Luke Bailey gives us good practical guidance.
In my experience, too many employers and administrators unwisely reach out to decide or do something before there is a claim to respond to. (So far, Kansas401k avoided that trap.) And too many neglect opportunities to channel “concerns” into the plan’s claims procedure.
Following a careful claims procedure gets predictably stronger results.
Luke Bailey suggests one way an administrator might help protect the administrator’s decision-making. (Showing an estate-planning or family lawyer how to turn her client’s wish into something the plan can deal with often is effective.)
Another way, perhaps depending on the ambiguous facts and circumstances, might be to inform the “concerned” telephoner that anyone can submit a written claim. (It even could be a claim that recognizes the surviving spouse is the beneficiary, but asserts that she ought not to be the payee and that the plan ought to delay payment for a reasonable time so a conservator can be appointed.)
Following the administrator’s claims procedure, including forming written explanations for each denied claim, makes it much easier to defend the administrator’s decision. That’s so even for situations in which people are embarrassed, defensive, or hostile. And it can avoid unnecessary expenses. Why burden participants’ accounts with an expense for attorneys’ fees to show a court the plan’s primacy if that unpleasant exercise could have been avoided?
My observation is more than anecdotal. It’s grounded on my experience as counsel to a big recordkeeper (with many thousands of plans and millions of participants), advising a work unit that handled big volumes of death claims. We used business-process measurements to discover ways to make claims-handling more effective, and to manage our and plans’ expenses.
Sometimes, there is a healthy balance between asserting or defending a plan’s primacy and avoiding unnecessarily deciding a claim in ways that might offend others’ sensibilities.
Also, giving interested persons a way to be heard strengthens the decision-making. Even unlearned judges can understand the idea of deference to a process. If the “concerned” telephoner was invited to, but didn’t, use a procedure to slow down payment to the potential conservatee, a judge looking into the situation might have more empathy for an administrator’s decision to pay the named beneficiary absent any reason not to.