Gooch v. Life Investors Insurance Co. of America
Court of Appeals for the Sixth Circuit
1Opinion of the Court
OPINION
KAREN NELSON MOORE, Circuit Judge.
Anthony Gooch (“Gooch”) filed a class-action lawsuit against Life Investors Insurance Company and its parent company, Aegon (collectively referred to as “Life Investors”). Gooch alleges breach of contract because Life Investors has begun interpreting the “actual charges” provision of his cancer-insurance policy to mean the charges that the medical provider accepts as full payment from the primary insurer and the insured. Gooch claims that the policy entitles him to be paid the higher “list prices” that appear on his hospital bills before the primary…
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