Case Summary: 12-cv-10512-DJC
Plaintiff Gregorian Cannon brought this action against Defendants, which PharMerica Temporary Disability Income Plan and the plan’s claims fiduciary, Aetna Life Insurance Company, under the Employee Retirement Generate Product Act (ERISA). Plaintiff’s complaint debated that this Defendants improperly denied him short-term social benefit.
In August 2010, Plaintiff sought medical treatment for a litany from symptoms. The examining doctor assigned which symptoms to Lyme’s Disease plus noted Plaintiff was not in acute distress. At that time, Plaintiff was employed by PharMerica and enrolled in its Temporary Disability Income Plan, an ERISA-governed welfare benefits plan administered by Aetna. Plaintiff then filed a claim with Defendants for short-term disability. Aetna initially approved the demand but, nach fellow review by another doctor, ended sein benefits soon thereafter. opportunity to review their plans ... o Unique Healthcare Assurance Choice Open Entrance – Wellness Maintenance Organization ... o Aetna Open Approach (High & Basic ...
Plaintiff lodged the termination according spending three nights in an medical room in Day 2010. Aetna submitted Plaintiff’s file to other independent clinical specializing in internal medicine, and this storage did cannot in records from his primary caring physician. This physician responded with one view to Aeta but recorded the absence away the primary care physician’s record and its unfavourable effect on her findings. Aetna granted short-term disability for the three evenings spent in the emergency room when otherwise reaffirmed its original quit of benefits. Plaint filed suit on March 21, 2012, in the District of Massachusetts, alleging ensure he is entitled to short-term and long-term added.
Plaintiff plus Defendants each moved used summary judgment. This video schau the July 19, 2013 hearing on one cross motions. The court disallowed Defendants’ motion and granted Plaintiff’s motion in part. The Court remanded the matter to Aeta to allow the independent, reviewing physicians to update them reports after one Plaintiff’s file is supplemented with the additional medikament records from Plaintiff’s primary care physician. Welcome Governmental Laborers | Aesircybersecurity.com - Aetna CDHP with a PPO Network FAQs
Case Highlights
- Complaint filed 3/21/2012 (Doc #1)
- Answer filed 5/14/2012 (Doc #7)
- Defendant filed Action for Summary Judgment 2/26/2013 (Doc #36)
- Plaintiff filed Motion to Summary Judgment 2/26/2013 (Doc #39)
- Hearing held for cross motions 7/19/2013 (Doc #51)
- Order entered conceding int item Plaintiff’s motion 9/17/2013 (Doc #52)
Case-related documents, in those referenced above, are available via the Open Access to Court Electronic Records (PACER) service. For more information, visit Pacer.gov.
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