Archives
Archives: 7/29/05 to 12/29/05
The following article by
Mark DeBofsky appeared in the Chicago Daily Law
Bulletin's
Workplace Issues section on December 27, 2005:
Court Judgment
Stays on the Books.
Click on the link to read the
article.
posted 12/29/2005
The following article by
Mark DeBofsky appeared in the Chicago Daily Law
Bulletin's
Workplace Issues section on December 5, 2005:
Another
Court Questions Impartiality of Doctor.
Click on the link to read the
article.
Mark DeBofsky
spoke on ERISA Preemption at the December 2, 2005
meeting of the Kansas Trial Lawyers Association in
Kansas City, Missouri.
posted 12/5/2005
Szanyi v.
Barnhart,
No. 2:04-C-412
(N.D. IN November 23, 2005). The Court found
that the ALJ failed to articulate his reasons for
discrediting some of Mr. Szanyi's claims; thus, his
credibility and Step Five findings were flawed.
Additionally, the court suggested that the ALJ inquire
as to the effect of GAF on the ability to work on
remand. Mr. Szanyi was represented by Frederick
J. Daley, Jr. with assistance from Heather Aloe.
The following article by
Mark DeBofsky appeared in the Chicago Daily Law
Bulletin's
Workplace Issues section on November 21, 2005:
Claimant denied
fair chance to continue benefits.
Click on the link to read the
article.
posted 11/28/2005
Item of Interest: Milliman, Inc.'s
Impact of Disability Insurance Policy Mandates Proposed
by the California Department of Insurance
Mark DeBofsky spoke at
the ABA's 15th Annual National Institute on ERISA
Litigation conference held on November 10-11, 2005 in
the Sofitel located near the Water Tower in Chicago,
Illinois.
The following article by
Mark DeBofsky appeared in the Chicago Daily Law
Bulletin's
Workplace Issues section on November 7, 2005:
Court applies
common sense to ERISA.
Click on the link to read the
article.
posted 11/11/2005
Poznanski v. Barnhart,
No. 1:05-C-1199
(N.D. IL October 5, 2005). The Court found
that the ALJ's reasons for discounting the opinion of
the treating doctor in favor of the State agency doctor
were not supported by substantial evidence; thus, his
RFC finding was flawed. Mr. Poznanski was
represented by Frederick J. Daley, Jr. with
assistance from Barbara Borowski.
The following article by
Mark DeBofsky appeared in the Chicago Daily Law
Bulletin's
Workplace Issues section on October 18, 2005:
Death apparently not enough
to prove disability.
Click on the link to read the
article.
posted 10/19/2005
The California Department of Insurance issued an order
on October 3, 2005 revoking Unum’s right to do business
in CA; however, the order will not take effect based on
a settlement reached. The
settlement
agreement includes: claimants’ rights to demand an
IME, self-reported illness limitations are to be removed
from policies, no more discretionary clauses, and the
right to seek independent review if a claimant goes
through reassessment and isn’t satisfied. The
policy definition of “disability” also has to be
rewritten to comport with CA law – no more “job versus
occupation.” Click
here for CDI's Market conduct report on UNUM and
here for their
accusation.
Harris v.
Barnhart,
No. 2:04-C-341
(N.D. IN September 30, 2005). The Court issued
a remand in the case instructing the ALJ to properly
develop the record regarding Harris's past work in
accordance with SSR 82-62, build a logical bridge from
the evidence to his decision, consider the reports from
Harris's employer, and to include all of the limitations
into his hypotheticals to the VE. Mr. Harris was
represented by Frederick J. Daley, Jr. with
assistance from Dorie Budlow.
Cruz v.
Barnhart,
No. 03-C-1489
(E.D. WI September 29, 2005). The Court
remanded this case for further clarification of Cruz's
past work and a new determination at Step 4 and 5 in
accordance with SSR 00-4p. Ms. Cruz was
represented by Frederick J. Daley, Jr.
Christy v.
Barnhart,
No. 03-C-1308
(E.D. WI September 29, 2005). The Court
remanded this case so that the ALJ will consider the
effect Christy's obesity had on her impairments and in
order that he may make a proper credibility
determination in accordance with SSR 96-7p. Ms.
Christy was represented by Frederick J. Daley, Jr.
with assistance from Violet Borowski.
