:: Claim of Interference With Benefits Rights Requires Bona Fide Employment Status

September 30, 2006 · Posted in ERISA, SECTION 510, WELFARE BENEFIT PLANS · Comments Off 

Although the Second Circuit has not squarely addressed this issue, courts in this District have held that § 510 only proscribes interference with the employment relationship . . . Thus, “plaintiffs must allege that defendant took some type of adverse employment action to interfere with the attainment of their benefit rights under the plan.”

Tirone v. New York Stock Exchange, Inc., 2006 WL 2773862 (S.D.N.Y.) (September 28, 2006)

In Tirone, the plaintiff commenced an ERISA class action against the NYSE on behalf of himself and at least 14 other former NYSE employees whose health and life insurance benefits were discontinued by a leave of absence policy. In early 1990, the plaintiff took a medical leave of absence after he began experiencing seizures. His employer, the NYSE, classified him as “totally disabled.”

Under the NYSE Welfare Benefit Plan, the Plaintiff was approved for long-term disability benefits payable by Unum Insurance Company on the basis of a total disability. The Plaintiff also participated in an HMO and enjoyed group benefits under separate policies – the curtailment of these benefits gave rise to the case. Read more

:: ERISA Section 502(a)(3) “Make Whole” Remedy Issue Headed To Seventh Circuit

September 29, 2006 · Posted in ERISA, FIDUCIARY LIABILITY, LITIGATION, MAKE WHOLE, SUBROGATION · 2 Comments 

:: Louisiana Medical Malpractice Cap Struck Down

September 28, 2006 · Posted in NEWS · Comments Off 

:: Healthcare Providers’ Balance Billing Practices Under Scrutiny

September 27, 2006 · Posted in PROVIDER REIMBURSEMENT · 2 Comments 

:: Practice Tip: Free Erisa

September 26, 2006 · Posted in ERISA, PRACTICE TIPS · Comments Off 

:: TPA Averts Fiduciary Status In Defending Failure to Submit Stop Loss Claims Litigation

September 26, 2006 · Posted in ERISA, FIDUCIARY LIABILITY, LITIGATION, PREEMPTION, STOP LOSS, THIRD PARTY ADMINISTRATORS · Comments Off 

:: New Benefits Blog at BNA

September 25, 2006 · Posted in ERISA · Comments Off 

:: A Short Course In MEWA’s (Unit 4) “Compliance Requirements”

September 23, 2006 · Posted in ERISA, MEWA's · 29 Comments 

:: Healthcare Policy Issues In the News

September 22, 2006 · Posted in ERISA, NEWS, POLICY · 1 Comment 

:: Sixth Circuit Rules That ERISA Permits Declaratory Judgment Action In Subrogation Case

September 22, 2006 · Posted in ERISA, LITIGATION, SUBROGATION · Comments Off 

:: Newsletter

September 21, 2006 · Posted in ERISA · Comments Off 

:: Court Holds ERISA Does Not Permit Suit For Contribution

September 21, 2006 · Posted in ERISA · Comments Off 

:: Eleventh Circuit Decides ERISA Status of Disability Program

September 20, 2006 · Posted in ERISA, WELFARE BENEFIT PLANS · Comments Off 

:: Conflicts of Interest – Plan Consultants Under Scrutiny

September 19, 2006 · Posted in ERISA, NEWS · Comments Off 

:: Court Awards Attorney’s Fees, Costs & Prejudgment Interest to ERISA Plaintiff

September 19, 2006 · Posted in ATTORNEYS' FEES, ERISA, LITIGATION · Comments Off 

:: Association Health Plan Bill To Advance

September 18, 2006 · Posted in ERISA, MEWA's, NEWS, POLICY · 2 Comments 

:: Limitations Period In Plan Upheld

September 18, 2006 · Posted in CLAIMS PROCEDURES, ERISA, LIMITATION OF ACTIONS · Comments Off 

:: Discussion Board

September 17, 2006 · Posted in ERISA · Comments Off 

:: Ambiguous Letter Does Not Constitute SPD

September 15, 2006 · Posted in ERISA, SUMMARY PLAN DESCRIPTION · Comments Off 

:: Stop Loss Carrier’s Refusal To Pay Insufficient Reason To Deny Claims

September 13, 2006 · Posted in CLAIMS PROCEDURES, ERISA, STOP LOSS, THIRD PARTY ADMINISTRATORS · 15 Comments 

:: DOJ Fraud & Abuse Cases & Settlements

September 12, 2006 · Posted in FRAUD · Comments Off 

:: Provider “Liens” And Managed Care Agreements – A Contradiction in Terms?

September 12, 2006 · Posted in ERISA, HMO's, PROVIDER REIMBURSEMENT · 1 Comment 

:: SPD Saves Plan’s Subrogation Rights

September 11, 2006 · Posted in ERISA, SUBROGATION, SUMMARY PLAN DESCRIPTION · 1 Comment 

:: A Short Course In MEWA’s (Unit 3) “Regulation of MEWAs Under State Insurance Laws”

September 10, 2006 · Posted in ERISA, FRAUD, MEWA's · 1 Comment 

:: Article Re: Settling Personal Injury Claims

September 8, 2006 · Posted in ERISA, SUBROGATION · Comments Off 

:: Electronic Discovery Resources

September 8, 2006 · Posted in ERISA, LITIGATION · Comments Off 

:: Case Note Summaries Added

September 8, 2006 · Posted in ERISA · Comments Off 

:: A Short Course In MEWA’s (Unit 2) “State Law or Federal Law”

September 6, 2006 · Posted in ERISA, MEWA's · 1 Comment 

:: Plan Exclusion: Pitfalls To Avoid (TPA Series #1)

September 6, 2006 · Posted in ERISA, THIRD PARTY ADMINISTRATORS · 1 Comment 

:: Fourth Circuit Holds Plan Decision An Abuse of Discretion

September 6, 2006 · Posted in ERISA, STANDARD OF REVIEW · Comments Off 

:: Arnold Will Veto California Single Payer Bill

September 6, 2006 · Posted in ERISA, NEWS, POLICY · Comments Off 

:: Halliburton Case Comments

September 5, 2006 · Posted in ERISA · Comments Off 

:: Lay, Skilling Motion To Compel Arbitration Denied

September 5, 2006 · Posted in ARBITRATION, ERISA · Comments Off 

:: More On Taxability of Awards

September 5, 2006 · Posted in NEWS · Comments Off 

:: A Short Course In MEWA’s (Unit 1) : Overview

September 4, 2006 · Posted in ERISA, MEWA's · 1 Comment 

:: New Caselaw

September 3, 2006 · Posted in ERISA · Comments Off 

:: Arbitration of Provider Reimbursement Disputes

September 1, 2006 · Posted in ARBITRATION, ERISA, PROVIDER REIMBURSEMENT · Comments Off 

:: Court Holds That Three Year ERISA Limitations Period Bars Claims

September 1, 2006 · Posted in ERISA, FIDUCIARY LIABILITY, LIMITATION OF ACTIONS · 1 Comment 

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