Legal Opinion

Fisher v. Harvard Pilgrim Health Care of New Eng., Inc.

District Court, District of Columbia

Decided May 21, 2019No. Civil Action No. 17-11232-FDSPublishedCited by 3 opinions

1Opinion of the Court

SAYLOR, District Judge.

This is an action under the Employee Retirement Income Security Act of 1974 ("ERISA"), 29 U.S.C. §§ 1001 et seq.

Plaintiff Addie Fisher contends that defendant Harvard Pilgrim Health Care of New England, Inc. ("HPHC") failed to pay her medical benefits that she was owed under her health plan. Specifically, she challenges HPHC's decision to stop paying for residential treatment for her eating disorder on the ground that it was not medically necessary.

The parties have filed cross-motions for summary judgment.1 For the following reasons, HPHC's motion will be granted and…

2Cases cited18 opinions

  1. Firestone Tire & Rubber Co. v. BruchSupreme Court of the United States · 1989
  2. Varity Corp. v. HoweSupreme Court of the United States · 1996
  3. Black & Decker Disability Plan v. NordSupreme Court of the United States · 2003
  4. Leahy v. Raytheon CorporationCourt of Appeals for the First Circuit · 2002
  5. Michael F. Terry v. Bayer Corporation and Bayer Corporation Disability PlanCourt of Appeals for the First Circuit · 1998

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3Cited by3 opinions

  1. Leif v. Hartford Life And Accident Insurance CompanyDistrict Court, D. Massachusetts · 2023
  2. Scott A. Germana v. Hartford Life and Accident Insurance CompanyDistrict Court, D. Massachusetts · 2026
  3. Siebert v. NyhanDistrict Court, N.D. Illinois · 2020

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