robert Norica

Description: Newark, New Jersey employment law lawyer represented the Plaintiff who sued the Defendants on an E.R.I.S.A. law theory.

"The Employee Retirement Income Security Act of 1974 (ERISA) is a federal law that sets minimum standards for most voluntarily established retirement and health plans in private industry to provide protection for individuals in these plans. ERISA covers a wide range of employee benefits, including:

Health insurance
Dental insurance
Vision insurance
Disability insurance
Life insurance
Retirement savings plans, such as 401(k)s and 403(b)s
Pension plans

ERISA provides a number of important protections for employees, including:

The right to access information about their plan benefits
The right to participate in their plan regardless of their age, health, or other factors
The right to vest in their plan benefits, meaning that they have a legal right to keep their benefits even if they leave their job
The right to file a claim for benefits if their plan denies them
The right to appeal a denial of benefits

ERISA also imposes a number of requirements on employers who sponsor employee benefit plans. For example, employers must:

Provide plan participants with information about their benefits
Disclose the fees and expenses associated with their plans
Manage plan assets in a prudent manner
Avoid conflicts of interest

ERISA is a complex law, but it is important for employees to understand their rights under the law. If you have any questions about your ERISA benefits, you should contact your plan administrator or an attorney.

Here are some examples of ERISA employee benefits:

A company offers its employees a health insurance plan that covers doctor's visits, hospital stays, and prescription drugs.
A company offers its employees a 401(k) plan, which is a retirement savings plan that allows employees to defer a portion of their paycheck into pre-tax investment accounts.
A company offers its employees a pension plan, which is a retirement plan that provides employees with a guaranteed monthly income after they retire.

If you are unsure whether a particular employee benefit is covered by ERISA, you should contact your plan administrator."

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Outcome: 09/22/2023 20 STIPULATION AND ORDER of dismissal with prejudice. Signed by Judge Kevin McNulty on 9/22/2023. (lag, ) (Entered: 09/22/2023)

Plaintiff's Experts:

Defendant's Experts:


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