1st Circuit Reverses: De Novo Review Needed For Denial Of Benefits

Mealey's (February 22, 2016, 11:48 AM EST) -- BOSTON — Although rejecting a plaintiff’s claim that an insurer committed procedural violations during an internal review of a partial denial of benefits, the First Circuit U.S. Court of Appeals on Feb. 17 nonetheless reversed and remanded the dispute after finding that a Massachusetts federal judge applied the wrong standard of review (Stephanie C. v. Blue Cross Blue Shield of Massachusetts HMO Blue Inc., No. 15-1531, 1st Cir.; 2016 U.S. App. LEXIS 2693).

(Decision available. Document #54-160309-034Z.)

The appellate panel of Circuit Judges Sandra L. Lynch,...
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