Burke, A., Aplt. v. Independence Blue Cross

OPINION

Justice SAYLOR.

At issue in this case is whether an insured party may lodge an appeal to court from an administrative decision denying insurance benefits for autism-related services.

Appellant, a six-year-old boy diagnosed with an autism-spectrum disorder, was receiving applied behavior analysis (“ABA”), a type of autism-related service, in his home. ABA was covered by his family’s insurance policy with Appellee Independence Blue Cross (“Insurer”). Appellant’s family requested that Insurer cover similar ABA services to be provided at Appellant’s elementary school beginning August 25,…