Davis v. Einstein Noah Restaurant Group, Inc.

CourtDistrict Court, N.D. California
DecidedJune 14, 2022
Docket4:19-cv-00771-JSW
StatusUnknown

This text of Davis v. Einstein Noah Restaurant Group, Inc. (Davis v. Einstein Noah Restaurant Group, Inc.) is published on Counsel Stack Legal Research, covering District Court, N.D. California primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Davis v. Einstein Noah Restaurant Group, Inc., (N.D. Cal. 2022).

Opinion

1 2 3 4 5 UNITED STATES DISTRICT COURT 6 NORTHERN DISTRICT OF CALIFORNIA 7 8 KRISTIN E. MCCULLOCH, Case No. 19-cv-07716-SI

9 Plaintiff, OPINION AND MEMORANDUM OF 10 v. DECISION ON PLAINTIFF’S ERISA SECTION 1132(A)(1)(B) ACTION TO 11 HARTFORD LIFE AND ACCIDENT CLARIFY RIGHTS TO BENEFITS INSURANCE COMPANY, et al., 12 Defendants. 13 14 Kristin McCulloch initiated this ERISA action after she was denied benefits under an 15 employer-sponsored long-term disability group plan (“LTD Policy”) administered by Hartford 16 Insurance. The Court previously determined McCulloch qualified as disabled from her “own 17 occupation” under the terms of the LTD Policy and entered partial judgment in her favor under Fed. 18 R. Civ. P. 54(b). Dkt. No. 45. Now before the Court is McCulloch’s claim against Hartford to 19 clarify her “rights to future benefits under the terms of the plan.” 29 U.S.C. § 1132(A)(1)(B). 20 The Court held a bench trial on February 22, 2022. At issue is whether McCulloch qualifies 21 as a Class 1 or Class 2 insured under the LTD Policy. Hartford maintains McCulloch is Class 2, 22 which would cause her benefits to end after 36 months unless she is disabled from performing “any 23 occupation” for which she is qualified. McCulloch argues she is Class 1, entitling her to benefits 24 until age 65 as long as she remains disabled from performing the job she held previously. Under 25 the terms of the LTD Policy, Class 1 covers employees “with a salary grade of 19 or higher,” while 26 Class 2 covers employees “with a salary grade less than 19.” Based on the evidence admitted at 27 trial, and as explained below, the Court finds McCulloch failed to carry her burden to establish by 1 LEGAL STANDARD 2 In a bench trial, the Court is required to make factual findings and conclusions of law, and 3 state such findings and conclusions either on the record or in “an opinion or a memorandum of 4 decision.” Fed. R. Civ. P. 52(a); Kearney v. Standard Ins. Co., 175 F.3d 1084, 1095 (9th Cir. 1999). 5 Unlike a motion for summary judgment, a court presiding in a bench trial “does not determine 6 whether there is an issue of material fact, but actually decides” the disputed facts. Prado v. Allied 7 Domecq Spirits & Wine Grp. Disability Income Pol’y, 800 F. Supp. 2d 1077, 1094 (N.D. Cal. 2011). 8 This opinion provides the required findings of fact and conclusions of law for McCulloch’s section 9 1132(a)(1)(B) claim against Hartford. Any finding of fact that actually constitutes a conclusion of 10 law is adopted as such, and vice-versa. 11 12 FINDINGS OF FACT1 13 The difference between Class 1 and Class 2 under the LTD Policy turns on whether an 14 insured has a salary grade “of 19 or higher” or “less than 19.” McCulloch has a Job Grade of “00.” 15 McCulloch maintains she has “a salary grade of 19 or higher” and is therefore Class 1. Based on 16 the findings of fact set forth below and the conclusions of law that follow, the Court finds McCulloch 17 has not established by a preponderance of the evidence that she belongs in Class 1. 18 19 McCulloch’s Employment at Truist 20 1. In 2015, Truist Financial2 hired Kristen McCulloch as a Vice President, Employee 21 Benefit Insurance Agent. Ex. No. 13. That same year, McCulloch was promoted and 22

