EBIA Weekly Archives - ERISA - Court Cases
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Results (852 articles found)
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- Court Finds That LTD Plan Is Subject to ERISA and Addresses Various Rules Regarding Disability Claim Decisionmaking
- From the July 30, 2009 EBIA Weekly
- The plan participant in this case had several chronic conditions, including morbid obesity and heart problems. After quadruple bypass surgery, he began receiving benefits under his employer’s insured long-term disability (LTD) plan. Some months later, the insurer ...
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- Appeals Court Confirms That CEO Was Not Required to Take Additional Action on Plan Losses
- From the July 30, 2009 EBIA Weekly
- In 2007, we twice reported on the Holdeman case, a class action involving employees who were left with unpaid medical claims when their financially troubled employer failed to adequately fund the company’s self-insured health plan. (See our ...
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- Court Enforces Plan-Imposed Limitations Period for Filing Benefit Lawsuit
- From the July 23, 2009 EBIA Weekly
- The ERISA disability plan participant in this case had received long-term disability benefits for five months when the insurer requested proof of her continued disability (“proof of loss”). After the participant failed to submit additional requested information, ...
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- Termination of Plan Coverage Was an Adverse Benefit Determination
- From the July 16, 2009 EBIA Weekly
- During the time the employee in this case received long-term disability benefits under his employer’s plan, he also paid for and received benefits under the employer’s various welfare benefit plans. After more than seven years, ...
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- Benefit Payments Made From Employer's Zero-Balance Account Did Not Cause STD Plan to Be an ERISA Plan
- From the July 16, 2009 EBIA Weekly
- The employee in this case sued her employer and the TPA of the employer’s short-term disability (STD) plan claiming that they violated ERISA by denying her STD benefits. The employer argued that the ERISA claim should be ...
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- Lender and Consultant Are Not Fiduciaries of Employer's 401(k) Plan Because Neither Exercised Discretion or Control Over Plan or Plan Assets
- From the July 07, 2009 EBIA Weekly
- For more than a year, a financially troubled employer failed to make wage payments and to deposit contributions to its 401(k) plan. Although the employer ultimately paid some of these amounts, many of the contributions to the plan were ...
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- Court Requires Production of Claims Handling Manuals Used in Benefits Denial
- From the July 07, 2009 EBIA Weekly
- This dispute involved a benefits denial under a self-funded ERISA disability plan. After her claim was denied, the employee sued the plan’s claims administrator and her employer, the plan administrator, alleging that the denial was tainted by ...
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- Severance Plan Is Subject to ERISA When Employer Discretion and Ongoing Demands on Employer's Assets Are Present
- From the July 02, 2009 EBIA Weekly
- The employer in this case eliminated six positions and transferred them to another health care provider at a “comparable rate of pay.” The employer determined that the employees who had held the positions were not eligible for benefits ...
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- Notice of Denial on Appeal Faxed to Participant's Attorney Met Delivery Requirements in DOL Regulations
- From the July 02, 2009 EBIA Weekly
- The participant in this case filed a claim under her employer’s disability plan when her benefits were terminated. The plan denied the participant’s claim, and she filed a first-level appeal, which the plan also denied. ...
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- Court Rejects ERISA Section 510 Interference Claim Because Employee Was Not Entitled to Plan Benefits
- From the June 25, 2009 EBIA Weekly
- After announcing his intent to pursue another career, the employee in this case agreed to postpone his departure to help transition his job duties to his replacement. On learning who would replace him, though, the employee made disparaging remarks about ...
