HELFRICH v. BLUE CROSS AND BLUE SHIELD ASS'N

No. 14-3179.

804 F.3d 1090 (2015)

Lee Ann HELFRICH, Plaintiff Counter Defendant-Appellant, v. BLUE CROSS AND BLUE SHIELD ASSOCIATION, Defendant Counterclaimant-Appellee, and Blue Cross and Blue Shield of Kansas City, Defendant-Appellee. United States of America; Association of Federal Health Organizations, Amici Curiae.

United States Court of Appeals, Tenth Circuit.

Filed October 29, 2015.


Attorney(s) appearing for the Case

Matthew W.H. Wessler , Public Justice, P.C., Washington, D.C., ( Sarah E. Belton , Public Justice, P.C., Oakland, California, and David A. Hoffman , Donald W. Vasos , Vasos Law Offices, Fairway, Kansas, with him on the briefs), for Plaintiff Counter Defendant-Appellant.

Anthony F. Shelley ( Adam P. Feinberg , with him on the brief), of Miller & Chevalier Chartered, Washington, D.C., for Defendant Counterclaimant-Appellee Blue Cross and Blue Shield Association, and Defendant-Appellee, Blue Cross and Blue Shield of Kansas City.

Henry C. Whitaker , Assistant United States Attorney, Appellate Staff, ( Joyce R. Branda , Acting Assistant Attorney General, Barry R. Grissom , United States Attorney, and Alisa B. Klein , Assistant United States Attorney, Appellate Staff, and Susan G. Whitman , Deputy Assistant General Counsel, U.S. Office of Personnel Management, Washington, D.C., with him on the brief) U.S. Department of Justice, Washington, D.C., for Amicus Curiae, United States of America.

David M. Ermer , Jason C. Suter , Ermer Law Group, Washington, D.C., for Amicus Curiae, Association of Federal Health Organizations.

Before LUCERO, HARTZ, and HOLMES, Circuit Judges.


Lee Ann Helfrich received benefits through her federal-employee health-insurance plan, the Blue Cross and Blue Shield Service Benefit Plan (the Plan), for the treatment of injuries she sustained in a car accident. After Ms. Helfrich reached a settlement with the other driver's insurance company, Blue Cross and Blue Shield Association...

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