# Nancy Koehler v. Aetna Health, Inc.

> Court of Appeals for the Fifth Circuit · June 1, 2012 · 683 F.3d 182

URL: https://www.frixlaw.com/law-library/cases/9500582

## Case

- **Full name:** Nancy KOEHLER, Plaintiff-Appellant, v. AETNA HEALTH INC., Defendant-Appellee
- **Court:** Court of Appeals for the Fifth Circuit
- **Decided:** June 1, 2012
- **Citations:** 683 F.3d 182; 2012 WL 1949166
- **Precedential status:** Published
- **Opinion:** Concurrence by Haynes
- **Judges:** Reavley, Haynes, Graves
- **Cited by:** 35 later opinions in the Frix Law Library

## Citator (automated)

- No negative treatment found by the automated citator. That is not the same as a confirmation that the case is good law; read the citing cases.
- Full citator and citing cases: https://www.frixlaw.com/law-library/cases/9500582

## How later opinions describe it (automated extraction)

- noting “most important factor” in the analysis is “whether the administrator’s interpretation is consistent with a fair reading of the plan”

## Opinion text

*192 HAYNES, Circuit Judge,
concurring in part:
I agree that the decision of the district court should be reversed. However, I have reviewed the provisions of the plan so carefully and thoroughly set forth in the majority opinion. Taken as a whole, I cannot read these provisions to require preauthorization for this particular circumstance as a condition precedent to any recovery regardless of any other circumstances. Thus, I conclude there is no ambiguity, and I would hold that the plan administrator abused its discretion in concluding to the contrary. However, other reasons were given for denial of benefits, so I concur in remanding for purposes of considering those issues.

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Source: Frix Law Library, https://www.frixlaw.com/law-library/cases/9500582. Public record. Not legal advice.