Many consumers become unhappy when insurance companies deny their health care coverage claim. But few take their dissatisfaction to federal court.
That’s what happened in a case involving Tiffany Halo, a former Yale University doctorate student who underwent several eye surgeries and ran up $47,000 in medical bills. Yale Health Plan denied Halo’s claims, reportedly because she failed to follow procedures to obtain out-of-network treatment. Halo argued that Yale failed to follow U.S. Department of Labor regulations and federal benefits laws—known as ERISA—for issuing prompt responses to her requests for coverage.
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