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Challenging Long-Term Disability And Health Benefit Denials Under ERISA

Edward G. Connette via the Health Administration Responsibility Project

July 27, 2000

"This paper will discuss procedures for challenging Long Term Disability ('LTD') and health benefits coverage denials under ERISA ... the majority of reported decisions arise from cases challenging health benefits denials for procedures or drugs deemed 'experimental,' 'investigative' or 'not medically necessary' ... the most commonly litigated issue today is coverage for various HDC/PSCR treatment protocols for breast, ovarian and brain cancer patients."

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