Judge: Insurer’s Unsupported Residential Treatment Decision Arbitrary, Capricious

Mealey's (December 21, 2021, 1:02 PM EST) -- SALT LAKE CITY — A health insurer’s explanation for why it began denying coverage for a child’s residential treatments leaves no way to determine whether the denial was proper and the decision was therefore arbitrary and capricious, a federal judge in Utah said Dec. 16 in remanding for a coverage determination....