Semtner v. Group Health Service of Oklahoma, Inc.

LOGAN, Circuit Judge.

Plaintiff Karl Semtner sought medical benefits under his employer’s ERISA governed employee welfare benefit plan for constructive surgery related to his son’s cleft palate. The plan was administered by the insurer, defendant Group Health Service of Oklahoma, Inc. d/b/a Blue Cross/Blue Shield of Oklahoma. When the administrator/insurer denied the claim plaintiff filed suit in federal district court, which granted him summary judgment. Defendant appeals. Because we agree with the district court’s standard of review and interpretation of the pertinent plan documents, we…