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Rittinger v. Healthy Alliance Life Insurance Co.

Court: 5th Cir  01/31/2019  Fifth Circuit Reverses District Court's Abuse of Discretion Ruling against Plan Administrator in Bariatric Surgery Coverage Dispute

Court held that the plan administrator satisfied the "very low, very deferential abuse-of-discretion standard" pertinent to the appeals process for coverage claims under an ERISA plan.

health insurance, ERISA, bariatric surgery exclusion, plan review, plan administrator, abuse of discretion, fiduciary discretion

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