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Home / Opinion Digests / Insurance – ERISA – Employee Medical Benefits – Dependent Child's Alcohol Treatment – Reason for Denial (access required)

Insurance – ERISA – Employee Medical Benefits – Dependent Child's Alcohol Treatment – Reason for Denial (access required)

Where the employee's college-age son, who was covered under the employee's health care benefit plan, followed his physicians' recommendation to stay at an alcohol treatment facility for 30 days, 18 days beyond the time period authorized by the employee health care plan in its pre-admission review procedure, the plan improperly denied benefits and the district ...