Judge: Health Insurer’s Control Warrants Arbitrary And Capricious Standard

Mealey's (April 5, 2018, 1:56 PM EDT) -- ORLANDO, Fla. — Contract provisions clearly grant a health insurer discretion over plan benefits and terms, a federal judge in Florida held April 3 while saying nothing requires that the insurer retain full control for application of the arbitrary and capricious standard (Mark Atherley v. United Healthcare of Florida Inc., No. 17-332, M.D. Fla., 2018 U.S. Dist. LEXIS 56579)....