Brown v. Retirement Committee of Briggs & Stratton Retirement Plan

575 F. Supp. 1073, 1983 U.S. Dist. LEXIS 11226
CourtDistrict Court, E.D. Wisconsin
DecidedDecember 1, 1983
DocketCiv. A. 82-C-728
StatusPublished
Cited by12 cases

This text of 575 F. Supp. 1073 (Brown v. Retirement Committee of Briggs & Stratton Retirement Plan) is published on Counsel Stack Legal Research, covering District Court, E.D. Wisconsin primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Brown v. Retirement Committee of Briggs & Stratton Retirement Plan, 575 F. Supp. 1073, 1983 U.S. Dist. LEXIS 11226 (E.D. Wis. 1983).

Opinion

DECISION AND ORDER

REYNOLDS, Chief Judge.

This is an action to recover disability benefits allegedly due under a retirement plan. It was originally brought in Milwaukee County Circuit Court, but was removed to this court on June 15, 1982. Plaintiff’s motion to remand was denied, because the court has jurisdiction under § 502 of the Employee Retirement Income Security Act (“ERISA”), 29 U.S.C. § 1132. The defendants have now moved (1) for summary judgment; (2) to dismiss the First Wisconsin Trust Company as a defendant; and (3) to strike the plaintiff’s jury demand. The first motion is denied, the latter two are granted, and the Court remands the case to the Retirement Committee of the Briggs & Stratton Retirement Plan sua sponte.

I.

Defendant Briggs & Stratton Corporation (“Briggs & Stratton”) hired plaintiff on September 23, 1968. Plaintiff’s duties at Briggs & Stratton changed from time to time, but her work might generally be described as semi-skilled assembly line work on motors and mufflers.

During the term of plaintiff’s employment, Briggs & Stratton maintained an employee retirement benefit plan. The plan is governed by the provisions of ERISA. Section 4.04 of the plan provides that an employee is eligible for disability benefits “... if his employment is terminated by reason of disability after he has completed ten or more years of service.” “Disability,” in turn, is defined as “[tjotal and permanent disability as determined by the Employer or an affiliated employer.” Applications for benefits are received and reviewed by the defendant Retirement Committee of the Briggs & Stratton Retirement Plan *1075 (“Retirement Committee”). The Retirement Committee consists of three persons, including a Dr. Curtis, who is the medical director at Briggs & Stratton. The plan also provides a process for review of denials of benefit claims.

At some point during her employment, plaintiff contracted a disease affecting her hands. She began to observe symptoms in autumn of 1976. Her affliction led to a condition known as carpal tunnel syndrome, a disorder of the median nerve of the hands. The plaintiff also suffered De-Quervain’s disease in her right hand. The afflictions have affected the fingers in both hands and particularly her right thumb. Specifically, there has been a considerable loss of movement and gripping ability, and plaintiffs attempts at using her right thumb are accompanied by sensations of pain.

On December 17, 1976, plaintiff was examined by Dr. Alejandro Vinluan. After undergoing treatment, including surgery, plaintiff attempted unsuccessfully to resume her work. Plaintiff continued to undergo treatment by Dr. Vinluan, and was hospitalized on several occasions. During this time, she was also examined by a Dr. Supapodok.

In June of 1980, plaintiff complied with another order to return to work, but had to stop because of the pain in her hands. Dr. Curtis advised that plaintiff “return to therapy.” On October 17, 1980, plaintiff was examined by a Dr. Jack Teasley in conjunction with her workers’ compensation claim. Dr. Teasley assessed plaintiff’s loss in her hands, and recommended that plaintiff not be assigned work requiring strong grasping or pinching or repetitive motions of the thumb and fingers.

On September 17, 1980, plaintiff and her attorney appeared before a State of Wisconsin hearing examiner for the purpose of determining the nature and extent of plaintiff’s disability in connection with her workers’ compensation claim. Plaintiff offered medical reports by Drs. Vinluan and Supapodok, and a vocational study by a Professor Lawrence Blum. Dr. Vinluan also testified at the hearing and, in an offer of proof, opined that plaintiff was incapable of gainful employment. On April 14, 1981, the hearing examiner issued his findings of fact, and ordered Briggs & Stratton to pay compensation to plaintiff.

Meanwhile, on March 26, 1981, plaintiff applied to the Retirement Committee for disability benefits. She did not have the assistance of counsel in connection with this application. However, she was given an opportunity to submit pertinent medical records.

By letter of April 22, 1981, the Briggs & Stratton Workers’ Compensation Department advised plaintiff that based on Dr. Teasley’s report, she was capable of returning to work and that work she would be able to perform was available. The letter advised plaintiff that if she did not return to work within five days, she would be discharged. Plaintiff failed to report to work, and was subsequently discharged.

At or about that time, the Retirement Committee reviewed plaintiff’s application for benefits. Plaintiff was not given a notice of any committee meeting, because no meetings were held: the three committee members discussed the application during a series of telephone conversations. The Committee considered the application in light of Dr. Teasley’s report, one of Dr. Vinluan’s reports, the workers’ compensation hearing examiner’s decision, and the opinion of Dr. Curtis. The Committee decided that plaintiff was not disabled, and informed her that her claim for benefits had been denied by letter of June 2, 1981. The letter advised plaintiff that “[ajccording to medical information and subsequent investigation, you are not totally and permanently disabled.” The letter did not inform plaintiff of the specific information the Retirement Committee had relied upon in reaching its decision, or how plaintiff might correct evidentiary deficiencies.

Plaintiff appealed the denial, this time with the assistance of counsel. She did not submit any new medical information. The appeal was denied, and this action ensued.

*1076 A decision to deny benefits under a plan covered by ERISA will be overturned when found to be (1) arbitrary and capricious, (2) not supported by substantial evidence, or (3) erroneous on a question of law. Wolfe v. J.C. Penney Co., 710 F.2d 388 at 393 (7th Cir.1983). In reviewing the decision to deny benefits, a court must focus on the evidence before the decision-making committee at the time of its final decision; it may not hold a factual hearing de novo on the question of the applicant’s eligibility. Wardle v. Central States, Southeast and Southwest Areas Pension Fund, 627 F.2d 820 (7th Cir.1980) cert. denied, 449 U.S. 1112, 101 S.Ct. 922, 66 L.Ed.2d 841 (1981). If the court receives evidence that was not presented to the decisionmaking committee and would support a different result, the court should remand the matter to the committee for a new determination. Id.

The Court recognizes, however, that a committee could act arbitrarily and capriciously by purposefully refusing to consider evidence that favored one party and basing its decision solely on evidence favorable to the other. See, e.g., Toland v. McCarthy, 499 F.Supp. 1183 (D.Mass.1980).

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Bluebook (online)
575 F. Supp. 1073, 1983 U.S. Dist. LEXIS 11226, Counsel Stack Legal Research, https://law.counselstack.com/opinion/brown-v-retirement-committee-of-briggs-stratton-retirement-plan-wied-1983.