Court Opinion

ID: 9739591
Source: CourtListenerOpinion
Date Created: 2023-08-26 20:18:05.7136+00
Date Added: 2024-06-11T07:24:13.053987
License: Public Domain

SULLIVAN, Judge,
concurring.
Provision ILR.3. of the Blue Shield Oral Surgery and Dental Treatment Coverage provides, as quoted by the majority:
"Benefit Exclusions
In addition to those elsewhere excluded or limited, the following services are not covered:
# L %* * # *
3. Dental services with the exception of the services provided in Part 8, See. II, A7, pages 8.11 and 8.12."
Record at 373.
It quite clearly excludes services not covered within ILA.7. It is this fact which places these dental services within the coverage of the other provisions. However, it is of no moment whether the treatment is "oral surgery" as defined in IL A.7.2a. of the policy or is covered under IIL.A.7.b. because of the "concurrent hazardous medical condition" which clearly existed here. Coverage did exist under this policy and for that reason I concur in the majority's decision under Issue One.
I further agree that the punitive damage award must be reversed.