Louis G. Juliano v. The Health Maintenance Organization Of New Jersey, Inc.

How courts have described this case

Verbatim parenthetical descriptions written by other courts when citing this decision. Ranked by citation-network relevance.

• waiver not applicable where new argument involves existence of coverage rather than application of policy conditions
• “In simple English, what [ERISA’s regulations] call[] for is a meaningful dialogue between ERISA plan administrators and their beneficiaries.”
• failure of an HMO to specify in its notices the reason for denial of benefits deprived the member of the ability to dispute the denial and, therefore, the case could not be decided solely on the administrative record

Source: CourtListener parenthetical corpus (CC0).