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P.E.L. v. PREMERA BLUE CROSS

No. 82800-2-I.

520 P.3d 486 (2022)

P.E.L.; and P.L. and J.L, a married couple and parents of P.E.L., Appellants, v. PREMERA BLUE CROSS, Respondent.

Court of Appeals of Washington, Division 1.

Filed November 21, 2022.

Attorney(s) appearing for the Case

Daniel S. Gross , Eleanor Hamburger , Sirianni Youtz Spoonemore Hamburger PLLC, 3101 Western Avenue, Suite 350, Seattle, WA, 98121, Marlena Grundy , PNW Strategic Legal Solutions, PLLC, 1408 140th Pl. Ne Ste. 170, Bellevue, WA, 98007-3964, for Appellants.

Gwendolyn C. Payton , John R. Neeleman , Kilpatrick Townsend & Stockton LLP, 1420 5th Ave. Ste. 3700, Seattle, WA, 98101-4089, Adam H. Charnes , Kilpatrick Townsend & Stockton LLP, 2001 Ross Avenue, Suite 4400, Dallas, TX, 75201-2924, for Respondent.

Emily Elisabeth Brice , Janet Chantal Varon , Northwest Health Law Advocates, 101 Yesler Way Ste. 300, Seattle, WA, 98104-2552, for Amicus Curiae on behalf of Northwest Health Law Advocates.

¶1 Fifteen-year-old P.E.L. attended a residential wilderness program for mental health treatment through Evoke Therapy Programs. P.E.L.'s health insurer Premera Blue Cross denied coverage for P.E.L. because her policy excludes wilderness programs as nontreatment. P.E.L. sued Premera, claiming it breached its contract by not complying...

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