The U.S. Court of Appeals for the Eighth Circuit found no error in a district court’s ruling denying a bariatric surgery patient’s health insurance claim for a related medical complication, finding neither Iowa law nor the Affordable Care Act required that his treatment be covered.

The appellate court panel affirmed an order by U.S. District Judge Robert W. Pratt of the Southern District of Iowa, granting summary judgment to Zimmerman Transfer Inc. and Benefit Plan Administrators of Eau Claire LLC (BPA) on Darrin Shafer’s claim for health insurance benefits under the Employee Retirement Income Security Act of 1974, after he made a claim for benefits for treatment relating to complications with his bariatric surgery, according to a June 7 opinion.