Carrillo v. Humana Health Plan of Arizona

CourtDistrict Court, D. Arizona
DecidedMarch 24, 2021
Docket4:20-cv-00004
StatusUnknown

This text of Carrillo v. Humana Health Plan of Arizona (Carrillo v. Humana Health Plan of Arizona) is published on Counsel Stack Legal Research, covering District Court, D. Arizona primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Carrillo v. Humana Health Plan of Arizona, (D. Ariz. 2021).

Opinion

1 WO 2 3 4 5 6 IN THE UNITED STATES DISTRICT COURT 7 FOR THE DISTRICT OF ARIZONA

9 Flavio Carrillo, No. CV-20-00004-TUC-SHR (LAB)

10 Plaintiff, ORDER

11 v.

12 Humana Health Plan Incorporated, et al.,

13 Defendants. 14 Pending before the Court is a Report and Recommendation (Doc. 47) issued by 15 United States Magistrate Judge Leslie Bowman that recommends GRANTING the 16 plaintiff’s motion for partial summary judgment (Doc. 36) and DENYING the 17 defendants’ cross-motion for summary judgment (Doc. 41).1 18 Defendants object to the Report and Recommendation. See Doc. 48. As 19 Defendants’ objections do not undermine the analysis and proper conclusion reached by 20 Magistrate Judge Bowman, Defendants’ objections are rejected and the Report and 21 Recommendation (Doc. 47) is adopted. 22 The Court has reviewed the record and concludes that Magistrate Judge 23 Bowman’s recommendations are not clearly erroneous, and they are adopted. See 28 24 U.S.C. § 636(b)(1); Fed. R. Civ. P. 72; Johnson v. Zema Systems Corp., 170 F.3d 734, 25 1The Court reviews de novo the objected-to portions of the Report and Recommendation. 26 28 U.S.C. § 636(b)(1); Fed. R. Civ. P. 72(b). The Court reviews for clear error the 27 unobjected-to portions of the Report and Recommendation. Johnson v. Zema Systems Corp., 170 F.3d 734, 739 (7th Cir. 1999); see also Conley v. Crabtree, 14 F. Supp. 2d 28 1203, 1204 (D. Or. 1998). 1 739 (7th Cir. 1999); Conley v. Crabtree, 14 F. Supp. 2d 1203, 1204 (D. Or. 1998). 2 I. FACTS AND PROCEDURAL POSTURE 3 Plaintiff Flavio Carrillo (“Plaintiff”), is covered by a long-term disability ERISA 4 (Employment Retirement Income Security Act) insurance plan. Plaintiff became disabled 5 after suffering a stroke in July 2017. Plaintiff receives a monthly payment through his 6 insurance, although he does not believe he receives the proper amount. 7 Plaintiff’s insurance provider initially informed him his gross monthly benefit 8 would be $5,998.20 less his SSD Benefits for net monthly benefit totaling $2,593.20. 9 Plaintiff was later informed by Defendants that the monthly benefit would be only $730 10 because while he “did elect a $5,000.00 benefit the maximum monthly benefit allowable 11 to you under the policy is $3,000.” (Doc. 8, ¶ 19). Plaintiff filed the instant action 12 because he does not understand why he was originally informed his gross monthly 13 benefit was $5,998.20 and later told it was only $3,000. 14 Plaintiff’s Complaint (Doc. 8) seeks a declaration stating he is entitled under ERISA to all documents relevant to his claim for benefits. (Doc. 8, ¶¶ 31-47, 58-59). 15 Plaintiff’s also seeks a “Stay” so he “will not be penalized by a reduced amount of time 16 to assert a substantive claim for relief for additional benefits . . . .” (Doc. 8, ¶ 59). He 17 names as defendants Humana Health Plan Incorporated and Continental General 18 Insurance Company. (Doc. 8) He alleges in the Amended Complaint that “Defendant 19 Continental General Insurance Company is now an entity which has, on information and 20 belief, merged with Kanawha Insurance Company (‘Kanawha’).” (Doc. 8, ¶ 4) 21 22 Plaintiff’s Motion for Summary Judgment (Doc. 36) argues he is entitled to all 23 documents relevant to his claim for benefits. Defendants filed a response and cross- 24 motion for summary judgment. (Doc. 41). In their Cross-Motion for Summary Judgment, 25 Defendants argue they are entitled to judgment as a matter of law on all claims or, in the 26 alternative, Defendant Continental General Insurance Company is entitled to judgment in 27 its favor because it “has no connection to Plaintiff or this case.” (Doc. 41, p. 2) Plaintiff 28 filed a response on September 11, 2020. (Doc. 43) Defendants filed a reply on September 1 28, 2020 and an amended reply on September 29, 2020. (Doc. 45); (Doc. 46) II. ANALYSIS 2 As a threshold matter, as to any new evidence, arguments, and issues that were not 3 timely and properly raised before United States Magistrate Judge Leslie Bowman, the 4 Court exercises its discretion to not consider those matters and considers them waived. 5 United States v. Howell, 231 F.3d 615, 621-623 (9th Cir. 2000) (“[A] district court has 6 discretion, but is not required, to consider evidence presented for the first time in a party's 7 objection to a magistrate judge's recommendation . . . [I]n making a decision on whether 8 to consider newly offered evidence, the district court must . . . exercise its discretion . . . 9 [I]n providing for a de novo determination rather than de novo hearing, Congress 10 intended to permit whatever reliance a district judge, in the exercise of sound judicial 11 discretion, chose to place on a magistrate judge's proposed findings and 12 recommendations . . . The magistrate judge system was designed to alleviate the 13 workload of district courts . . . To require a district court to consider evidence not 14 previously presented to the magistrate judge would effectively nullify the magistrate 15 judge's consideration of the matter and would not help to relieve the workload of the 16 district court. Systemic efficiencies would be frustrated and the magistrate judge's role 17 reduced to that of a mere dress rehearser if a party were allowed to feint and weave at the 18 initial hearing, and save its knockout punch for the second round . . . Equally important, 19 requiring the district court to hear evidence not previously presented to the magistrate 20 judge might encourage sandbagging. [I]t would be fundamentally unfair to permit a 21 litigant to set its case in motion before the magistrate, wait to see which way the wind 22 was blowing, and—having received an unfavorable recommendation—shift gears before 23 the district judge.”); United States v. Reyna-Tapia, 328 F.3d 1114, 1122 (9th Cir. 2003) 24 (“Finally, it merits re-emphasis that the underlying purpose of the Federal Magistrates 25 Act is to improve the effective administration of justice.”).1 26

27 1 Assuming, arguendo, that such matters were not subject to waiver, the Court (in the alternative) has nonetheless conducted a de novo review, and upon review of the record 28 and authority herein, rejects these issues and adopts the Report and Recommendation in its entirety. 1 As to the objections filed by Defendant, the Court has conducted a de novo review 2 of the record. See 28 U.S.C. § 636(b)(1)(C) (“Within fourteen days after being served 3 with [the Report and Recommendation], any party may serve and file written objections 4 to such proposed findings and recommendations as provided by rules of court. A judge of 5 the court shall make a de novo determination of those portions of the report or specified 6 proposed findings or recommendations to which objection is made. A judge of the court 7 may accept, reject, or modify, in whole or in part, the findings or recommendations made 8 by the magistrate judge.

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Carrillo v. Humana Health Plan of Arizona, Counsel Stack Legal Research, https://law.counselstack.com/opinion/carrillo-v-humana-health-plan-of-arizona-azd-2021.