Baum v. Metropolitan Life Insurance

In this action, submitted to this court on stipulated facts supplemented as to one circumstance by testimony, plaintiff seeks reimbursement under a major medical expense group policy issued by defendant to the State of New York as employer on October 18,1971, for expenses incurred in connection with services rendered by a certified psychologist.

At the outset, two critical facts seem relatively free from doubt. (1) Plaintiff would be entitled to the reimbursement claimed if the services in question had been rendered by a licensed physician rather than a certified psychologist. (2) The policy…