Black v. Unum Life Insurance Co. of America

324 F. Supp. 2d 206, 2004 U.S. Dist. LEXIS 11633, 2004 WL 1570087
CourtDistrict Court, D. Maine
DecidedJune 22, 2004
Docket1:02-cv-00176
StatusPublished
Cited by3 cases

This text of 324 F. Supp. 2d 206 (Black v. Unum Life Insurance Co. of America) is published on Counsel Stack Legal Research, covering District Court, D. Maine primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Black v. Unum Life Insurance Co. of America, 324 F. Supp. 2d 206, 2004 U.S. Dist. LEXIS 11633, 2004 WL 1570087 (D. Me. 2004).

Opinion

ORDER

SINGAL, Chief Judge.

Plaintiff Thomas Black alleges that Unum Life Insurance Company of America and UnumProvident Corporation (together “Defendants” or “Unum”) unlawfully terminated his long term disability benefits. Through this action, he seeks relief pursuant to the Employee Retire *209 ment Income Security Act (“ERISA”), 29 U.S.C. § 1132. Presently before the Court are: Defendants’ Motion for Summary Judgment (Docket # 53), Plaintiffs Motion for Summary Judgment -(Docket # 55) and Defendants’ Motion to Strike Portions of Plaintiffs Objection to Defendants’ Statement of Material Facts (Docket # 66). As explained below, the Court GRANTS IN PART and DENIES IN PART all three motions.

I. Motion to Strike

Before addressing the merits of the cross motions for summary judgment, the Court must resolve Defendants’ Motion to Strike, which argues that Plaintiff has failed to comply with certain requirements of Local Rule 56. Defendants object to three particular portions of Plaintiffs Objections to the Defendants’ Statement of Material Facts (Docket # 64), specifically Plaintiffs responses to paragraphs 4, 14 and 23 of Defendants’ Statement of Material Fact (Docket # 54).

With respect to Plaintiffs responses to both paragraphs 4 and 23, Defendants contend that Plaintiff has not provided any record citation to support his designation of “qualified” as to each of these statements of material fact. In accordance with Local Rule 56, a party must support a qualification with a record citation and the Court “may disregard any statement of fact not supported by a specific citation to record material properly considered on summary judgment.” Local Rule 56(c) & (e). Due to Plaintiffs failure to provide record citation to support its qualification, the Court will disregard Plaintiffs responses to paragraphs 4 and 23.

In a change of course, Defendants object to Plaintiffs relatively lengthy response to paragraph 14 on the grounds that this response essentially contains too much information. Specifically, Defendants contend that the response to paragraph 14 contains argument and information that Plaintiff should have conveyed in a separate section of additional facts as contemplated under Local Rule 56(c). Notably, Plaintiffs response to paragraph 14 cites to and quotes the same pages of the administrative record that Defendants cited in support of paragraph 14’s statement of material fact. Thus, the Court reads Plaintiffs qualification as urging the Court to review and consider additional portions of the document rather than just accept Defendants’’ summary of the document. Defendants are correct to point out that Plaintiff could have accomplished this objective by submitting “additional facts”-as contemplated by Local Rule 56(c). Indeed, " this procedure might have been preferable in that it would have provided Defendants an opportunity to respond pursuant to Local Rule 56(d). However, after reviewing Plaintiffs response to paragraph 14 in context, the Court does not believe that Defendants suffered any prejudice and the Court finds no basis for striking Plaintiffs qualification to paragraph 14.

For these reasons, the Court DENIES Defendant’s Motion to Strike to the extent it asks the Court to disregard Plaintiffs response to paragraph 14 and GRANTS Defendant’s Motion to Strike to the extent is seeks to have this Court disregard the unsupported qualifications made by Plaintiff in response to paragraphs 4 and 23.

II. Cross-Motions for Summary Judgment

A. Standard of Review

The procedural posture of this case is strikingly similar to that of Curtin v. Unum Life Ins. Co., 298 F.Supp.2d 149 (D.Me.2004), another ERISA case recently decided by this Court. As explained in Curtin,

*210 In ERISA cases where the decision is to be made by the court based solely on the administrative record, summary judgment is “merely a mechanism for tendering the issue.” Liston v. Unum Corp. Officer Severance Plan, 330 F.3d 19 (1st Cir.2003)....
Following Firestone Tire & Rubber. Co. v. Bruch, 489 U.S. 101[, 109 S.Ct. 948, 103 L.Ed.2d 80] (1989), the denial of benefits by an administrator of a plan covered by ERISA is reviewed by courts using an “arbitrary and capricious” standard only if the benefit plan gives the administrator or fiduciary discretionary authority to determine eligibility for benefits or to construe the terms of the plan. If the terms of the plan do not give the administrator or fiduciary discretionary authority to determine eligibility or construe the terms of the plan, judicial review proceeds under a de novo standard. See id. at 115[, 109 S.Ct. 948].

Curtin, 298 F.Supp.2d at 152-53.

As in Curtin, the parties here “are in agreement that the terms of the plan in question do not afford the administrator the discretionary authority necessary to avoid de novo review by this Court. Thus, the question before this Court is whether the decision to deny [Plaintiff]’s claim was correct.” Id. at 153 (citing Perry v. Simplicity Engineering, 900 F.2d 963 (6th Cir.1990)). The Court answers this question by reviewing the administrative record while keeping in mind that it is Plaintiffs burden to establish that he is entitled to recover benefits.

B. Background

1. Plaintiffs Unum Insurance Policy

In December 1994, Plaintiff Thomas Black began working for Active Trucking Service, Inc. (“ATS”), a company located in Bridgewater, New Jersey. As a result of his employment with ATS, Black was covered by a group long term disability insurance policy issued by Unum Life Insurance Company and bearing the Policy Number 106391 002 (the “Policy”).

In relevant part, the Policy provides:

When the Company receives proof that an insured is disabled due to sickness or injury and requires the regular attendance of a physician, the Company will pay the insured a monthly benefit after the end of the elimination period. The benefit will be paid for the period of disability if the insured gives the Company proof of continued:
1. disability; and
2. regular attendance of a physician.

(UPCL 676.) 1 The Policy further defines “disability” and “disabled” as “because of injury or sickness: 1. the insured cannot perform each of the material duties of his regular occupation; and 2.

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497 F. Supp. 2d 18 (D. Maine, 2007)
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344 F. Supp. 2d 315 (D. Puerto Rico, 2004)

Cite This Page — Counsel Stack

Bluebook (online)
324 F. Supp. 2d 206, 2004 U.S. Dist. LEXIS 11633, 2004 WL 1570087, Counsel Stack Legal Research, https://law.counselstack.com/opinion/black-v-unum-life-insurance-co-of-america-med-2004.