Mr. Amar Raval

Practice Details

• Languages
  Gujarati
  Hindi
• Firm Information
  Position

  Founder

  Firm Name

  Raval Trial Law
• Representative Cases & Transactions
  Cases

  2021, Midkiff v. Prudential Insurance Company of America, ERISA long term disability claim in which Court ruled in favor of client, granting all past due benefits, ordering Prudential to put client back on claim, pre-
  post-judgment interest,
  awarding attorneys’ fees. Served as local counsel. Katherine P. v. Humana Health Plan, Inc., 959 F.3d 206 (5th Cir. 2020). Argued before 5th Circuit regarding how to apply the de novo st
  ard of review in an ERISA case involving denial of health insurance benefits for serious mental illness.Link to oral argument by Mr. Raval:http://www.ca5.uscourts.gov/OralArgRecordings/19/19-50276_2-5-2020.MP3More information about the case
  opinion can be found here: https://www.healthpayerspecialist.com/c/2756783/338223/humana_suffers_legal_setback_eating_disorder_case_texas?referrer_module=issueHeadline&module_order=4Commentary about both Katherine P. v. Humana
  Ariana M. v. Humana can be found here: https://www.healthpayerspecialist.com/pc/2648983/320683?all=true&referrer_module=article2019, Benson v. MetLife, ERISA life insurance claim regarding whether client was still eligible for waiver of his life insurance premiums because he was disabled. Claim settled following litigation.2019, represented claimant in health insurance denial regarding whether treatment was medically necessary. Settled claim favorably with insurer agreeing to pay all of Mr. Raval’s attorneys’ fees.2018, Ariana v. Humana Health Plan of Texas, Inc., 884 F.3d 246 (5th Cir. 2018): 5th Circuit overturned 26 years of jurisprudence stemming from Pierre v. Conn. Gen. Life Ins. Co., 932 F.2d 1552 (5th Cir. 1991)
  concurred with every other Circuit that applies the de novo st
  ard of review to both legal
  factual determinations, thus paving the way for the Texas ban on discretionary clauses to trigger de novo review of benefit denials of health
  disability benefit claims.Link to panel oral argument by Mr. Raval:http://www.ca5.uscourts.gov/OralArgRecordings/16/16-20174_2-9-2017.mp3Case summary in ABA Tort Trial
  Insurance Practice Section: https://www.americanbar.org/content/dam/aba/publications/tort_trial_insurance_practice_newsletters/healthdisabilitylife/health_disability_life_insurance_spring_2018.authcheckdam.pdf2017, Prashant v. Liberty Life Assurance Company of Boston, et al, No. 4:16-CV-1459, 2017 WL 10109450 (S.D. Tex. Feb. 22, 2017): Court ruled that the Texas ban on discretionary clauses in insurance policies is enforceable because Texas should be able to regulate the insurance policies sold to its citizens.2017, represented claimant in confidential arbitration between former husb
  
  wife over post-divorce asset distribution. Settled favorably on eve of hearing.2015, Hamsher v. North Cypress Medical Center Operating Company, Limited, 620 Fed. Appx. 236 (5th Cir. 2015): 5th Circuit reviewed an appeal from former nurse insured by North Cypress over whether her employer abused its discretion in denying her health insurance claim. Court overruled District Court’s denial
  granted summary judgment for Hamsher.2015, Humana Health Plan, Inc. v. Nguyen, 785 F.3d 1023 (5th 2015): 5th Circuit reviewed a matter involving ERISA subrogation rights
  clarified the rights between Plan Administrators
  ERISA fiduciaries.Court rem
  ed case to District Court to determine if Plaintiff had st
  ing to pursue subrogation claim against Plan participant.