Bungert v. Barnhart,
No. 05-C-2181
(N.D. IL September 27, 2005). The government
declined to brief the case, but instead agreed to a
remand. This occurred after the case had been
briefed for district court by Daley, DeBofsky and
Bryant. Ms. Bungert was represented by Marcie
E. Goldbloom with assistance from
law clerk Suzanne Blaz.
posted 10/7/2005
Diaz v. Prudential, No. 04-2342 (7th Cir. September
20, 2005).
The Seventh Circuit
remanded this case to the District Court for de novo
review.
The Court held that plans without discretion require a
de novo review while plans with discretion
require a discretionary review. The Court reasoned
that the critical question was whether the plan gave the
employee adequate notice that the plan administrator
would make a judgment within the confines of pre-set
standards, or if it has the latitude to shape the
application, interpretation, and content of the rules in
each case. Mr. Diaz
was represented by Mark DeBofsky.
The following article by
Mark DeBofsky appeared in the Chicago Daily Law
Bulletin's
Workplace Issues section on September 19, 2005:
Judgment an incentive for
careful claims review.
Click on the link to read the
article.
Alexander v. Barnhart,
No.
04-C-6840 (N.D. IL September 21, 2005).
The Court held that the ALJ: failed to make a proper RFC
finding; failed to address Ms. Alexander's obesity and
its effect on her ability to perform work; failed to
recontact her doctors in order to adequately develop the
record; and erred in discounting Ms. Alexander's
credibility based upon her daily activities.
Additionally, the Court found the ALJ's step four
analysis to be based on inaccurate hypotheticals, that
the ALJ failed to take into consideration the fact that
Plaintiff's past work was part-time, and failed to
follow SSR 00-4pbecause he did not question the VE as to
whether the jobs conflicted with the DOT. Ms.
Alexander was represented by Frederick J. Daley, Jr.
with assistance from
law clerk Suzanne Blaz.
Sosebee v.
Barnhart,
No.
05-C-0001 (N.D. IL September 16, 2005).
The Court remanded this case because the ALJ improperly
altered the RFC upon remand, made improper inferences
from Mr. Sosebee's alcohol usage, and failed to follow
SSR 00-4p because he did not ask if the VE's jobs were
consistent with the DOT.
Mr. Sosebee was represented by Frederick J. Daley,
Jr. with assistance from Barbara Borowski.
Rocha v. Barnhart,
No. 05-C-0199
(N.D. IL September 5, 2005). The government
declined to brief the case, but instead agreed to a
remand. This occurred after the case had been
briefed for district court by Daley, DeBofsky and
Bryant. Ms. Rocha was represented by Frederick
J. Daley, Jr. with assistance from Barbara
Borowski.
posted 9/28/2005
Lowery v. Barnhart,
No.
2:04-C-383 (N.D. IN September 8, 2005).
The government declined to brief the case, but instead
agreed to a remand. This occurred after the case
had been briefed for district court by Daley, DeBofsky
and Bryant. Ms. Lowery was represented by
Frederick J. Daley, Jr.
Borkowski v. Barnhart,
No.
05-C-3632 (N.D. IL August 30, 2005).
The government declined to brief the case, but instead
agreed to a remand. Mr. Borkowski was represented
by David A. Bryant and Marcie E. Goldbloom.
On September 9, 2005, Mark DeBofsky spoke at the
Midwest Pain Society conference. Click
here for his
Legal Aspects of Disability paper.
Forrest v.
Barnhart,
No.
04-C-4666 (N.D. IL August 29, 2005).
The court remanded this case because the ALJ's reasons
for not adopting Dr Innocencio's opinion were not
supported by substantial evidence, his statement that
there were inconsistencies in Dr. Santos's opinion were
incorrect and, regardless, he should have recontacted
Dr. Santos to clear up any perceived inconsistencies,
and because substantial evidence did not support the
ALJ's credibility finding. Mr. Forrest was
represented by Marcie E. Goldbloom with
assistance from Barbara Borowski.
posted 9/9/2005
The following article by
Mark DeBofsky appeared in the Chicago Daily Law
Bulletin's
Workplace Issues section on August 29, 2005:
Law trying to
get head around 'mental illness'.
