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Worob v. Blue Cross and Blue Shield of Texas

Court: WD Tx  06/01/2021  Magistrate Recommends No Coverage for Outdoor Behavioral Health Facility Treatment

A magistrate of the Western District of Texas recommended that a health insurer's motion for summary judgment be granted, and the insured's be denied, for coverage for treatment of an insured at an outdoor health facility, finding the facility was not covered as a residential treatment facility or as a medical-surgical expense.

ERISA, employee benefit plan, health insurance, depressive disorders, autism, outdoor treatment, residential treatment facility, medical-surgical expense, motion for summary judgment, FRCP 56

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