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Seventh Circuit Affirms ERISA Fund’s Denial of Out-of-Network Medical Treatment

Seventh Circuit Affirms ERISA Fund’s Denial of Out-of-Network Medical Treatment

In Est. of Gifford v. Operating Eng’rs 139 Health Benefit Fund, No. 23-3356, __F.4th__, 2025 WL 79102 (7th Cir. Jan. 13, 2025), the Seventh Circuit Court of Appeals affirmed the…

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Second Circuit Upholds Dismissal of ERISA Record-Keeping Fees Lawsuit

In Boyette v. Montefiore Med. Ctr., No. 24-1279-CV, 2025 WL 48108 (2d Cir. Jan. 8, 2025), decided by Circuit Judges Kearse, Raggi, and Lohier, Jr., the court upheld the dismissal…

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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In an unpublished decision, Isbell v. Unum Life Insurance Company of America, No. 23-1351, 2025 WL 40379 (10th Cir. Jan. 7, 2025), the Tenth Circuit Court of Appeals upheld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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Second Circuit Affirms Hartford’s Termination of Long-Term Disability Benefits

In Flowers v. Hartford Life & Accident Ins. Co., No. 23-7259, 2025 WL 33236 (2d Cir. Jan. 6, 2025), involving a dispute over long-term disability benefits ("LTD"), the Second Circuit…

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District Court Dismisses ERISA And Non-ERISA Claims for Disability Benefits Finding That ERISA Coverage Had Terminated and Plaintiff’s Other Claims Were Preempted, Time-Barred or Not Viable

In Diederichs v. FCA US LLC, No. 23-CV-11287, 2024 WL 5168087 (E.D. Mich. Dec. 19, 2024), Michigan Eastern District Judge Robert J. White adopted the Magistrate Judge’s report and recommendations…

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