Peter E. v. United Healthcare Servs.

3 Citing cases

  1. Duncan v. Jack Henry & Associates, Inc.

    617 F. Supp. 3d 1011 (W.D. Mo. 2022)   Cited 3 times

    Alternatively, an as-applied Parity-Act challenge involves showing that "the mental health ... services at issue meet the criteria imposed by [plaintiff's] insurance plan [but] the [administrator] imposed some additional criteria to deny coverage of the services at issue." Id. (citation and quotation marks omitted); seePeter E v. United HealthCare Serv., Inc. , 2019 WL 6118422, at *2 (D. Utah Nov. 18, 2019) ("To sufficiently plead an as-applied Parity Act violation, the plaintiff must allege that a defendant differentially applied a facially neutral plan term.") (footnote citation and quotation marks omitted).

  2. Duncan v. (1) Jack Henry & Assocs. (“JHA”)

    6:21-cv-03280-RK (W.D. Mo. Jul. 27, 2022)

    as compared to “limitations imposed (or not imposed) on analogous medical or surgical services.” BCBSM, Inc., 2020 WL 981186, at *6 (citation and quotation marks omitted). Alternatively, an as-applied Parity-Act challenge involves showing that “the mental health . . . services at issue meet the criteria imposed by [plaintiff's] insurance plan [but] the [administrator] imposed some additional criteria to deny coverage of the services at issue.” Id. (citation and quotation marks omitted); see Peter E v. United HealthCare Serv., Inc., 2019 WL 6118422, at *2 (D. Utah Nov. 18, 2019) (“To sufficiently plead an as-applied Parity Act violation, the plaintiff must allege that a defendant differentially applied a facially neutral plan term.”

  3. Patrick S. v. United Behavioral Health

    516 F. Supp. 3d 1303 (D. Utah 2021)   Cited 5 times

    SeeMelissa P. , 2018 WL 6788521, at *3 (recognizing that a plaintiff would not be able to allege more specific details about the standards applied to the medical/surgical analogues unless the plaintiff "had personal experience with both standards").Theo M. v. Beacon Health Options , No. 2:19-cv-364-JNP, 2020 WL 5500529, at *6 (D. Utah Sept. 11, 2020) (unpublished); Heather E. , 2020 WL 4365500, at *3 ; Denise M. v. Cigna Health , No. 2:19-CV-975-DAK, 2020 WL 3317994, at *2 (D. Utah June 18, 2020) (unpublished); M.S. v. Premera Blue Cross , No. 2:19-cv-199-RJS, 2020 WL 1692820, at *5 (D. Utah Apr. 7, 2020) (unpublished); David P. , 2020 WL 607620, at *19; Peter E. v. United HealthCare Servs., Inc. , 2019 WL 6118422, at *3 (D. Utah November 18, 2019) ; Michael W. , 420 F. Supp. 3d at 1237. D. Failure to Produce Documents