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· 8/15/1994

The Sheppard & Enoch Pratt Hospital, Incorporated v. Travelers Insurance Company

Citations

  • 32 F.3d 120
  • 18 Employee Benefits Cas. (BNA) 2297
  • 1994 U.S. App. LEXIS 21823

How courts have described this case

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

  • noting that \the district court should not disturb a benefits determination by a trustee authorized to exercise its discretion unless the decision was unreasonable\
  • noting that remand is appropriate if the court concludes that the administrator lacked adequate evidence to make a decision
  • assessing reasonableness of plan administrator’s decision based only on facts known at time of decision
  • refusing to consider affidavit of beneficiary’s treating physi- cian, when beneficiary failed to submit affidavit to plan review committee
  • “Thus, although it may be appropriate for a court conducting de novo review of a plan administrator’s action to consider evidence that was not taken into account by the administrator, the contrary approach should be followed when conducting a review ... under the abuse of discretion standard.”

Source: CourtListener parenthetical corpus (CC0).

Read full opinion on CourtListener

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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.