Alan C. Olson & Associates, s.c.
WEBLOG

Home
Attorneys
Contact Us
Site Map


Subscribe
RSS 2.0 feed
Add to My Yahoo!
Add to Bloglines
Add to your My Feedster
Add to your NewsGator
My MSN
What is RSS?

NFL Retirement plan refuses to pay disability to former football player in violation of ERISA.

Alan Olson

Alan C. Olson practices employment law in New Berlin, Wisconsin. AOlson@Employee-Advocates.com

NFL retirement plan refuses to pay disability to former football player in violation of ERISA.
Posted by: Alan Olson
July 02, 2007

Webster was a center in the National Football League (NFL), playing for the Pittsburgh Steelers for 14 years. He played with the Kansas City Chiefs for two years after that and retired in 1991 when he was about 39. During his time playing football, Webster suffered multiple concussions. After he retired, he tried several business ventures and careers, but they failed, allegedly because he had suffered brain damage, limiting his business acu­men. He did not earn any income, except for a small amount from working briefly as a strength coach for the Chiefs, which employed him "as a favor." A friend encouraged Webster to get an evaluation after learning he had been sleeping in his car and had been found sleeping in a train station. In 1998, Webster was official­ly diagnosed as suffering from brain damage as a result of the head injuries he sustained while playing football. Several physicians later determined he had been suffer­ing from brain damage since his retirement

Webster filed for long-term disability benefits with his retire­ment plans, saying he was totally and permanently dis­abled. The retirement board required him to see a neutral neurologist, who reported he was totally dis­abled as a result of his football injuries. The board gave Webster degenerative benefits dating back to 1996 but denied him active benefits, which are about 50 percent more than degeneratives. Webster appealed, providing reports from several doctors who found the date of his disability to be his retirement date. He died of a heart attack while the appeal was pending. The board subse­quently denied the appeal for active benefits, disavowing the medical reports, including that of its own doctor.

Webster's estate sued the retirement plans, alleging bad faith denial of benefits in violation of the Employee Retirement Income Security Act of 1974 (ERISA), 29 U.S.C. § 1001 et seq. The defendants contended Webster's business ventures and attempts at other careers showed he had the abili­ty to get money for work performed and was thus not eligible for active benefits. They further argued that the doctor's reports were invalid because too much time passed between Webster's retirement and the doctors' determinations.

The trial court granted plaintiff summary judgment and awarded Webster active benefits and degenerative benefits from the date of retirement, rather than 1996. It awarded plaintiff about $1.69 million, including inter­est, fees, and costs. The Court of Appeals affirmed the judgment, holding the board had offered no evidence to contradict the doctors' unanimous opinion that Webster's total and permanent disability was a result of his football playing and thus the board abused its discretion in denying Webster active benefits. The court awarded additional attorney fees and benefits to Webster's children, bringing the total award to about $1.96 million.

Alan Olson

Alan C. Olson practices employment law in New Berlin, Wisconsin. AOlson@Employee-Advocates.com

Permalink

Webster was a center in the National Football League (NFL), playing for the Pittsburgh Steelers for 14 years. He played with the Kansas City Chiefs for two years after that and retired in 1991 when he was about 39. During his time playing football, Webster suffered multiple concussions. After he retired, he tried several business ventures and careers, but they failed, allegedly because he had suffered brain damage, limiting his business acu­men. He did not earn any income, except for a small amount from working briefly as a strength coach for the Chiefs, which employed him "as a favor." A friend encouraged Webster to get an evaluation after learning he had been sleeping in his car and had been found sleeping in a train station. In 1998, Webster was official­ly diagnosed as suffering from brain damage as a result of the head injuries he sustained while playing football. Several physicians later determined he had been suffer­ing from brain damage since his retirement

Webster filed for long-term disability benefits with his retire­ment plans, saying he was totally and permanently dis­abled. The retirement board required him to see a neutral neurologist, who reported he was totally dis­abled as a result of his football injuries. The board gave Webster degenerative benefits dating back to 1996 but denied him active benefits, which are about 50 percent more than degeneratives. Webster appealed, providing reports from several doctors who found the date of his disability to be his retirement date. He died of a heart attack while the appeal was pending. The board subse­quently denied the appeal for active benefits, disavowing the medical reports, including that of its own doctor.

