Health plan administrator, functioning as ERISA fiduciary, is not due deference on interpretation of plan terms, as grant of authority to do so is not express and clear.
Substituting Medicare for the plan's prescription plan benefit was a major change, not an administrative one.
District Court had jurisdiction to enforce terms of Settlement Agreement, as the contest was not one of individual eligibility for the plan but overall interpretation.
Equitable relief to the class as a whole did not constitute monetary damages.
Where plan members were subjected to premia in violation of the consent decree, court did not err in awarding judgment without an evidentiary hearing to determine if those costs had been offset.
Art Shy v. Navistar Int'l
Friday, December 14, 2012
Sixth Circuit -- Art Shy v. Navistar Int'l
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Compiled by D.E. Frydrychowski, who is, not incidentally, not giving you legal advice.
Category tags above are sporadically maintained Do not rely. Do not rely. Do not rely.
Author's SSRN page here.