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Eleventh Circuit Rejects Reliance Standard’s Broad Interpretation of Preexisting Condition Exclusion

In Johnson v. Reliance Standard Life Insurance Company, No. 23-13443, ---F.4th----, 2025 WL 3251015 (11th Cir. Nov. 21, 2025), a significant decision limiting insurers’ ability to deny early-term disability claims based…

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Second Circuit Affirms Dismissal of Fiduciary-Breach Claims Over High-Risk Investment Strategy

In Carlisle v. The Board of Trustees of The American Federation of The New York State Teamsters Conference Pension and Retirement Fund, et al., No. 25-511-CV, 2025 WL 3251154 (2d…

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Long COVID and ERISA Disability Claims: Emerging Themes and Guidance for Claimants

Long COVID continues to challenge courts, insurers, and claimants, creating unique complexities in ERISA long-term disability (LTD) claims. With symptoms like fatigue, cognitive dysfunction, post-exertional malaise (PEM), dysautonomia, and neurological…

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Ninth Circuit Orders Reconsideration of ACA Challenge to Gender-Affirming Care Exclusions

In Pritchard on behalf of C.P. v. Blue Cross Blue Shield of Illinois, No. 23-4331, ---F.4th----, 2025 WL 3202338 (9th Cir. Nov. 17, 2025), the Ninth Circuit vacated the district…

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Central District of California Grants LTD Benefits After Finding MetLife Ignored Credible Medical Evidence of Long-Haul COVID Disability

In Baltes v. Metropolitan Life Insurance Co., Case 2:23-cv-07404-MRA-JPR, ---F.Supp.3d---, 2025 WL 3199464 (C.D. Cal. Nov. 12, 2025), the U.S. District Court for the Central District of California granted judgment…

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Utah Federal Court Allows Limited Discovery into MetLife’s Conflict of Interest in AD&D Denial

In Kramer v. Metropolitan Life Insurance Company, No. 2:25-cv-00327, 2025 WL 3171499 (D. Utah Nov. 13, 2025), the U.S. District Court for the District of Utah granted plaintiffs’ request for…

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