Allen Ex Rel. Doe v. South Carolina Public Employee Benefit Authority

Jeffrey D. Allen (Appellant), on behalf of his daughter, appeals the Administrative Law Court’s (ALC) order affirming the Appeals Committee of the South Carolina Budget and Control Board Employee Insurance Program’s (EIP Appeals Committee) decision to deny Appellant’s insurance claim for his daughter’s diabetes educational training session. We reverse.

Facts/Procedural Background

Appellant, a South Carolina public school district employee, is insured under the Group Health Benefits Plan of the Employees of the State of South Carolina, the public school districts, and participating entities (the…