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NORTHERN CALIFORNIA RECORD

Friday, April 26, 2024

Policy holder alleges United Healthcare violated ERISA

Insurance 02

SAN FRANCISCO — A policy holder is suing United Healthcare Insurance, alleging breach of contract and violation of the Employee Retirement Income Security Act.

Suzanne Stone filed a complaint Aug. 18 in U.S. District Court for the Northern District of California against United Healthcare Insurance Company, U.S. Behavioral Health Plan California, doing business as OptumHealth Behavioral Solutions of California, alleging they denied the plaintiff's claim for benefits for her daughter.

According to the complaint, in 2014, Stone suffered damages from having benefits denied for the treatment of her daughter who suffers from anorexia nervosa, an eating disorder. The plaintiff alleges the defendants upheld their decision to deny Stone's claim for benefits despite having sufficient medical proof regarding her daughter's medical condition.

Stone seeks all benefits due, interest, legal fees and all other relief the court deems just. She is represented by attorney Lisa S. Kantor of Kantor & Kantor LLP in Northridge, California.

U.S. District Court for the Northern District of California case number 3:17-cv-04832

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