Glickman, M.D. v. First UNUM Life Insurance Company

CourtDistrict Court, S.D. New York
DecidedApril 2, 2020
Docket1:19-cv-05908-VSB-SDA
StatusUnknown

This text of Glickman, M.D. v. First UNUM Life Insurance Company (Glickman, M.D. v. First UNUM Life Insurance Company) is published on Counsel Stack Legal Research, covering District Court, S.D. New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Glickman, M.D. v. First UNUM Life Insurance Company, (S.D.N.Y. 2020).

Opinion

USDC SDNY UNITED STATES DISTRICT COURT = SOUTHERN DISTRICT OF NEW YORK ELECTRONICALLY FILED DOC #: Lawrence T. Glickman, M.D., DATE FILED:__ 4/2/2020 Plaintiff, 1:19-cv-05908 (VSB) (SDA) -against- OPINION AND ORDER First UNUM Life Insurance Company, Defendant.

STEWART D. AARON, United States Magistrate Judge: Pending before the Court are disputes between Plaintiff Lawrence T. Glickman, M.D. (“Plaintiff” or “Glickman”) and Defendant First Unum Life Insurance Company (“Defendant” or “Unum”) regarding the scope of discovery and the applicability of the attorney-client privilege to certain pre-litigation communications. (See 3/31/20 Joint Letter, ECF No. 30.) The Court resolves these disputes as set forth below. BACKGROUND This is an action, filed on June 24, 2019, arising under the Employee Retirement Income Security Act of 1974, as amended (“ERISA”), among other things, to recover benefits due under an employee benefit plan. (Compl., ECF No. 1, 4 1.) Glickman is a plastic surgeon at Long Island Plastic Surgery Group (“LIPSG”), who alleges that his nerve damage causes him severe pain, which lowers his productivity and earnings. (See id. 44 21-32.) He contended that his reduced earnings entitled him to benefits under a long-term disability income insurance policy governed by ERISA that Unum issued to LIPSG on July 1, 2014 (the “LTD Plan”). (See id. 11 107-09.) Glickman contended that Unum improperly was administering his claim pursuant to a June 2018 amendment to the LTD Plan, and not according to the terms under which it originally

was issued. (See Compl. ¶¶ 64-101.) As alleged in the Complaint, under the LTD Plan as issued, income is calculated based upon W-2 earnings; under the June 2018 amendment, income is calculated on both W-2 income and K-1 income. (See id. ¶¶ 96-101.) Thus, in Count I of his Complaint, Glickman sought benefits under the LTD Plan, as calculated pursuant to its pre-

amendment terms. (See id. ¶¶ 105-17.) In Count II of his Complaint, Glickman sought to recover reasonable attorneys’ fees and the costs of this action, pursuant to Section 502(g)(1) of ERISA. (See id. ¶¶ 118-19.) Unum conceded that, as of the filing of the Complaint in this action, Glickman was eligible for and had been paid benefits under the LTD Plan. (9/26/19 Joint Letter, ECF No. 14, at 2.) However, the parties did not agree how the benefits should be calculated and thus disputed the

amount of Glickman’s benefit. (See id. at 1-2.) PROCEDURAL HISTORY On September 26, 2019, the parties submitted to District Judge Broderick a Proposed Case Management Plan and Scheduling Order, but disagreed regarding the scope of discovery. (See 9/26/19 Joint Letter at 1-3.) On the one hand, Plaintiff stated that he “anticipate[d] document discovery and interrogatories regarding the claim process, claims procedures and manuals, the

purported amendment of the plan, and the ongoing administration and payment of the claim,” and “a deposition of the claim representative; a corporate representative deposition; and depositions of the personnel involved in the purported amendment of the plan – including any legal department personnel.” (Id. at 2.) On the other hand, Unum took the position that, “whether the claim determination is reviewed under either the arbitrary and capricious or de novo standard of review, no discovery is warranted.” (Id. at 3.) Following a conference before Judge Broderick on October 3, 2019, the parties submitted and the Court approved on October 15, 2019 a briefing schedule regarding the parties’ dispute as to the scope of discovery. (Mem. Endorsement, ECF No. 16.) On November 8, 2019, Plaintiff filed his memorandum regarding the scope of discovery. (Pl. Mem., ECF No. 17.) Plaintiff

