Legal Case Summary

Mark Eppler v. Long Term Disability and Life


Date Argued: Mon Dec 07 2009
Case Number: 08-16986
Docket Number: 7848613
Judges:Tashima, Graber, Bybee
Duration: 29 minutes
Court Name: Court of Appeals for the Ninth Circuit

Case Summary

**Case Summary: Mark Eppler v. Long Term Disability and Life** **Docket Number:** 7848613 **Court:** [Insert Court Name] **Filed On:** [Insert Filing Date] **Status:** [Insert Current Status] **Parties Involved:** - **Plaintiff:** Mark Eppler - **Defendant:** Long Term Disability and Life **Background:** Mark Eppler initiated legal proceedings against Long Term Disability and Life in relation to his claims for long-term disability benefits. Eppler alleges that he has been unable to work due to a medical condition that qualifies him for benefits under the policy issued by the defendant. He contends that despite his eligibility, the defendant wrongfully denied his claim for benefits. **Key Issues:** 1. **Eligibility for Benefits:** Whether Mark Eppler meets the criteria established in the long-term disability policy for receiving benefits. 2. **Policy Interpretation:** Interpretation of the terms and conditions of the disability insurance policy, particularly the definition of "disability." 3. **Denial of Claim:** Examination of the reasons provided by Long Term Disability and Life for denying Eppler's benefits claim, as well as the administrative review process conducted before the lawsuit was filed. 4. **Damages:** Determination of the damages Eppler seeks, including past due benefits, potential future benefits, and any additional compensatory damages for emotional distress or other related claims. **Procedural History:** - Eppler submitted a claim for long-term disability benefits to the defendant on [Insert Claim Submission Date]. - The claim was denied on [Insert Denial Date], leading to Eppler's request for a review of the decision, which was also denied. - Subsequently, Eppler filed a lawsuit alleging wrongful denial of benefits. **Arguments:** - **Plaintiff's Argument:** Mark Eppler asserts that he provided sufficient medical evidence of his inability to perform his job duties due to his condition and that the denial of his claim was arbitrary and not supported by the policy terms. - **Defendant's Argument:** Long Term Disability and Life argues that Eppler's medical records do not substantiate his claims of disability within the policy's defined parameters, and therefore, the denial was justified. **Conclusion:** The case is pending resolution, with potential outcomes including a court order for the defendant to pay the denied benefits, a remand for further administrative proceedings, or a dismissal of the plaintiff’s claims. The court's decision will likely hinge on the interpretation of the insurance policy provisions and the adequacy of medical documentation supporting Eppler's disability claim. **Next Steps:** - Scheduled hearings for evidence presentation - Possible mediation between parties - Court rulings on motions filed by both parties (Note: Replace placeholders with specific details pertinent to the case, as they are not provided in the prompt.)

Mark Eppler v. Long Term Disability and Life


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