| 23-586 |
United Behavioral Health, et al. v. D. K., et al. |
Tenth Circuit |
2023-12-01 |
Denied |
Amici (1)Response Waived |
administrative-record benefits-denial erisa health-benefits judicial-review substantial-evidence treating-provider |
1. Is an ERISA-governed plan that denies health benefits required to discuss contrary opinions from the member's treating providers in the decision le… |
| 23A365 |
United Behavioral Health, et al. v. D.K., et al. |
Tenth Circuit |
2023-10-24 |
Presumed Complete |
|
administrative-record benefits-denial erisa medical-providers substantial-evidence tenth-circuit |
Question not identified. |
| 22-1213 |
Roslyn Gonzalez v. Blue Cross Blue Shield Association, et al. |
Fifth Circuit |
2023-06-15 |
Denied |
Response Waived |
administrative-remedies administrative-review benefits benefits-denial coverage-denials federal-employee-health-benefits-act fehba opm-review plan-participant |
1. Does the denial of "benefits" under FEHBA include denial of the plan participant's access to services, or access to the OPM administrative review o… |
| 21-6982 |
Robert Stanley Gordon v. Metropolitan Life Insurance Company |
Ninth Circuit |
2022-01-27 |
Denied |
IFP |
benefits-denial conflict-of-interest custody erisa evidence evidence-retention long-term-disability plan-concealment |
Whether ERISA long-term disability benefits can be denied after years of plan concealment.
Whether a conflict of interest is acceptable when a defend… |
| 20-378 |
North Cypress Medical Center Operating Company, Ltd., et al. v. Cigna Healthcare, et al. |
Fifth Circuit |
2020-09-24 |
Denied |
|
administrative-discretion benefits-denial circuit-split conflicts-of-interest employee-retirement-income-security-act erisa firestone-analysis judicial-review standard-of-review totality-of-factors |
Whether, in reviewing an ERISA administrator's benefits denial, it is automatically dispositive that "two other courts" upheld the administrator's int… |
| 20-242 |
Norine Sylvia Cave v. Delta Dental of California, et al. |
Ninth Circuit |
2020-08-28 |
Denied |
Relisted (2) |
beneficiaries-rights benefits-denial breach-of-fiduciary-duties claim-adjudication erisa erisa-fiduciary-duty fiduciary-duties fiduciary-responsibility medical-records medical-records-withholding plan-administration unauthorized-benefits |
1. Whether a covered entity violates ERISA, by improperly denying
beneficiaries' rights and further compounds such violations by
approving unauthori… |
| 19-146 |
Thomas P. Kelly, Jr. v. Reliance Standard Life Insurance Company, et al. |
Third Circuit |
2019-07-31 |
Denied |
Response Waived |
administrative-review benefits-denial circuit-split disability-benefits disability-standard erisa futility futility-doctrine own-occupation remand retroactive-benefits |
Should this Court resolve the conflict among the
Circuits about whether it would be futile to require an ERISA plan participant upon remand to retroac… |
| 18-9480 |
Gregory Stanley Roberts v. Inservco Insurance Services |
Third Circuit |
2019-05-30 |
Denied |
Response WaivedRelisted (2)IFP |
act-534 administrative-determination administrative-law agency-determination benefits-denial disability-benefits due-process employment-law injury-claim light-duty workers-compensation workplace-injury youth-development-center |
The petitioner was injured on three occassions while performing his duties at Bensalem Youth Developement Center. (DPW). The second injury, the agency… |
| 18-134 |
Jennifer Perkins v. US Airways, Inc., et al. |
Fourth Circuit |
2018-07-31 |
Denied |
Response Waived |
12(b)(6) benefits-denial current-employment-status erisa health-benefits medicare-as-secondary-payer medicare-secondary-payer plan-documents summary-judgment unreasonable-denial-of-benefits |
Petitioner has been continuously employed as a
flight attendant with Respondent US Airways, Inc.
(US Air), a member of the flight attendants' union,
a… |