Case Summaries

ERISA

[12/24] McCauley v. First Unum Life Ins. Co.
In a challenge to defendent-insurer's denial of plaintiff's claim for long-term disability benefits, dismissal of plaintiff's complaint is reversed and remanded where: 1) in light of the Supreme Court decision in Metropolitan Life Insurance Co. v. Glenn, the Employee Retirement Income Security Act (ERISA) plan administrator abused its discretion in denying plaintiff's claim; 2) the administrator had a conflict of interest because it had both the discretionary authority to determine the validity of the employee's claim and paid the benefits under the policy; 3) a reasonable trier of fact would conclude that defendant-insurer's denial of long-term disability was arbitrary and capricious; and 4) plaintiff was entitled to benefits and interest running from September 18, 1995, the date on which defendant-insurer rejected plaintiff's appeal.

[12/16] Cole v. ArvinMeritor, Inc.
In an action under section 301 of the Labor Management Relations Act (LMRA) and ERISA brought by retired employees and their union against Rockwell International Corporation and its successor companies to enforce what plaintiffs claimed was a promise by defendants to provide retirees and their surviving spouses with lifetime healthcare benefits, summary judgment for plaintiffs is affirmed where the district court correctly found that the applicable collective bargaining agreements (CBAs) contained such enforceable promises.

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Injury & Tort Law

[01/05] C.R. v. Tenet Healthcare Corp.
Trial court erred in sustaining demurrer to complaint against medical center for sexual harassment under Civil Code section 51.9 and for the negligent hiring, supervision and retention of nursing assistant who sexually assaulted and harassed plaintiff. Court holds that: 1) the judicially-noticed documents offered by defendant do not negate plaintiff's allegations that defendant directly or indirectly employed nursing assistant who sexually harassed plaintiff; 2) plaintiff was not required to allege the existence of a fiduciary relationship between herself and the medical center to state a viable claim for sexual harassment under section 51.9; and 3) complaint contains adequate allegations to hold the defendant corporation liable under section 51.9 for the sexual abuse of plaintiff by its employee.

[12/04] Mercury Ins. Co. v. Pearson
Pedestrian who was struck by an uninsured motorist while crossing an intersection with his fiancée is not entitled to coverage under his fiancée's auto insurance policy. Judgment in favor of auto insurer is affirmed where the policy unambiguously extends uninsured motorist coverage to pedestrians only if they are "named insureds" or their spouses or relatives living in the same household.

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