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ERISA ruling highlights need to update plan documents; Employers face risk of de novo reviews on benefit decisions.(News)(Employee Retirement Income Security Act)
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Business Insurance
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December 4, 2006
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Copyright informationCOPYRIGHT 2006 Crain Communications, Inc. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan. All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)
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Byline: DAVE LENCKUS
DENVER-A health benefits dispute wending through the federal courts underscores that plan sponsors with dated plan documents risk turning over disputed benefit decisions to courts for a full, trial-like review, according to benefits and legal experts.
Although a federal appellate court ruled that the plan documents of the health plan involved in the case contained language that make any coverage disputes subject to only a narrow review by courts, many other plans do not contain those vital clauses, experts say.
In a split ruling, a 10th U.S. Circuit Court of Appeals panel on Nov. 15 overturned a lower court's decision to conduct a trial-like ...
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