EBIA Weekly Archives - ERISA - Court Cases
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Results (840 articles found)
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- Arbitration Agreement Upheld Despite Binding Arbitration and Cost-Sharing Provisions
- From the March 05, 2009 EBIA Weekly
- After suffering a heart attack, the participant in this case was denied benefits under his employer’s health plan. The participant sued the plan, which sought to compel arbitration under an agreement requiring arbitration of any claims associated with ...
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- Employee Wins Claims for Breach of Fiduciary Duty Against Employer That Failed to Pay Health Plan Premiums to Insurer
- From the February 12, 2009 EBIA Weekly
- A health plan insurer refused to pay an employee’s significant medical expenses because the employer failed to remit premiums to the insurer, including premium contributions that the employer had deducted from the employee’s pay. The employee ...
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- Two More Federal Circuits Consider Impact of Glenn Decision on Standard of Review
- From the January 08, 2009 EBIA Weekly
- Two more circuit courts have reevaluated their standard of judicial review applicable in ERISA benefits litigation in light of the U.S. Supreme Court’s Glenn decision. (See our articles at http://www.ebia.com/WeeklyArchives/ERISA/CourtCases/19423 ...
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- TPA That Performed Ministerial Functions Was Not a Fiduciary
- From the December 18, 2008 EBIA Weekly
- According to the DOL, a person who performs plan administrative functions that are purely ministerial “within a framework of policies, interpretations, rules, practices and procedures made by other persons” is not a fiduciary. The DOL also has provided ...
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- Trial Court Dismisses Retirees' Claims That Terminating Their Medical and Prescription Drug Benefits Violated the ADEA
- From the December 11, 2008 EBIA Weekly
- This is the first decision we’ve seen that applies the 2007 final EEOC regulations exempting Medicare coordination for retirees from the ADEA (see our article at http://www.ebia.com/WeeklyArchives/GHPM/Statutes/19256 (Premium Access subscription required)). ...
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- Hospital Not Entitled to Notification That Participant Was in COBRA Election Period
- From the December 11, 2008 EBIA Weekly
- The hospital in this case, an assignee of an HMO participant, brought COBRA and state-law negligent misrepresentation claims against the HMO and the participant’s former employer, asking for reimbursement for medical services it had provided to the ...
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- ERISA Claims Procedure Violation Does Not Entitle Employee to Reinstatement of Disability Benefits
- From the November 26, 2008 EBIA Weekly
- In this case, an employee’s claim for long-term disability benefits was initially denied on the ground that she was not disabled within the meaning of the plan. After a court-ordered independent medical examination affirmed the employee&#...
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- Participant Not Entitled to Additional Review of Denied Disability Claim
- From the November 20, 2008 EBIA Weekly
- The participant in this case, an accountant, claimed she was unable to work due to arthritis and sought benefits under her employer’s LTD plan. The plan’s insurer denied the claim based on medical reports suggesting that, ...
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- No Remedy Under ERISA for Employer's Failure to Mail Life Insurance Conversion Forms to Correct Address
- From the November 06, 2008 EBIA Weekly
- The beneficiary of two employer-sponsored ERISA group life insurance policies sued her deceased spouse’s former employer for breach of fiduciary duty, seeking reinstatement and payment of plan benefits. The spouse had been terminated for cause, and later ...
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- ERISA Does Not Require Claimants to Exhaust All Issues Before Filing Suit
- From the October 30, 2008 EBIA Weekly
- The health plan in this case refused to pay the medical expenses of a claimant who was legally intoxicated at the time he was injured in a motorcycle accident. Although the claimant submitted a letter stating several “procedural” ...
