Moore v. Metropolitan Life Insurance

Plaintiff commenced this action on behalf of himself and, as a class action, on behalf of all other similarly situated employees of the State of New York, to recover benefits for the services of a psychologist under a group major medical expense policy issued by the defendant insurance company (Metropolitan). There are two appeals before us, one concerning the merits of the claim for benefits, and the other involving plaintiff’s right to bring a class action.

Turning first to the individual claim, plaintiff contends, and the courts below agreed, that Metropolitan’s action in refusing payment…