Informed by a customer-service representative for an employer health plan that surgery to reduce her acid reflux was approved, Deborah Kenseth went ahead with the procedure. But administrators of the plan ultimately denied coverage. Stuck with $77,000 in bills she didn’t expect to pay, Kenseth sued Dean Health Plan, claiming violations of state and federal laws.

This all-too-common workplace scenario gave the Seventh Circuit Court of Appeals the opportunity to refer to a recent U.S. Supreme Court decision in CignaCorp v. Amara.

Complete your profile to continue reading and get FREE access to, part of your ALM digital membership.

Your access to unlimited content isn’t changing.
Once you are an ALM digital member, you’ll receive:

  • Critical information including cutting edge post-reform success strategies, access to educational webcasts and videos, resources from industry leaders, and informative Newsletters.
  • Exclusive discounts on ALM, BenefitsPRO magazine and events.
  • Access to other award-winning ALM websites including and

Already have an account?

Dig Deeper


Join BenefitsPRO

Don’t miss crucial news and insights you need to navigate the shifting employee benefits industry. Join now!

  • Unlimited access to - your roadmap to thriving in a disrupted environment
  • Access to other award-winning ALM websites including and
  • Exclusive discounts on and ALM events.

Already have an account? Sign In Now
Join BenefitsPRO

Copyright © 2023 ALM Global, LLC. All Rights Reserved.