Samaritan Health Center v. Simplicity Health Care Plan

DECISION AND ORDER GRANTING MOTION FOR SUMMARY JUDGMENT AGAINST CLAIMS OF SAMARITAN AND DENYING MOTION FOR SUMMARY JUDGMENT AGAINST CROSS-CLAIM OF SIMPLICITY AND THE PLAN

CLEVERT, District Judge.

In October 1995, Mary Ann Bowe was admitted to plaintiff Samaritan Health Center’s skilled nursing facility. Initially, defendants paid for Bowe’s stay, but after about three weeks of care they denied further claims for payment. Samaritan, as assignee, brought this lawsuit under the Employee Retirement Income Security Act (ERISA) to recover welfare benefits allegedly owed to Bowe. Defendants Simplicity…