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NORTHERN CALIFORNIA RECORD

Thursday, March 28, 2024

Woman files suit against Blue Shield of California Life and Health for treatment coverage

Insurance 10

SAN FRANCISCO – A woman has filed suit against her insurance company alleging that it denied plaintiff's request for Harvoni treatment of hepatitis C.

Adriana Barbor filed a complaint on April 7 in the U.S. District Court for the Northern District of California against Blue Shield of California Life and Health Insurance Co. citing breach of the Employee Retirement Income Security Act.

According to the complaint, the plaintiff alleges that in May 2015 her doctor submitted an authorization request for Harvoni treatment for hepatitis C and that the defendant denied the request, stating that the plaintiff did not meet the criteria for coverage.  The plaintiff holds Blue Shield of California Life and Health Insurance Co. responsible because she claims Harvoni meets the criteria of the insurance plan.

The plaintiff seeks payment of health benefit due her, interest, all legal fees and any other relief as the court deems just. She is represented by Glenn R. Kantor and Timothy J. Rozelle of Kantor & Kantor LLP in Northridge.

U.S. District Court for the Northern District of California Case number 3:16-cv-01773-HSG

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