Somerset Ortho. Associates, Pa v. Horizon Bc & Bs

How courts have described this case

Verbatim parenthetical descriptions written by other courts when citing this decision. Ranked by citation-network relevance.

• holding 1 anti-assignment clause “valid and enforceable to prevent assignment by subscribers of 2 policy benefit payments to non-participating medical providers without [insurer]’s 3 consent”
• holding “the anti-assignment clause in Horizon’s subscriber contracts is valid and enforceable to prevent assignment by subscribers of policy benefit payments to non-participating medical providers without Horizon’s consent”
• noting that although courts have enforced anti-assignment contractual language in many settings, “contract rights are generally assignable except where assignment is prohibited by operation of law or public policy”
• out-of-network physician’s claims for payment pursuant to terms of benefit plan foreclosed by plan’s anti-assignment language
• finding specific and express anti-assignment clauses are generally upheld

Source: CourtListener parenthetical corpus (CC0).