Claims Administrator Required to Enforce Plan Exclusionary Language
The U.S. District Court for the Central District of California recently held in Dubaich v. Connecticut General Life Insurance Co., C.D. Cal., No. 2L11-cv-10670-DMG-AJW (April 25, 2013), that a health plan participant could not obtain coverage for treatment of her degenerative disc disease, because the plan “ineluctably and unambiguously” excluded coverage for the procedure recommended by her physician. Full Story
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