Doe

UNITED STATES DISTRICT COURT NORTHERN DISTRICT OF CALIFORNIA 9 JANE DOE, et al., Case No. 21-cv-02138-RS Plaintiffs, 11 v. OPINION AND ORDER

BLUE SHIELD OF CALIFORNIA,

13 Defendant.

15 I. Introduction In this action averring violations of the Employee Retirement Income Security Act of 1974 (“ERISA”), Plaintiff John Doe seeks mental health benefits for his daughter Jane Doe’s residential treatment under an employee benefit plan (“Plan”) administered by Defendant California Physicians’ Service dba Blue Shield of California (“Blue Shield”). Jane received benefits for four weeks of care for her eating disorder at a residential treatment program, but Blue Shield decided that residential treatment was no longer medically necessary at the conclusion of that four week period, and instead recommended a day treatment program. Reviewing for abuse of discretion, Blue Shield’s denial was unreasonable, and judgment will be granted in favor of Plaintiffs.1 This decision, however, only…