Legal Opinion
Olan Jett v. Blue Cross and Blue Shield of Alabama, Inc., Medical Expense Plan
Court of Appeals for the Eleventh Circuit
Decided December 18, 1989No. 88-7659PublishedCited by 251 opinions
1Opinion of the Court
RONEY, Senior Circuit Judge:
This case presents the question as to the scope of a court’s review of an administrator’s decision denying hospitalization benefits on the ground that hospitalization was not medically necessary under an ERISA-governed employee medical expense plan. *1138We hold that the district court articulated the proper arbitrary and capricious standard required by ERISA, but that it, in fact, conducted an improper de novo review. We remand for further consideration.
The Plan
The medical benefits plan in this case was established by Olan Jett’s employer, South Central Bell, pursuant…
2Cases cited7 opinions
- Firestone Tire & Rubber Co. v. BruchSupreme Court of the United States · 1989
- Pilot Life Insurance v. DedeauxSupreme Court of the United States · 1987
- Claude Wardle, Sr. v. Central States, Southeast and Southwest Areas Pension FundCourt of Appeals for the Seventh Circuit · 1980
- Hebra A. Berry v. Ciba-Geigy CorporationCourt of Appeals for the Fourth Circuit · 1985
- Jack D. Denton v. First National Bank of Waco, TexasCourt of Appeals for the First Circuit · 1985
2 more not listed; retrieve them via the Exa API.
3Cited by251 opinions
- Fred Brown v. Blue Cross and Blue Shield of Alabama, Inc.Court of Appeals for the Eleventh Circuit · 1990
- Helton v. AT & T Inc.Court of Appeals for the Fourth Circuit · 2013
- Jane Donaho v. Fmc Corporation, a Delaware Corporation, as Plan Administrator of the Fmc Long-Term Disability PlanCourt of Appeals for the Eighth Circuit · 1996
- Doyle v. Paul Revere Life InsuranceCourt of Appeals for the First Circuit · 1998
- Hca Health Services of Georgia, Inc. v. Employers Health Insurance CompanyCourt of Appeals for the Eleventh Circuit · 2001
246 more not listed; retrieve them via the Exa API.