EBIA Weekly Newsletter

Loose Language Makes Second-Level Appeal a Right, Not an Obligation

   October 12, 2017

Laura B. v. United Health Group Co., 2017 WL 3670782 (N. D. Cal. 2017) This claimant sued after her benefit claim and subsequent appeal were denied under her employer’s group health plan. The plan administrator asserted that the lawsuit was premature because the claimant had not completed the plan’s required second-level appeal to the appeals … Read More