Judge: Administrator Did Not Breach Duties In Denying Health Claim

Judge: Administrator Did Not Breach Duties In Denying Health Claim

MILWAUKEE - A Wisconsin federal judge on April 19 dismissed a wrongful denial of benefits case against a third-party administrator, saying that the administrator did not breach its fiduciary duty in denying a claim for gastric bypass surgery because the plan clearly excluded the procedure (Jeffrey Smith v. Medical Benefit Administrators,  No. 09-538, E.D. Wis.; 2012 U.S. Dist. LEXIS 54913).

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