United States Fifth Circuit

In an ERISA action for health insurance benefits, summary judgment for Defendant plan administrator is reversed where Defendant failed to substantially comply with ERISA's procedural requirements, because the same doctor evaluated Plaintiff's claim at two levels of the internal appeal process.

Appellate Information

• Decided 03/23/2009
• Published 03/23/2009

Judges

• DeMOSS, Circuit Judge:, Before WIENER, GARZA, and DeMOSS, Circuit Judges.

Court

• United States Fifth Circuit

Counsel

• For Appellant:
  
• Jacque B. Pucheu, Jr. (argued), Pucheu, Pucheu & Robinson, LLP, Eunice, LA, for Plaintiff-Appellant.


• For Appellees:
  
• Charles A. O'Brien, III (argued), Baton Rouge, LA, for Defendant-Appellee.