AUGUST
2014
ERISA & LIFE INSURANCE NEWS Cover ing ERISA and Life, Health and Disability Insurance Litigation
INSIDE THIS ISSUE Beneficiary’s Agreement with Insurer’s Agent Did Not Prevent Lapse of Life Policy
04
Employer Was Not Acting as an ERISA Fiduciary When It Accepted Premiums from Plan Participant
05
Pulmonary Irritants Unique to Employee’s Work Site Did Not Support Disability from Her Occupation
06
Divorce Decree Must Describe Life Insurance with Sufficient Specificity
07
Agent’s Fraudulent Concealment of Terminal Illness Resulted in Rescission of Policy Insuring His Brother
08
Benefits Decision Was Not Arbitrary Because It Was Supported By Evidence Inconsistent With Insured’s Claim
09
State Law Claims of Breach of Contract and Fraud Dismissed Because Completely Preempted by ERISA
10
Former Employee Had Right as ERISA Plan “Participant” to Request Copy of SPD
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“Benefit-Stripping” Amendment to ERISA Plan Is Permissible in Context of Welfare Benefits
A prime objective of ERISA is to protect the rights of employees to receive retirement benefits which have become vested, based on the attainment of retirement age, or years of service, or other criteria established by an employer’s plan. To accomplish that objective, pension plans are required by Section 203 of ERISA, 29 U.S.C. § 1053, to include provisions that prevent the forfeiture of accrued benefits. In the context of pension plans, the protection of vested benefits is explicit in the statute and is enforced in the case law. But what about benefits that have accrued under welfare benefit plans, such as disability benefits that an employee has been receiving for years? Can a welfare plan change the rules and terminate benefits that have already been awarded, based on a “benefit-stripping” amendment to the plan? continued on page 2 >>