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Article Index » employee benefits: 10 Most Recent Articles
Report Link Same-Sex Marriages: What Do They Mean for Your Benefit Plans?
Fisher & Phillips, LLP - July 03, 2008
On May 15 of this year, the California Supreme Court held that same-sex couples must be permitted to legally marry in California. According to the decision, the failure to designate the relationship of a same-sex couple as a marriage violates the equal protection clause of the California Constitution. When the decision takes effect on June 14, 2008, California will join Massachusetts as the only states that recognize same-sex marriages.
Report Link You’ve Gotta Have Heart.
Fisher & Phillips, LLP - July 03, 2008
Last month President Bush signed into law the Heroes Earnings and Assistance and Relief Act of 2008 (HEART or the Heroes Act). The Act's provisions impact benefits under 401(k) plans. In addition, Health FSAs, group health plans, and cafeteria plans may also be impacted by some Heroes Act changes.
Report Link Posting Notice of SPD on Firm Intranet Site may not be Sufficient to Meet ERISA Requirements.
Ford & Harrison LLP - July 01, 2008
Employers increasingly rely on electronic methods to communicate with employees, keep them informed of company policies and even to provide them with benefits documents as required by federal law. While this is usually a convenient and rapid method of communicating with employees, especially those working in geographically diverse locations, employers should make sure that they comply with federal regulations when providing notice of certain benefits as required by the Employee Retirement Insurance Security Act (ERISA).
Report Link Dual-Role Administrators, Conflicts of Interest, and ERISA’s Deferential Standard of Review.
Jones Walker - June 30, 2008
The Employment Retirement Income Security Act (ERISA) permits a person denied benefits under an employee benefit plan the opportunity to challenge that denial in federal court. Under ERISA, if an administrator has been given discretion to determine eligibility for benefits under the terms of the benefit plan in question, federal courts can overturn eligibility determinations only if they find that the administrator has “abused its discretion.” ERISA jurisprudence has long recognized that if an administrator is operating under a conflict of interest, that conflict of interest must be weighed as a factor in determining whether the administrator’s decision to deny benefits was an abuse of discretion. When the entity that administers an employee benefit plan is also the entity that funds the plan, the courts view that as giving rise to a conflict of interest.
Report Link The Supreme Court Considers Conflicts of Interest in Benefit Claims Procedures
Littler Mendelson, P.C. - June 30, 2008
On Thursday, June 19, 2008, the Supreme Court issued an opinion in Metropolitan Life v. Glenn, holding that where an insurance company both determines an appeal for ERISA benefits, and pays that claim, a conflict of interest as described in Firestone Tire & Rubber Co. v. Bruch is presented. Where the language of a plan grants the administrator discretionary review of claims, this conflict will be taken into account as a "factor" to be weighed in determining whether judicial deference should still be accorded to the administrator's decision.
Report Link Supreme Court Rules on Judicial Review of ERISA Benefit Claims.
Vedder Price - June 26, 2008
On June 19, 2008, the Supreme Court issued a fractured (5–1–1–2) decision in MetLife Insurance Co. v. Glenn, ruling that employee benefi t plan administrators who both make benefi t decisions and pay benefi t claims under a plan covered by the Employee Retirement Income Security Act of 1974 (ERISA) operate under a confl ict of interest that must be weighed as a factor upon judicial review. However, the Court failed to provide a uniform and predictable framework for judicial review of confl icted decisions, holding instead that the weight given to the confl ict will vary according to the particular “facts and circumstances” of each case. The ruling has implications for insurers and sponsors of self-funded plans.
Report Link Supreme Court Complicates Judicial Review of "Dual-Role" Discretionary Benefit Decisions.
Jackson Lewis LLP - June 26, 2008
The United States Supreme Court has preserved the legal standard governing how courts review the discretionary claims denials of insurance companies which would otherwise pay the benefits out of their own assets and, therefore, have an interest in denying the benefit. However, the Court may have effectively eroded the discretion of claim decisionmakers because it held that lower courts should consider the conflict of interest in making their decisions, but left the courts to their own devices in determining how they should go about doing it. Metropolitan Life Ins. Co. v. Glenn, No. 06-923 (June 19, 2008). This decision will significantly complicate the claims determination process of a large number of plans and, among other things, potentially open the door to costly discovery and extensive judicial review of whether an actual conflict of interest affected any part of the claims denial.
Report Link DOL Issues Guidance On Qualified Default Investment Alternatives.
Ogletree Deakins - June 25, 2008
Employers that have adopted a qualified default investment alternative (QDIA) for their 401(k) plans now have a new resource to help work through potential problems, including issues related to investments that predate the QDIA rules, the coordination of QDIA and other plan-related notices, grandfathered stable value funds, and so-called "round trip" restrictions.
Report Link Supreme Court’s Anticlimactic Decision in Glenn does not Streamline ERISA Litigation.
Ford & Harrison LLP - June 23, 2008
Yesterday, the U.S. Supreme Court issued its decision in Metropolitan Life Ins. Co. v. Glenn (June 19, 2008), which many had hoped would provide more clarity with regard to a court’s role in reviewing a plan administrator’s decision denying benefits, where the plan administrator also pays benefits under the plan. However, the Court’s decision in Glenn merely “elucidates” the standards announced by the Court in Firestone Tire & Rubber Co. v Bruch, 489 U.S. 101 (1989), which held that a conflict of interest is a factor to be considered in determining whether to affirm a plan administrator’s benefits determination. The Court did clarify that an entity administering an employee benefit plan, which both determines whether an employee is eligible for benefits and pays those benefits out of its own pocket, operates under an inherent conflict of interest, a question that was not specifically addressed by the Court’s earlier decision in Bruch.
Report Link New Supreme Court Glenn Decision Requires Courts to Consider Employer Conflicts in ERISA Benefit Denial Decisions.
McGuire Woods LLP - June 23, 2008
The U.S. Supreme Court has ruled that an insurer who both paid and decided ERISA disability benefits had a conflict of interest that courts must consider in determining whether the insurer abused its discretion in denying a claim, even without evidence that the conflict influenced the decision. Metropolitan Life Insurance Co. v. Glenn, No. 06-923 (S. Ct., June 19, 2008).

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