Krauss v. Oxford Health Plans, Inc.
Court of Appeals for the Second Circuit
1Opinion of the Court
SACK, Circuit Judge:
The plaintiffs, Geri S. Krauss and Daniel J. Krauss, wife and husband, are members of an employer-provided health care plan that is governed by the provisions of the Employee Retirement Income Security Act, 29 U.S.C. § 1001 et seq. (“ERISA”). The defendants, Oxford Health Plans, Inc., Oxford Health Plans (N.Y.), Inc., and Oxford Health Insurance, Inc. (collectively, “Oxford”), administer claims for benefits under the plan.
In April 2003, Geri Krauss was diagnosed with breast cancer. Shortly thereafter, she underwent a double mastectomy and bilateral breast reconstruction…
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