Webster's estate sued the retirement plans, alleging bad faith denial of benefits in violation of the Employee Retirement Income Security Act of 1974 (ERISA), 29 U.S.C. § 1001 et seq. The defendants contended Webster's business ventures and attempts at other careers showed he had the abili­ty to get money for work performed and was thus not eligible for active benefits. They further argued that the doctor's reports were invalid because too much time passed between Webster's retirement and the doctors' determinations.

The trial court granted plaintiff summary judgment and awarded Webster active benefits and degenerative benefits from the date of retirement, rather than 1996. It awarded plaintiff about $1.69 million, including inter­est, fees, and costs. The Court of Appeals affirmed the judgment, holding the board had offered no evidence to contradict the doctors' unanimous opinion that Webster's total and permanent disability was a result of his football playing and thus the board abused its discretion in denying Webster active benefits. The court awarded additional attorney fees and benefits to Webster's children, bringing the total award to about $1.96 million.

 Alan C Olson

Alan C. Olson practices employment law in New Berlin, Wisconsin. AOlson@Employee-Advocates.com

 

        

Topics

2010 Changes to Social Security Disability Earnings Limits
A disability insurance carrier's use of the same case manager to deny each internal appeal violates the claimant's right to a full and fair review.
Aetna and its army of doctors fail to block LTD benefit entitlement
Am I Covered?
Are my Social Security Benefits taxable?
Bad Faith Denial of Long-Term Disability Claim Warrants Award for Emotional Distress, Loss of Reputation, Economic Injury, Punitive Damages, and Attorney Fees
Children's Social Security Benefits offset by Long-Term Disability
Cigna's Structural Conflict Will Now Be Scrutinized
Court Denies Reliance Standard's Untimely Request For Medical Exam
Court Finds MetLife Arbitrary and Capricious in its Denial of LTD Benefits
Court of Appeals covering Michigan, Ohio, Kentucky and Tennessee Finds LTD Carrier's File Review and Reasoning Defective
Court of Appeals for Alaska, Arizona, California, Hawaii, Idaho, Nevada, Oregon, and Washington Finds LTD Carrier Abused Discretion In Denying LTD Benefits
Court of Appeals for Maryland, North Carolina, South Carolina, Virginia, and West Virginia Finds MetLife unlawfully denied LTD benefits
Court of Appeals for Texas, Louisiana and Mississippi Finds The Hartford Abused Discretion in Denying Benefits to Disabled Attorney
Court of Appeals for Texas, Louisiana, and Mississippi Finds Hartford Abused Discretion in Denying LTD Benefits with Financial Bias and Procedural Unreasonableness
Diaz finally gets his day in court against Prudential
Disability Carriers Must Pay the Price for Their Arrogance in Denying Benefits
Disability Insurer Repeatedly Refuses to Pay for Surgery, Breaks Settlement Agreements, and Postpones Treatment Causing Claimant Anxiety Resulting in $1.5M Verdict
Disability Insurers Must Now Feel Your Pain
Disability Plan Documents With Inconsistent Definitions of "Disability" Will be Construed in Favor of the Employee
Disability carriers must provide for a full and fair review including the four cornerstones of Reason, Reference, Description, and Explanation, pursuant to ERISA.
Disability claims-handling systems put profit before disability benefits
Disabling pain?
District Court Shares The "Love" With Our Disabled Client
Employees Cannot be Fired Because of Expensive Medical Insurance Claims
Evidence of Disability Found in Bedrock of Social Security Disability Determination
Evidence suggesting a mistake in diagnosis, lack of detail, and unexplained contradictions are not fatal to LTD claim
Exploring work options with the Department of Vocational Rehabilitation
First Unum ordered to pay claimant's attorney fees and interest due to "culpability."
How are attorney fees and expenses paid in a long-term disability benefit claim?
How long before I receive benefits?
How much can I earn while collecting worker?s compensation?
How to Prove your Disability to the Insurance Company
