Coverage Dispute Under ERISA Plan Is Subject To Arbitration, Federal Judge Rules
(January 12, 2016, 11:13 AM EST) -- SAN FRANCISCO — A health insurance plan’s arbitration provision does not violate the Employee Retirement Income Security Act or its regulations, a federal judge in California ruled Dec. 22 in compelling arbitration of a dispute over coverage for applied behavior analysis (ABA) treatment (Anna M. Sanzone-Ortiz v. Aetna Health of California, Inc., No. 15-3334, N.D. Calif.; 2015 U.S. Dist. LEXIS 171624).
(Order available. Document #54-160113-052R.)
Anna Sanzone-Ortiz, a participant in a health plan sponsored by her employer and insured by Aetna Health of California Inc., sought...