2nd Circle supports Aetna in the fight against brand-name drug coverage

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By Patrick Hoff (April 25, 2022, 4:34 p.m. EDT) — The Second Circuit has ruled that Aetna did not violate federal benefits law by refusing to reimburse an insured for her brand name antidepressant, saying it should have be clear that a brief document cited by the applicant did not encompass the entire plan.

The three-judge panel’s unanimous opinion on Friday upheld multiple district court rulings from two lawsuits filed by Jacqueline Fisher against Aetna Life Insurance Co. alleging breaches of contract under the Employee Retirement Income Security Act .

Fisher received health insurance from Aetna through her husband William Dunnegan’s law firm, Dunnegan & Scileppi LLC, beginning in 2014. She said a five-page document…

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