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Fifth Circuit Finds Standard Insurance Company Did Not Waive Right to Decide “Any Occupation” Disability Benefit Claim

Fifth Circuit Finds Standard Insurance Company Did Not Waive Right to Decide “Any Occupation” Disability Benefit Claim

Martinez v. Standard Ins. Co., No. 20-10475, 2021 WL 4592430 (5th Cir. Oct. 5, 2021) involves a claim for long-term disability benefits under an ERISA-governed benefit plan. Defendant Standard Insurance…

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First Circuit Upholds Unum’s Application of Long-Term Disability Policy’s Self-Reported Symptoms Limitation

In Ovist v. Unum Life Ins. Co. of Am., No. 20-1464, __F.4th__, 2021 WL 4304547 (1st Cir. Sept. 22, 2021), the First Circuit considered whether Unum Life Insurance Company of…

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Tenth Circuit: Seventh Amendment’s Civil Jury Trial Guarantee Does Not Apply to ERISA Benefits Action

In Cruz v. Reliance Standard Life Insurance Company, No. 21-2018, __F.App’x__, 2021 WL 3889924 (10th Cir. Sept. 1, 2021), Plaintiff-Appellant Eldie Cruz, M.D. appealed the district court’s determination that he…

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Sixth Circuit Upholds Procter & Gamble’s Denial of Disability Benefits for Claimant with Rare Gastrointestinal Disorder

In Lloyd v. Procter & Gamble Disability Benefit Plan, et al., No. 20-4329, __F.App’x__, 2021 WL 4026683 (6th Cir. Sept. 3, 2021), Plaintiff-Appellant Mark Lloyd appealed the district court’s judgment…

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Ninth Circuit Holds Self-Funded Long-Term Disability Plan Did Not Abuse Its Discretion in Applying Pre-existing Condition Exclusion

In Sorger v. Novartis Corporation Death Benefit & Disability Plan, Metropolitan Life Insurance Company, No. 20-15224, __F.App’x__, 2021 WL 3758280 (9th Cir. Aug. 25, 2021), the Ninth Circuit affirmed the…

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Second Circuit Holds California Insurance Code’s Ban on Discretionary Authority in Disability Policies Applies Only to California Residents

Mayer v. Ringler Assocs. Inc., No. 20-1281, __F.4th__, 2021 WL 3556473 (2d Cir. Aug. 12, 2021) involves a dispute over the proper calculation of Plaintiff-Appellant Gregory Mayer’s long-term disability benefits…

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