David Day v. At&t Disability Income Plan

Procedural entryThis page is a short order in David Day v. At&t Disability Income Plan. Read the opinion of the Court — 608 F. App'x 454
Court of Appeals for the Ninth Circuit·Decided November 1, 2012·No. 10-16479·Published

Opinion

FOR PUBLICATION UNITED STATES COURT OF APPEALS FOR THE NINTH CIRCUIT

DAVID DAY,  No. 10-16479 Plaintiff-Appellant, D.C. No. v. 5:06-cv-01740-JW AT&T DISABILITY INCOME PLAN, ORDER Defendant-Appellee. AMENDING OPINION AND  DENYING PETITION FOR REHEARING AND PETITION FOR REHEARING EN BANC AND AMENDED  OPINION

Appeal from the United States District Court for the Northern District of California James Ware, Chief District Judge, Presiding

Argued and Submitted August 30, 2011—San Francisco, California

Filed July 3, 2012 Amended November 1, 2012

Before: Raymond C. Fisher and Johnnie B. Rawlinson, Circuit Judges, and Robert J. Timlin, District Judge.*

Opinion by Judge Fisher

*The Honorable Robert J. Timlin, Senior United States District Judge for the Central District of California, sitting by designation.

13039 13042 DAY v. AT&T DISABILITY INCOME PLAN

COUNSEL

Robert Nichols, San Jose, California, for the appellant.

Stephen H. Harris (argued), Caroline L. Elkin and Melinda A. Gordon, Paul, Hastings, Janofsky and Walker LLP, Los Angeles, California, for the appellee.

ORDER

The opinion filed July 3, 2012, and reported at 685 F.3d 848, is amended as follows:

At slip opinion page 7859 n.6, 685 F.3d at 857 n.6, replace the sentence with . DAY v. AT&T DISABILITY INCOME PLAN 13043 With this amendment, the panel has voted to deny Appel- lant’s petition for panel rehearing. Judges Fisher and Rawlin- son have voted to deny the petition for rehearing en banc and Judge Timlin so recommends.

The full court has been advised of the petition for rehearing en banc and no active judge has requested a vote on whether to rehear the matter en banc. Fed. R. App. P. 35.

Appellant’s petition for panel rehearing and rehearing en banc, filed August 17, 2012, is DENIED.

No future petitions for rehearing or rehearing en banc will be entertained.

OPINION

FISHER, Circuit Judge:

David Day, an ERISA plan beneficiary, elected to roll over his pension benefits into an individual retirement account (IRA) upon separation from his employer, AT&T. Exercising its discretion, the plan’s claims administrator construed Day’s lump sum rollover as the equivalent of his having “received” his pension benefits and, according to the terms of AT&T’s Disability Income Benefit Plan, reduced Day’s long-term dis- ability (LTD) benefits by the amount of the rollover. Day argues that having his pension payout deposited directly into an IRA subject to tax penalties for early withdrawals meant he did not actually receive the funds, an interpretation that finds support in Blankenship v. Liberty Life Assurance Co. of Boston, 486 F.3d 620, 624-25 (9th Cir. 2007). Reviewing the claims administrator’s decision for an abuse of discretion, however, we must defer to the administrator’s reasonable interpretation of the plan. We also reject Day’s further conten- tions that AT&T failed to sufficiently disclose the possibility 13044 DAY v. AT&T DISABILITY INCOME PLAN that his LTD benefits would be reduced by his receipt of pen- sion benefits, and that the administrator’s actions violate the Age Discrimination in Employment Act (ADEA). Accord- ingly, we affirm the judgment of the district court.

I. Background

David Day began working for Pacific Bell Telephone Com- pany, a subsidiary of AT&T Inc., in 2000. As an AT&T employee, he participated in the AT&T Pension Benefit Plan and the AT&T Disability Income Plan (the “Plan”).1 In Febru- ary 2005, he stopped working because of a disability. He began receiving LTD benefits under the Plan, and for reasons not relevant here, AT&T terminated Day’s employment in August 2005.

In October 2005, Day chose to roll over his pension bene- fits into an IRA. In accordance with his election, the AT&T Pension Benefit Plan administrator sent Day a check in the lump sum amount of $17,203.93, payable to the trustee of his IRA.

In August 2008, Sedgwick Claims Management, Inc. (Sedgwick), the Plan’s claims administrator, determined that Day’s LTD benefits would be reduced by the amount of the rollover. The Plan provided that LTD benefits would be “re- duced by . . . pension benefits you may receive from any SBC company pension plan” (emphasis added). The Plan stated:

If you are eligible and apply for pension benefits (including a Disability Pension, if applicable), your pension benefit, to the extent paid to you, will be subtracted from your LTD payments. (If you elect a cashout, the equivalent monthly amount will be cal- 1 When Day filed this action he was employed by SBC. SBC subse- quently acquired AT&T. The parties do not dispute that SBC and AT&T are the same entity for purposes of this lawsuit. DAY v. AT&T DISABILITY INCOME PLAN 13045 culated and used as the factor for integration with LTD payments.) If you are eligible but elect to defer applying for any applicable pension benefit, your LTD payments will not be reduced by any pension benefits you are entitled to until such time as you apply for and are actually paid the pension benefit.

(Emphasis added.) Relying on these provisions, Sedgwick concluded that Day had received his pension benefits and reduced pro rata Day’s LTD monthly benefits by $74.71, resulting in a net benefit of $1,767.39 per month.

Day protested that his LTD benefits should not have been reduced because he had neither “received” nor been “actually paid” the pension benefits. Rather, they had been deposited directly into his IRA, which imposed restrictions on his access to the funds, including substantial penalties for early with- drawals. Sedgwick interpreted the Plan differently.2 In Sedg- wick’s view:

By electing to have his pension benefit paid from the pension plan, Mr. Day “received” his pension benefit for purposes of determining his disability benefit. Once outside of the pension plan, the proceeds were no longer subject to the rules of the pension plan. Indeed, although held by a trustee, the economic reality is that the proceeds were under the full dominion and control of Mr. Day, to be invested as Mr. Day saw fit, and to be paid out to Mr. Day at times and in amounts as determined by Mr. Day in his sole discretion and utterly unfettered by any of the rules or requirements of the pension plan from which they had come. Mr. Day most certainly had “received” his pension benefit. 2 Sedgwick explained its reasons in February and October 2009 letters to Day. 13046 DAY v. AT&T DISABILITY INCOME PLAN (Emphasis added.) Sedgwick also “interpret[ed] the election to take the benefits from the Pension Plan as having been actually paid to the participant.” (Emphasis added.) In justify- ing its interpretation, Sedgwick rejected Day’s reliance on Blankenship where, in the context of a nondiscretionary plan, we construed “receive” in the beneficiary’s favor as not including a rollover of pension benefits into an IRA. See 486 F.3d at 624-25.

Ruling on cross motions for summary judgment, the district court sustained Sedgwick’s interpretation.

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