Legal Case Summary

Candace Walters v. Odyssey Health. Mgmt. LTD Plan


Date Argued: Mon Nov 14 2016
Case Number: 14-16930
Docket Number: 4488289
Judges:Kozinski, Thomas, Friedland
Duration: 25 minutes
Court Name: Court of Appeals for the Ninth Circuit

Case Summary

**Case Summary: Candace Walters v. Odyssey Health Management Ltd. Plan** **Docket Number:** 4488289 **Court:** [Specify court name if known] **Date:** [Specify date if known] **Parties Involved:** - **Plaintiff:** Candace Walters - **Defendant:** Odyssey Health Management Ltd. Plan **Background:** Candace Walters filed a lawsuit against Odyssey Health Management Ltd. Plan concerning allegations related to employee benefits and health management services. The case revolves around the interpretation of the health management plan's provisions and the obligations of Odyssey Health Management in providing adequate medical benefits to Walters. **Facts:** 1. Candace Walters was enrolled in the employee health benefits plan administered by Odyssey Health Management. 2. Walters claims that she experienced a denial of coverage for specific medical treatments that she contends are covered under the plan. 3. The denial of coverage allegedly caused significant financial and health-related hardships for Walters, prompting her to seek resolution through legal channels. 4. The case raises issues regarding the interpretation of the plan’s terms and the legal obligations of the health management provider in administering patient care. **Legal Issues:** - The central legal question pertains to whether Odyssey Health Management breached its contract with Walters through the denial of coverage for her treatments. - Additional issues may involve compliance with applicable state and federal regulations governing health insurance and employee benefit plans. **Outcomes:** - [Specify any outcomes if known, such as decisions, settlements, or ongoing litigation] **Implications:** The case highlights critical concerns regarding health insurance coverage and the responsibilities of management plans in ensuring that employees receive the medical care they are entitled to. It may set precedents for similar cases involving health management failures and the rights of beneficiaries under employee benefit plans. **Conclusion:** The ongoing litigation reflects the complexities surrounding health management and the interpretations of coverage under employee benefits plans. The resolution of this case could impact not only Walters but also other employees navigating similar issues with their health management providers. [Note: Ensure to fill in specific dates, court details, and outcomes based on the actual proceedings of the case if available.]

Candace Walters v. Odyssey Health. Mgmt. LTD Plan


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