Administrative Committee of the Wal-Mart Stores, Inc. v. Gamboa

HANSEN, Circuit Judge.

The Administrative Committee of the Wal-Mart Stores, Inc. Associates’ Health and Welfare Plan (“the Administrative Committee”) appeals the district court’s grant of summary judgment to the Gam-boas, refusing to enforce a reimbursement provision in Wal-Mart’s health benefits plan. We reverse and remand for further proceedings.

I

For the benefit of its employees and their dependents, Wal-Mart established and maintains a self-funded, ERISA-cov-ered health and welfare plan (“the Plan”). The Plan is governed by the Wal-Mart Stores, Inc. Associates’ Health and Welfare Plan Wrap…