9th Circuit Upholds Administrators’ Rejection Of Hospital’s Plan Interpretation

Mealey's (February 11, 2016, 11:34 AM EST) -- PASADENA, Calif. — The Ninth Circuit U.S. Court of Appeals on Feb. 8 affirmed a trial court’s decision that plan administrators reasonably rejected a hospital’s claim that an increase in lifetime maximum benefits for “claims incurred” since a specific date did not include claims made after that date for services rendered prior to that date (Perris Valley Community Hospital, LLC, DBA Vista Hospital of Riverside, A California Limited Liability Company v. Southern California Pipe Trades Administrative Corporation, et al., No. 14-55408, 9th Cir.).

(Memorandum available. Document...
To view the full article, register now.