Federal Court Denies Insurance Payments for Mold-Related Treatment

MARSHALL, Texas - A federal judge has upheld a health insurer's decision to reject $77,059.75 in claims for diagnosis and treatment of a family's mold-related illnesses, saying the claim denial was not arbitrary or capricious. Campbell v. ExxonMobil Medical Plan, No. 2:05-cv-165 (E.D. Texas).

In a report and recommendation adopted by the court, Magistrate Judge John D. Love of the U.S. District Court for the Eastern District of Texas also found May 31 that Dr. Andrew W. Campbell, the treating physician, failed to exhaust all administrative remedies by not appealing claim denials by the health plan's claims administrator to the …