Justia U.S. 7th Circuit Court of Appeals Opinion Summaries

Articles Posted in Injury Law
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A citizen of Illinois brought suit against several non-Illinois companies and one Illinois company, alleging failure to warn with respect to side effects of Yazmin birth control pills. The defendants removed to federal court, claiming improper joinder. The district court dismissed the Illinois pharmacy owner, restoring diversity, and dismissed the suit after the plaintiff abandoned the case. The Seventh Circuit affirmed, applying the "learned intermediary doctrine" and reasoning that the pharmacy had no duty to warn, absent knowledge of a particular susceptibility. The "common defense" exception does not serve as a basis for remand because the plaintiff alleged that the other defendants concealed information.

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The wife of a deceased coal miner argued that her claim for black lung benefits should be remanded to the administrative law judge (ALJ) because sect. 1556 of the Patient Protection and Affordable Care Act (PPACA), Pub. L. No. 111-148 (2010) revived a presumption under the Black Lung Benefits Act (BLBA), 30 U.S.C. 901, that was not available when the ALJ denied benefits. The presumption states that if a miner was employed for 15 years or more in underground coal mines and other evidence demonstrates the existence of a totally disabling respiratory or pulmonary impairment, there is a rebuttable presumption that such miner is totally disabled due to pneumoconiosis, that his death was due to pneumoconiosis, or that at the time of his death he was totally disabled by pneumoconiosis. The presumption did not apply to the miner's claim, filed in 2001. The Seventh Circuit remanded, rejecting the coal company's arguments concerning due, process, retroactive application and unconstitutional taking.

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The plaintiff stopped working in November, 2005, due to a variety of ailments, and filed a disability claim in August, 2007. The claim was denied in September. The plaintiff's appeal, received in April, 2008, 11 days after the stated 180-day deadline, was denied. She filed suit under the Employee Retirement Income Security Act (ERISA), 29 U.S.C. 1132. A magistrate upheld the denial. The Seventh Circuit affirmed. The plaintiff failed to exhaust administrative remedies. The plan has a clear deadline; the plaintiff was not denied meaningful access to review procedures and did not allege that pursuing administrative remedies would be futile. The court rejected a "substantial compliance" argument, noting that the plaintiff did not offer an explanation for the late filing. The Plan was not required to show prejudice as a result of the delay to justify rejecting the claim. Letters sent by the plaintiff could not reasonably be construed as notice of appeal. The Plan has procedures to minimize conflicts of interest and its refusal to consider the appeal was not arbitrary.