5th Circ.: Medical Administrator Liable for Wrongful Denial

Law360, New York (January 4, 2013, 10:33 PM EST) -- The Fifth Circuit on Friday affirmed a lower court’s ruling that a third-party medical benefits administrator had wrongly construed certain employee health plans in denying claims by two patients for treatments they received at LifeCare Management Services LLC.

A three-judge panel found Insurance Management Administrators Inc. had not adequately applied the plans’ criteria and miscategorized LifeCare as a facility other than a hospital. The panel agreed with the lower court that such a miscategorization to deny the patients’ claims amounted to an abuse of discretion, according...
To view the full article, register now.

UK Financial Services

UK Financial Services

Read Our Latest UK Financial Services Coverage

Financial Services Law360 UK provides breaking news and analysis on the financial sector. Coverage includes UK and European Union policy, enforcement, and litigation involving banks, asset management firms, and other financial services organizations.