Legal Opinion

Scibelli v. Prudential Insurance Co. of America

Court of Appeals for the First Circuit

Decided January 11, 2012No. 11-1372PublishedCited by 8 opinions

1Opinion of the Court

LYNCH, Chief Judge.

This is one of those rare ERISA denial of benefits cases in which the plan administrator, The Prudential Life Insurance Company of America, did not reserve to itself discretion as to interpretation and administration of its plan. The benefits at issue are the proceeds of a group life insurance policy (Group Policy) in the sum of $300,000, claimed by the estate of Walter Jajuga, who died on December 31, 2008. Whether the estate gets those benefits turns on whether Jajuga was “totally disabled” on May 6,1997, when he stopped working for Mercedes-Benz USA (MBU-SA). If he was…

2Cases cited16 opinions

  1. Firestone Tire & Rubber Co. v. BruchSupreme Court of the United States · 1989
  2. Michael F. Terry v. Bayer Corporation and Bayer Corporation Disability PlanCourt of Appeals for the First Circuit · 1998
  3. Zenaida Garc A-Ayala v. Lederle Parenterals, Inc.Court of Appeals for the First Circuit · 2000
  4. Orndorf v. Paul Revere Life InsuranceCourt of Appeals for the First Circuit · 2005
  5. Recupero v. New England Telephone & Telegraph Co.Court of Appeals for the First Circuit · 1997

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3Cited by8 opinions

  1. Gross v. Sun Life Assurance Co. of CanadaCourt of Appeals for the First Circuit · 2013
  2. Stephanie C. v. Blue Cross Blue Shield of Massachusetts HMO Blue, Inc.Court of Appeals for the First Circuit · 2016
  3. Sebastian M. v. King Philip Regional School DistrictCourt of Appeals for the First Circuit · 2012
  4. Doe v. Harvard Pilgrim Health Care, Inc.Court of Appeals for the First Circuit · 2018
  5. González-Ríos v. Hewlett Packard P.R. Co.District Court, D. Puerto Rico · 2012

3 more not listed; retrieve them via the Exa API.

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