Is an insurance company seeking to sell and administer an ERISA plan to have discretion in making claims decisions?

MultiRegion, United States of America

The following excerpt is from Feibusch v. Integrated Device Technology, 463 F.3d 880 (9th Cir. 2006):

If an insurance company seeking to sell and administer an ERISA plan wants to have discretion in making claims decisions, it should say so. It is not difficult to write, "The plan administrator has discretionary authority to grant or deny benefits under this plan." . . . [I]t is easy enough to confer discretion unambiguously if plan sponsors, administrators, or fiduciaries want benefits

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decisions to be reviewed for abuse of discretion.

Ingram v. Martin Marietta Long Term Disability Income Plan, 244 F.3d 1109, 1113-14 (9th Cir.2001) (internal quotation omitted).

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