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OSF HEALTHCARE SYSTEM v. CONCERT HEALTH PLAN INS.

No. 08-CV-1328.

822 F.Supp.2d 809 (2011)

OSF HEALTHCARE SYSTEM, an Illinois not for profit corporation d/b/a Saint Francis Medical Center, Plaintiff, v. CONCERT HEALTH PLAN INSURANCE CO., Ronald Miller, and Robin Miller, Defendants.

United States District Court, C.D. Illinois, Peoria Division.

October 4, 2011.

Attorney(s) appearing for the Case

Douglas N. Koth , William L. Gregory , Koth & Gregory PC, Bloomington, IL, for Plaintiff.

Frances P. Cuisinier , Paul A. Farahvar , Cuisinier Farahvar & Benson, Chicago, IL, Ronald D. Stombaugh , Law Office of Ronald D. Stombaugh, Monmouth, IL, for Defendants.

OPINION

BYRON G. CUDMORE, United State Magistrate Judge.

St. Francis Medical Center ("St. Francis") pursues an ERISA claim against Concert Health Plan Insurance Company ("Concert") for denying the bulk of Ronald Miller's benefits claim arising from his hospitalization and surgery at St. Francis in August 2007.1 Concert processed the claim at the out-of-network rate and St. Francis contends that the claim should have been...

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