Topic
ERISA benefits
47 published works
Roberts Disability Law Blog
District Court Rejects Proposed ERISA Class Challenging NFL Disability Benefits Process for Lack of Commonality and Typicality
In Alford, et al v. The NFL Player Disability, & Survivor Benefit Plan, et al., No. 1:23-CV-00358-JRR, 2026 WL 216349 (D. Md. Jan. 28, 2026), a group of retired National…
Roberts Disability Law Blog
Ninth Circuit Affirms Denial of ERISA Medical Benefits for Residential Mental Health Treatment Under “Medical Necessity” Guidelines.
In R.R.; E. R. v. California Physicians’ Service, d/b/a Blue Shield of California, No. 24-6337, 2026 WL 207507 (9th Cir. Jan. 27, 2026), Plaintiffs-Appellants R.R. and his son E.R. sued…
Compensation & Benefits Blog
Third Circuit Holds No Deference Due Where Administrator Fails to Articulate an Interpretation of an Ambiguous Plan Term
In most cases, denials of ERISA plan benefits by administrators who have been granted discretionary authority to interpret and apply the plan are reviewed under an abuse of discretion standard,…
Roberts Disability Law Blog
District Court Enforces AD&D Policy’s 365-Day Loss Requirement, Dismissing ERISA Denial-of-Benefits Claim
In Camardelle v. Metropolitan Life Insurance Company, No. CV 25-1382, 2025 WL 3687691 (E.D. La. Dec. 19, 2025), the Eastern District of Louisiana dismissed an ERISA denial-of-benefits lawsuit at the…
Roberts Disability Law Blog
Court Upholds MetLife’s Decision to Award ERISA Life Insurance Benefits to Long-Term Partner Over Parents
In a recent decision from the Northern District of Texas, the court affirmed MetLife’s determination that a decedent’s long-term partner—not his parents—was entitled to receive $350,000 in life insurance benefits…
Roberts Disability Law Blog
District Court Finds Guardian Entitled to Set Off in ERISA Benefits Dispute, But Awards Attorneys’ Fees to Plaintiff
In Rappaport v. Guardian Life Insurance Company of America, No. 1:22-CV-08100 (JLR), 2025 WL 2694252 (S.D.N.Y. Sept. 22, 2025), the U.S. District Court for the Southern District of New York…
Your ERISA Watch
Second Circuit Rules Disability Claimant Didn’t Waive Her Right to Sue for Benefits in Kantor & Kantor Victory
Schuyler v. Sun Life Assurance Co. of Canada, No. 23-498, __ F.4th __, 2025 WL 2349010 (2d Cir. Aug. 14, 2025) (Before Circuit Judges Livingston, Chin, and Robinson) ERISA generally…
Roberts Disability Law Blog
Fourth Circuit Affirms Win for Plaintiff in ERISA Long-Term Disability Lawsuit Against Reliance Standard
In Wonsang v. Reliance Standard Life Insurance Company, No. 24-1419, 2025 WL 1672860 (4th Cir. June 13, 2025), a dispute over entitlement to long-term disability benefits, the Fourth Circuit Court…
Roberts Disability Law Blog
Ninth Circuit Affirms Judgment for ERISA Plaintiff in Dispute Over Residential Mental Health Treatment
In Dan C. v. Directors Guild of America – Producer Health Plan, No. 24-3203, 2025 WL 1419920 (9th Cir. May 16, 2025), the Ninth Circuit Court of Appeals reviewed the…
Roberts Disability Law Blog
District Court Orders Inclusion of External Medical Review Documents in ERISA Administrative Record
By Kristin Kyle
In Noelle E. v. Cigna Health & Life Ins. Co., 2:23-cv-00686, 2025 WL 754031 (D. Utah Mar. 10, 2025), in a medical benefits action brought under the Employee Retirement Income…