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Does Your Plan Document Give Appropriate Discretion to the Plan Administrator?
Graydon Head & Ritchey LLP
June 5, 2017 "With the exception of the 5th Circuit, the Circuit Courts have unanimously interpreted Firestone such that when the plan document provides discretion to the plan administrator, the abuse of discretion standard of review applies to plan interpretations, factual determinations, and the application of the facts to the plan provisions. As illustrated by Ariana M. v. Humana Health Plan of Texas, Inc., the 5th Circuit Court of Appeals treats factual determinations differently.... The takeaway from Ariana is that ERISA plans should make it clear that the discretion afforded to the plan administrator applies to factual determinations, in addition to interpreting the plan provisions and applying the facts to the terms of the plan." MORE >> |
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