Dolores v. Grandpa's Bus Co., Inc.

How courts have described this case

Verbatim parenthetical descriptions written by other courts when citing this decision. Ranked by citation-network relevance.

• noting “most important factor” in the analysis is “whether the administrator’s interpretation is consistent with a fair reading of the plan”
• noting “most important factor” in the analysis is “whether the administrator’s interpretation is consistent with a fair reading of the plan”
• determining whether plan summary was ambiguous pri- or to interpreting plan language
• “We note that there is no right to a jury trial in ERISA denial-of-benefits cases.”
• even if the plan’s language unambiguously supports the administrator’s decision, a beneficiary may still seek to hold the administrator to conflicting terms in the plan summary through a breach of fiduciary claim under section 1132(a)(3)
• “Aetna’s discretion to resolve ambiguities in the plan does not extend to the plan summary, notwithstanding that in this instance the summary is a verbatim copy of text in the plan.”

Source: CourtListener parenthetical corpus (CC0).