Helfman v. GE Group Life Assurance Co.

How courts have described this case

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

• ordering remand to the plan administrator after determining that the record did not “clearly establish[]” that the claimant was entitled to benefits
• remanding to district court when plan decision incorrect but claimant not “dearly entitled to benefits”
• applying Elliot after determining the plan administrator acted arbitrarily and capriciously in terminating the plaintiff’s LTD benefits and deciding to remand to the plan administrator without retroactively reinstating benefits
• remand appropriate where court is unable to say with certainty that claimant is clearly entitled to benefits
• “[W]here an administrator exercises its discretion to conduct a file review, credibility determinations made without the benefit of a physical examination support a conclusion that the decision was arbitrary.”
• “As this court has repeatedly found, however, where an administrator exercises its discretion to conduct a file review, credibility determinations made without the benefit of a physical examination support a conclusion that the decision was arbitrary.”

Source: CourtListener parenthetical corpus (CC0).