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Court Finds Unum’s Use of Nurse Review to Deny Long Term Disability Claim and Appeal Did Not Comport with ERISA Regulations

Court Finds Unum’s Use of Nurse Review to Deny Long Term Disability Claim and Appeal Did Not Comport with ERISA Regulations

In Black v. Unum Life Ins. Co. of Am., No. 3:22-CV-2116-X, __F.Supp.3d__, 2024 WL 873536 (N.D. Tex. Feb. 29, 2024), Texas Northern District Judge granted partial summary judgment to Plaintiff,…

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Eleventh Circuit Affirms Dismissal of Health Provider’s ERISA Claims Due to Valid Anti-Assignment Provisions

In Griffin, MD v. Blue Cross Blue Shield Healthcare Plan of Georgia, Inc., et. al, No. 22-14187, 2024 WL 889560 (11th Cir. Mar. 1, 2024), the Eleventh Circuit considered the…

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Court Again Finds Reliance Standard Abused Its Discretion in Failing to Consider Long-Term Disability Claimant’s Risk of Future Harm from Cardiac Condition

In February 2023, Virginia Eastern District Judge T.S. Ellis, III granted partial summary judgment to Plaintiff finding that the plan administrator abused its discretion in failing to consider the risk…

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District Court Finds Plaintiff Has Right to File Lawsuit for Long Term Disability Benefits Due to ERISA Plan’s Procedural Violations

In Witt v. Intel Corporation Long-Term Disability Plan, No. 3:23-CV-01087-AN, 2024 WL 687928 (D. Or. Feb. 16, 2024), Oregon District Judge Adrienne Nelson denied Intel Corp LTD Plan’s motion to…

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First Circuit Finds Insurer Owed Fiduciary Duty under ERISA When It Increased Premium Rates for Group Long-Term Care Insurance

In Parmenter v. Prudential Ins. Co. of Am., No. 22-1614, __F.4th__, 2024 WL 613959 (1st Cir. Feb. 14, 2024), Plaintiff-Appellant Barbara Parmenter, on behalf of a putative class, appealed the…

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District Court Grants Plaintiff Limited Discovery Upon Allegation of Insurer Bias In ERISA Benefits Action

In Dotson v. Metropolitan Life Insurance Company, No. CR 5:23-178-DCR, 2024 WL 532301 (E.D. Ky. Feb. 9, 2024), Kentucky Eastern District Chief Judge Danny C. Reeves granted Plaintiff’s motion to…

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