On May 3, 2023, in Salim v. Health Svc & Indemnity, the United States Court of Appeals for the Fifth Circuit (the Fifth Circuit) affirmed a lower court ruling that Blue Cross abused its discretion when it denied the plaintiff coverage even when substantial evidence did not support that decision.
The plaintiff, Robert Salim, was a business owner who bought a health insurance plan from Blue Cross to cover himself and his employees. Blue Cross insured the plaintiff when he was diagnosed with t