Robert A. Peruzzi, of the Estate of Gloria M. Peruzzi, Deceased v. Summa Medical Plan

How courts have described this case

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

• holding that where ERISA plan gives the administrator discretion to interpret its terms, the administrator’s interpretation must be upheld unless it is arbitrary and capricious or unreasonable
• holding that where ERISA plan gives the administrator discretion to interpret its terms, the administrator’s interpretation must be upheld unless it is arbitrary and capricious or unreasonable
• holding that structural conflict was not important where “the record reveal[ed] no significant evidence that [plan administrator] based its determination on the costs associated with [claimant’s] treatment or otherwise acted in bad faith”
• reviewing denial of coverage based on an exclusion of treatments that “are experimental or of a research nature”
• rejecting a sliding-scale application of the arbitrary-and-capricious standard of review where a conflict of interest is present and instead requiring significant evidence of self-interest or bad faith

Source: CourtListener parenthetical corpus (CC0).