Mark Scherzer Law - NY Attorneys for Disability, Life, Health & Employee Benefit Claims

Mark Scherzer Biographical Information

Mark Scherzer has been an advocate for consumers, policyholders, and employees with regard to their health, life and disability insurance benefits for over 25 years.  He is Legislative Counsel to New Yorkers for Accessible Health Coverage, has served on several public commissions working on insurance reforms, and has written and spoken widely about access to insurance.  In 1992 he was awarded Lambda Legal Defense's Liberty Award and a Community Service Award by the Lesbian and Gay Law Association of Greater New York for his work on groundbreaking insurance cases.  

Education:
  • Yale University Law School (J.D., 1978)
  • University of Chicago (M.A., Anthropology, 1975)
  • Haverford College (B.A., magna cum laude, 1973) 
Bar Admissions:
  • New York State Bar (1979)
  • U.S. District Courts, Southern and Eastern Districts (1979, 1980)
  • Sixth Circuit Court of Appeals (1985)
  • Second Circuit Court of Appeals (1996)
Practice Areas:
  • Insurance Law; ERISA; Litigation; Health Insurance, Benefits and Claim Denials; Disability Insurance, Benefits and Claim Denials; Life Insurance Benefits and Claim Denials; Employee Benefits and Claim Denials; COBRA; Health Care Legislation and Lobbying; Health Care Reform; Health Insurance Portability and Accountability Act (HIPAA).
Distinctions, Public Service and Awards:
  • Member, Governor Spitzer's Partnership for Coverage Hearing Panel (2007-2008)
  • Member, New York State Department of Health Task Force on Charity Care (2007)
  • Certificate of Appreciation, American Bar Association, Commission on Women in the Profession Breast Cancer Initiative (2002)
  • Speaker, Sheldon Silver's New York Health Advisory Board (1995, 1999)
  • Member, Technical Advisory Committee, New York State Insurance Department (1992, 1995-1998)
  • Health Care and Insurance Steering Committee Member, National Endowment for the Arts (1996-1997)
  • The Poz 50 (Most Influential AIDS Policymakers), Poz Magazine (Aug./Sept. 1994)
  • Outstanding Service Award, Cancer Care (1993)
  • Lambda Legal Defense, Jay C Lipner Liberty Award (1992)
  • Community Service Award, Lesbian & Gay Law Association of Greater New York (1992)
  • Miscellaneous:  Steering Committee Member, Artists Health Insurance Resource Center; Cooperating Attorney, Gay Men's Health Crisis, Inc.; Mentor and Trainer, Association of the Bar of the City of New York; Robert McKay Community Outreach Law Program; Cancer Advocacy Project; Member, National Multiple Sclerosis Society Insurance Task Force; Advisory Board Member, Legal Health; Member, Steering Committee Member, and Legislative Counsel, New Yorkers for Accessible Health Care (NYFAC)
Writings:
  • Co-Author, Chapter 12:  Private Insurance, AIDS and the Law (Aspen Publishers, 4th Ed., 2008)
  • Co-Author, "Freedom to Lose:  How Oxford is Compromising the Health of Chronically Ill Patients," New Yorkers for Accessible Health Coverage (Nov. 1999)
  • Co-Author, "On Their Own:  Individuals Pay the Price of Insurance Market Breakdown," New York Community Trust (Aug. 1999)
  • Author, Chapter 16:  Insurance and AIDS, Sexual Orientation and the Law (Clark Boardman Co., Ltd., 1987, 1991, 1992, 1994, 1998)
  • Co-Author:  "The Changing Environment:  A Report to the HIV Health and Human Services Planning Council of New York" (Sept. 1997)
