Pohls & Associates is a California law firm that was established in 1999 to represent life, health, disability and long term care insurers in bad faith, ERISA and other forms of complex litigation.

 

Nationally-recognized for a distinctive ability to achieve favorable outcomes in disputes that involve challenging facts and/or novel legal questions, our attorneys have been helping to shape California law for more than 20 years.  However, we also have developed an innovative business model that enables us to consistently deliver legal services of the highest quality on terms our competitors cannot (or will not) offer.

 

Please use these links to learn more about our firm and its capabilities. 

 

 

 

Articles

 

A Practical Guide to Effectively Using the Advice of Counsel Defense

 

Long Term Care Insurance:  Selected Considerations for Insurers, Agents, Regulators and Litigators

 

Litigating Subjective Disability Claims:  What Every Attorney Should Know About Disability Income

Insurance Cases Involving Self-Reported Conditions

 

Enforcing Exclusions and Limitations in Life, Health & Disability Insurance Policies

 

Litigating Disability Insurance Claims Involving Post-Traumatic Stress Disorder

 

Insurers Must Give Special Notice to Preserve the Contractual Limitations Defense

 

Defense Strategies for Premium Offset Litigation

 

Developments in Managed Care Liability 

 

Understanding the Americans with Disabilities Act

 

 

Case Summaries

 

CA Supreme Court Lets Stand Appellate Decision Charging Health Care Service Plans with a Duty to Investigate All

Answers on the Application [Hailey v. California Physicians’ Service]

 

Health Insurer Faces Potential Class Action Under UCL for Rescissions Based on Misrepresentations in Applications

Not Attached to Policies [Ticconi v. Blue Shield of California]

 

Health Care Provider’s Undisclosed Discount for Prompt Payment is Neither Fraudulent Nor Unfair Under the UCL

[Buller v. Sutter Health]

 

Court Reinstates $1.13 Million Judgment Against Insurer for Excluding Providers From Its PPN Without Giving Notice and

a Right to be Heard [Palm Medical Group, Inc. v. State Compensation Ins. Fund]

 

Arbitration Provision is Not Enforceable Unless Prominently Displayed in Health Care Service Plan’s Enrollment Form

[Burks v. Kaiser Foundation Health Plan, Inc.]

 

California Supreme Court Rules that Prop 64 Applies to Pending Cases [Californians for Disability Rights v. Mervyn’s LLC]

 

California Appellate Courts Continue Their Assault on Arbitration Provisions in Health Care Service Plans [Zembsch v.

Superior Court; Medeiros v. Superior Court]

 

Ninth Circuit Finds Possible Bad Faith in Denial of Benefits to Insured Whose Disability Began During Period of Unemployment

[Amadeo v. Principal Mutual Life Insurance Co.]

 

California Appellate Court Refuses to Order Insurer to Identify Other Psychiatric DI Claimants Whose Claims Were Denied

[Pollack v. Superior Court]

 

California Supreme Court Rejects Comparative Bad Faith Defense [Kransco v. American Empire Surplus Lines Ins. Co.]

 

Common Law Right to Fair Procedure Can Limit Insurer’s Right to Remove Physician From its List of Preferred Providers

[Potvin v. Metropolitan Life Ins. Co.]

 

 

 

Based upon the results of its annual survey of Fortune 500 law departments, American Lawyer Media (publisher of Corporate Counsel) recently named Pohls & Associates a “Go-To Firm” for Litigation in 2008.  The honor is bestowed on fewer than half of one percent of all American law firms.  Learn more at:  www.corpcounsel.com/guide.

Robert R. Pohls

Founder and Principal

 

Direct Dial:  (925) 973-0300, ext. 1

E-mail:  rpohls@califehealth.com

 

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