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Denial of Benefits Improper for Correction of Child's Misshaped Head; Not Cosmetic, Court Says (PDF)
U.S. Court of Appeals for the Fourth Circuit 
[Opinion] Apr. 22, 2002 Bynum v. Cigna Healthcare of North Carolina, Inc. (4th Cir. 2002). Excerpt: While CIGNA is correct that, as Plan Administrator, its definition [of 'cosmetic'] must be accepted by a court absent an abuse of discretion ... CIGNA nonetheless abused its discretion by failing to define this crucial term prior to its denial of Katrina's Claim. MORE >> |
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