· 9/10/1997
Ellen v. Ellis v. Metropolitan Life Insurance Company
Citations
- 126 F.3d 228
- 28 Employee Benefits Cas. (BNA) 1163
- 1997 U.S. App. LEXIS 23723
- 1997 WL 560079
How courts have described this case
Verbatim parenthetical descriptions written by other courts when citing this decision. Ranked by citation-network relevance.
- requiring that findings of fact made after a bench trial “shall not be set aside unless clearly erroneous”
- holding that where the benefit plan grants the administrator or the plan fiduciary discretionary authority to determine eligibility or to construe the terms of the plan, the deci- sion to deny benefits must be reviewed for abuse of discretion
- finding that plan administrator complied with ERISA’s requirements when it issued letter explaining the reasons for the denial, quoted the relevant plan language, and described appeal procedures
- finding that plan administrator complied with ERISA’s requirements when it issued letter explaining the reasons for the denial, quoted the relevant plan language, and described appeal procedures
- finding that a plan administrator did not abuse its discretion by denying benefits when the claimant's primary medical provider found disability but independent medical consultants, reviewing the claimant’s file, disagreed
- stating that if a conflict of interest exists under ERISA, a court should not deviate from the abuse of discretion standard, rather “the court modifies that abuse of discretion standard according to a sliding scale”
Source: CourtListener parenthetical corpus (CC0).
Judges: Ervin, Butzner, Phillips
Read full opinion on CourtListenerSourced from CourtListener / Free Law Project (CC0).
This is legal information, not legal advice. Laws vary by jurisdiction and change frequently. Always verify current law with official sources and consult a licensed attorney in your jurisdiction for advice on your specific situation.