Blue Cross Insurer Says 6th Circuit Should Uphold Denial Of Tribe’s ERISA Claims

Mealey's (July 6, 2021, 11:37 AM EDT) -- CINCINNATI — A Michigan federal court correctly found that a Blue Cross Blue Shield insurer did not violate the Employee Retirement Income Security Act by failing to pay Medicare-like rates for hospital services under a health care plan for tribal members because the parties’ agreements make clear that the insurer would process claims according to its “standard operating procedures,” the insurer argues in a June 30 appellee brief in the Sixth Circuit U.S. Court of Appeals....