In re Micheletti
New Jersey Superior Court, Appellate Division
913 A.2d 842 (2007)
- Written by Jody Stuart, JD
Facts
Joseph Micheletti (plaintiff) had a son, Jake, with autism. As a state employee, Micheletti received family health insurance under the State Health Benefits Program (state program). Speech and occupational therapy were prescribed for Jake. The therapy treatments were medically necessary services, and the therapies were the only accepted treatment method used for a child with autism. The insurance plan excluded coverage of nonrestorative services, that is, services that would be rendered to promote development beyond a level of function previously demonstrated. The State Health Benefits Commission (commission) (defendant) denied coverage for Jake’s speech and occupational therapy on the grounds that the therapies were for developing or improving skills beyond a previously existing level and were therefore excluded from coverage. Micheletti appealed.
Rule of Law
Issue
Holding and Reasoning (Collester, J.)
What to do next…
Here's why 832,000 law students have relied on our case briefs:
- Written by law professors and practitioners, not other law students. 46,500 briefs, keyed to 994 casebooks. Top-notch customer support.
- The right amount of information, includes the facts, issues, rule of law, holding and reasoning, and any concurrences and dissents.
- Access in your classes, works on your mobile and tablet. Massive library of related video lessons and high quality multiple-choice questions.
- Easy to use, uniform format for every case brief. Written in plain English, not in legalese. Our briefs summarize and simplify; they don’t just repeat the court’s language.