Click on the link to read the
article.
Brookins v. Barnhart,
No.
04-C-7805 (N.D. IL August 17, 2005).
The government declined to brief the case, but instead
agreed to a remand. This occurred after the case
had been briefed for district court by Daley, DeBofsky
and Bryant. Ms. Brookins was represented by
Marcie E. Goldbloom with assistance from law
clerk
Sarah Breisblatt.
Morris v. Barnhart,
No.1:04-C-517
(D.
Hawaii August 1, 2005). The court
issued an Order remanding this case pursuant to sentence
four. Ms. Morris was represented by Frederick
J. Daley and Carl Varady.
Ruttenberg v. U.S. Life, No. 04-1653 (7th Cir. June
30, 2005).
This decision remanding
Mr. Ruttenberg's case to the District court was written
by Circuit Judge Ripple. The Court held that the
terms
"full-time" and
"employee"
cannot be said to be unambiguous, and that the District
court erred in dismissing Mr. Ruttenberg's claim on that
ground.
The Court then overturned Mr. Ruttenberg's benefit
denial and established the doctrine of contra
proferentum and “reasonable expectations of the
insured” in benefit claims.
Mr. Ruttenberg was represented by Mark
DeBofsky.
On August 6, 2005, Mark
DeBofsky was inducted as a Fellow of the American
College of Employee Benefits Counsel at the American Bar
Association.
Seamon v. Barnhart,
No.
4:05-cv-117 (W.D. WI August 23, 2005).
The court adopted the Magistrate Judge's Report and
Recommendation (click on link to read) remanding this
case pursuant to sentence four. Ms. Seamon was
represented by Marcie E. Goldbloom with
assistance from Violet Borowski.
posted 8/30/2005
Johnson v. Barnhart,
No.
4:05-cv-117 (E.D. MO August 4, 2005).
The government declined to brief the case, but instead
agreed to a reversal and award of benefits. This
occurred after the case had been briefed for district
court by Daley, DeBofsky and Bryant. Mr. Johnson
was represented by Marcie E. Goldbloom with
assistance from law clerk
Sarah Breisblatt.
The following article by
Mark DeBofsky appeared in the Chicago Daily Law
Bulletin's
Workplace Issues section on August 1, 2005:
Standard of
review in ERISA cases 'too deferential'.
Click on the link to read the
article.
Morris v.
Barnhart,
No.
04-00517 (Hawaii August 1, 2005).
The court remanded this case
because the ALJ: failed to articulate his reasons for
discrediting Claimant’s testimony, i.e. it wasn’t
specific enough for the Court to be able to trace a path
from the evidence to the ALJ’s conclusions; failed to
properly weigh the medical evidence and show how he made
his MRFC conclusions, which resulted in the Court not
being able to tell if the ALJ’s hypotheticals are
correct; failed to articulate his findings to the extent
that the Court was unable to determine whether the ALJ’s
decision on severity is supported by substantial
evidence; and failed to provide an adequate explanation
of how he reached the Claimant’s physical RFC. Ms.
Morris was
represented by Frederick J. Daley with
assistance from attorney Heather Aloe.
posted 8/5/2005
Rogers v. Barnhart,
No.
04-C-7842 (N.D. IL July 7, 2005).
The government declined to brief the case, but instead
agreed to a voluntary remand and award of benefits upon
remand based on the Grids. This occurred after the
case had been briefed for district court by Daley,
DeBofsky and Bryant. Ms. Rogers was represented by
Frederick J. Daley, Jr. with assistance from
attorney
Marcie E. Goldbloom
Little
v. Barnhart,
No. 04-cv-3724 (N.D. IL June 6, 2005). The court found that
the ALJ erred in applying the Medical-Vocational Rules
due to Mr. Little's significant non-exertional
limitations of fatigue and pain. Mr. Little
was represented by Frederick J. Daley with
assistance from attorney
Dorie Budlow.
The following article by
Mark DeBofsky appeared in the Chicago Daily Law
Bulletin's
Workplace Issues section on July 18, 2005:
Social Security
case buttresses benefits claim.
Click on the link to read the
article.
On July 26, 2005, Mark
DeBofsky spoke at the ATLA 2005 Convention in
Toronto on ERISA Pre-emption.
posted 7/29/2005
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