:: After The Finding Of Conflict: How Should Conflicts Of Interest Affect ERISA Judicial Review?

In a recent law review article, I predicted that the level of review of the administrative record after Glenn will vary based upon judicial temperament.   “The Debate Over Deference In The ERISA Setting – Judicial Review …

:: ERISA Fiduciary Breach Based Upon Misrepresentation Claim Survives Where Equitable Estoppel Claim Fails

On February 27, 2008, I dismissed Plaintiffs’ claims that Defendants were contractually barred and equitably estopped from reducing the minimum life insurance benefit. I concluded that “as a matter of law, the Plan unambiguously reserves …

:: Health Care Provider’s Equitable Estoppel Claims Dismissed As Contrary to Plan’s MAC Provisions

According to the express language of the Plan, “Billed charges [“the amount a Provider charges for services rendered”] may be different from the amount that [Blue Cross] determines to be the Maximum Allowable Charge for …