Legal Opinion
Doe v. Harvard Pilgrim Health Care, Inc.
Court of Appeals for the First Circuit
Decided September 6, 2018No. 17-2078PPublishedCited by 29 opinions
1Opinion of the Court
KAYATTA, Circuit Judge.
Jane Doe's insurer, Harvard Pilgrim Health Care ("HPHC"), deemed part of the time Doe spent at a mental health residential treatment facility not medically necessary under the health care benefits plan established by the employer of Doe's parent. HPHC therefore denied coverage for that portion of the treatment. After several unsuccessful administrative appeals, Doe sued HPHC in federal court under the Employee Retirement Income Security Act ("ERISA"). 29 U.S.C. §§ 1001 - 1461. On de novo review, the district court agreed with HPHC's determination that continued…
2Cases cited24 opinions
- Anderson v. City of Bessemer CitySupreme Court of the United States · 1985
- U. S. Bank N. A. v. Village at Lakeridge, LLCSupreme Court of the United States · 2018
- Williams v. International Paper Co.Court of Appeals for the Sixth Circuit · 2000
- Orndorf v. Paul Revere Life InsuranceCourt of Appeals for the First Circuit · 2005
- Limone v. United StatesCourt of Appeals for the First Circuit · 2009
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3Cited by29 opinions
- TLS Mgmt. and Mktg. Ser. LLC v. Rodriguez-ToledoCourt of Appeals for the First Circuit · 2020
- Doe v. Harvard Pilgrim Health CareCourt of Appeals for the First Circuit · 2020
- Ministeri v. Reliance Standard Life Insurance CompanyCourt of Appeals for the First Circuit · 2022
- Kamerer v. Unum Life Ins. Co. of Am.District Court, District of Columbia · 2018
- Andrade v. American First Finance, Inc.District Court, N.D. California · 2023
24 more not listed; retrieve them via the Exa API.