Topic: unless the benefit plan gives the administrator or fiduciar… · Go Syfert
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Topic #61

16 canonical passages across 12 cases, quoted by 2,919 opinions in total. These passages cluster together because the same opinions keep quoting them side by side: they state parts of one doctrine. The anchor passage is from Firestone Tire & Rubber Co. v. Bruch.

#Case FlagCanonical passage Citers
1 Firestone Tire & Rubber Co. v. Bruch Anchor
scotus · 1989
green “unless the benefit plan gives the administrator or fiduciary discretionary authority to determine eligibility for benefits or to construe the terms of the plan.” 1,699
2 Firestone Tire & Rubber Co. v. Bruch
scotus · 1989
green “if a benefit plan gives discretion to an administrator or fiduciary who is operating under a conflict of interest, that conflict must be weighed as a 'factor in determining whether there is an abuse of discretion.” 390
3 Black & Decker Disability Plan v. Nord
scotus · 2003
green “plan administrators, of course, may not arbitrarily refuse to credit a claimant's reliable evidence, including the opinions of a treating physician.” 208
4 Black & Decker Disability Plan v. Nord
scotus · 2003
green “courts have no warrant to require administrators automatically to accord special weight to the opinions of a claimant's physician; nor may courts impose on plan administrators a discrete burden of explanation when they credit reliable evidence that conflicts with a treating phys…” 177
5 Metropolitan Life Insurance v. Glenn
scotus · 2008
green “should prove less important (perhaps to the vanishing point) where the administrator has taken active steps to reduce potential bias and to promote accuracy.” 129
6 Black & Decker Disability Plan v. Nord
scotus · 2003
green “plan administrators are not obliged to accord special deference to the opinions of treating physicians.” 109
7 Metropolitan Life Insurance v. Glenn
scotus · 2008
green “should prove more important (perhaps of great importance) where circumstances suggest a higher likelihood that it affected the benefits decision, including, but not limited to, cases where an insurance company administrator has a history of biased claims administration.” 83
8 Robertson v. Allied Signal, Inc.
ca3 · 1990
green “an inference based upon a speculation or conjecture does not create a material factual dispute sufficient to defeat entry of summary judgment.” 60
9 Donald F. Bogue v. Ampex Corporation and Allied-Signal, Inc. Does 1-10, Inclusive
ca9 · 1992
green “includes even one important discretionary element, and the power to apply that element is unambiguously retained by its administrator.” 15
10 Horan v. Kaiser Steel Retirement Plan
ca9 · 1991
green “is not arbitrary unless it is 'not grounded on any reasonable basis.” 10
11 Nazay v. Miller
ca3 · 1991
green “incentives to avoid the loss of morale and higher wage demands that could result from denials of benefits,” 10
12 Adamson v. Unum Life Insurance Co. of America
ca10 · 2006
green “there is no requirement that the basis relied upon be the only logical one or even the superlative one.” 9
13 Murphy v. Deloitte & Touche Group Insurance Plan
ca10 · 2010
green “does not conclusively prohibit a district court from considering extra-record materials related to an administrator's dual role conflict of interest.” 6
14 Radford Trust v. First Unum Life Insurance Co. of America
mad · 2004
green “disturbing pattern of erroneous and arbitrary benefit denials, bad faith contract misinterpretations, and other unscrupulous tactics.” 6
15 Adamo v. Anchor Hocking Corp.
pawd · 1989
green “without reason, unsupported by substantial evidence or erroneous as a matter of law.” 5
16 Palmer v. University Medical Group
ord · 1997
green “little, if any, language in the plan governing the matter in question.” 3

A red or yellow flag on a member means the underlying case has negative treatment: for those, check the case page before relying on the passage.

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