finding conflict of interest where Blue Cross, acting as administrator of an ERISA Plan, provided insurance coverage to the employer; paid all claims out of its own assets and suffered the losses; and made all eligibility determinations
How later courts described this case
- finding conflict of interest where Blue Cross, acting as administrator of an ERISA Plan, provided insurance coverage to the employer; paid all claims out of its own assets and suffered the losses; and made all eligibility determinations
- “when sentence A has expired but has been used to augment sentence B, the prisoner is “in custody” only on sentence B,” but the prisoner “may contend that that custody violates the Constitution if it was augmented because of an invalid sentence A”
- "The fiduciary duties section [of ERISA] [ ] requires adherence to the written plan documents unless their provisions conflict with statutory duties.... [cites omitted] One conflict might be identified between the contractual provision [at issue] [ ] and the standard of loyalty itself."
- "[i]t is fundamental that the fiduciary’s interpretation first must be 'wrong' from the perspective of de novo review before a reviewing court is concerned with the self-interest of the fiduciary."
Written by the judges who cited it.
The opinion
C. A. 11th Cir. Motion of American Council of Life Insurance et al. for leave to file a brief as amici curiae granted. Certiorari denied.