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Tag Archives: ERISA

Civil Practice: Standing-Injury in Fact-ERISA

Where appellants filed an action under the Employee  Retirement Income Security Act of 1974 claiming that an insurer abused its discretion by partially denying their claim for air ambulance benefits under an employee health plan, the injury-in-fact component of standing ...

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Civil Practice: ERISA-Duty of Prudence-Sufficiency of Allegations

Where plaintiffs in an ERISA action failed to plead a plausible breach of prudence by the trustee defendants, the district court properly dismissed the plaintiffs’ duty-to-monitor claims because the claims could not survive without a sufficiently pleaded theory of an ...

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Civil Practice: Fiduciary-ERISA

Where plaintiff, who invested in an ERISA plan, argued that a service provider to the plan violated ERISA, the district court erred in finding that the provider was not a fiduciary when it set the composite crediting rate, so the ...

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Administrative: ERISA-Termination of Benefits-Disabling Physical Condition

Where a claimant of long-term disability benefits under a plan governed by the Employee Retirement Income Security Act challenged the termination of benefits, the district court did not err in finding that substantial evidence supported the decision to terminate based ...

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Administrative: ERISA-Exhaustion of Remedies-Fiduciary Duty

Where a claimant challenged the termination of her disability benefits, the judgment is affirmed because the claimant failed to administratively exhaust her claim of breach of fiduciary duty. Judgment is affirmed. Jones v. Aetna Life Insurance Company (MLW No. 74242/Case ...

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Insurance: ERISA-Payment of Benefits to Domestic Partner-Deference to Plan Administrators

Defendants appealed from the declaratory judgment that ruled that defendants paid group life-insurance benefits to the wrong person. Terry Engle died in a car crash while holding accidental death and life-insurance policies with defendants. Defendants contacted Terry’s mother, who informed ...

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