Group Hospitalization, Inc. v. Westley

KERN, Associate Judge:

Appellee is employed by the federal government and has so-called high option, family plan health insurance provided by appellant Group Hospitalization, Inc. [GHI]. 1 Since 1966 appellee’s wife has been totally paralyzed on one side as the result of brain surgery and appellant has paid more than $43,000 in benefits to appellee. 2 In the fall of 1971, appellant advised appellee it would no longer reimburse him for the expense of a licensed practical nurse which he had over the years employed to care for his wife during each week day while he was at work. Consequently,…