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132233P.pdf 08/07/2014 Salvador Silva v. Metropolitan Life Insurance Co
U.S. Court of Appeals Case No: 13-2233
U.S. District Court for the Eastern District of Missouri - St. Louis
[PUBLISHED] [Melloy, Author, with Gruender and Bright, Circuit Judges]
Civil Case - ERISA. Benefits under a supplemental life insurance policy
were denied for failure to submit evidence of insurability and district
court granted summary judgment to plan fiduciary and employer. Because
plan did not define evidence of insurability and any required form was not
in the record, questions of material fact prevent review of whether
MetLife abused its discretion in denying claims for benefits. District
court's denial of motion to amend the complaint to add an additional ERISA
claim under 29 U.S.C. sec. 1132(a)(3) because claim would be futile is
reversed, as Silva could show an equitable claim of surcharge,
reformation, or equitable estoppel. Silva is not precluded from pleading
claims under section 1132(a)(1)(B) and 1132(a)(3) in motion to dismiss
stage. Judge Gruender concurs in part and dissents in part.