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Benefit Decisions by 'Conflicted' ERISA Plan Administrators – U.S. Supreme Court to Decide the Standard of Judicial Review that Applies
Deloitte via BenefitsLink.com [Guidance Overview] Apr. 23, 2008
Excerpt: The case before the Supreme Court raises issues with a very standard administrative set-up, in which the plan's insurer is also the entity which decides benefit claims. In this case, the employee was denied a continuation of disability benefits because the insurer determined she was no longer disabled. The employee contends that, because of its dual role, the insurer has an inherent conflict of interest[.]
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