In plaintiff-employee’s ERISA action against defendant-employer for denying her claim for short-term disability benefits, summary judgment in favor of the defendant is vacated and remanded as a plan administrator’s procedures are not reasonable if its determination ignores, without explanation, substantial evidence that the claimant has submitted that addresses what the plan itself has defined as the ultimate issue of whether plaintiff’s functional limitations were objectively documented.  

Read Majeski v. Metro. Life Ins. Co., No. 09-1930

Appellate Information

Appeal from the United States District Court for the Northern District of Illinois, Eastern Division

Decided December 29, 2009

Judges

Before:  Wood, Evans, and Tinder, Circuit Judges

Opinion by Wood, Circuit Judge

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