Legal Opinion
Pm Group Life Insurance Co. v. Western Growers Assurance Trust, Loma Linda University Medical Center
Court of Appeals for the Ninth Circuit
Decided January 9, 1992No. 90-55909PublishedCited by 60 opinions
1Opinion of the Court
KOZINSKI, Circuit Judge.
The next worst thing to having no insurance at all is having two insurance companies cover the same claim. In the absence of consistent coordination of coverage provisions, the two companies can dissipate months, even years, wrangling with one another, while the insured and the provider of the covered services are left holding the bag. This is such a case, involving two ERISA-covered health benefit plans.
Facts
On January 1, 1988, Maria Campos gave birth to a daughter, Elizabeth. The baby was bom over three months premature and spent the first five and a half months of…
2Cases cited9 opinions
- Pilot Life Insurance v. DedeauxSupreme Court of the United States · 1987
- Metropolitan Life Insurance v. MassachusettsSupreme Court of the United States · 1985
- D'Oench, Duhme & Co. v. Federal Deposit InsuranceSupreme Court of the United States · 1942
- Fort Halifax Packing Co. v. CoyneSupreme Court of the United States · 1987
- FMC Corp. v. HollidaySupreme Court of the United States · 1990
4 more not listed; retrieve them via the Exa API.
3Cited by60 opinions
- Patrick D. Greany v. Western Farm Bureau Life Insurance Company, a Colorado Corporation Lincoln National Life Insurance Company, an Indiana Corporation, Patrick D. Greany v. Western Farm Bureau Life Insurance Company, a Colorado Corporation, and Lincoln National Life Insurance Company, an Indiana CorporationCourt of Appeals for the Ninth Circuit · 1992
- Krishna v. Colgate Palmolive Co.Court of Appeals for the Second Circuit · 1993
- General American Life Insurance Company v. Lee Castonguay, Jerry Fitzpatrick, Charles Kilmer Alex G. SiebenCourt of Appeals for the Ninth Circuit · 1993
- Barnes v. Independent Automobile Dealers Ass'n of California Health & Welfare Benefit PlanCourt of Appeals for the Ninth Circuit · 1995
- Susan Salyers v. Metropolitan Life Ins. Co.Court of Appeals for the Ninth Circuit · 2017
55 more not listed; retrieve them via the Exa API.