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Milma Garcia Ramos v. 1199 Health Care Employees Pension Fund and the Trustees of the 1199 Health Care Employees Pension Fund Docket No. 04-3720-Cv

2nd CircuitJune 23, 2005No. 234Cited 12 times
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Case Details

Judge(s)
McLaughlin, Straub, Hall
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

The court affirmed summary judgment for the pension fund, holding that equitable tolling does not apply to the plan's two-year retroactivity provision for disability benefits, as it is a substantive rule governing benefit amounts, not a procedural limitations period.

What This Ruling Means

**Pension Fund Wins Case Over Disability Benefits** This case involved Milma Garcia Ramos, who filed for disability benefits from her union's pension fund (1199 Health Care Employees Pension Fund). The dispute centered on the fund's rule that only allowed disability benefits to be paid retroactively (going back in time) for a maximum of two years from when someone applied. Ramos argued that special circumstances should allow the court to extend this time limit in her favor. The court ruled against Ramos and sided with the pension fund. The judges determined that the two-year limit was a permanent rule about how much money could be paid out, not just a deadline that could be adjusted in special cases. They affirmed that pension funds can enforce these types of benefit limitations without exception. **What This Means for Workers:** This ruling is significant because it shows that pension and benefit plans can strictly enforce their payout rules, even when workers face difficult circumstances. If your employer's benefit plan has time limits for filing claims or receiving retroactive benefits, courts are unlikely to make exceptions. Workers should carefully review their benefit plan rules and file claims promptly to avoid losing potential benefits due to these strict time limits.

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

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