Legal Opinion

Gerald W. Killian and Martha R. Killian, as Co-Executors of the Estate of Carolyn Matkin, Deceased v. Healthsource Provident Administrators, Inc.

Court of Appeals for the Sixth Circuit

Decided August 7, 1998No. 97-5574PublishedCited by 117 opinions

1Opinion of the Court

OPINION

RYAN, Circuit Judge.

Carolyn Matkin brought this action to recover payment for medical benefits under a group health plan sponsored and administered by the defendant, Healthsouree Provident Administrators, Inc., in accordance with the Employee Retirement Income Security Act of 1974, 29 U.S.C. §§ 1001-1461. Matkin alleged that Healthsouree arbitrarily and capriciously determined that proposed treatment for MatMn’s breast cancer was experimental or investigational rather than medically necessary, and therefore denied coverage. The district court entered judgment in favor of Matkin, and…

2Cases cited8 opinions

  1. Firestone Tire & Rubber Co. v. BruchSupreme Court of the United States · 1989
  2. Connie M. Miller v. Metropolitan Life Insurance CompanyCourt of Appeals for the Sixth Circuit · 1991
  3. Max W. Perry v. Simplicity Engineering, a Division of Lukens General Industries, Inc., a Delaware CorporationCourt of Appeals for the Sixth Circuit · 1990
  4. Pens. Plan Guide P 23922q Juanita Yeager v. Reliance Standard Life Insurance CompanyCourt of Appeals for the Sixth Circuit · 1996
  5. George W. Mitchell v. Eastman Kodak CompanyCourt of Appeals for the Third Circuit · 1997

3 more not listed; retrieve them via the Exa API.

3Cited by117 opinions

  1. Williams v. International Paper Co.Court of Appeals for the Sixth Circuit · 2000
  2. Richard Kalish v. Liberty Mutual/liberty Life Assurance Company of BostonCourt of Appeals for the Sixth Circuit · 2005
  3. Mona Evans v. Unumprovident CorporationCourt of Appeals for the Sixth Circuit · 2006
  4. Karen McClain v. Eaton Corp. Disability PlanCourt of Appeals for the Sixth Circuit · 2014
  5. Schwalm v. Guardian Life Insurance Co. of AmericaCourt of Appeals for the Sixth Circuit · 2010

112 more not listed; retrieve them via the Exa API.

Showing a preview — retrieve the full document via the Exa API.

Powered by the Exa API