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

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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Ninth Circuit Finds ERISA Plan’s Procedural Error in Reviewing Claim for Disability Benefits Does Not Warrant Remand to the Plan

In Dimry v. Bert Bell/pete Rozelle NFL Player Ret. Plan, No. 20-17049, __F.App’x__, 2021 WL 3509349 (9th Cir. Aug. 10, 2021), a dispute over total and permanent disability benefits under…

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Sixth Circuit Affirms Unum’s Denial of Long-Term Disability Benefits Due to Employer-Specific Basis for Stress-Related Disability

In Holden v. Unum Life Insurance Company of America, No. 20-6318, __F.App’x__, 2021 WL 2836624 (6th Cir. July 8, 2021), the Sixth Circuit affirmed Unum Life Insurance Company’s decision to…

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Fifth Circuit Rules for ERISA Claimant Where Disability Claim Straddles Two Insurance Companies That Both Deny Coverage

What happens when an employee becomes disabled during a period when his employer switches long-term disability carriers and both carriers disclaim coverage? In Talamantes v. Metro. Life Ins. Co., No.…

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