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Denial of Residential Mental Health Treatment Benefits Overturned on De Novo Review
Thomson Reuters / EBIALink to more items from this source
Dec. 13, 2021

"According to the appellate court, the claims administrator's denial was arbitrary and capricious and should not have been upheld by the trial court in the first place -- even under the deferential standard of review. Nevertheless, plan decisions are more likely to be upheld when courts apply deferential review, which is available only if the plan grants the decisionmaker discretionary authority. " [Lyn M. v. Premera Blue Cross, No. 17-1152 (D. Utah Nov. 30, 2021)]

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