Sunshine, Lollipops, and Rainbows

Pridgen Bassett Law is thrilled to be celebrating its 5th year and 500th client-matter this month.  PBL (and through its immediate past iteration, Pridgen Law Group) has been privileged to service the ERISA litigation and employee benefit dispute needs of many clients here in Georgia and around t...

Sisung v. UNUM Life Ins. Co. of Am., 2022 U.S. App. LEXIS 15028 (11th Cir. June 1, 2022) Review of benefit denials under an arbitrary and capricious standard often presents a significant hurdle to claimants. In Sisung, however, the Eleventh Circuit found Unum’s denial of disability benefits to be unreasonable, a significant victory for a disabled individual.

A recent decision from the Fourth Circuit indicates that, even under an abuse of discretion standard, one flawed medical report can taint the entire “deliberate, principled reasoning process” that is required under ERISA.  Further, a claimant cannot be required to exhaust conservative treatment options before undergoing surgery if that is not an explicit term in the applicable plan. Finally, a plan that continuously errs in its decision-making process may be denied remand, even where there is no evidence of bad faith.  In short, three strikes and you’re out.

Nancy Pridgen has been honored to appear on “Family Business Radio with Anthony Chen.”  Click on the link below to hear the conversation with Nancy about how and why Pridgen Bassett Law loves serving our clients with their benefits disputes and employment law needs. Click Below to listen to Epis...

Listen to episodes of “ProfitSense with Bill McDermott” featuring Leslie Bassett Our attorneys have been honored to appear on “ProfitSense with Bill McDermott.”  Click on the links below to hear conversations with Leslie ...

Overview: On January 1, 2022, the No Surprises Act (“NSA”) will take effect.  The NSA was signed into U.S. law on December 27, 2020, as part of the Consolidated Appropriations Act, 2021.  The provisions in the NSA will boost patient protections by limiting patient r...

COBRA continuation coverage can help you and your family maintain health insurance coverage if your employment situation changes. COBRA allows you to extend your coverage under your employer-provided group health plan even if your employment is ended or your hours a...

SCOTUS – ERISA Standing for DB Plan Participants A Supreme Court opinion issued by Justice Kavanaugh on June 1, 2020 will likely create significant impediments for suits arising from fiduciary mismanagement of defined benefit plans. The 5-4 decision was split along...