Gibson v. Metropolitan Life Insurance

The opinion of the court was delivered by

Harman, C.:

This is an action against an insurer under a group plan to recover further benefits for medical expense incurred by plaintiffs. The issue is the applicability of a coordination of benefits clause contained in the policy. The insurer prevailed and the certificate holders have appealed.

The entire matter was submitted for determination by the trial court upon an agreed statement of facts, as follows:

“1. The Metropolitan Life Insurance Company issued its Group Insurance Policy, No. 20783-G, with an effective date of July 1, 1961, to the American…