James Mcdonald v. Western-Southern Life Insurance Company

How courts have described this case

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

• requiring an interpretation of a plan to be “rational” in order for a court to uphold a plan administrator’s acceptance of it
• explaining that “rely[ing] upon the medical opinion of one doctor over that of another” is not arbitrary and capricious when it is “possible to offer a reasoned explanation, based upon the evidence, for the plan administrator’s decision”
• explaining that “rely[ing] upon the medical opinion of one doctor over that of another” is not arbitrary and capricious when it is “possible to offer a reasoned explanation, based upon the evidence, for the plan administrator’s decision”
• discounting supplemental report of IME as insufficient, when opinion was changed, without any justification for the change, other than telephone contact from plan administrator
• requiring an interpretation of a plan to be “rational” in order for a court to uphold a plan administrator’s acceptance of it
• “The evidence presented in the administrative record did not support the denial of benefits when only [the administrator]^ physicians, who had not examined [the claimant], disagreed with the treating physicians.”

Source: CourtListener parenthetical corpus (CC0).