Can ERISA Plan Administrators Recover Overpaid LTD or Health Insurance Benefits?

Plan administrators for health and disability insurance governed by the Employee Retirement Income Security Act (ERISA) often seek reimbursement when a beneficiary receives a third-party settlement or is otherwise overpaid. But the ability to recover those overpaid long-term disability (LTD) or health insurance benefits isn’t absolute. The U.S. Supreme Court has clarified — and restricted […]

Understanding the LTD Claims Process Under ERISA: Navigating 29 C.F.R. § 2560.503-1

If you’re pursuing a Long-Term Disability (LTD) claim, understanding the legal framework governing the claims process is crucial. For employees and claimants dealing with LTD benefits, the Employee Retirement Income Security Act (ERISA) provides important protections and clear procedures that insurers must follow. One key regulation is 29 CFR § 2560.503-1, which outlines the mandatory […]