· 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 CourtListenerSourced 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.