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BUTLER v. UNITED HEALTHCARE OF TENNESSEE, INC.

No. 13-6446.

764 F.3d 563 (2014)

John Warren BUTLER, individually and as assignee of Janie Butler, Plaintiff-Appellee, v. UNITED HEALTHCARE OF TENNESSEE, INC., Defendant-Appellant.

United States Court of Appeals, Sixth Circuit.

Decided and Filed: August 22, 2014.

Attorney(s) appearing for the Case

ARGUED: Christopher F. Heinss , Balch & Bingham, LLP, Birmingham, Alabama, for Appellant. James C. Wright , Butler, Vines and Babb, P.L.L.C., Knoxville, Tennessee, for Appellee. ON BRIEF: Christopher F. Heinss , Balch & Bingham, LLP, Birmingham, Alabama, for Appellant. Ronald C. Koksal , John W. Butler , Butler, Vines and Babb, P.L.L.C., Knoxville, Tennessee, for Appellee.

Before: MOORE, SUTTON and ALARCÓN, Circuit Judges.

OPINION

SUTTON, Circuit Judge.

More than nine years ago, Janie Butler checked into a substance-abuse treatment facility to obtain inpatient rehabilitation for her alcohol addiction. She sought coverage for the treatment through her husband's employer-issued ERISA plan run by United Healthcare. United denied treatment, deeming it medically unnecessary. After seven years' worth of internal reviews, trips to the district...

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