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Insurer Need Not Defer to Participant's Physician or Government Agency Decisions
The Wagner Law GroupLink to more items from this source
Dec. 23, 2021

"On appeal, the Court ruled that the insurer did not 'arbitrarily refuse to credit' the participant's doctor's opinion.... The insurer reached its final decision only after determining that his physician's opinions were inconsistent both with her own treatment notes and the findings of the other doctors.... Similarly, the insurer was not obligated to defer to the government agencies' rulings, which, the Court noted had, in any event, not been properly submitted for review." [Feeney v. Unum Life Ins. Co., No. 20-1685 (7th Cir. Nov. 3, 2021; unpub.)]

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