4th Circuit Partially Vacates Judgment For Insurer In Residential Treatment Case

Mealey's (March 1, 2022, 12:55 PM EST) -- RICHMOND, Va. — A father seeking insurance coverage for two years of residential treatment for his son through his work-provided insurance plan may proceed with a portion of his claims after showing that the insurer failed to comply with the Employee Retirement Income Security Act or the plan when it did not respond to a request containing a potentially defective Health Insurance Portability and Accountability Act of 1996 (HIPAA) authorization form that sought documents upon which a denial had been based for a portion of the treatment, a Fourth Circuit U.S. Court of Appeals panel ruled Feb. 24, resetting the clock so that a compliant form may be provided and an appeal pursued....