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Frank Asked His Company's Employee Benefits Director If His Group

question 7

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Frank asked his company's employee benefits director if his group health coverage could be converted to individual coverage.The benefits director said,"Yes,you can convert to an individual policy,and the coverage is identical to your group coverage." Frank quit his job and converted to an individual policy.Six months later he filed a claim.He was dismayed to learn the conversion policy was limited compared to the group coverage,and his claim was denied.What legal doctrine will allow Frank to bring a successful legal action against his former employer because he was financially harmed due to his reasonable reliance upon a representation of fact?


Definitions:

Spinal Cord

The cylindrical bundle of nerve fibers and associated tissue that is connected to the brain and lies within the vertebral canal.

Thecal Sac

The protective membrane surrounding the spinal cord and nerve roots.

Spinal Cord

The primary conduit for communication between the brain and the peripheral nervous system.

Dorsal Root Ganglion

Collection of sensory neuron cell bodies within the dorsal root of a spinal nerve; also called spinal ganglion.

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