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Text of Ninth Circuit Opinion Reversing District Court Order for Reprocessing of Claims and Partially Denying Class Certification (PDF)
U.S. Court of Appeals for the Ninth Circuit
Aug. 23, 2023 37 pages. "[T]he district court did not err in certifying three classes to pursue the fiduciary duty claim. However, by certifying the denial of benefits classes without limiting the classes to those with claims that UBH denied under a specific Guidelines provision(s) challenged in this litigation that applied to the claimant's own request for benefits, the certification order improperly enlarged or modified Plaintiffs' substantive rights ... Accordingly, we reverse the district court's certification of the denial of benefits classes.... [T]he district court erred to the extent it determined that the Plans require the Guidelines to be coextensive with GASC. Therefore, the judgment on Plaintiffs' denial of benefits claim is reversed ... And we remand for the district court to answer the threshold question of whether Plaintiffs' fiduciary duty claim is subject to the exhaustion requirement." [Wit v. United Behavioral Health, Nos. 20-17363 and 21-15193 (9th Cir. Aug. 22, 2023)] MORE >> |
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