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Text of Federal District Court Opinion Awarding Statutory Penalties for Failure to Furnish Plan Document for Life Insurance Plan Even Though Terms Were Identical to SPD (PDF)
U.S. District Court for the Eastern District of Tennessee
Sept. 24, 2015
"Defendant Board of Trustees argues that its failure to provide Plaintiff with the Plan Document is excused because the Plan Document contains no terms that specifically address the life insurance benefit, and because there are no conflicting terms between the SPD and the Plan Document regarding same.... [T]he terms of the SPD specifically state that in the event of any inconsistency between the SPD and the Plan Document, the Plan Document will control. Ergo, armed only with access to the SPD and not the Plan Document, Plaintiff could not have known the unequivocal terms of the life insurance policy because she did not have the opportunity to discover any inconsistencies, or lack thereof, between the SPD and the Plan Document.... Defendant Board of Trustees will be assessed a penalty of $61,380.00 for its failure to furnish a copy of the Plan Document ... in addition to the $12,760.00 for Defendant Board of Trustees' failure to provide a copy of the Policy." [Harris-Frye v. United of Omaha Life Ins. Co., No. 1:14-cv-72 (E.D. Tenn. Sept. 21, 2015)]
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