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Stop Loss Carrier's Refusal To Pay Insufficient Reason To Deny Claims
Health Plan Law 
Sept. 14, 2006
Excerpt: When the hospital filed suit, the claims administrator defended on the grounds that the stop loss carrier denied the claims. Yet, the plan document did not provide that claims payment would be contingent on stop loss reimbursement (as they could not be in the case of a self-funded plan).
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