Claimant of death benefit under group life policy brought ERISA claim to recover benefit and counsel fees. At issue was whether the claimant’s failure to present evidence of decedent’s employment satisfactory to the plan administrator was a sufficient basis to grant summary judgment dismissing the claim. The plan obligated the claimant to present evidence of employment reasonably requested by the plan administrator. Claimant submitted 1099s but had no w-2 statements or employment contract with the decedent. Moreover decedent was not on employer’s medical insurance plan that was provided to employees. The court denied summary judgement and held a fact issue existed whether the request for specific documents to support the claim was reasonable and that the submission of 1099s was not conclusive on the issue of decedent’s employment status.
Linda Moss v. SunLife Insurance and Annuity Co. of NY v. U.S. Tele-Comm, Inc.
on December 16th, 1995