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CALLAHAN v. SLEDGE

No. 4-11-0819.

980 N.E.2d 181 (2012)

2012 IL App (4th) 110819

366 Ill. Dec. 381

Stacy J. CALLAHAN, as Special Representative of the Estate of Daniel J. Callahan, Deceased, Plaintiff-Appellant, v. James P. SLEDGE; The Department of Central Management Services; The Wellpoint Companies, Inc.; Healthlink, Inc.; and Healthlink HMO, Inc., Defendants-Appellees.

Appellate Court of Illinois, Fourth District.

Rehearing Denied October 9, 2012.

Attorney(s) appearing for the Case

Thomas F. Londrigan , Douglas J. Quivey , Londrigan, Potter & Randall, P.C., Springfield, IL, for Stacy Callahan.

Lisa Madigan , Attorney General, Michael A. Scodro , Solicitor General, Richard S. Huszagh , Assistant Attorney General, Chicago, IL, for James P. Sledge and Department of Central Management Services.

Neal F. Perryman , David W. Gearhart , Lewis, Rice & Fingersh, L.C., St. Louis, MO, Paul Brown, Brown, Hay & Stephens, LLP, Springfield, IL, for Wellpoint Companies, Inc.

OPINION

Justice McCULLOUGH delivered the judgment of the court, with opinion.

¶ 1 The decedent, Daniel J. Callahan (Daniel), was insured under a State of Illinois employee group health plan that was administered by Healthlink HMO, Inc. (Healthlink). Healthlink denied Daniel, who had been diagnosed with melanoma, coverage for Avastin, a drug recommended by Daniel's treating oncologist. Daniel appealed Healthlink's decision to the Department of Central...

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