8th Circuit Affirms Ruling On Exhaustion And Exclusion In ERISA AD&D Case

Mealey's (February 24, 2023, 1:01 PM EST) -- ST. LOUIS — Upholding judgment against an insurer in an accidental death and dismemberment (AD&D) case involving a heroin overdose death, an Eighth Circuit U.S. Court of Appeals panel ruled Feb. 23 that a denial letter describing a review process not mentioned in written plan documents does not trigger an exhaustion requirement and an “intentionally self-inflicted injury” exclusion does not apply to “unintended injuries.”...

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