contended that he was entitled to limited discovery outside the claim file due to Unum’s conflict of interest “as both administrator and payor of claims.” (Id. at 2-4.) Plaintiff argued that Unum’s conflict of interest manifested in Unum’s amendment of the LTD Plan which purportedly “was inconsistent with its duties to act according to the plan documents and to act solely in the interests of plan participants” (Id. at 4.) He also contended that he was entitled to discovery regarding the “invalid amendment” to the LTD Plan, as well as “the application for the LTD Plan.”

(Id. at 6.) On November 21, 2019, Unum advised Judge Broderick that it was “currently recalculating the amount plaintiff claims is payable, which varies monthly, and [it] anticipate[d] that this recalculation should resolve the issues in this suit.” (11/21/19 Unum Letter, ECF No. 18.) Thus, Unum requested an extension of time, until December 23, 2019, to respond to Plaintiff’s submission “with plaintiff's consent, to permit the parties to complete and review these

calculations, and determine whether further litigation is necessary.” (See id.) Judge Broderick granted this request on November 25, 2019. (11/25/19 Order, ECF No. 19.) By letter dated December 20, 2019, Unum advised Glickman that it would administer his claim and calculate benefits using only W-2 income, as set forth in the pre-amendment LTD Plan, and as demanded in the Complaint. (See 12/20/19 Unum Letter, ECF No. 24-1.) This resulted in an adjustment to the date of disability and the payment of additional benefits of $125,713.12 by Unum to Glickman. (See id.) Unum also states in its December 20, 2019 letter that, going forward, Glickman’s benefits will be based on his W-2 earnings. (Id.) On December 23, 2019, Unum requested from Judge Broderick, with Plaintiff’s consent, a further extension of time, until January 17, 2020, to respond to Plaintiff’s discovery submission

in order “to permit Plaintiff time to review” Unum’s “re-calculation” of benefits and “determine whether there is any dispute regarding the same.” (See Unum 12/23/19 Letter, ECF No. 20.) Judge Broderick granted this request on December 27, 2019. (12/27/19 Order, ECF No. 21.) On January 17, 2020, Unum requested from Judge Broderick, with Plaintiff’s consent, a further extension of time, until January 24, 2020, to respond to Plaintiff’s discovery submission in order to permit the parties to seek to resolve “a dispute over the calculations” and “to

determine if further litigation is necessary.” (See Unum 1/17/20 Letter, ECF No. 22.) Judge Broderick granted this request on January 22, 2020. (1/22/20 Mem. Endorsement, ECF No. 23.) On January 24, 2020, Unum filed its opposition to Plaintiff’s memorandum regarding the scope of discovery. (Opp. Mem., ECF No. 24.) In its opposition, Unum asserted that its decision to calculate the benefits as Plaintiff requested “render[ed] plaintiff’s discovery demands moot.” (Id. at 2.) Unum also asserted that the discovery was not proportional to the needs of the case

and sought information protected by the attorney-client privilege. (See id. at 3.) On January 31, 2020, Plaintiff filed his reply. (Reply, ECF No. 25.) In his reply, Plaintiff continued to assert that he is entitled to discovery “into the scope of the administrative record,” including documents regarding the legal review of the “invalid amendment,” as well as Unum’s “attempt to amend the LTD Plan.” (Id. at 2-5.) On February 4, 2020, this case was referred to me for general pretrial purposes. (Order of Reference, ECF No. 26.) I held a telephone conference with the parties on February 12, 2020.1 During the telephone conference, Defendant’s counsel admitted that Unum made an error in the amendment process, and conceded that the amendment to the LTD Plan does not apply to

Plaintiff. Thus, Defendant’s counsel argued that discovery regarding the amendment is moot. One of the arguments made by Plaintiff’s counsel during the call was that the discovery sought is at least related to his entitlement to attorneys’ fees.

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