Benjamin Wise v. Monterey County Hospitality Association Health and Welfare Plan

UNITED STATES DISTRICT COURT

NORTHERN DISTRICT OF CALIFORNIA

SAN JOSE DIVISION

BENJAMIN WISE, Case No. 18-CV-07454-LHK

Plaintiff,

FINDINGS OF FACT AND

CONCLUSIONS OF LAW

v.

MAXIMUS FEDERAL SERVICES, INC., et al., 16 Defendants.

Plaintiff Benjamin Wise (“Plaintiff”) brings suit against Defendants United HealthCare Services, Inc. and UnitedHealthCare Insurance Co. (collectively, “UHC”), as well as Defendant MAXIMUS Federal Services, Inc. (“MAXIMUS”) (collectively, “Defendants”), with regard to a denial of benefits to which Plaintiff claims he is entitled under the Monterey County Hospitality Association Health & Welfare Plan (the “Plan”), which is covered by the Employee Retirement Income Security Act (“ERISA”). Plaintiff seeks coverage for an orthotic device. Pursuant to Federal Rule of Civil Procedure 52, each of the parties moves for judgment in its favor on Plaintiff’s ERISA claims. Under Rule 52, the Court conducts a bench trial on the record. Kearney v. Standard Ins. Co., 175 F.3d 1084, 1094–95…