23 1 The Court previously granted the parties’ motions to file various documents and exhibits under seal. Dkt. No. 133. While that order remains in effect, the Court’s factual findings may 24 occasionally refer to materials which were filed under seal. For these facts, the Court determines that the public interest in disclosure outweighs the private interests articulated in the parties’ motion 25 to seal, and now exempts these specific facts (not the entirety of the exhibits from which they are derived) from the order granting the motion to seal. 26

2 McCulloch was initially hired by BB&T Insurance of California, a wholly owned 27 subsidiary of BB&T Corporation. In 2019, BB&T merged with other entities to form what is now 1 her “Primary Official Title” changed to Senior Vice President. Ex. No. 3 at 008. 2 2. In her first year of employment, McCulloch was guaranteed a minimum commission of 3 $350,0000. Ex. No. 13. After 12 months of employment, McCulloch was compensated 4 pursuant to Truist’s “commission compensation calculation.” Id. 5 3. As Senior Vice President, McCulloch was assigned a “Job Grade” of “E00” in Truist’s 6 internal Human Resources management system, Workday. Ex. No. 3 at 008. The “E” 7 stands for “Exempt” and is immaterial to the present dispute. Id. Thus, “E00” and “00,” 8 “E10” and “10,” “E34” and “34,” etc., are the same for purposes of evaluating the 9 question posed by McCulloch. See Ex. No. 5 (listing McCulloch as “Job Grade: 00”). 10 4. As of March 2018, McCulloch was classified as a “highly incented” employee with an 11 annual “commission draw” of $270,000. Ex. No. 23. 12 5. A “highly incented” employee receives 50% or more of their base salary through 13 commissions. Ex. No. 18 at 15; Pietrzak Depo. at 21: 2-11. 14 6. McCulloch did not manage people or processes. Reeder Depo. at 103:14-18. 15 16 The Hartford LTD Policy 17 7. As of January 1, 2004, Hartford Life and Accident Insurance Company had issued a 18 group long-term disability policy (“LTD”) to BB&T Corporation, which remained in 19 effect after BB&T became Truist Financial. Ex. No. 1 (Policy No. GLT-67-4896). 20 8. Truist is the Plan Administrator and Plan Sponsor. Ex. No. 1 at 122. 21 9. Hartford is the Claim Administrator. Id. 22 10. Under the terms of the LTD Policy, Truist must give Hartford “any data necessary to 23 administer the insurance provided by The Policy.” Ex. No. 1 at 008. 24 11. The LTD Policy gives Truist “full discretion and authority to determine eligibility for 25 benefits and to construe and interpret all terms and provisions in the Plan.” Ex. 1 at 80. 26 27 The LTD Policy Benefit Structure 1 a. Option 1 provided employees with 50% of the employee’s “base salary” in the 2 event of disability. Id. Under Option 1, Truist pays all premiums. Id. 3 b. Option 2 provided employees with 60% of the employee’s “base salary” in the 4 event of disability. Under Option 2, Trust still contributed, but the insured 5 employee also agreed to help pay the cost of the higher premium. Id. 6 13. The LTD Policy defines two Classes of “eligible insureds” for purposes of determining 7 the duration of benefits depending on the extent of disability. Ex. No. 1 at 041. 8 a. Class 1 insureds are entitled to benefit payments until age 65 insofar as they 9 remain disabled from performing “the Essential Duties of Your Occupation” for 10 the duration of the benefit period. Ex. No. 1 at 055. “Your Occupation” means 11 “the Essential Duties of the job You are performing for Your Employer”—in 12 this case, an insured’s job at Truist. Ex. No. 1 at 059. 13 b. Class 2 insureds will receive benefit payments for 36 months as long as they 14 meet the “Your Occupation” standard, but payments will thereafter stop unless 15 an insured is disabled from performing “any occupation” for which they are 16 qualified by “education, training or experience… .” Ex. No. 1 at 055. 17 14. Insured are classified into Class 1 or Class 2 based on “salary grade.” Ex. No. 1 at 041. 18 a. Class 1 is for “[e]mployees with a salary grade of 19 or higher.” Id. 19 b. Class 2 is for “[e]mployees with a salary grade less than 19.” Id. 20 21 The Construction of Salary Grade 22 15.

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Bluebook (online)
Davis v. Einstein Noah Restaurant Group, Inc., Counsel Stack Legal Research, https://law.counselstack.com/opinion/davis-v-einstein-noah-restaurant-group-inc-cand-2022.