WILSON v. UNITEDHEALTHCARE INS. CO.

No. 20-2044.

27 F.4th 228 (2022)

Kenneth WILSON, as Parent and Natural Guardian of J.W., a minor child, Plaintiff-Appellant, v. UNITEDHEALTHCARE INSURANCE COMPANY, Defendant-Appellee.

United States Court of Appeals, Fourth Circuit.

Decided: February 24, 2022.


Attorney(s) appearing for the Case

ARGUED: M. Leila Louzri , FOSTER LAW FIRM, LLC, Greenville, South Carolina, for Appellant. Cavender Crosby Kimble , BALCH & BINGHAM LLP, Birmingham, Alabama, for Appellee. ON BRIEF: Nathaniel W. Bax , FOSTER LAW FIRM, LLC, Greenville, South Carolina, for Appellant. Robert L. Brown , WILSON, JONES, CARTER & BAXLEY, P.A., Columbia, South Carolina, for Appellee.

Affirmed in part, vacated in part, and remanded with instructions by published opinion. Judge Agee wrote the opinion, in which Judge Thacker and Judge Quattlebaum joined.


After health insurance payments for services provided to his minor son were denied, Kenneth Wilson filed a complaint in district court challenging that determination under 29 U.S.C. § 1132(a)(1)(B). The court affirmed the plan administrator's denial of coverage for the son's treatment from December 1, 2015, through May...

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