Moser v. Trans-General Life & Casualty Group Inc.

U.S. Court of Appeals for the Ninth Circuit
Moser v. Trans-General Life & Casualty Group Inc., 161 F. App'x 666 (9th Cir. 2006)

Moser v. Trans-General Life & Casualty Group Inc.

Opinion of the Court

MEMORANDUM *

Susan Moser (“Moser”) appeals the district court’s entry of judgment in favor of Trans-General Life & Casualty Group Inc. (“Trans-General”) after a bench trial on Moser’s claim for long-term disability benefits. We affirm.

Moser contends that the district court erred in applying the deferential abuse of discretion standard of review to the plan administrator’s decision to deny benefits. We need not decide which standard of review is applicable because even under a de novo review, we conclude that the plan administrator’s decision must be upheld.

For Moser to be eligible for long-term disability benefits beyond March 19, 1998, the plain language of the plan requires that she demonstrate that (1) she was totally disabled due to a physical cause on or before March 19, 1998 and (2) she was under the regular care of a physician at that time. It is not disputed that Moser was not under the regular care of a physician from March 1998 through January 2000. Trans-General properly denied Moser’s application for long-term disability benefits beyond March 19,1998.

AFFIRMED.

This disposition is not appropriate for publication and may not be cited to or by the courts of this circuit except as provided by 9th Cir. R. 36-3.

Reference

Full Case Name
Susan MOSER, Plaintiff—Appellant v. TRANS-GENERAL LIFE & CASUALTY GROUP INC., a corporation, Defendant—Appellee
Status
Published