Fred Brown v. Blue Cross and Blue Shield of Alabama, Inc.
Court of Appeals for the Eleventh Circuit
1Opinion of the Court
MELTON, District Judge:
Fred Brown (“Brown”) was denied hospitalization benefits under a group health plan because he had not obtained a precer-tification of the hospital admission. The district court held that the decision to deny benefits under this ERISA plan was not arbitrary and capricious and entered summary judgment for defendants. Brown argues on appeal that there were material issues of fact and that the district court failed to apply the governing law. We reverse and remand for further proceedings.
Brown, an employee of Truck Rentals of Alabama, Inc., was a participant in Truck…
2Cases cited70 opinions
- Motor Vehicle Mfrs. Assn. of United States, Inc. v. State Farm Mut. Automobile Ins. Co.Supreme Court of the United States · 1983
- Firestone Tire & Rubber Co. v. BruchSupreme Court of the United States · 1989
- Pilot Life Insurance v. DedeauxSupreme Court of the United States · 1987
- Pepper v. LittonSupreme Court of the United States · 1939
- Massachusetts Mutual Life Insurance v. RussellSupreme Court of the United States · 1985
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