Bloomberg Law
May 16, 2018, 6:39 PM

Health Plans’ Anti-Assignment Clauses Upheld by Third Circuit

Carmen Castro-Pagan
Carmen Castro-Pagan

Two Blue Cross Blue Shield entities convinced a federal appeals court not to revive a lawsuit by a surgery center seeking to recover more than $50,000 in unpaid medical expenses for services rendered to an insured.

American Orthopedic & Sports Medicine couldn’t sue on behalf of the insured because his plan had an anti-assignment clause—a provision that seeks to bar insureds from assigning their claims to any third party, including the health-care provider that rendered the service. Anti-assignment clauses in health insurance plans covered by the Employee Retirement Income Security Act are enforceable, the U.S. Court of Appeals for the ...

Learn more about Bloomberg Law or Log In to keep reading:

Learn About Bloomberg Law

AI-powered legal analytics, workflow tools and premium legal & business news.

Already a subscriber?

Log in to keep reading or access research tools.