Pacific Shores Hospital v. United Behavioral Health

How courts have described this case

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

• concluding that exhaustion was unnecessary because the plan administrators “unequivocally statefd] ... that the plaintiffs are not entitled to an annuity under the terms of the Plan.”
• considering 18 materials outside the administrative record proper where, for example, administrative record did 19 not include claimant’s hospital records
• \[A]n administrator…abuses its discretion if it relies on clearly erroneous findings of fact in making benefit determinations\
• “In all abuse-of-discretion review, whether or not 3 an administrator’s conflict of interest is a favor, a reviewing court should consider ‘all the 4 circumstance before it,’ in assessing a denial of benefits under an ERISA plan.”

Source: CourtListener parenthetical corpus (CC0).