Brucks v. Coca-Cola Co.

391 F. Supp. 2d 1193, 2005 U.S. Dist. LEXIS 22287, 2005 WL 2429132
CourtDistrict Court, N.D. Georgia
DecidedSeptember 30, 2005
Docket1:03-cv-02492
StatusPublished
Cited by17 cases

This text of 391 F. Supp. 2d 1193 (Brucks v. Coca-Cola Co.) is published on Counsel Stack Legal Research, covering District Court, N.D. Georgia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Brucks v. Coca-Cola Co., 391 F. Supp. 2d 1193, 2005 U.S. Dist. LEXIS 22287, 2005 WL 2429132 (N.D. Ga. 2005).

Opinion

ORDER

DUFFEY, District Judge.

This is an action in which Plaintiff Bonnie Bracks (“Plaintiff’) seeks long-term disability benefits under an employee benefit plan established and maintained by her employer, Defendant The Coca-Cola Company, and governed by the Employee Retirement Income Security Act of 1974 (“ERISA”), 29 U.S.C. §§ 1001 et seq. It is before the Court on Plaintiffs Motion for Summary Judgment [37], Defendants Reli-aStar Life Insurance Company, Kemper National Services, Inc. and NATLSCO, Inc.’s (collectively, the “ReliaStar Defendants”) Motion for Summary Judgment [39], Defendants The Coca-Cola Company, The Coca-Cola Company Long Term Disability Income Plan and The Coca-Cola Company Long Term Disability Income Plan Committee’s (collectively, the “Coca-Cola Defendants”) Motion for Summary Judgment [42], and Plaintiffs Motion and Memorandum of Law for Leave to Supplement Her Summary Judgment Pleadings [64],

I. BACKGROUND

Unless otherwise indicated, the Court draws the undisputed facts from the parties’ statements of undisputed material facts filed in support of their respective motions for summary judgment [38, 41, 45] and the responses to them [49, 52, 54, 56]. Local Rule 56.1 provides that all material facts contained in the moving party’s statement which are not specifically controverted by the respondent in respondent’s statement shall be deemed to have been admitted. See L.R. 56.1(B)(2), N.D. Ga. If, however, the non-movant has disputed a specific fact in their response and pointed to evidence in the record supporting their version of events, the Court views all evidence and factual inferences in the light most favorable to the non-movant, as required on a motion for summary judgment. Matsushita Elec. Indus. Co. v. Zenith Radio Corp., 475 U.S. 574, 587, 106 S.Ct. 1348, 89 L.Ed.2d 538 (1986); McCabe v. Sharrett, 12 F.3d 1558, 1560 (11th Cir.1994); Reynolds v. Bridgestone/Firestone, Inc., 989 F.2d 465, 469 (11th Cir.1993). 1

A. The Parties & the Plan

Defendant The Coca-Cola Company’s Long Term Disability Income Plan (“the Plan”) is an employee welfare benefit plan sponsored and maintained by Defendant The Coca-Cola Company (“Coca-Cola”) within the meaning of ERISA, 29 U.S.C. § 1002(1). The terms of the Plan are summarized in the Summary Plan Description (the “SPD”), which was provided to Coca-Cola employees who were eligible to participate in the Plan. Eligible employees also were provided an Administrative In *1196 formation Booklet (the “Administrative Booklet”) for the Plan, which explained an eligible employee’s rights and obligations under the Plan. Both the SPD and the Administrative Booklet were in effect at all times relevant to Plaintiffs claim.

Under the Plan, “Disability” is defined as follows:

During thé 24 months next following his Disability Date, the Participant will be considered to have a Disability if a physical or mental illness or injury continuously disables him from performing his normal duties for his Employer, provided that he is not at any time engaged in any other occupation or employment for wage or profit as determined by the Administrative Services Provider. After the first 24 months, the Participant will be considered to have a Disability if a physical or mental illness or injury continuously disables him from engaging in any occupation for wage or profit, for which he is reasonably qualified by training, education or experience. 2

The Plan, as amended, designated Coca-Cola as the Plan Administrator and the Plan Sponsor. As the Plan Administrator, Coca-Cola established Defendant The Coca-Cola Company Long Term Disability Income Plan Committee (the “Committee”). The Committee is the Plan’s named Fiduciary, and is vested with exclusive responsibility, discretion, and authority to construe the terms of the Plan and to determine eligibility of all participants to receive benefits and the amount of those benefits. The Plan states in relevant part:

(b) Powers. The Committee will have primary responsibility for the administration of the Plan, and all powers necessary to enable it to properly perform its duties, including but not limited to the following powers and duties:

(2) Construction. The Committee will have the exclusive responsibility and complete and final discretionary authority to construe the Plan and to decide all questions arising under the Plan ... and all actions or determination of the Committee shall be final, conclusive and binding.

(3) Right to Benefits. The Committee will have the exclusive responsibility and the complete and final discretionary authority to determine the eligibility of all Participants to receive benefits and the amount of benefits to which any Participant may be entitled under the Plan, and to enforce the claims procedure described in Sections 7.12, and all actions or determinations of the Committee shall be final, conclusive and binding on all persons.

The Plan is funded entirely by Coca-Cola through irrevocable contributions to the Trust Forming a Part of The Coca-Cola Company Long Term Disability Income Plan (the “Trust”).

The Plan provides for initial claims determination by its administrative service providers, followed by two levels of appeal on adverse benefits determinations, with the Committee making the final decision. Beginning on January 1, 1991, Defendant ReliaStar Life Insurance Company (“Reli-aStar”) (then known as Northwestern National Life Insurance Company) and Coca-Cola entered into an administrative services only agreement (the “ASO Agree *1197 ment”) under which ReliaStar was to perform certain administrative tasks such as record keeping, processing and investigating claims for benefits, and forwarding information to the Committee for its review and final decision on whether to pay or deny claims. Included in ReliaStar’s tasks under the ASO were certain claim payment services:

1. [ReliaStar] will promptly and efficiently provide the following services in accordance with the terms of the Plan Document:

b. Investigate and process claims with respect to Participants and determine the amount due and payable.

d. Investigate and process any written requests or inquiries received on appeals of denied claims, and forward the information (including a claim decision recommendation) to [Coca-Cola] for review and a final decision on whether to pay or deny the claim. Upon receipt of [Coca-Cola’s] decision, make payment or issue a denial in accord with [Coca-Cola’s] decision.

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Bluebook (online)
391 F. Supp. 2d 1193, 2005 U.S. Dist. LEXIS 22287, 2005 WL 2429132, Counsel Stack Legal Research, https://law.counselstack.com/opinion/brucks-v-coca-cola-co-gand-2005.