Blue Cross and Blue Shield v. Keller

The dispositive issue in this appeal is whether the trial court erred in refusing to strike the evidence and in submitting to the jury the issue whether Blue Cross and Blue Shield of Virginia (Blue Cross) employed an unreasonable procedure when it denied coverage for a portion of a patient’s stay at a psychiatric hospital.

Blue Cross provided a group plan of health care insurance (the policy) to the Commonwealth of Virginia for the benefit of the Commonwealth’s employees, retirees, and their eligible family members. Katharine K. Keller was a family member eligible for benefits under this plan.…