Charles Kuntz of the University of Cincinnati's Mayfield Clinic. She saw several physicians, beginning with Dr. In October 2002, Elliott began experiencing renewed pain related to the 1989 accident, including radiating shoulder pain, numbness, and burning sensations. In 1993, Elliott began working for Great American Financial Resources and joined the company's employee benefit plan, which MetLife administers. Soon after, she underwent stabilization and spinal surgery, which involved the placement of metallic wires in her neck. At that time, she suffered significant fractures of her second and third cervical vertebrae.
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Consequently, we remand to the district court with instructions to remand to Metlife for a full and fair review consistent with this opinion.Įlliott was injured severely in a car accident in 1989. We cannot say, however, that Elliott is clearly entitled to long-term disability benefits. The record does not support the conclusion that MetLife's denial of Elliott's claim was the result of a deliberative, principled reasoning process. Elliott appealed to this court.īecause we conclude that MetLife's decision was arbitrary and capricious, we vacate the judgment of the district court. Holding that MetLife's determination to deny benefits was not “arbitrary and capricious,” the district court granted MetLife's motion and denied Elliott's motion. MetLife moved for judgment affirming its decision to deny benefits and Elliott moved for reversal.
Thereafter, Elliott brought this ERISA action, based on the administrative record, against MetLife for wrongful denial of benefits under 29 U.S.C. Patricia Elliott submitted a claim for long-term disability benefits to the administrator of her employer's employee benefit plan, Metropolitan Life (“MetLife”). This case presents the questions of whether an ERISA plan's determination to deny benefits was arbitrary and capricious and, if it was, what remedy this court should order. Thomas, Woodward, Hobson & Fulton, Louisville, Kentucky, for Appellee. Grabhorn, Grabhorn Law Office, Louisville, KY, for Appellant. Emery, John Frith Stewart, Stewart, Roelandt, Stoess, Craigmyle & Emery, Crestwood, Kentucky, Michael D. Angela Logan Edwards, Woodward, Hobson & Fulton, Louisville, Kentucky, for Appellee. Emery, Stewart, Roelandt, Stoess, Craigmyle & Emery, Crestwood, Kentucky, for Appellant. Decided: November 15, 2006īefore BOGGS, Chief Judge DAUGHTREY, Circuit Judge and MILLS, District Judge.**ĪRGUED: Stephen C. METROPOLITAN LIFE INSURANCE COMPANY, Defendant-Appellee. Patricia ELLIOTT, Plaintiff-Appellant, v. Music Direct does not guarantee delivery within that specified time period.United States Court of Appeals,Sixth Circuit. Average ground delivery time ranges from 7-14 business days. The ground shipping method used will be determined at Music Direct's discretion.
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