Legal Opinion
Hines v. Blue Cross Blue Shield of Virginia
Court of Appeals for the Fourth Circuit
Decided April 21, 1986No. 85-1875PublishedCited by 3 opinions
1Opinion of the Court
WILKINSON, Circuit Judge:
This case concerns the validity of a provision in a Blue Cross and Blue Shield contract which excludes payment for services already covered by workers’ compensation. Virginia law prohibits provisions in policies that deny recovery for services for which the insured has been reimbursed by “a third party responsible for such personal injuries.” Va. Code § 38.1-342.2 (1980). The district court decided that a “workers’ compensation carrier, who stands in the shoes of the employer, would be a third person responsible for personal injuries” within the meaning of the…
2Cases cited12 opinions
- Keffer v. Prudential Insurance Company of AmericaWest Virginia Supreme Court · 1970
- Fauver v. BellSupreme Court of Virginia · 1951
- Maida Ludvik Sheris v. The Travelers Insurance Company, Maida Ludvik Sheris v. The Travelers Insurance ComapnyCourt of Appeals for the Fourth Circuit · 1974
- Collins v. Blue CrossSupreme Court of Virginia · 1973
- Lackey v. Brooks, Adm'rSupreme Court of Virginia · 1963
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3Cited by3 opinions
- Eugene T. Harris v. The United States of America and the United States Department of the ArmyCourt of Appeals for the Federal Circuit · 1988
- Bodziony v. Blue Cross & Blue Shield of Kansas CityMissouri Court of Appeals · 2011
- Hines, Jr. v. Blue Cross Blue Shield Of VirginiaCourt of Appeals for the Fourth Circuit · 1986