Scarborough v. Aetna Life Insurance Co.

DANIEL, Justice.

The question presented by this case involves the right to benefits under a medical insurance policy.

Gail Scarborough’s husband was included in a group accident and health insurance policy issued through his employer by Aet-na Life Insurance Company. The policy provided comprehensive medical benefits for Mrs. Scarborough as a member of an insured employee’s family. The medical coverage was limited by a continuing treatment exclusion which provided in part:

If, at the time a family member becomes insured under this Title, he has received treatment for a condition resulting from a…