United States Ninth Circuit

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King v. Blue Cross and Blue Shield of Illinois, 15-55880

Reversing the district court grant of summary judgment in the case of a welfare benefit plan that denied a woman coverage when a back infection requiring surgery would exceed the plan's half-million dollar lifetime benefit maximum because although ERISA does not ban lifetime benefit maximums for certain retiree-only plans the defendants violated ERISA's statutory and regulatory requirements by providing a faulty summary of modifications in 2010 and genuine disputes of material fact bar summary judgment on breach of fiduciary duty claims.

Appellate Information

  • Argued
  • Submitted
  • Decided
  • Published 2017/09/08




  • United States Ninth Circuit


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