Jamie F. v. UnitedHealthcare Insurance Company

UNITED STATES DISTRICT COURT

3

NORTHERN DISTRICT OF CALIFORNIA

6 JAMIE F., Case No.: 19-CV-1111-YGR 7 Plaintiff, ORDER GRANTING MOTION FOR JUDGMENT IN FAVOR OF PLAINTIFF AND DENYING v. DEFENDANT’S CROSS-MOTION 9 UNITEDHEALTHCARE INSURANCE COMPANY, Dkt. Nos. 29, 30, 34, 35 10 Defendant. 11 Presently before the Court is plaintiff Jamie F.’s claim under a plan covered by the 13 Employee Retirement Income Security Act (“ERISA”), 29 U.S.C. § 1001, et seq. by defendant 14 UnitedHealthCare Insurance Company (“UHC”). Plaintiff alleges defendant improperly denied 15 coverage for inpatient residential treatment services based upon lack of medical necessity. The 16 parties filed cross-motions for summary judgment (Dkt. Nos. 29 and 34), and the Court heard the 17 parties’ arguments on February 11, 2020. 18 Having considered the parties’ briefing, the administrative record,1 and the oral arguments 19 of the parties, the Court GRANTS plaintiff’s motion for judgment and DENIES defendant’s cross- 20 motion.2 21 22 The administrative motions to seal the administrative…