Judge Finds Errors And Contradictions In Wilderness Treatment Coverage Case

Mealey's (January 25, 2023, 1:20 PM EST) -- SEATTLE — An insurer’s and plan’s erroneous assessments of which state agency enjoyed proper licensing powers and their denial of coverage for wilderness treatment in direct contradiction of plan language providing for coverage at licensed treatment facilities constitutes an abuse of discretion, a federal judge in Washington said in granting plaintiffs’ motion for summary judgment and ordering the insurer and plan to cover the cost of the treatments....