9th Circuit Mostly Affirms Claimant’s Victory In ERISA Coverage Lawsuit

( May 20, 2025, 4:18 PM EDT) -- PASADENA, Calif. — In an unpublished memorandum disposition mostly affirming judgment against a multiemployer health plan in a coverage denial case, the Ninth Circuit U.S. Court of Appeals said in part that the appellee had been given “inadequate notice” that didn’t sufficiently explain that meeting the plan’s “definition of ‘medical necessity’ required attempting lower levels of care . . . before residential treatment.”...