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994139P.pdf   06/19/2001  Michael E. Walke  v.  Group Long Term
   U.S. Court of Appeals Case No:  99-4139
                          and No:  00-1403
   District of Minnesota   
Civil case - ERISA. When an insurer issues a policy containing ambiguous claims submission language commonly used in non-ERISA contexts, the presumption should be that there was no intent to confer discretion, and the decision to deny benefits is subject to de novo review; evidence established plaintiff could not perform his duties without adverse and objectively demonstrated physical consequences and was entitled to benefits; however, because plaintiff's disabling stress-induced tachycardia was the result of a mental or nervous disorder, it was subject to the plan's 24 month benefits limit; attorneys' fees award affirmed; dissent by Judge John R. Gibson on the mental or nervous disorder limitation.