Skip to content.
About GPO   |   Newsroom/Media   |   Congressional Relations   |   Inspector General   |   Careers   |   Contact   |   askGPO   |   Help  
 

  FDsys > More Information
(Search string is required)
 

14-497 - Quinones v. UnitedHealth Group Incorporated et al


Download Files

Metadata

Document in Context
14-497 - Quinones v. UnitedHealth Group Incorporated et al
June 30, 2015
PDF | More
ORDER GRANTING IN PART AND DENYING IN PART DEFENDANTS' MOTION FOR JUDGMENT ON THE PLEADINGS AS TO PLAINTIFF'S ALLEGATIONS RELATING TO MEDICARE BENEFITS re 31 Motion for Judgment on the Pleadings. Signed by JUDGE LESLIE E. KOBAYASHI on 06/29/2015. The Court FINDS that, insofar as Plaintiff's claims challenge the coordination of benefits by Defendants, as the Medicare plan provider, they arise under the Medicare Act and therefore require exhaustion. This finding applies to all claims except Counts I and IV, which allege claims under the Medicaid Act. Plaintiff necessarily brings these two claims pursuant to Medicaid, and not Medicare, statutes and regulations. The Court DENIES the Motion as to Counts I and IV, and GRANTS it as to the other claims.It DISMISSES WITH PREJUDICE for lack of jurisdiction Counts II, III, V, VI, VII and VIII, insofar as they challenge the coordination of benefits for acts taken by Defendants as plan providers for Plaintiff's Medicare plan. This includes, but is not limited to, the process by which Defendants denied Plaintiff's initial requests for a new Group 3 PMD, the denials themselves, and any delay in submission of the request to Plaintiff's Medicaid plan. Insofar as Plaintiff challenges decisions made and actions taken by Defendants in their roles as coverage providers under Plaintiff's Medicaid Plan, those claims remain. Defendants UnitedHealth Group Incorporated, UnitedHealthcare, Inc., and UnitedHealthcare Insurance Company's Motion for Judgment on the Pleadings as to Plaintiffs Allegations Relating to Medicare Benefits, filed April 1, 2015, is HEREBY GRANTED IN PART AND DENIED IN PART. (eps )CERTIFICATE OF SERVICEParticipants registered to receive electronic notifications received this document electronically at the e-mail address listed on the Notice of Electronic Filing (NEF). Participants not registered to receive electronic notifications were served by first class mail on the date of this docket entry
July 24, 2015
PDF | More
ORDER GRANTING DEFENDANTS' MOTION FOR JUDGMENT ON THE PLEADINGS FOR COUNT I (§ 1983) re 32 Motion for Judgment on the Pleadings. Signed by JUDGE LESLIE E. KOBAYASHI on 07/24/2015. (eps )CERTIFICATE OF SERVICEParticipants registered to receive electronic notifications received this document electronically at the e-mail address listed on the Notice of Electronic Filing (NEF). Participants not registered to receive electronic notifications were served by first class mail on the date of this docket entry
August 12, 2015
PDF | More
ORDER DENYING PLAINTIFF'S MOTION FOR ORDER CERTIFYING JUNE 30, 2015 ORDER GRANTING IN PART AND DENYING IN PART DEFENDANTS' MOTION FOR JUDGMENT ON THE PLEADINGS AS TO PLAINTIFFS ALLEGATIONS RELATING TO MEDICARE BENEFITS [DKT NO. 49] FOR INTERLOCUTORY APPEAL PURSUANT TO 28 U.S.C. § 1292(B) AND FOR A STAY PENDING RESOLUTION OF § 1292(B) PROCEEDINGS re52 Motion for Leave to Appeal Signed by JUDGE LESLIE E. KOBAYASHI on 08/12/2015. (eps)CERTIFICATE OF SERVICEParticipants registered to receive electronic notifications received this document electronically at the e-mail address listed on the Notice of Electronic Filing (NEF). Participants not registered to receive electronic notifications were served by first class mail on the date of this docket entry
October 19, 2015
PDF | More
ORDER GRANTING DEFENDANTS' MOTION FOR JUDGMENT ON THE PLEADINGS FOR COUNTS II AND III (ADA AND REHABILITATION ACT) re 34 Motion for Judgment on the Pleadings. Signed by JUDGE LESLIE E. KOBAYASHI on 10/19/2015. (eps)CERTIFICATE OF SERVICEParticipants registered to receive electronic notifications received this document electronically at the e-mail address listed on the Notice of Electronic Filing (NEF). Participants not registered to receive electronic notifications were served by first class mail on the date of this docket entry
July 29, 2016
PDF | More
ORDER DENYING DEFENDANTS' MOTION FOR JUDGMENT ON THE PLEADINGS FOR COUNTS VII (NIED) AND VIII (IIED) re89 Motion for Judgment on the Pleadings. Signed by JUDGE LESLIE E. KOBAYASHI on 07/29/2016. (eps)CERTIFICATE OF SERVICEParticipants registered to receive electronic notifications received this document electronically at the e-mail address listed on the Notice of Electronic Filing (NEF).
April 18, 2017
PDF | More
ceived this document electronically at the e-mail address listed on the Notice of Electronic Filing (NEF). AMENDED ORDER : (1) GRANTING DEFENDANTS' MOTION FOR SUMMARY JUDGMENT ON COUNTS IV, VI, VII, AND VIII; (2) GRANTING DEFENDANTS' MOTION FOR SUMMARY JUDGMENT ON COUNT X OF PLAINTIFF'S SUPPLEMENTAL COMPLAINT; AND (3) DENYING AS MOOT PLAINTIFF'S MOTION FOR PARTIAL SUMMARY JUDGMENT re 266 Order. Signed by JUDGE LESLIE E. KOBAYASHI on 04/18/2017. (eps, )CERTIFICATE OF SERVICEParticipants registered to receive electronic notifications re
June 28, 2017
PDF | More
ORDER DENYING PLAINTIFF'S MOTION FOR RECONSIDERATION OF THE COURT'S MARCH 29, 2017 ORDER: (1) GRANTING DEFENDANTS' MOTION FOR SUMMARY JUDGMENT ON COUNTS IV, VI, VII, AND VIII; (2) GRANTING DEFENDANTS' MOTION FOR SUMMARY JUDGMENT ON COUNT X OF PLAINTIFF'S SUPPLEMENTAL COMPLAINT; AND (3) DENYING AS MOOT PLAINTIFF'S MOTION FOR PARTIAL SUMMARY JUDGMENT re 268 Motion for Reconsideration filed by Juan Rios Quinones. Signed by JUDGE LESLIE E. KOBAYASHI on 06/28/2017.(eps, )CERTIFICATE OF SERVICEParticipants registered to receive electronic notifications received this document electronically at the e-mail address listed on the Notice of Electronic Filing (NEF).