Legal Opinion

Donald N. Offutt and Stephen Barfield v. Prudential Insurance Company of America

Court of Appeals for the Fifth Circuit

Decided July 9, 1984No. 83-1752PublishedCited by 27 opinions

1Opinion of the Court

ALVIN B. RUBIN, Circuit Judge:

An employee covered by a health plan governed by ERISA seeks to recover expenses incurred in psychiatric care. The claim was denied by the plan insurer-administrator on the basis that the services were largely custodial in nature and not medically necessary. Finding that this determination was not arbitrary or capricious, the district court denied the employee relief. Having considered the employee’s detail of alleged errors made by the district court, we conclude that its fact-findings were not clearly erroneous and its legal conclusions based on them were…

2Cases cited3 opinions

  1. Claude Wardle, Sr. v. Central States, Southeast and Southwest Areas Pension FundCourt of Appeals for the Seventh Circuit · 1980
  2. Ruetta Paris, Mildred Cawthon and Marge Kane v. Profit Sharing Plan for Employees of Howard B. Wolf, Inc. And Eugene K. FriesenCourt of Appeals for the Fifth Circuit · 1981
  3. Horace Eugene Bayles v. Central States, Southeast and Southwest Areas Pension FundCourt of Appeals for the Fifth Circuit · 1979

3Cited by27 opinions

  1. Jack D. Denton v. First National Bank of Waco, TexasCourt of Appeals for the First Circuit · 1985
  2. David R. Rodriguez v. Pacificare of Texas, Inc., Michael Heistand, M.D.Court of Appeals for the Fifth Circuit · 1993
  3. Phyllis A. Kent v. United of Omaha Life Insurance CompanyCourt of Appeals for the Sixth Circuit · 1996
  4. Bourgeois v. Pension Plan for the Employees of Santa Fe International CorporationsCourt of Appeals for the Fifth Circuit · 2000
  5. Steve Jordan v. Cameron Iron Works, Inc. And John Hancock Mutual Life Insurance CompanyCourt of Appeals for the Fifth Circuit · 1990

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