You already know that claimants with a denied claim must submit an appeal and exhaust administrative remedies before filing suit.
But are phone calls sufficient to trigger the appeal process?
And, can a claimant trump the exhaustion requirement by alleging the denial was in “bad faith” and, therefore was a “special circumstance?”
Here’s the case…
An update on ERISA Life, Health, Disability matters from BOOM: The ERISA blog. https://www.boomerisablog.com/
We all know that ERISA disability claimants must exhaust administrative remedies before bringing a suit. Exhausting administrative remedies typically includes seeking an internal appeal.
But…what is required in the claimant’s letter to the Plan to constitute an “appeal”?
Here’s a…
