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· 8/7/2008

Speciale v. Blue Cross and Blue Shield Ass'n

Citations

  • 538 F.3d 615
  • 45 Employee Benefits Cas. (BNA) 1090
  • 2008 U.S. App. LEXIS 17051
  • 2008 WL 3155058

How courts have described this case

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

  • noting that administrators’ decisions must be based on a reasonable explanation of relevant plan documents in order to be upheld
  • choosing to weigh one doctor’s “specific, ... quantified” functional capacity report over the opinion of another doctor whose report was more “tentative”
  • approving of an administrator’s decision to give greater weight to the opinion of a physician who gave a “specific ... quantified” opinion and had “expertise in pain management” over the opinion of a doctor whose opinion lacked those qualifications
  • because plan administrator not a court of law, administrator not bound by rules of evidence
  • “A plan administrator is not a court of law and is not bound by the rules of evi- dence.”
  • “A plan administrator is not a court of law and is not bound by the rules of evi- dence.”

Source: CourtListener parenthetical corpus (CC0).

Judges: Bauer, Posner, Sykes

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.