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POINT PLEASANT, W.Va. — A $40 medical bill might seem small, but a West Virginia man says his five-year battle over paying it was a matter of principle.

Sam Juniper says his health benefits weren’t supposed to change after he retired in 2000 from M&G Polymers.

But he received a $40 bill in 2002 after the company’s new provider, Aetna Insurance, refused to cover the cost of some blood work.

He challenged that in Mason County court in 2003 and won every decision all the way to the 4th U.S. Circuit Court of Appeals in Richmond, Va. The appeals court ruled in his favor last month.

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