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· 10/25/2011

Ortega Candelaria v. ORTHOBIOLOGICS LLC

Citations

  • 661 F.3d 675
  • 51 Employee Benefits Cas. (BNA) 2249
  • 2011 U.S. App. LEXIS 21491

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 claim-denial letter must include the limitations period for civil actions
  • “The tolling proponent must establish that extraordinary circumstances beyond his control prevented a timely filing or that he was materially misled into missing the deadline.”
  • “Equitable estoppel applies when a plaintiff who knows of his cause of action reasonably relies on the defendant’s conduct or statements in failing to bring suit”
  • “[Defendant] was required by federal regulation to provide [plaintiff] with notice of his right to bring suit under ERISA, and the time frame for doing so, when it denied his request for benefits.”
  • \We think it clear that the term 'including' indicates that an ERISA action is considered one of the 'review procedures' and thus notice of the time limit must be provided.\
  • “[The employer] was required by [29 C.F.R. § 2560.503–1(g)(1)(iv)] to provide [the employee] with notice of his right to bring suit under ERISA, and the time frame for doing so, when it denied his request for benefits.” (emphasis added)

Source: CourtListener parenthetical corpus (CC0).

Judges: Lipez, Leval, Thompson

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.