Legal Opinion
Neal v. Christopher & Banks Comprehensive Major Medical Plan
District Court, E.D. Wisconsin
Decided August 28, 2009No. Case 08-C-464PublishedCited by 1 opinion
1Opinion of the Court
DECISION AND ORDER
WILLIAM C. GRIESBACH, District Judge.
Plaintiff Ralph C. Neal brought this action seeking medical benefits under his employer’s comprehensive major medical plan for a combined liver and kidney transplant he underwent in April of 2006 and related treatment provided thereafter. Neal’s claims for benefits were initially denied on the ground that the transplant and related services did not fall within the definition of medical necessity contained in the plan. The denial was upheld on administrative review on the same ground and, additionally as to some of the claims, on the…
2Cases cited37 opinions
- Firestone Tire & Rubber Co. v. BruchSupreme Court of the United States · 1989
- Metropolitan Life Insurance v. GlennSupreme Court of the United States · 2008
- Mary Santaella and Cary Eldridge v. Metropolitan Life Insurance CompanyCourt of Appeals for the Seventh Circuit · 1997
- William J. Kross v. Western Electric Company, Inc.Court of Appeals for the Seventh Circuit · 1983
- Carolyn Herzberger v. Standard Insurance Company, Beverly A. Johnson v. Prudential Insurance Company of AmericaCourt of Appeals for the Seventh Circuit · 2000
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