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Home / Opinion Digests / Employment – Health Insurance – Dental Surgery – Equitable Estoppel (access required)

Employment – Health Insurance – Dental Surgery – Equitable Estoppel (access required)

Although the claims administrator initially informed plaintiff that it appeared his proposed dental surgery would be a covered expense under his health insurance plan and in fact paid the hospital and surgeon, plaintiff cannot rely on a theory of estoppel to require the plan to pay for the surgery after a determination that the need ...

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