No. 19-721

W. A. Griffin v. Humana Employers Health Plan of Georgia, Inc.

Lower Court: Georgia
Docketed: 2019-12-06
Status: Denied
Type: Paid
Response Waived
Tags: assignment-of-benefit assignment-of-benefits consent-requirement erisa georgia-law georgia-statute health-insurance insurance-contracts insurance-law medical-assignment preemption provider-assignment provider-rights
Key Terms:
Privacy
Latest Conference: 2020-02-21
Question Presented (AI Summary)

Whether a medical provider who obtained a written assignment of benefit is required to obtain consent from the fully-insured plan

Question Presented (OCR Extract)

QUESTION PRESENTED 1. Whether or not a medical provider who obtained a written assignment of benefit in accordance Georgia § 33-24-54 is required to obtain a consent or a “permission slip” from the fully-insured plan in order to have a valid assignment of benefit. . 1 Recently, the 11 th circuit has suggested that the State of . Georgia does not have a mandatory provider assignment of benefit statue that expressly prohibits provider antiassignment clauses. See Georgia § 33-24-54. See Griffin v. Focus Brands, Inc., 635 Fed.Appx. 796 (2015); Here, Humana, the health insurer, dodges Georgia § 33-24-54, because the provider failed to obtain a permission slip or consent from the plan.

Docket Entries

2020-02-24
Petition DENIED.
2020-01-15
DISTRIBUTED for Conference of 2/21/2020.
2020-01-02
Waiver of right of respondent Humana Employers Health Plan to respond filed.
2019-12-02
Petition for a writ of certiorari filed. (Response due January 6, 2020)

Attorneys

Humana Employers Health Plan
Mary Elizabeth GoogeFox Rothschild LLP, Respondent
W. A. Griffin
W. A. Griffin — Petitioner