Jannet Solis v. T-Mobile USA, Inc.

I. Introduction

The present case is brought by Plaintiff Jannet Solis (“Solis”) and Plaintiff Michael Ortega (“Ortega”) (collectively, “Plaintiffs”) alleging an entitlement to coverage for certain procedures under a healthcare plan sponsored by their employer, T-Mobile USA, Inc. (T-Mobile) and administered by United HealthCare Services, Inc. (“United”). Plaintiff Advanced Weight Loss Surgical Institute and Plaintiff Minimally Invasive Surgical Association (collectively, “Medical Providers’) are also parties to this suit. On November 7, 2023, the Court held a bench trial in this case. ECF No. 76. At that trial, the Court ordered the parties to file post-trial briefs to answer several questions which the Court was left with after hearing the parties’ presentations. The Court has now considered the arguments presented at trial and in the parties’ briefs, and grants judgment for United for the following reasons.

IL. Findings of Fact The facts in this case are voluminous and scattered in an administrative record that exceeds 1,400

Initials of Preparer PMC

UNITED STATES DISTRICT COURT

CENTRAL DISTRICT OF CALIFORNIA

CIVIL MINUTES - GENERAL

2:23-cv-04024-SVW-PD …