Mealey's (March 3, 2021, 9:05 AM EST) -- SAN FRANCISCO — An insurer violated the Patient Protection and Affordable Care Act (ACA) and the Employee Retirement Income Security Act when it failed to create a network of certified lactation consultants and then provided incomprehensible letters denying coverage for out-of-network care, a situation that was not a mistake, but the obvious and intended result of the insurer’s policies, a class tells the Ninth Circuit U.S. Court of Appeals in a Feb. 26 brief in urging it to reverse some rulings while affirming others....