(DOWNLOAD) "Martone v. Connecticut General Life Insurance Co." by United States Court of Appeals for the Fourth Circuit " Book PDF Kindle ePub Free

July 17, 2021

eBook details

Title: Martone v. Connecticut General Life Insurance Co.
Author : United States Court of Appeals for the Fourth Circuit
Release Date : January 26, 1991
Genre: Law,Books,Professional & Technical,
Pages : * pages
Size : 63 KB

Description

John D. Martone, Jr., William R. Martone, and Donna L. Cohen appeal from an order of the district court granting summary judgment in favor of Connecticut General Life Insurance Company and E. I. DuPont de Nemours and Company. Appellants are personal representatives of the estate of their mother, Evelyn C. Martone. The district court found that appellants failed to present evidence that services totalling $24,285 rendered by nursing assistants during Evelyn Martone's extended terminal illness were provided by an approved Hospice program as required by provisions of Option II of DuPont Medical Care Assistance Program (""Plan"") administered by CIGNA. We reverse and remand. Evelyn Martone remained at home during her illness and required continuous care. At the suggestion of her treating physician, Dr. Virginia U. Collier, appellants contacted Kent County Hospice and hired five nursing assistants recommended by Hospice to provide home health care. Appellants sought reimbursement for costs of these services. Appellees contended that the assistants were practitioners not covered under Plan provisions and refused to pay the claim.