- We successfully defended a third-party administrator against claims that it breached fiduciary duties in the processing and payment of thousands of claims under hundreds of welfare benefit plans. The plaintiffs in this putative class action alleged that the Third Party Administration (TPA) violated various claims handling regulations enacted pursuant to ERISA related to pre-service claims. The court accepted our argument that the plaintiffs were not entitled to the relief they sought.
- In another matter, we successfully resolved a case involving allegations that a service provider failed to properly value mutual fund shares held within the client's defined contribution retirement plan. In this case, we were able to achieve a favorable settlement through direct negotiation, prior to incurring substantial litigation costs. The settlement avoided protracted litigation with plan participants and beneficiaries.
- In a precedent victory, we successfully defended a defined benefit plan and its sponsor in a suit alleging breach of fiduciary duty related to the payment of lump sum distributions to plan participants. In this case, the plaintiffs alleged that the plan terms improperly coerced them into taking their accrued benefit in the form of a lump sum, rather than as an annuity at normal retirement age. The court dismissed the plaintiffs' claims in their entirety, prior to class certification, and awarded our client its costs and fees pursuant to ERISA. The dismissal was affirmed on appeal by the U.S. Court of Appeals for the Seventh Circuit.
- We successfully defended a retirement benefit plan against breach of fiduciary duty claims alleging that the plan improperly and fraudulently valued its assets after receiving requests for lump sum distributions. In this case, the plaintiffs sought to use a valuation date that was more favorable than that disclosed in plan documents. The court ultimately accepted our argument that the plan sponsor and its fiduciaries properly valued and distributed the benefits sought by the plaintiffs.
- We successfully represented a plan's pension committee in a suit alleging self-dealing and fraud. In this case, the plaintiffs alleged that a plan benefits committee paid lump sum distributions improperly, in violation of its duty to administer the plan for the exclusive benefit of participants and beneficiaries. The court accepted our argument that a deferential standard of review applied and dismissed the plaintiffs' claims.
- In another case, we defended a plan administrator against allegations that he defrauded a participant by concealing and failing to honor a domestic relations order (DRO) purporting to establish an interest in a defined benefit pension plan. The matter was successfully resolved before incurring substantial litigation costs and the claims ultimately were dismissed.
Cash Balance Conversion
We defended a pension plan and its sponsor in a class action alleging liability arising from the conversion of the plan to a cash balance plan. In this matter, the purported plaintiff class alleged that the plan was not properly converted and that the conversion violated anti-cutback and other ERISA requirements.
Company-Wide Claims Handling Litigation
We represented a health insurance carrier against allegations that its standard policy violates state mandates found in Wisconsin's insurance code. In this purported class action lawsuit, the plaintiffs alleged that the defendant insurer breached fiduciary and other duties under ERISA by failing to provide required coverage related to specialty physician care.
Welfare Benefit Plan Litigation
We have represented clients in cases alleging improper claims handling practices under employer-sponsored welfare benefit plans. For example, we successfully defended a TPA against allegations that it administered claims improperly, resulting in a lost stop-loss recovery by the plaintiff's plan. The three-person arbitration panel hearing the case unanimously rejected all claims against our client, accepting our argument that the disputed claims were correctly processed.