LOS ANGELES - In an unpublished July 15 opinion, a California appeals court affirmed a health insurance company's demurrer without leave to amend in a health care reimbursement suit, finding that there was no contractual agreement requiring the insurer to pay the provider its usual and customary rate (Orthopedic Specialists of Southern California v. California Public Employees' Retirement System, No. B248535, Calif. App., 2nd Dist.; 2014 Cal. App. Unpub. LEXIS 4955).