Claims Of Overreliance On Outdated Medical Guidance Save ERISA Case, Judge Says

Mealey's (December 9, 2020, 1:10 PM EST) -- ASHEVILLE, N.C. — Allegations that an insurer employed unqualified reviewers who then placed outsized importance on outdated medical criteria information support an Employee Retirement Income Security Act claim, but the balance of the man’s claims are duplicative and fail, a federal judge in North Carolina said Dec. 4 in partially granting a motion to dismiss (Jeffrey Greenwell v. Group Health Plan for Employees of Sensus USA Inc., et al., No. 19-577, W.D. N.C., 2020 U.S. Dist. LEXIS 227618)....