Peter Roan focuses on business litigation in the health care and insurance industries. During his nearly 25 years of experience, Mr. Roan has represented Fortune 500 companies as well as other businesses in a variety of complex disputes involving many cutting edge issues. He works closely with his clients to implement strategies to advance their objectives in practical ways. Mr. Roan has helped many clients facing challenging business and regulatory environments effectively resolve contract, fraud, trade secret, unfair competition, partnership, managed care, environmental, insurance coverage and regulatory disputes.
Education
- J.D., Marquette University Law School, 1985
- B.B.A., Economics, University of Iowa, 1982
Bar Admissions
- California, 1988
- Wisconsin, 1985
- Iowa, 1985
Reported Decisions
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California Shock Trauma Air Rescue v. State Compensation Insurance Fund, WL 2230776 (E.D. Cal.) (2009).
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Ochs v. PacifiCare of California, 115 Cal.App.4th 782, 9 Cal.Rptr.3d 734 (2004).
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California Emergency Physicians Medical Group v. PacifiCare of California, 111 Cal.App.4th 1127, 4 Cal.Rptr.3d 583 (2003).
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Saint Agnes Medical Center v. PacifiCare of California, 31 Cal. 4th 1187, 8 Cal.Rptr.3d 517 (2003).
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California Medical Ass'n, Inc. v. Aetna U.S. Healthcare, Inc., 94 Cal.App.4th 151, 114 Cal.Rptr.2d 109 (2001).
Publications & Presentations
- Locke Lord's QuickStudy: Court Invalidates New California Health Insurance Rescission Regulations (January 14, 2011).
- Affirming the Right to Rescind In California, Law360 (February 1, 2010).
- Client Alert: California Appellate Decision Affirms Right of Health Insurers to Rescind Policies for Misrepresentation (January 22, 2010).
- Speaker, "Current Legal Issues in Managed Care," Health Care Financial Management Association Fall Conference (September 2009).
- Speaker, "Practical Advice on Balance Billing and Payments to Non-Contracted Providers," Western Claims Conference (June 2009).
- Client Alert: Did the Latest California Supreme Court UCL Decision Create More Uncertainty? (May 20, 2009).
- Speaker, "Recent Issues and Developments in Managed Care," California Society for Healthcare Attorneys Annual Meeting (April 2009).
- Client Alert: The California Supreme Court Bars Emergency Service Providers from Billing HMO Members (January 15, 2009).
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Client Alert: Ninth Circuit Rules ERISA Claimant May Base Federal Suit On Grounds Not Raised In Administrative Appeal (October 15, 2008).
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Speaker, "Provider Contract Rejection: Precipitous Strategy or a Growing Threat to Healthplans?" California Association of Health Plans Annual Meeting (October 2008).
- Co-Author, "Application of Medical Billing Standards to Claims Submitted by Non-Contracted Providers" AHLA HMOs and Health Plans Practice Group, Vol. 11, Issue 1 (February 2008).
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Client Alert: When Rescission Is Proper: California Appellate Court Takes On Postclaims Underwriting In The Individual Market (January 4, 2008).
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Client Alert: Open Questions Remain Following Passage of AB 1324, Designed To Address Authorization Rescissions by Health Plans and Insurers (November 1, 2007).
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Speaker, "Practical Advice for Payments to Non-Contracted Providers" American Health Lawyers Association Annual Meeting (June 2006).
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Speaker, “AHLA Teleconference Regarding Payment Issues to Non-Contracted Providers” (March 2006).
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Speaker, “2005 Managed Care Liability Developments,” California Association of Health Plans (October 2005).
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Speaker, “Hot Topics for 2005 - Payors, Providers and the Courts: State and Federal Litigation Trends,” AHLA Law Conference for Health Plans, Providers, and Insurers (May 2005).
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“Expect Trouble From Badly Written Arbitration Clauses,” (September 2004).
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Speaker, “The Supreme Court Speaks on ERISA Preemption of State Law Claims for Wrongful Denial of Healthcare Benefits,” AHLA Member Briefing (July 2004).
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Co-Author, “Transfer of Financial Risk by HMOs to Health Care Providers: May HMOs Escape Liability When Their Contractors Fail to Pay?,” 9 BNA Health Plan & Provider Report Rep. 1137 (October 2003).
Professional History
Professional Affiliations & Achievements
- Member, American Health Lawyers Association
- Member, Los Angeles County Bar Association
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