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Brigham v. Sun Life of Canada

1st CircuitJanuary 28, 2003No. 02-1237Cited 75 times
Defendant WinSun Life of Canada
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Case Details

Judge(s)
Lipez, Coffin, Stahl
Status — whether other courts must follow this ruling
Published
Procedural Posture — the stage the case had reached
appeal

Related Laws

No specific laws identified for this ruling.

Claim Types

Breach of Contract

Outcome

Sun Life prevailed on appeal as the district court's summary judgment in its favor was affirmed. The court found that Sun Life's determination that Brigham was capable of sedentary work and therefore no longer entitled to long-term disability benefits after the five-year 'own occupation' period was supported by substantial evidence.

What This Ruling Means

**Brigham v. Sun Life of Canada: Disability Benefits Case** This case involved a dispute over long-term disability benefits. Brigham was receiving disability payments from Sun Life of Canada under a policy that initially covered him if he couldn't perform his own job. After five years, the policy terms changed to require that he be unable to perform any sedentary (desk) work to continue receiving benefits. Sun Life determined that Brigham could handle sedentary work and stopped his disability payments. Brigham sued, claiming the insurance company wrongfully terminated his benefits. The court ruled in favor of Sun Life of Canada. The appeals court upheld a lower court's decision, finding that Sun Life had substantial evidence to support its conclusion that Brigham was capable of performing sedentary work. Therefore, the company was justified in ending his disability benefits after the five-year period. This ruling is important for workers because it shows how disability insurance policies can have different standards over time. Many long-term disability policies start by covering you if you can't do your specific job, but later switch to covering you only if you can't do any type of work. Workers should carefully review their disability insurance terms to understand when and how coverage might change.

This summary was generated to explain the ruling in plain English and is not legal advice.

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