Garner v. US West Disability Plan

506 F.3d 957, 2007 WL 2989460
CourtCourt of Appeals for the Tenth Circuit
DecidedOctober 15, 2007
Docket06-1199, 06-1218
StatusPublished
Cited by4 cases

This text of 506 F.3d 957 (Garner v. US West Disability Plan) is published on Counsel Stack Legal Research, covering Court of Appeals for the Tenth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Garner v. US West Disability Plan, 506 F.3d 957, 2007 WL 2989460 (10th Cir. 2007).

Opinion

HARTZ, Circuit Judge.

Diana Garner appeals and the U.S. West Disability Plan (Plan) cross-appeals the district court’s order remanding to the Plan for reconsideration the claim made by Ms. Garner under the Employee Retirement Income Security Act of 1974 (ERISA), 29 U.S.C. §§ 1001-1461. We dismiss the appeal for lack of jurisdiction because the order was not a final order.

I. BACKGROUND

Ms. Garner, who has rheumatoid arthritis, was an employee of U.S. West (now Qwest) from 1969 to 2000. In 2000 she applied for and received short-term-dis *959 ability benefits under the Plan. After these benefits were exhausted, she began receiving long-term-disability (LTD) benefits on January 29, 2001, retroactive to December 29, 2000. In 2004 her LTD benefits were terminated. The letter terminating her benefits explained that a physical examination and subsequent evaluation indicated that she was not entitled to LTD benefits under the Plan. Ms. Garner timely appealed the denial, and on October 8, 2004, the Plan issued a final denial, finding no medical support for total disability.

Ms. Garner filed a complaint on January 24, 2005, in the United States District Court for the District of Colorado. She claimed that the Plan’s denial of LTD benefits was arbitrary and capricious and violated ERISA. She alleged various errors in the Plan’s consideration of her claims, including that it had failed to consider her depression as the cause of a mental disability. She sought an order (1) awarding past benefits, costs, attorney fees, and other “relief as this Court deems necessary,” Aplt.App. Vol. I at 13; (2) enjoining the Plan from violating 29 C.F.R. § 2560.503-1 (describing the minimum requirements for employee-benefit-plan procedures pertaining to claims for benefits); and (3) instructing the Plan to approve her continuing claim for LTD benefits.

Following a motion for summary judgment by the Plan, the district court issued the order being appealed. The order rejected most of Ms. Garner’s arguments regarding her entitlement to LTD benefits but ruled that the Plan’s consideration of evidence of her mental disability was arbitrary and capricious. It remanded the case to the Plan “for further administrative review as to plaintiffs claim for disability based on her alleged major depression, by itself or in conjunction with her physical ailments.” Aplt.App. Vol. II at 549. It then directed the clerk of court “to administratively close th[e] case subject to reopening only upon motion for good cause shown.” Id. at 550 (emphasis omitted). Ms. Garner appeals, challenging (among other things) the district court’s remand of the case to the Plan and the Plan’s denial of benefits based on physical disability. The Plan cross-appeals, claiming that its decision to deny Ms. Garner benefits based on mental disability was not arbitrary and capricious, but also contending that “the ruling of the district court is not a final decision over which this Court has jurisdiction.” U.S. West Br. at 2.

II. DISCUSSION

We must first consider whether we have jurisdiction. Circuit courts generally have jurisdiction only over “final decisions of the district courts.” 28 U.S.C. § 1291; cf. id. § 1292 (describing circuit courts’ jurisdiction over interlocutory decisions). In Rekstad v. First Bank System, Inc., 238 F.3d 1259, 1263 (10th Cir.2001), we held that a district-court order remanding a case to an ERISA plan administrator for a determination of LTD benefits was not a final appealable decision over which we had jurisdiction. Accord Graham v. Hartford Life & Accident Ins. Co., 501 F.3d 1153 (10th Cir.2007) (dismissing for lack of jurisdiction when the district court had concluded that substantial evidence did not support a denial of benefits and remanded the claim to the plan for redetermination). The district court in Rekstad had concluded that the plan administrator’s decision to deny benefits was arbitrary and capricious, and remanded the case to the plan administrator to determine what, if any, benefits the plaintiff should receive. 238 F.3d at 1261. We noted “the well-accepted rule that an order determining liability but leaving damages to be calculated is not final unless the correct amount of damages is self-evident and not likely to be the subject of a future appeal.” Id. at 1262. *960 We then observed that in that case the plaintiffs “eligibility for disability damages must still be addressed on remand” and that “the correct amount is far from obvious.” Id. The relief sought by the plaintiff—which included benefits, attorney fees, costs, and other damages to be determined later—was sufficiently open-ended to foreclose jurisdiction on appeal. See id. We stressed, however, that the determination of whether ERISA remand orders were final “should be made on a case-by-case basis applying well-settled principles governing ‘final decisions.’ ” Id. at 1263.

Ms. Garner has not persuaded us that her case is distinguishable from Rekstad in any meaningful way. The district court in this case concluded that the Plan’s denial of benefits based on mental disability was arbitrary and capricious, and remanded the case “to the Plan for further administrative review as to [her] claim for disability based on her alleged major depression, by itself or in conjunction with her physical ailments.” Aplt.App. Vol. II at 549. As in Rekstad, Ms. Garner’s eligibility for benefits, if any, must still be determined on remand. Moreover, her request for relief in the district court also sought costs, attorney fees, and “further relief as [the district court] deems necessary.” Id. Vol. I at 13. “Given this open-ended request, we cannot say that the appropriate award, if any, is self-evident or that the process would not result in future appeals.” Rekstad, 238 F.3d at 1262.

Ms. Garner makes four arguments in favor of jurisdiction. First, she points out that “the District Court itself characterized its Order as final.” Garner Br. at 8. But a district court’s characterization of its own order is not dispositive. See Metzger v. UNUM Life Ins. Co. of Am., 476 F.3d 1161, 1164 (10th Cir.2007) (holding order interlocutory even though district court determined that it was final). Rather, “when we question the finality of a district court’s decision to remand a benefits determination to the plan administrator, we analyze the substance of the district court’s decision, not its label or form.” Graham, at 1160 (internal quotation marks omitted).

Second, Ms. Garner claims that this case is distinguishable from Rekstad,

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Bluebook (online)
506 F.3d 957, 2007 WL 2989460, Counsel Stack Legal Research, https://law.counselstack.com/opinion/garner-v-us-west-disability-plan-ca10-2007.