How to penetrate the LTD carrier's administrative record for evidence of its incompetence and bad faith.
Insurance Company May Allow Extra Time For New Medical Evidence
Insurer's Cancellation of Health Coverage After Cancer Diagnosis Results in $9M Award
Insurer's Recovery From Claimant of Benefit Overpayments May be Barred
LTD Carrier That Exceeds 45 Day Review Period is Held to Stricter Standard
LTD carrier's failure to produce the entire administrative record may result in a ruling favorable to the claimant.
Liberty Mutual unlawfully failed to consider and discuss evidence of claimant's long-term disability
Long-Term Disability Standard Stricter After 24 Months
Many people who apply for Social Security Disability also apply for Long-Term Disability benefits through a private insurer
Met Life's Decision Denying LTD Benefits Found Arbitrary and Capricious
Met-Life ?Abused Its Discretion? Where Denial of LTD Benefits ?Lacks Rational Connection?
MetLife Denied Claimant Full and Fair Review
MetLife found to have undisputed structural conflict of interest
NFL Retirement plan refuses to pay disability to former football player in violation of ERISA.
Ninth Circuit Finds MetLife Abused its Discretion in Terminating Long-Term Disability Benefits
No Cost-of-Living Adjustment for Social Security Benefits
No matter what your disability, the most important element of an application for SSDI/SSI is medical records and reports
People Denied Long-Term Disability Benefits Need Make-Whole Remedies
Prudential will now be confronted at trial with evidence of our client's disability
Prudential's doctors now subject to scrutiny
Remember To Use SOAP To Prove Your LTD Claim
Replacing the DOT
SSDI: Subsidy or Wages
Social Security Administrative Law Judges must be careful with credibility determinations
Social Security Hearings by Video Teleconferencing
Social Security and Bankruptcy
Social Security vs. Alzheimer's: The race against time
Stimulus for the disabled
Substantial Gainful Employment
Sufferers of CFS or Fibromyalgia Cannot Be Denied Their Long-Term Disability Benefits by an Insurer Without a Specialist
Supplemental Security Income (SSI) for children with Attention Deficit Hyperactivity Disorder
The Hartford violated ERISA by Failing to Identify Alternative Jobs For Claimant
The Social Security process is a long and frustrating one; one that can take years before benefits are awarded
The effect of past work
Two types of disability programs through the Social Security Administration
U.S. Supreme Court Affirms That MetLife's Conflict of Interest And Employee's SSD Award Supported Reversal of MetLife's Denial of LTD Benefits
UNUM Likes To Hide Its Sins
UNUM consents to $15,000,000 fine and process to correct denied claims back to 1997
UNUM held "arbitrary and capricious" for ignoring claimant's subjective evidence of her pain and the opinions of her treating doctors
Vocational Hypotheticals during a Social Security hearing must only account for limitations accepted as credible
What are my chances of being approved?
What does it mean to be disabled under the Social Security Administration?
What's it worth? The two most prominent questions asked regarding Social Security.
When must I file suit against my insurer for denial of my long-term disability benefits?
Who's That Guy Behind My Shrubs?
XMRV Virus linked to Chronic Fatigue Syndrome May Help LTD Benefit Recovery
You Need To Get The Goods Before You Get The Benefits




Web Resources

WEBLOG
FindLaw
Thomson West
U.S. Courts
Westlaw
United States Chamber of Commerce
FirstGov
Legislative Branch
Library of Congress
White House
Internal Revenue Service
National Weather Service
Yahoo!Maps
YellowPages.com
New York Times
Newspapers Online
USA Today
Wall Street Journal
AOL
Google
Yahoo!Legal Blog Directory  


The information you obtain at this site is not, nor is it intended to be, legal advice. You should consult an attorney for individual advice regarding your own situation.

Copyright © 2010 by Alan C. Olson & Associates, s.c. All rights reserved. You may reproduce materials available at this site for your own personal use and for non-commercial distribution. All copies must include this copyright statement.