Sixth Circuit Holds ERISA Preempts Tennessee PBM Laws Restricting Pharmacy Network Design and Cost-Sharing Arrangements
Sixth Circuit Holds ERISA Preempts Tennessee PBM Laws Restricting Pharmacy Network Design and Cost-Sharing Arrangements
In McKee Foods Corporation v. BFP Inc., No. 25-5416, --- F.4th ----, 2026 WL 936759 (6th Cir. Apr. 7, 2026), the Sixth Circuit Court of Appeals held that ERISA preempts…
Sun Life Defeats LTD Claim as Time-Barred: How a Policy’s Choice-of-Law Clause Determined the Limitations Period
In Gordon v. Sun Life Assurance Co. of Canada, No. 2:25-CV-11132-TGB-KGA (E.D. Mich. Mar. 31, 2026), United States District Judge Terrence G. Berg granted Sun Life's motion to dismiss an…
Unum’s Denial of LTD Benefits for CBS News Producer with Long COVID Survives Summary Judgment — But So Does Her Claim
A federal district court in the Southern District of New York denied both parties' motions for summary judgment in DelValle v. Unum Group Corp., First Unum Life Insurance Company, No.…
Sixth Circuit Holds That Garmon Doctrine Bars ERISA Fiduciary-Duty Claims That Necessarily Depend on Resolution of Disputed NLRA Obligations
In Rieth-Riley Construction Co., Inc. v. Trustees of the Operating Engineers’ Local 324 Fringe Benefit Funds, No. 25-1823, --- F.4th ----, 2026 WL 915042 (6th Cir. Apr. 3, 2026), Plaintiff…
Court Finds Cognitive Impairments Sufficient to Satisfy ERISA “Any Occupation” Standard Despite Insurer’s Termination of Long-Term Disability Benefits
In Dever v. The Lincoln National Life Insurance Company, No. 2:24-CV-02435-DJC-JDP, 2026 WL 880238 (E.D. Cal. Mar. 31, 2026), the Eastern District of California held that an insurer wrongfully terminated…
Reliance Standard Prevails in Physical vs. Mental Disability Dispute After LTD Claimant’s Treating Doctors Fail to Connect Hormonal Deficits to Disabling Symptoms
When a disability insurer terminates long-term disability benefits for a physical condition but continues paying under a mental health limitation — until that benefit exhausts — the claimant faces a…
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