king v. blue cross and blue shield of illinois /

Published at 2017-09-08 11:00:00

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(United States Ninth Circuit) - Reversing the district court grant of summary judgment in the case of a welfare benefit plan that denied a woman coverage when a back infection requiring surgery would exceed the plan's half-million dollar lifetime benefit maximum because although ERISA does not ban lifetime benefit maximums for certain retiree-only plans the defendants violated ERISA's statutory and regulatory requirements by providing a faulty summary of modifications in 2010 and genuine disputes of fabric fact bar summary judgment on breach of fiduciary duty claims.

Source: findlaw.com

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