When reviewing an ERISA claim by a fiduciary under a long term disability benefit, can the court admit more evidence that was before the decision was made?

MultiRegion, United States of America

The following excerpt is from Dorsey v. Metro. Life Ins. Co., No. 2:15-cv-02126-KJM-CKD (E.D. Cal. 2017):

When reviewing an ERISA claim, the court is ordinarily limited to the administrative record the plan administrator had at the time of the benefit denial. See Abatie, 458 F.3d at 970. This restriction is based on the principle that federal district courts should not function "as substitute plan administrators," and that expanding the record on appeal "would frustrate the goal of prompt resolution of claims by the fiduciary under the ERISA scheme." Taft v. Equitable Life Assurance Soc'y, 9 F.3d 1469, 1472 (9th Cir. 1993) (citation omitted). Where, as here, the court reviews an ERISA claim de novo, it can admit outside evidence "only when circumstances clearly establish that additional evidence is necessary to conduct an adequate de novo review of the benefit decision." Mongeluzo v. Baxter Travenol Long Term Disability Benefit Plan, 46 F.3d 938, 944 (9th Cir. 1995) (citation omitted). In most cases where review is de novo, "additional evidence is not necessary for adequate review of the benefits decision, [and] the district court should only look at the evidence that was before the plan administrator . . . at the time of the determination." Id.

Other Questions


Can a petitioner who has had a full and fair review of his Fourth Amendment claims in state court seek to have those claims reviewed by the federal appeals court? (MultiRegion, United States of America)
If a federal claim is not "adjudicated on the merits" in a state court, if the state court rejects the federal claim, what is the legal test for review of the claim? (MultiRegion, United States of America)
Is a district court's decision not to admit evidence within the scope of the Federal Rule of Evidence 404(b) reviewed de novo? (MultiRegion, United States of America)
What is the standard of review for a decision of the board of trustees to deny accidental disability benefits but to grant ordinary disability benefits? ("New York", United States of America)
Is a federal district court's decision not to admit evidence of other bad acts reviewed for abuse of discretion? (MultiRegion, United States of America)
What is the test for reviewing a trial court's decision not to admit or exclude evidence? (MultiRegion, United States of America)
In reviewing verdicts for sufficiency of the evidence, what are the guidelines used by the courts in reviewing the evidence? (MultiRegion, United States of America)
What is the test for a review of a federal court's decision not to admit evidence of abuse of discretion? (MultiRegion, United States of America)
When a hearing officer disagrees with a decision made by the reviewing officer on the issues with which he disagreed with the hearing officer, how will the review officer's decision be considered? (MultiRegion, United States of America)
When assessing the evidence presented at trial, does a reviewing court need to conduct a thorough review of the state court record? (MultiRegion, United States of America)
X



Alexi white


"The most advanced legal research software ever built."

Trusted by top litigators from across North America.