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FIVE  LESSONS AND SUGGESTIONS FOR PRACTICE FOR FUNCTIONAL CAPACITY EVALUATORS WEBINAR WITH ROY MATHESON OPEN DISCUSSION AT END OF PRESENTATION March 4, 2010 Copyright 2010 Telephone 603-358-6525 Majeski v. Metropolitan Life
MetLife Short Term Disability Plan Governed by the Employee Retirement Income Security Act (ERISA)  The Case
[object Object],The Case
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],The Thinking Evaluator
This appeal concerns MetLife’s decision to reject Majeski’s claim for short-term disability benefits. Overview of the Case The Background 6 No. 09-1930
As the plan administrator MetLife determined that Majeski had failed to submit enough evidence to support her claim. Overview of the Case The Background 6 No. 09-1930
Majeski filed suit, but the district court granted summary judgment against her. Overview of the Case The Background 6 No. 09-1930
Although MetLife’s determination is entitled to deferential review… Overview of the Case The Background 6 No. 09-1930
…the court concludes that there are such significant gaps in the evidence supporting MetLife’s decision that further proceeding are necessary. Overview of the Case The Background 6 No. 09-1930
Lesson One ,[object Object],[object Object],[object Object],[object Object],[object Object]
Lesson Two ,[object Object],[object Object],[object Object],2 and 13 No. 09-1930
Lesson Two ,[object Object],[object Object],[object Object],2 No. 09-1930
Lesson Two ,[object Object],[object Object],13 No. 09-1930
Lesson Three ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],2 and 13 No. 09-1930
Lesson Three ,[object Object],[object Object]
Lesson Four ,[object Object],[object Object],[object Object],1 and 2 No. 09-1930
Lesson Four ,[object Object],[object Object],1 and 2 No. 09-1930
Lesson Five ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Lesson Five ,[object Object],[object Object],[object Object],[object Object],11 No. 09-1930
Lesson Five ,[object Object],[object Object],7, 10, 11 No. 09-1930
Lesson Five ,[object Object],[object Object],12 No. 08-1362
Lesson Five ,[object Object],[object Object],10 No. 08-1362
Lesson Five ,[object Object],[object Object],[object Object],11 No. 1:06-cv-01136
Lesson Five ,[object Object],[object Object],[object Object],[object Object],1 No. 02-469
Valuable Gift ,[object Object],[object Object]
Comments/Questions? www.roymatheson.com [email_address] 1-800-443-7690 +1-603-358-6525 Find us on Facebook

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Majeski v MetLife Webinar Presentation

  • 1. FIVE LESSONS AND SUGGESTIONS FOR PRACTICE FOR FUNCTIONAL CAPACITY EVALUATORS WEBINAR WITH ROY MATHESON OPEN DISCUSSION AT END OF PRESENTATION March 4, 2010 Copyright 2010 Telephone 603-358-6525 Majeski v. Metropolitan Life
  • 2. MetLife Short Term Disability Plan Governed by the Employee Retirement Income Security Act (ERISA) The Case
  • 3.
  • 4.
  • 5. This appeal concerns MetLife’s decision to reject Majeski’s claim for short-term disability benefits. Overview of the Case The Background 6 No. 09-1930
  • 6. As the plan administrator MetLife determined that Majeski had failed to submit enough evidence to support her claim. Overview of the Case The Background 6 No. 09-1930
  • 7. Majeski filed suit, but the district court granted summary judgment against her. Overview of the Case The Background 6 No. 09-1930
  • 8. Although MetLife’s determination is entitled to deferential review… Overview of the Case The Background 6 No. 09-1930
  • 9. …the court concludes that there are such significant gaps in the evidence supporting MetLife’s decision that further proceeding are necessary. Overview of the Case The Background 6 No. 09-1930
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23.
  • 24.
  • 25.
  • 26. Comments/Questions? www.roymatheson.com [email_address] 1-800-443-7690 +1-603-358-6525 Find us on Facebook