2nd Circuit Reverses Standard Of Review Holding In Claim Denial Dispute
Mealey's (April 13, 2016, 12:30 PM EDT) -- NEW YORK — A Connecticut federal judge’s September 2014 holding that employee benefit plans are entitled to review of claim denials under the arbitrary and capricious standard upon a showing of substantial compliance with Department of Labor (DOL) claims-procedure regulations would “upset” the DOL’s “regulatory framework,” the Second Circuit U.S. Court of Appeals ruled April 12 (Tiffany L. Halo v. Yale Health Plan, No. 14-4055, 2nd Cir.; 2016 U.S. App. LEXIS 6659).
(Decision available. Document #54-160511-001Z.)
According to the panel of Circuit Judges Robert A. Katzmann...