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United States Ninth Circuit


Vaught v. Scottsdale Healthcare Corp. Health Plan, 06-15507

In an ERISA challenge to denial of benefits, summary judgment for defendant is affirmed in part and reversed in part where: 1) issue preclusion does not apply in the ERISA context; 2) by notifying defendant of reasons why the claims administrator should reconsider the denial of claims, plaintiff invoked the plan's internal review procedures; and 3) by letting the initial determination stand, defendant made clear that internal review procedures were complete and thus plaintiff's administrative remedies were exhausted.

Appellate Information

  • Argued 01/15/2008
  • Decided 09/29/2008
  • Published 09/29/2008

Judges

  • Before:  W. FLETCHER, CARLOS T. BEA, and SANDRA S. IKUTA, Circuit Judges.

Court

  • United States Ninth Circuit

Counsel

  • For Appellant:
  • Randolph G. Bachrach, Phoenix, AZ, for the plaintiff-appellant.

  • For Appellees:
  • Lawrence J. Rosenfeld, Greenberg Traurig, LLP, Phoenix, AZ, for the defendant-appellee.
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