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Michael A. McKuin -- ERISA Lawyer
 Michael A. McKuin - ERISA Disability Lawyer

                 Long Term Disability and Medical Benefit Claims, Litigation and Appeals
                                                           (Serving all of California)
GENERAL INFORMATION:

Michael A. McKuin
Attorney at Law
P.O. Box 637
Lake Arrowhead, CA 92352

Telephone: (909) 336-4625
  
BIOGRAPHICAL INFORMATION:

Education:  Juris Doctorate: 1981, Washington University School of Law, St. Louis, Mo. Bachelor of Arts: 1974, University of Missouri - Columbia, Mo.

Background:   I have been in private practice since 1983. Prior to that, I was in-house counsel for an ERISA plan administrator. Both as in-house counsel and in private practice, I have drafted ERISA plan documents, including: comprehensive plan descriptions; summary plan descriptions; administrative services agreements; and claims manuals. I have represented ERISA plans, medical providers and plan  
participants, handling benefit claims disputes through all levels of administrative review,arbitration, litigation in federal court and before the Ninth Circuit Court of Appeals.

SCOPE OF PRACTICE:

My practice is exclusively limited to representing Long Term Disability Claimants and Medical Providers in ERISA governed claims disputes, litigation, and appeals, involving medical and long term disability benefits.  (I do not represent insurance companies.)  My practice is currently limited to California and the Ninth Circuit. I have successfully pursued ERISA disability or medical benefit claims against each of the following insurers and employee benefit plans:

Aetna, The Hartford, Standard Insurance Co., Unum-Provident, CIGNA, Prudential, MetLife, AIG, Airgas, Inc., American Medical Security (AMS),  Atlas Administrators,  Best Life Assurance Co. Anthem Blue Cross Blue Shield of Kentucky, Blue Cross of California, Blue Cross Blue Shield of Illinois, Wellmark Blue Cross Blue Shield of Iowa. Blue Cross Blue Shield of the National Capital Area, Blue Cross Blue Shield of Michigan, Blue Cross Blue Shield of Minnesota, Brown-Foreman, Brown & Root, Central Reserve Life Insurance Company,  ClearSprings Health Partnership, Color Graphics, Inc., CorpHealth, CMS – Illinois, DMC Services, Dresser Industries, Employers Health Insurance, Fortis Benefits Insurance Co., FHP, GenCorp, Inc.. Group Health Incorporated (GHI). HealthNet, HealthAmerica Pennsylvania, Inc. Home Depot, Humana, Irex Corporation, Jefferson Pilot, JC Penney Insurance Company, Inc., Medical Mutual of Ohio, Magellan, Mutual of New York, Pacificare, Providian Financial, Principal Financial Group, ReliaStar Financial Corporation, St. Joseph’s Health Plan, Sierra Health and Life, Washington National, Toys-r-Us, The Travelers Insurance Company, United Parcel Service, United Healthcare / United Behavioral Health, Unisys, Voluntary Plan Administrators, Inc. (VPA), Hewlett-Packard, Zermen Houston Health Care Management.

Honors / Recognition:  

AV Peer Review Rating -- shows that a lawyer has reached the height of professional excellence. He or she has usually practiced law for many years, and is recognized for the highest levels of skill and integrity.  Martindale-Hubbell is the facilitator of a peer review rating process. Ratings reflect the confidential opinions of members of the Bar and the Judiciary. Martindale-Hubbell Ratings fall into two categories - legal ability and general ethical standards.  Questions about the Peer Review Ratings system can be sent by email to ratings@martindale.com or by mail to: Peer Review Rating Services, LexisNexis Martindale-Hubbell,  121 Chanlon Road Ne  Providence, NJ 07974.

Temple University, The Fox School of Business and Management Department of Risk, Insurance and Healthcare Management  – Health and Welfare Employee Benefits, Syllabus- Fall 2002, 2003.  Assigned reading for Fundamental Design Considerations In Employee Benefit Planning ("Multiple Employer Trusts"; "The Stop-Loss Shuffle").

LexisOne: Labor and Employment Law,  Practice Resources
Employee Retirement Income Security Act (ERISA)-Related Articles
www.lexisone.com.

  
Long Term Disability Claimants:

If your LTD benefits have been denied or terminated, you must act quickly to protect your rights under ERISA.  The first thing you must do is educate yourself on the vagaries of ERISA.  You might begin by reading the articles, under the Links section below.  Call me if you have any questions.

 Medical Practitioners:

Do not automatically write off as uncollectable medical claims that have been denied by insurance or employee benefit plans on "Medical Necessity" grounds. Very often these claims are in fact covered under the patient's benefit plan. If you have obtained an assignment of benefits from the patient, you will usually have standing to pursue the patient's claim against the benefit plan.  This typically involves little inconvenience or expense to either you or the patient.  Call me for more information.


Remarks:


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Disclaimer

The information provided by this website, including all related links, is general information, provided to the public free of charge. Hopefully, the information will be useful to the reader; however, it is not intended to constitute legal advice nor should it be relied upon for that purpose. The facts of each case are unique and the legal principles discussed here may or may not be applicable to any specific case. A lawyer should be consulted for legal advice concerning any particular case. The author assumes no responsibility whatsoever for any damages resulting from reliance upon any statement made or information found at this website.

  

 

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