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.
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To see the opinion of the lower court, click here.
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PREDICTED OUTCOME
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ACTUAL OUTCOME
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Forecasting Model
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Expert One
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Expert Two
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Expert Three
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8-1 to Reverse |
8-1 to Affirm |
n/a |
n/a |
9-0 to Reverse |
VOTING TO REVERSE
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Rehnquist O'Connor Scalia Kennedy Souter Thomas Ginsburg Breyer |
Breyer |
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Rehnquist Stevens O'Connor Scalia Kennedy Souter Thomas Ginsburg Breyer |
VOTING TO AFFIRM
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Stevens |
Rehnquist Stevens O'Connor Scalia Kennedy Souter Thomas Ginsburg |
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