October 2016

You know that courts can expect a claimant to establish “objective evidence of impairment” from a physical condition.

But does this apply to claims arising out of a mental condition?

Courts can require the claimant to establish objective impairment related to a diagnosable mental condition, too.

Here’s the case of Gailey v Life Insurance Company

Are Social Security Administration disability determinations, issued after the final appeal decision, part of the ERISA administrative record? NO.

Plaintiffs often seek reversal of a denial of ERISA-governed disability benefits because the claim administrator failed to conduct an independent medical exam (IME).

But is the failure to conduct an IME fatal to a