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· 11/15/2011

EUGENE S. v. Horizon Blue Cross Blue Shield

Citations

  • 663 F.3d 1124
  • 52 Employee Benefits Cas. (BNA) 2432
  • 2011 U.S. App. LEXIS 22803
  • 2011 WL 5533336

How courts have described this case

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

  • holding that a party’s medical health records and other personal health information overcomes the public’s right to access judicial records
  • holding that because the SPD at issue stated that it “is made part of the Group Policy,” its terms were sufficient to find that the Plan conferred discretion on the plan administrator
  • stating that an SPD can function as a plan’s written instrument when there is no alternative written instrument, notwithstanding Amara
  • noting that “a district court should consider [the Woodworker’s factors] in exercising its discretion”
  • holding supplementation of the record “is allowed for assessing dual-role conflict of interest claims”
  • observing that when “an insurer delegates its authority to review claims to an independent third-party plan administrator[,] [s]uch a delegation can mitigate what otherwise would be a dual-role conflict of interest”

Source: CourtListener parenthetical corpus (CC0).

Judges: Kelly, Lucero, and Gilman

Read full opinion on CourtListener

Sourced 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.