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P.E.L. v. PREMERA BLUE CROSS

No. 101561-5.

540 P.3d 105 (2023)

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

Supreme Court of Washington, En Banc.

Filed December 21, 2023.

Attorney(s) appearing for the Case

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, Dallas, TX, 75201-2924, for Petitioner.

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

Gretchen J. Hoog, Ryan, Swanson & Cleveland, PLLC, 401 Union St. Ste. 1500, Seattle, WA, 98101-2668, Lenore Silverman, Fagen Friedman & Fulfrost LLP, 6300 Wilshire Blvd., Suite 1700, Los Angeles, CA, 90048, for Amicus Curiae on behalf of Breaking Code Silence.

Valerie Davis McOmie, Attorney at Law, 4549 Nw Aspen St., Camas, WA, 98607-8302, Daniel Edward Huntington, Richter-Wimberley PS, 422 W. Riverside Ave. Ste. 1300, Spokane, WA, 99201-0305, for Amicus Curiae on behalf of Washington State Association for Justice Foundation.

Marta Uballe DeLeon, Office of the Attorney General, 1125 Washington St. Se, P.O. Box 40100, Olympia, WA, 98504-0100, for Amicus Curiae on behalf of Washington State Insurance Commissioner.

Emily Elisabeth Brice, Northwest Health Law Advocates, 101 Yesler Way Ste. 300, Seattle, WA, 98104-2552, Janet Chantal Varon, Northwest Health Law Advocates, 1301 5th Ave. Ste. 1200, Seattle, WA, 98101-2677, for Amici Curiae on behalf of Northwest Health Law Advocates, The National Health Law Program, The Center for Health Law and Policy Innovation of Harvard, The Kennedy Forum, The Autism Legal Resource Center, The National Autism Law Center.

¶1 This case concerns a health insurer's alleged violation of mental health parity laws. Broadly speaking, "parity laws" require health insurance plans to provide equal coverage for mental health and substance use disorder services as compared to other medical and surgical services.

¶2 In early 2016, plaintiff P.E.L. experienced...

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