:: ERISA Claim Denial Sustained In Accidental Death Case Despite Lack Of Causal Proof

502(A)(1)(B) Claim for Benefits / Standard of Review / Summary Plan Description

That it may be impossible to prove that Mr. Nally was indeed hypoglycemic at the moment of his accident does not mean that LINA’s decision does not survive moderately heightened arbitrary and capricious review. It …

:: Failure To Furnish SPD Can Lead To Loss Of Deferential Standard Of Review

Standard of Review / Summary Plan Description

Although Lumbermens has shown that the Summary Plan Description (“SPD”) unambiguously confers upon the Plan administrator discretionary authority to determine eligibility for benefits and to construe the terms of the plan, see Ingram v. Martin …