Pritchard

Pritchard v. Blue Cross Blue Shield of Illinois

Good Law
United States Court of Appeals for the Ninth CircuitNovember 17, 202523-4331California14,648 words

Opinion

Opinion

FOR PUBLICATION

UNITED STATES COURT OF APPEALS

FOR THE NINTH CIRCUIT

PATRICIA PRITCHARD, as parent No. 23-4331 on behalf of minor C.P.; NOLLE D.C. No. PRITCHARD, as parent on behalf of 3:20-cv-06145- minor C.P.; S.R.; R.L., as parent on

RJB

behalf of minor S.L.; EMMETT

JONES,

Plaintiffs - Appellees, OPINION

v.

BLUE CROSS BLUE SHIELD OF

ILLINOIS,

Defendant - Appellant.

Appeal from the United States District Court for the Western District of Washington Robert J. Bryan, District Judge, Presiding

Argued and Submitted January 15, 2025 Pasadena, California

Filed November 17, 2025 Before: JOHNNIE B. RAWLINSON and MILAN D. SMITH, JR., Circuit Judges, and JED S. RAKOFF, District Judge. *

Opinion by Judge Milan D. Smith, Jr.; Concurrence by Judge Johnnie B. Rawlinson

SUMMARY **

Affordable Care Act / Sex-Based Discrimination

The panel vacated the district court’s summary judgment against Blue Cross Blue Shield of Illinois (BCBSIL), and remanded, in a class action alleging that BCBSIL, a third- party administrator for certain employer-sponsored health insurance plans, violated Section 1557 of the Affordable Care Act by refusing to cover treatment for…

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