Division of Administrative Hearings, Florida
Latest Update: Jul. 15, 1988
The issues in this case, as stipulated to, by the parties in their Prehearing Stipulations, are as follows: Whether the surgery performed on Susan Cobb on 11/11/85 was covered by State Employees Group Health Self- Insurance Plan; Whether Respondent is estopped from denying coverage?Petitioner not entitled to payment by state health insurance plan for wife's surgery after he elected to switch to HMO coverage. Not prove estoppel.