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LIFECARE MGMT. SERVICES v. INSURANCE MGMT. ADM'RS

No. 11-10733.

703 F.3d 835 (2013)

LIFECARE MANAGEMENT SERVICES LLC, Plaintiff-Appellee v. INSURANCE MANAGEMENT ADMINISTRATORS INCORPORATED, formerly known as Insurance Management Administrators of Louisiana Incorporated; Bill & Ralph's, Incorporated; Bill & Ralph's Incorporated Employee Benefit Plan & Trust, Defendants-Appellants. LifeCare Management Services LLC, Plaintiff-Appellee v. Carter Chambers L.L.C.; Carter Chambers L.L.C. Employee Benefit Plan, Defendants-Appellants.

United States Court of Appeals, Fifth Circuit.

January 4, 2013.

Attorney(s) appearing for the Case

Katherine Khristine Elrich , Monte Keith Hurst , Hermes Sargent Bates, L.L.P., Dallas, TX, for Plaintiff-Appellee.

Martin A. Stern , Christine Simons Fortunato , Adams & Reese, L.L.P., New Orleans, LA, Thomas A. Culpepper , Thompson, Coe, Cousins & Irons, L.L.P., Dallas, TX, Steven M. Oxenhandler , Trevor S. Fry , Michael J. O'Shee , Gold, Weems, Bruser, Sues & Rundell, Alexandria, LA, for Defendants-Appellants.

Before KING, SMITH and HIGGINSON, Circuit Judges.

HIGGINSON, Circuit Judge:

A third-party administrator of medical benefits plans denied claims made on behalf of two patients who received treatment from the same medical provider. The district court found that (1) the plan administrator incorrectly interpreted the plans to deny the claims in a way that abused its discretion and (2) the administrator may be held liable for its wrongful denial. The district court also awarded attorneys' fees to the medical provider...

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