ERISA Appeals and Litigation: Understanding The Path Forward After a Denial

When a life insurance, long-term disability, or other ERISA claim is denied upon the first review, it can be tempting to want to run to the courthouse and file a lawsuit. After all, the frustrated ERISA claimant’s degree of trust in the claim review process is at an all-time low. Sure, the denial letter refers to an appeal process, but …

Fifth Circuit Ruling Out of Louisiana Shows Challenges in Long-Term Disability Fights

A recent decision by the U.S. Fifth Circuit Court of Appeals highlights just how tough it can be for people in Louisiana to hold on to their employer-sponsored long-term disability benefits. The case, Stout v. Smith International, Inc., No. 24-30571, 2025 WL 1029503 (5th Cir. Apr. 7, 2025) centers on Charles Stout, a Louisiana resident whose benefits for a heart …

Court Prioritizes Plan Participant’s Last Wishes in Life Insurance Dispute Governed by ERISA

In a recent decision, the New-Orleans based United States Court of Appeals for the Fifth Circuit affirmed a district court’s decision in an ERISA life insurance case where an insured’s formal beneficiary paperwork was incomplete but the insured’s intentions are unmistakably clear. The ruling in Morgan v. Barrera, No. 21-20497, 2025 WL 1234567 (5th Cir. Apr. 21, 2025), confirms that …

U.S. Court of Appeals for the Fifth Circuit Finds for Insurer in Weird Case; Death Due to Russian Roulette Not Covered by AD&D Policy

Published by The Pellegrin Firm October 9, 2019

In a ruling issued October 1, 2019, the New Orleans-based U.S. Court of Appeals for the Fifth Circuit found for Securian Life Insurance Company in the case of a Texas teenager who shot himself in the head while hanging out with his friends

Can a Mosquito Bite Be an Accident for Purposes of an Accidental Death Policy?

Published by The Pellegrin Firm October 6, 2019

An interesting March 22, 2018, decision from the New Orleans-based U.S. Court of Appeals for the Fifth Circuit found that it can be under Texas law. The court of appeals found the question to be close enough that the federal district court was wrong to grant summary judgment for the insurer.

Death on the Job: What Family Members Need to Know About Louisiana Workplace Fatalities

Published by The Pellegrin Firm September 9, 2019

When a loved one dies on the job, it is common to experience grief, resentment, worry, and confusion. Louisiana has thousands of jobs in chemical plants, in the oil and gas industry, in construction, and on vessels. These are very strenuous jobs that pay well. However, they can also be very dangerous.

Analysis: Everything Goes Wrong for Beneficiaries in Western District of Louisiana Life Insurance Case

Published by The Pellegrin Firm September 2, 2019

In an August 20, 2019, ruling out of the U.S. District Court for the Western District of Louisiana, Judge S. Maurice Hicks sided with Metropolitan Life Insurance Company in a dispute against a deceased man’s wife and children over life insurance benefits.

Accidental Death & Dismemberment Policy Payout Denials

Published by The Pellegrin Firm August 23, 2019

Accidental Death & Dismemberment (AD&D) insurance is an important planning tool families use to protect against the consequences of the accidental death of a loved one. In addition, these policies often cover loss of a limb, hearing, or vision due to accident, losses which can seriously affect earning capacity. These policies can be sold by themselves or as a rider to a traditional life insurance policy.