Pilot Life Insurane Co. v. Rycek

NESBITT, Judge.

Pilot Life Insurance Company (Pilot) appeals a final judgment in favor of Rycek in ^ dispute over health insurance coverage. We reverse.

In 1981 Rycek discovered that she was suffering from myasthenia gravis, a neuro-muscular condition which creates abnormal *459muscle fatigue. Those suffering from the condition experience a decreased ability to chew and swallow which often leads to malnutrition and dental decay. When Ry-cek developed dental problems she was referred to a dentist who outlined a treatment plan.

Rycek submitted the treatment plan to Pilot, her insurer under a group…