Anderson v. Liberty Mutual Long Term Disability Plan

116 F. Supp. 3d 1228, 2015 U.S. Dist. LEXIS 97837, 2015 WL 4523452
CourtDistrict Court, W.D. Washington
DecidedJuly 27, 2015
DocketCase No. C15-00145RSM
StatusPublished
Cited by6 cases

This text of 116 F. Supp. 3d 1228 (Anderson v. Liberty Mutual Long Term Disability Plan) is published on Counsel Stack Legal Research, covering District Court, W.D. Washington primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Anderson v. Liberty Mutual Long Term Disability Plan, 116 F. Supp. 3d 1228, 2015 U.S. Dist. LEXIS 97837, 2015 WL 4523452 (W.D. Wash. 2015).

Opinion

ORDER GRANTING PLAINTIFF’S MOTION FOR JUDGMENT UNDER FRCP 52 AND DENYING DEFENDANTS’ CROSS MOTION FOR JUDGMENT UNDER FRCP 52

RICARDO S. MARTINEZ, District Judge.

I. INTRODUCTION

This matter comes before the Court on Cross Motions filed by Plaintiff Joni Anderson and Defendants Liberty Mutual Long Term Disability Plan, Liberty Life Assurance Company Of Boston (“LLA-COB”), and Liberty Mutual Insurance Company (“Liberty Mutual”), seeking a final judgment from this Court under Federal Rule of Civil Procedure 52 based on an administrative record created in an underlying Employee Retirement Income Security Act (“ERISA”) dispute. Dkt. ## 15 and 24. ■ Plaintiff brings this action under ERISA, 29 U.S.C. § 1001 et seq. to recover long-term disability (“LTD”) benefits under the Liberty Mutual Long-Term Disability Plan (“Plan”). Ms. Anderson, who worked as a Books Transfer Account Manager for a Liberty Mutual company, argues that she is totally disabled under the terms of the Plan due to vertigo, dizziness, disequilibrium (or dysequilibrium), and related symptoms. Defendants argue that the medical evidence and post-diagnosis surveillance do not establish that Ms. Anderson is totally disabled. For the reasons set forth below, the Court concludes that Ms, Anderson is entitled to long-term disability benefits under the terms of the Plan. The Court remands to LLACOB the issue of extending benefits beyond the 18-month period prescribed for “own occupation” benefits.

II. PROCEDURAL ISSUES

Before turning to the merits of the parties’ arguments, the Court must deter[1231]*1231mine whether it is appropriate to resolve this case on the parties’ cross motions for judgment under Rule 52 (Dkt. ##22-1 and 24) as opposed to summary judgment under Rule 56. The answer depends on what standard of review the court applies. See Firestone Tire & Rubber Co. v. Bruch, 489 U.S. 101, 109, 109 S.Ct. 948, 103 L.Ed.2d 80 (1989) (“ERISA does not set out the appropriate standard of review for actions under § 1132(a)(1)(B) challenging benefit eligibility determinations.”). The parties here have simplified the matter by stipulating to de novo review. Dkt. ## 22-1 at 14; 24 at 5. The court accepts the parties’ stipulation and reviews the record de novo. See Rorabaugh v. Cont’l Cas. Co., 321 Fed.Appx. 708, 709 (9th Cir.2009) (court may accept parties’ stipulation to de novo review).

Where review is under the de novo standard, the Ninth Circuit has not definitively stated the appropriate vehicle for resolution of an ERISA benefits claim. The de novo standard requires the court to make findings of fact and weigh the evidence. See Walker v. Am. Home Shield Long Term Disability Plan, 180 F.3d 1065, 1069 (9th Cir.1999) (de novo review applies to plan administrator’s factual findings as well as plan interpretation). Typically, a request to reach judgment prior to trial would be made under a Rule 56 motion for summary judgment, however under such a motion the court is forbidden to make factual findings or weigh evidence. T.W. Elec. Serv., Inc. v. Pac. Elec. Contractors Ass’n, 809 F.2d 626, 630 (9th Cir.1987). Instead, the parties here propose the Court conduct a trial on the. administrative record under Rule 52.

This procedure is outlined in Kearney v. Standard Ins. Co., 175 F.3d 1084, 1095 (9th Cir.1999) (noting that “the district court may try the case on the record that the administrator had before it”). In a trial on the administrative record:

The district judge will be asking a different question as he reads the evidence, not whether there is a genuine issue of material fact, but instead whether [the plaintiff] is disabled within the terms of the policy. In a trial on the record, but not on summary judgment, the judge can evaluate the persuasiveness of conflicting testimony and decide which is more likely true.

Id. Thus, when applying the de novo standard in an ERISA benefits cáse, a trial on the administrative record, which permits the court to make factual findings, evaluate credibility, and weigh evidence, appears to be the appropriate proceeding to resolve the dispute. See Casey v. Uddeholm Corp., 32 F.3d 1094, 1099 (7th Cir.1994) (on de novo review of an ERISA benefits claim, the “appropriate proceeding[ ] ... is a bench trial and not the disposition of . a summary judgment motion”); Lee v. Kaiser Found. Health Plan Long Term Disability Plan, 812 F.Supp.2d 1027, 1032 (N.D.Cal.2011) (“De novo review on ERISA benefits claims is typically conducted as a bench trial under Rule 52”); but see Orndorf v. Paul Revere Life Ins. Co., 404 F.3d 510, 517 (1st Cir.2005) (“When there is no dispute over plan interpretation, the use of summary judgment ... is proper regardless of whether our review of the ERISA decision maker’s decision is de novo-or deferential.”).

Given the above law, and the clear intent of the parties, the Court' elects to resolve the-parties’ dispute in a'bench trial on the administrative record rather than on summary judgment. Therefore, the court issues the following findings and conclusions, pursuant to Rule 52,

III. FINDINGS OF FACT

1. Plaintiff Joni Anderson has worked for Safeco, a subsidiary of Liberty Mutual, in various roles since 2000. [1232]*1232R1045-46. Ms. Anderson began her most recent job as a Books Transfer Account Manager in June of 2012. Id. In this position, Ms. Anderson worked 7.5 hours a day and 37.5 hours a week. R01389. This job requires near constant use of a computer in an office setting. Id.; R00408.
2. Ms. Anderson was offered Short Term Disability (“STD”) and Long Term Disability (“LTD”) benefits through plans administered by the Liberty Life Assurance Company of Boston (“LLACOB”).1 R01362; R01068-69. As a full time employee working a minimum of 37.5 hours per week, Ms. Anderson was eligible for LTD benefits-. R00003.
3. Under the STD Plan, benefits are awarded based on ah employee meeting the following definition of disability: “... inability to perform all the material and substantial duties of his or her Own Job at his or her- pre-disability regular sched- ■ ule because of injury or sickness.” R01332. These benefits are only available for a short term: 182 days. R01068.
■4. Under the LTD Plan, benefits are awarded beyond the 182-day win- ■ dow.

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116 F. Supp. 3d 1228, 2015 U.S. Dist. LEXIS 97837, 2015 WL 4523452, Counsel Stack Legal Research, https://law.counselstack.com/opinion/anderson-v-liberty-mutual-long-term-disability-plan-wawd-2015.