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ER Addison LLC v. Blue Cross Blue Shield of Texas

Court: ND Tx  07/19/2024  Plan Administrator and Insurer's Motion to Dismiss Denied in Providers' Suit for Plan Benefits Through the Teacher Retirement System of Texas

A court of the Northern District of Texas denied a health insurer and plan administrator's motion to dismiss a suit filed by multiple emergency care centers and physician groups alleging systematic and untimely underpayment of plan benefits through the Teacher Retirement System of Texas, holding that the insurer is not entitled to Eleventh Amendment sovereign immunity as an instrumentality of the state and that the plaintiffs' remedy is not exclusive to the Teacher Retirement System of Texas's administrative process.

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