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Fourth Circuit Reverses Long-Term Disability Benefit Denial Due to Plan’s Failure to Adequately Consider Basis for Social Security Administration’s Award of Benefits

Fourth Circuit Reverses Long-Term Disability Benefit Denial Due to Plan’s Failure to Adequately Consider Basis for Social Security Administration’s Award of Benefits

In Smith v. Cox Enterprises, Inc. Welfare Benefits Plan, No. 22-2173, __F.4th__, 2025 WL 379876 (4th Cir. Feb. 4, 2025), the Fourth Circuit Court of Appeals reversed the termination of…

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District Court Grants Judgment to ERISA Claimant, Criticizing Insurer’s Arbitrary Denial of Long-Term Disability Benefits

In Berg v. The Lincoln National Life Insurance Company, No. 2:24-CV-00097-SAB, 2025 WL 252481 (E.D. Wash. Jan. 21, 2025), Washington Eastern District Judge Stanley A. Bastian granted judgment to Plaintiff…

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District Court Dismisses Lawsuit for Long-Term Disability Benefits Under ERISA Due to Claimant Filing Suit Too Soon

In Frederick v. Life Insurance Company of North America, No. 4:24-CV-00367-SRC, 2025 WL 71864 (E.D. Mo. Jan. 10, 2025), Missouri Eastern District Chief Judge Stephen R. Clark examined the contentious exhaustion…

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Sixth Circuit Finds Employer Is Not Liable under ERISA for Erroneous Benefit Statement Promising Greater Amount of Disability Insurance Benefits

In Higgins v. Lincoln Electric Company, Inc., No. 23-5862, 2025 WL 213846 (6th Cir. Jan. 16, 2025), the court addressed an ERISA-estoppel claim, focusing on the discrepancy between the long-term…

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Tenth Circuit: Unum’s Termination of Long-Term Disability Benefits Was Not An Abuse of Discretion

In an unpublished decision, Isbell v. Unum Life Insurance Company of America, No. 23-1351, 2025 WL 40379 (10th Cir. Jan. 7, 2025), the Tenth Circuit Court of Appeals upheld Unum…

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District Court Overturns Prudential’s Denial of Long-Term Disability Benefits under Employer Plan Based on Well-Documented Evidence from Treating Providers Supporting Total Disability

In Przybyla v. The Prudential Insurance Company of America, No. 3:24-CV-01090-JSC, 2025 WL 28446 (N.D. Cal. Jan. 3, 2025), on Rule 52 cross-motions for judgment, California Northern District Judge Jacqueline…

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