Bernard Hall v. Wal-Mart Associates Group Health Plan Corporations, Does I Through X, and Roe Corporations I Through X, Inclusive

Good Law
99 F.3d 1145·1996 WL 477034·1996 U.S. App. LEXIS 40410
United States Court of Appeals for the Ninth CircuitAugust 21, 199695-15587California2,929 words

Opinion

Opinion

99 F.3d 1145 NOTICE: Ninth Circuit Rule 36-3 provides that dispositions other than opinions or orders designated for publication are not precedential and should not be cited except when relevant under the doctrines of law of the case, res judicata, or collateral estoppel. Bernard HALL, Plaintiff-Appellee, v. WAL-MART ASSOCIATES GROUP HEALTH PLAN CORPORATIONS, Does I through X, and Roe Corporations I through X, inclusive, Defendant-Appellant. No. 95-15587. United States Court of Appeals, Ninth Circuit. Argued and Submitted July 11, 1996. Decided Aug. 21, 1996. Before: WOOD, Jr. * , CANBY, and RYMER, Circuit Judges. 1 MEMORANDUM ** 2 The Administrative Committee of the Wal-Mart Associates Group Health Plan denied coverage to Bernard Hall for treatment of his prostate cancer. Based on its interpretation of the language of the plan's preexisting conditions clause in conjunction with Hall's recent medical history, it deemed his "prostate problems" to be preexisting, thus precluding coverage. 3 The district court, however, found that this decision by the Administrative Committee was an abuse of discretion and granted Hall's motion for summary judgment. The court awarded Hall the amount…

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