News Headlines Article

High court declines to resolve dispute in eating disorder case

The U.S. Supreme Court on Monday declined to enter the fray over when a health insurance plan administrator is allowed to raise new grounds for denying a claim for medical benefits, an issue which has divided the federal courts of appeal.

The high court denied a request by Blue Shield of California to decide whether a health insurance plan covered by the Employee Retirement Income Security Act (ERISA) is entitled to provide an initial explanation for denying a beneficiary coverage and to then, later on, assert new reasons for refusing coverage.