Black and Decker Disability Plan v. Nord
April 28, 2003 (02-469)
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Case Summary
Respondent had severe back and leg pain associated with degenerative disk disease. With his doctors recommendation, Respondent quit his job and filed a claim with the Petitioner for up to thirty months of long-term disability benefits. This claim was denied and as part of the review, Respondent saw a doctor referred by the disability plan for an independent evaluation. This doctor determined that Respondent could work with sufficient medication. After the review, Petitioner again denied Respondent's claim even though two other doctors and a human resources evaluator believed that Respondent could not work. Respondent filed suit claiming that Petitioner's action was arbitrary and violated ERISA. The court held the Petitioner had not abused its discretion and that no violation of ERISA occurred. The U.S. Court of Appeals for the Ninth Circuit reversed and held that ERISA requires application of the treating physician rule, which places more weight on the opinion of the employee's physician. The opinion of the Ninth Circuit is found at 296 F.3d 823.

To see the opinion of the lower court, click here.


PREDICTED OUTCOME ACTUAL
OUTCOME
Forecasting
Model
Expert
One
Expert
Two
Expert
Three
8-1 to Reverse 8-1 to Affirm n/a n/a 9-0 to Reverse
VOTING TO REVERSE
Rehnquist
O'Connor
Scalia
Kennedy
Souter
Thomas
Ginsburg
Breyer
Breyer Rehnquist
Stevens
O'Connor
Scalia
Kennedy
Souter
Thomas
Ginsburg
Breyer
VOTING TO AFFIRM
Stevens Rehnquist
Stevens
O'Connor
Scalia
Kennedy
Souter
Thomas
Ginsburg
 

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