Legal Opinion
A.F. ex rel. Legaard v. Providence Health Plan
District Court, D. Oregon
Decided January 7, 2016No. Case No. 3:13-cv-00776-SIPublishedCited by 5 opinions
1Opinion of the Court
OPINION AND ORDER
Michael H. Simon, United States District Judge
Plaintiffs A.F., A.P., S.W., S.S., and I.F (collectively, “Plaintiffs”) bring this civil suit against Defendant Providence Health Plan (“Providence”). Plaintiffs are dependent-beneficiaries under group health insurance plans issued by Providence. Providence denied Plaintiffs ABA therapy coverage based on Providence’s Developmental Disability Exclusion and denied S.W, and I.F. coverage on the additional basis of its Experimental Exclusion. On August 8, 2014, this Court ruled on cross-motions for summary judgment that Providence’s…
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