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Fifth Circuit Changes Standard of Review of Health Plan Administrator Factual Findings
Michelle L. Roberts, via LinkedIn Link to more items from this source
Mar. 5, 2018

"Since 1991, the Fifth Circuit Court of Appeals ... [has required courts] to show deference to the factual findings of a benefit plan administrator, regardless of whether the benefit plan conferred such authority on the administrator.... The other circuits only show deference to the factual findings of plan administrators if the benefit plan specifically provides for such deference.... [A]fter more than three years of litigation, the majority of the Fifth Circuit panel agreed to overrule its decision[.]" [Ariana M. v. Humana Health Plan of Texas, Inc., No. 16-20174 (5th Cir. Mar. 1, 2018)]

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