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WAIT v. METRO. LIFE INS. CO., INC.

168 A.D.2d 867 (1990)

Gregory A. Wait et al., Respondents, v. Metropolitan Life Insurance Company, Inc., Appellant

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

December 27, 1990

Kane, J. P.

Plaintiffs Gregory A. Wait and Kim Klopstock-Wait are enrollees of the Empire Plan, a medical insurance policy issued by defendant pursuant to a contract with the State. The policy specifically provides that, to be covered under the Empire Plan, medical expenses must be "Medically Necessary in terms of generally accepted medical standards as determined by [defendant]". Beginning in June 1986, plaintiffs...

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