Giddens v. Equitable Life Assurance Society of the United States

356 F. Supp. 2d 1313, 2004 U.S. Dist. LEXIS 26981, 2004 WL 3185299
CourtDistrict Court, N.D. Georgia
DecidedNovember 1, 2004
Docket1:02-cv-02094
StatusPublished
Cited by1 cases

This text of 356 F. Supp. 2d 1313 (Giddens v. Equitable Life Assurance Society of the United States) 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
Giddens v. Equitable Life Assurance Society of the United States, 356 F. Supp. 2d 1313, 2004 U.S. Dist. LEXIS 26981, 2004 WL 3185299 (N.D. Ga. 2004).

Opinion

ORDER

STORY, District Judge.

Now before the Court are Plaintiffs Motion for Partial Summary Judgment [41-1], Plaintiffs Motion for Leave of Court to Identify Economist and File Separate Motion for Summary Judgment on Calculation of Damages [45-1], Defendant’s Motion for Summary Judgment [46-1], Consent Motion to Extend Time to Respond to Motions for Summary Judgment [52-1], Defendant’s Motion in Li-mine to Exclude the Affidavit and Testimony of M. Patrice Webster, M.D. [62-1], Defendant’s Motion in Limine to Exclude the Affidavit and Testimony of James R. Spivey, M.D. [63-1], and Plaintiffs Request for Leave to Supplement Record and Submit Supplemental Memorandum of Law [77-1]. 1

As a preliminary matter, the parties’ Consent Motion to Extend Time to Respond to Motions for Summary Judgment [52-1] is GRANTED nunc pro tunc. Likewise, Plaintiffs Request for Leave to Supplement Record and Submit Supplemental Memorandum of Law is GRANTED [77-1]. 2 The Court considers the remaining motions before it following its review of the entire record.

*1317 Background

Plaintiff Allen Giddens (“Dr.Giddens”) initiated this action in the Superior Court of Fulton County, Georgia, seeking to recover benefits under certain Disability Income Policies (the “Policies”) issued by Defendant The Equitable Life Assurance Society of the United States (“Equitable”). Equitable removed the case to this Court based on diversity of citizenship in July of 2002.

I. The Policies

The relevant Policies are consistent in defining “Total Disability” as follows:

TOTAL DISABILITY means your inability due to injury or sickness to engage in the substantial and material duties of your regular occupation. It will not be considered to exist for any time you are not under the regular care and attendance of a doctor.

{See Def.’s Mem. of Law in Supp. of Mot. for Summ. J. [46-1], Ex. 1.) The term, “your regular occupation,” is in turn defined as “the occupation (or occupations, if more than one) in which you are regularly engaged for gain or profit at the time you become disabled.” {Id.)

In addition to promising the payment of benefits during the pendency of any “totally disability” of the insured, the Policies contain a “Recurrent Disabilities” clause, which, as amended, states:

RECURRENT DISABILITIES. Successive periods of total disability or residual disability (if residual disability coverage is provided in this policy) will be considered one continuous period if: (1) they occur while this policy is in force; and (2) they result from the same or related causes; and (3) such periods are not separated by [twelve] months or more. Otherwise, they will be considered separate periods of disability.

{Id.; see also Aff. of Philip Verdi ¶ 9 (testifying that Policies were amended to expand recurrent period from six to twelve months).)

Under the terms of the Policies, written proof of any loss must be provided to Equitable at its home office within ninety days “of the end of the monthly period for which [it is] liable.” {Id.) The Policies additionally contain a provision stating that “[n]o ... action may be brought after 3 years from the time written proof of loss is required to be given.” {Id.)

II. The Insured

Dr. Giddens graduated from dental school and became a licensed dentist in the State of Georgia in 1982. (Aff. of Allen Giddens ¶ 2.) After completing an internship with the Veterans Administration Hospital, he began operating a private dental office in Hawkinsville, Georgia in 1983. {Id.) He continued to practice general dentistry in that capacity until 1994, when he sold his practice to another dentist. (Id.) According to Dr. Giddens, it was his intention to open another dental office in Macon, Georgia in a building he had previously acquired. (Id) Dr. Giddens testified that he fell ill in 1994, however, and that his health from that point forward did not permit him to open the practice as he had contemplated. (Aff. of Allen Gid-dens ¶ 6.)

Dr. Giddens cancelled his dental malpractice liability insurance coverage in 1994, shortly after he sold his Hawkins-ville, Georgia office and ceased to engage in the active practice of dentistry. {See Dep. of Allen Giddens at 74.) Nevertheless, he remained a licensed dentist in good standing with the State of Georgia until December 31, 1999. {See Def.’s Resp. to Pl.’s Statement of Material Facts as to Which he Contends There is No Genuine Issue to be Tried [64-1] ¶ 21.) In addition, Dr. Giddens continued to subscribe to certain professional journals in *1318 the field of dentistry, and at some point following the sale of his practice, applied for a position as a dentist with the State Merit System. (Dep. of Allen Giddens at 33-34, 52-56.) Furthermore, Dr. Giddens testified that he continues to perceive his primary profession as that of dentistry, and that it was his intention to open a dental office in Macon until the time he became disabled. (Id. at 51,156-57.) 3

According to Dr. Giddens, “the functional requirements and tasks” involved in the practice of dentistry include:

stamina to do detailed work while standing and interacting closely with patients several hours per day; good hand coordination; ability to do precise and detailed work; good communication skills; ability to concentrate; examination of patients’ teeth and mouth; analyze x-rays and evaluate dental needs; plan treatment and health promotion programs; treat teeth and tissue problems; keep records of the work done on patients; perform surgery, such as on gums or on supporting bones; extract teeth; make models for replacement teeth; take accurate measurements for new teeth; provide instruction on dental care; administer anesthetics to patients; write prescriptions for patients; use equipment and tools, such as drills or mouth mirrors; manage and hire staff, supervise workers and office processes; and manage business and financial operation.

(Aff. of Allen Giddens ¶ 3.)

Concurrent with his practice of dentistry, and following the sale of his dental practice in 1993-94, Dr. Giddens also engaged in real estate development and investment. (Id. ¶ 4.) Although Dr. Giddens has come forward with testimony that, health permitting, his role in this enterprise occasionally involved physical components, the evidence of record shows that this endeavor was primarily administrative in nature, with the physical labor being performed by others. (See Def.’s Mem. of Law in Supp. of Mot. for Summ. J. at Exs. 7, 9 & 10.) Dr. Giddens has testified that, with his wife’s assistance, he was able to engage in this undertaking until 1998, when his health prevented him from continuing. (See Aff. of Allen Giddens ¶ 4.)

According to Dr.

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356 F. Supp. 2d 1313, 2004 U.S. Dist. LEXIS 26981, 2004 WL 3185299, Counsel Stack Legal Research, https://law.counselstack.com/opinion/giddens-v-equitable-life-assurance-society-of-the-united-states-gand-2004.