  • Author, "Life and Disability Insurance," Positive Options, Body Positive of New York, Inc. (1995)
  • Author, Chapter 8:  Insurance and Employee Benefits, AIDS Practice Manual:  A Legal and Educational Guide (National Lawyer's Guild AIDS Network, 3rd Ed. 1992)
  • Author, Chapter 5:  Insurance, AIDS Legal Guide (Lambda Legal Defense and Education Fund, Inc., 2nd Ed., 1984, 1987)
Reported Cases*:
  • Noia v. Division 1181, ATU, 2007 U.S. Dist. LEXIS 68324 (E.D.N.Y., Sept. 14, 2007)
  • Troy v. Unum Life Ins. Co. of America, 2006 U.S. Dist. LEXIS 14965 (S.D.N.Y., Mar. 31, 2006)
  • Consumers Union of U.S., Inc. v. State, 5 N.Y.3d 327, 840 N.E.2d 68, 806 N.Y.S.2d 99 (NY Ct. App., 2005); lower court decision at 7 A.D.3d 416, 777 N.Y.S.2d 444 (NY App. Div., 1st Dept., 2005)
  • Rasile v. Libert Life Assur. Co. of Boston, 2004 U.S. Dist. LEXIS 9940 (S.D.N.Y., Jun. 2, 2004), and 2004 U.S. Dist. LEXIS 11754 (S.D.N.Y., Jun. 28, 2004)
  • Maniscalco v. TAC Americas Comprehensive Healthcare Plan, 325 F. Supp. 2d 383 (S.D.N.Y. 2004)
  • Fay v. Oxford Health Plan, 287 F.3d 96 (2nd Cir., 2002); lower court decisions reported at 2001 U.S. Dist. LEXIS 14 (S.D.N.Y., Jan. 3, 2001), 2000 U.S. Dist. LEXIS 4166 (S.D.N.Y., Mar. 24, 2000), and 1998 U.S. Dist. LEXIS 11838 (S.D.N.Y., Jul. 31, 1998)
  • Peterson v. Continental Cas. Co., 282 F.3d 112 (2nd Cir., 2002); lower court decisions reported at 2000 U.S. Dist. LEXIS 18977 (S.D.N.Y., Dec. 18, 2000), 2000 U.S. Dist. LEXIS 15801 (S.D.N.Y., Oct. 23, 2000), and 77 F. Supp. 2d 420 (S.D.N.Y. 1999)
  • Security Mut. Life Ins. Co. v. DiPasquale, 283 A.D.2d 182, 724 N.Y.S.2d 594 (NY App. Div., 1st Dept., 2001)
  • McCann v. McCall, 267 A.D.2d 766, 699 N.Y.S.2d 782 (NY App. Div., 3rd Dept. 1999)
  • New England Mut. Ins. Co. v. Doe, 93 N.Y.2d 122, 710 N.E.2d 1060, 680 N.Y.S.2d 459 (NY Ct. App., 1999); lower court decision at 249 A.D.2d 285, 671 N.Y.S.2d 280 (NY App. Div., 2nd Dept. 1998)
  • Whitney v. Empire Blue Cross and Blue Shield, 106 F.3d 475 (2nd Cir. 1997); lower court decision reported at 920 F. Supp. 477 (S.D.N.Y., 1996)
  • Burke v. First Unum Life Ins. Co., 975 F. Supp. 310 (S.D.N.Y., 1997)
  • Massachusetts Cas. Ins. Co. v. Morgan, 886 F. Supp. 1002 (E.D.N.Y. 1995)
  • Fortune v. Medical Assocs. of Woodhull, PC, 803 F. Supp. 636 (E.D.N.Y., 1992)
  • Bradley v. Empire Blue Cross and Blue Shield, 149 Misc. 2d 20, 562 N.Y.S.2d 908 (NY Sup. Ct., N.Y. Co., 1990)
  • Doe v. United Servs. Life Ins. Co., 123 F.R.D. 437 (S.D.N.Y., 1988)
  • Dorr v. First Kentucky Nat'l Corp., 796 F.2d 179 (6th Cir., 1986)
  • Lightell v. Jaeger, 1985 N.Y. App. Div. LEXIS 43502 (NY App. Div., 2nd Dept., Jan. 24, 1985) 

*NOTE:  Many cases settle after we file lawsuits on behalf of our clients, but before decisions have been reached by the assigned judges.  In any given lawsuit, this may be because the insurance company realizes the seriousness and determination of our client, the insurance company's outside attorneys bring a more objective eye to the case, or the assigned judge has, in the course of preliminary proceedings, encouraged the insurance company to consider settlement.  Consequently, many of the lawsuits we file do not result in published decisions, but nonetheless result in satisfactory settlements for our clients.

Law Office of Mark Scherzer