Sixth Circuit Finds Termination of Residential Mental Health Coverage Arbitrary and Capricious Under ERISA but Affirms Dismissal of Parity Act Claim
Sixth Circuit Finds Termination of Residential Mental Health Coverage Arbitrary and Capricious Under ERISA but Affirms Dismissal of Parity Act Claim
In T.E. v. Anthem Blue Cross & Blue Shield, No. 25-5407, ---F.4th----, 2026 WL 172050 (6th Cir. Jan. 22, 2026), the Sixth Circuit held that Anthem Blue Cross and Blue…
Texas District Court Recommends Significant ERISA Fee Award, Approves Out-of-District Rates and Rejects Proportionality Arguments
In Dwyer v. UnitedHealthcare Insurance Co., No. 1:17-cv-00439-RP (W.D. Tex. Jan. 21, 2026), on remand from the Fifth Circuit, a magistrate judge in the Western District of Texas issued a…
Ninth Circuit Vacates ERISA Benefit Denials Where Plan Misapplied “Hospital” Definition
In Delgado, et al. v. ILWU-PMA Welfare Plan, No. 24-1845, 2026 WL 161403 (9th Cir. Jan. 21, 2026) (Before: Wardlaw, N.R. Smith, and Miller, Circuit Judges), the Ninth Circuit held…
Eleventh Circuit Affirms Long-Term Disability Denial Based on Coverage Lapse and Preexisting Condition Where Payroll Records Show Reduced Hours
In Tunkle v. Reliastar Life Insurance Company, No. 24-12563, 2026 WL 144606 (11th Cir. Jan. 20, 2026), the Eleventh Circuit affirmed summary judgment in favor of ReliaStar Life Insurance Company,…
N.D. California Holds LINA Wrongfully Denied Long-Term Disability Benefits to Engineer Suffering Cognitive Impairment Following COVID-19 Vaccination
In Doe v. Life Insurance Company of North America, No. 24-CV-00859-NW, 2026 WL 125617 (N.D. Cal. Jan. 16, 2026), the Northern District of California ruled in favor of a mechanical…
D.C. Circuit Affirms Denial of Post-Judgment Discovery Where Plaintiff Failed to Raise “Significant Questions” About ERISA Injunction Compliance
In Kifafi v. Hilton Hotels Retirement Plan, et al., No. 25-7053, 2026 WL 125263 (D.C. Cir. Jan. 16, 2026), the D.C. Circuit affirmed a district court’s denial of a class…
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