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Key insurance case heard

It may help workers get benefits

WASHINGTON — When Wanda Glenn first sought disability benefits from MetLife in 2000, she "never in a million years" expected it would end up as a Supreme Court case.

But today, the justices will hear oral arguments in a dispute that is being closely watched by insurance companies and business groups. Depending on how the justices rule, the case could make it easier for employees to win health and disability benefit payments in court.

Disability benefits are a big business. Disability insurance plans cover 28 million Americans, and insurers paid more than $7.2 billion in long-term disability claims to more than 500,000 people in 2006, according to court papers filed by the U.S. Chamber of Commerce, America's Health Insurance Plans and the American Benefits Council.

But it's a claim that didn't get paid that led Glenn, a 55-year-old resident of Columbus, Ohio, to sue MetLife.

Glenn, who suffered a heart attack in 1989, says her doctor in 2000 told her to stop working "or die." While she loved her job as a sales manager at Sears, Roebuck & Co., where she had worked for 14 years, Glenn left and applied for disability benefits.

"I am not asking for a handout," she said in an interview. "I'd rather be working."

MetLife, which administered Sears' disability plan, paid benefits for two years but in 2002 said her condition had improved and refused to continue the benefit payments. Sears, now owned by Sears Holdings Corp., is not involved in the case.

Glenn's lawyers argue that MetLife had a conflict of interest, because it both decided whether employees should receive benefits under Sears' plan and it paid the benefits. That gives MetLife a financial incentive to deny her claim, they argue.

"Every time they deny a claim, they pocket the money," said Joshua Rosenkranz, who is representing Glenn before the Supreme Court.

MetLife saved $180,000 by denying Glenn disability benefits until retirement, her lawyers said in court filings.

A spokesman for New York-based MetLife wouldn't comment on the details of the case.

Most federal appeals courts consider companies in MetLife's position — so-called "dual role insurers" — to have some conflict of interest. But, the question of how much weight to give that conflict when individuals challenge a denial of benefits has "befuddled the lower courts," the Legal Aid Society said in a friend of the court brief.

The 6th U.S. Circuit Court of Appeals ordered Glenn's benefits reinstated in September 2006, ruling that MetLife "acted under a conflict of interest."

MetLife appealed that ruling to the Supreme Court.

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