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JAMES v. SC EMPLOYEE INS. PROGRAM

No. 4182.

371 S.C. 637 (2006)

640 S.E.2d 474

Linda JAMES and David James, individually and as parents and natural guardians of Meredith James, a minor under the age of 14, Respondents, v. STATE OF SOUTH CAROLINA EMPLOYEE INSURANCE PROGRAM, Appellant.

Court of Appeals of South Carolina.

Decided November 27, 2006.

Rehearing Denied January 30, 2007.

Attorney(s) appearing for the Case

Theodore DuBose Willard, Jr., of Columbia, for Appellant.

John Magruder Read, IV, of Greenville, for Respondents.

GOOLSBY, J.:

This appeal arises from a dispute about health insurance coverage under a group plan for state employees and their dependents. David James, acting on behalf of himself and his wife, Linda (collectively, "the Jameses"), sought pre-authorization for a medical device for their infant daughter, Meredith. Blue Cross Blue Shield of South Carolina ("Blue Cross"), denied coverage on the basis the device, which is designed...

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