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RULFS v. BLUE CROSS OF NORTHEASTERN NEW YORK, INC.

100 A.D.2d 716 (1984)

Robert H. Rulfs, Individually and on Behalf of Edith D. Rulfs, Respondent, v. Blue Cross of Northeastern New York, Inc., Appellant, et al., Defendant

Appellate Division of the Supreme Court of the State of New York, Third Department.

March 29, 1984

¶ Robert and Edith Rulfs are insured against health-related expenses by defendant Blue Cross of Northeastern New York, Inc. (Blue Cross). The basic contract excludes convalescent or custodial care, but a major medical expense rider provides that: "Benefits for care in a Nursing Home shall be provided only in such instances as Blue Cross and Blue Shield shall determine requires skilled nursing care on a continuing basis and a physician has certified such requirement has...

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