LOPEZ v. BLUE CROSS OF LOUISIANA

No. 80-C-1953.

397 So.2d 1343 (1981)

Floyd W. LOPEZ v. BLUE CROSS OF LOUISIANA.

Supreme Court of Louisiana.

Rehearing Denied May 18, 1981.


Attorney(s) appearing for the Case

Kenneth N. Simmons, of Davis & Simmons, Many, for plaintiff-applicant.

Joe Payne Williams, of Brittain & Williams, Natchitoches, for defendant-respondents.


DENNIS, Justice.

The issue in this case is whether the insurance company had just and reasonable grounds, such as would put a reasonable and prudent businessman on his guard against an unjust claim, in denying the insured's hospitalization expense claim because there was no medical necessity for the confinement.

The plaintiff, Floyd W. Lopez, had a hospitalization policy of insurance with defendant, Blue Cross of Louisiana, which covered plaintiff and his...

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