Holding courts must analyze allegations supporting § 1132 claims to determine if also sufficient to state a claim under § 1132(B) regardless of relief sought and irrespective of allegations supporting other claims
Holding "therefore, if a reasonable administrative scheme is available to a plaintiff and offers the potential for an adequate legal remedy, then a plaintiff must first exhaust the administrative scheme before filing a federal suit."
Holding that showing of futility was insufficient where the Plaintiff failed to pursue administrative review following the administrator's denial of her claim
298 F. Supp. 2d 1259 (S.D. Fla. 2003) Cited 90 times
Holding that medical associations suffered injury caused by “systematic practices regarding payments directly affect[ed] medical associations who must deal with the fallout of such behavior.”
Holding that plaintiff was barred from collecting accrued interest when employer disbursed benefits according to the procedure and the time period outlined in the employee-benefit plan