Ariana M. v. Humana Health Plan of Tex., Inc.
Court of Appeals for the Fifth Circuit
1Opinion of the Court
GREGG COSTA, Circuit Judge, joined by STEWART, Chief Judge, DENNIS, PRADO, SOUTHWICK, HAYNES, GRAVES, and HIGGINSON, Circuit Judges:
When an ERISA plan lawfully delegates discretionary authority to the plan administrator, a court reviewing the denial of a claim is limited to assessing whether the administrator abused that discretion. Firestone Tire & Rubber Co. v. Bruch , 489 U.S. 101 , 115, 109 S.Ct. 948 , 103 L.Ed.2d 80 (1989). For plans that do not have valid delegation clauses, the Supreme Court has held that "a denial of benefits challenged under § 1132(a)(1)(B) is to be reviewed under a…
Also in this document: Dissent · Jolly; Dissent · Owen.
2Cases cited48 opinions
- Universal Camera Corp. v. National Labor Relations BoardSupreme Court of the United States · 1951
- Citizens to Preserve Overton Park, Inc. v. VolpeSupreme Court of the United States · 1971
- Firestone Tire & Rubber Co. v. BruchSupreme Court of the United States · 1989
- Massachusetts Mutual Life Insurance v. RussellSupreme Court of the United States · 1985
- Metropolitan Life Insurance v. GlennSupreme Court of the United States · 2008
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