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Lee v. Hartford

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“Full and Fair Review” — Okay to Disclose Medical Opinions on Appeal After Appeal Denial

By Mike Reilly on April 11, 2013
Posted in ERISA

What does “full and fair” review during an ERISA appeal mean?

Before the appeal decision is made, does the administrator have to disclose to the claimant medical opinions obtained during an appeal? Not if that opinion merely reaffirms or supplements the basis for the initial claim denial.

Here’s the recent case of Lee v. Hartford…

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