Hotaling v. Teachers Insurance & Annuity Ass'n of America

62 F. Supp. 2d 731, 1999 U.S. Dist. LEXIS 13189, 1999 WL 675431
CourtDistrict Court, N.D. New York
DecidedAugust 23, 1999
Docket3:98-cv-01029
StatusPublished
Cited by5 cases

This text of 62 F. Supp. 2d 731 (Hotaling v. Teachers Insurance & Annuity Ass'n of America) is published on Counsel Stack Legal Research, covering District Court, N.D. New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Hotaling v. Teachers Insurance & Annuity Ass'n of America, 62 F. Supp. 2d 731, 1999 U.S. Dist. LEXIS 13189, 1999 WL 675431 (N.D.N.Y. 1999).

Opinion

MEMORANDUM — DECISION & ORDER

McAVOY, Chief Judge.

Plaintiff Cynthia Hotaling, a former employee of Hartwick College, commenced the present action against defendant Teachers Insurance and Annuity Association of America (“TIAA”) pursuant to the Employee Retirement Income Security Act (“ERISA”), 29 U.S.C. § 1001 et seq., to recover benefits claimed under the terms of a long term disability benefit plan (the “Plan”). Defendant now moves the Court for summary judgment dismissing Hotal-ing’s claim for long term disability benefits or, in the alternative, moves in limine requesting that: (1) the action be tried by the Court rather than a jury; (2) the trial be limited to the administrative record upon which TIAA based its decision to discontinue plaintiffs long term benefits; and (8) Hotaling not be entitled to seek *733 recovery for prospective benefits in the event that judgment is entered in her favor after trial. See Def. Mem. of Law at 2.

I. BACKGROUND 1

In January 1997, plaintiff, former Director of Student Loans and Internal Collections at Hartwick College, applied for disability benefits alleging that she suffered from lower back pain which prevented her from sitting for extended periods of time. See Def. Notice of Motion, Ex. D, at 2-2A (hereinafter “Administrative Record”). Plaintiff first sought treatment for her back pain from her treating physician, Dr. Del Giacco, in July 1996. At that time, Dr. Del Giacco recommended a two-week leave of absence and physical therapy based on plaintiffs complaints of chronic lower back pain. Although plaintiffs treatment was beginning to provide her relief from her pain, Dr. Del Giacco extended plaintiffs leave of absence until September 1996. Upon re-examination in late August 1996, Dr. Del Giacco concluded that:

Patient is improving slowly but is still not ready to return to full work. I suggested that she discuss with her supervisor a trial of 2 hours of work daily to see how things go.

Administrative Record at 92; see also Def. 7.1(a)(3) Stat. at ¶ 6.

In October 1996, plaintiff was referred to a second treating physician, Dr. Elting, who determined that Hotaling “[was] disabled and has a good deal of pain.” Administrative Record at 94. Shortly thereafter, however, Dr. Elting concluded that plaintiffs condition may not qualify her as disabled, noting that:

Hotaling returns with subjective complaints .... This is a rather difficult situation as we move along. This woman appears to be making no efforts to even consider a return to work. I don’t know whether she would really qualify as disabled from physical infirmity.

Id. at 95; see also Def. 7.1(a)(3) Stmt, at ¶ 7.

Around March 1997, plaintiffs physician noted that she was “doing much better” and that her condition was improving based on plaintiffs participation in an increased exercise program and physical therapy. See Administrative Record at 120. Around that time, defendant had plaintiffs file reviewed by its registered nurse, Joseph Brookes, who concluded that:

Based on the information in the file ... [t]here is not sufficient documentation to support the limitation[ ] of no return to work. There is documentation that [Ho-taling] could try a return to work for 2 hours per day. The position is sedentary without many physical requirements that may result in injury or exacerbation. There is also documentation regarding [Hotaling’s] lack of motivation to consider a return to work, which is an area of concern since her functional ability is not greatly impacted.

Id. at 167; see also. Def. 7.1(a)(3) Stat. at ¶ 9.

Based on Brookes’ recommendation, defendant requested that Hotaling undergo a Functional Capacity Evaluation which would assess her performance levels for a variety of work-related tasks. See Def. 7.1(a)(3) Stmt, at ¶ 10. That evaluation, conducted in May 1997, concluded that:

[Hotaling] is capable of performing work at the light level as defined by the U.S. Department of Labor.... Based on this evaluation, [Hotaling] is incapable of *734 sustaining the light level of work for an 8-hour day. 2

Administrative Record at 127-28.

The evaluation also assessed plaintiffs dynamic strength (ability to lift, carry, pull and push objects of varying weights) as “light”; her position tolerance (ability to stand and kneel) as “sedentary”; and her mobility (ability to climb, walk, and squat) as “medium.” 3 See id. at 129-31. Significantly, plaintiffs position at Hartwick College was sedentary in nature and generally required her to work at her desk. Accordingly, plaintiffs position did not require her to perform physically demanding tasks on a regular basis. In June 1997, following defendant’s review of plaintiffs medical evaluations and her Functional Capacity Evaluation, Hotaling was awarded disability benefits for the period February 1, 1997 through June 1, 1997. 4 See id. at 38-40.

After reviewing the findings in plaintiffs Functional Capacity Evaluation, Dr. Del Giacco stated:

I agree with the findings ... [regarding] the functional ability of Ms. Hotaling. I anticipate an ability to return to part-time work with some limitations due to pain. She can perform only light or sedentary work and must have periodic rest periods due to pain.

See id. at 139.

When asked how many hours Hotaling was able to work in a day, Dr. Del Giacco recommended “one hour periods of steady work followed by fifteen minutes of rest.” Id. at 144. Dr. Del Giacco further opined that:

If Ms. Hotaling’s work is to be limited strictly to sitting at a desk, I do not believe she will need the frequent rest periods [previously described]. Based upon her Physical Work Performance Evaluation, I believe she should be able to work an eight-hour day of desk work with the usual breaks for stretching afforded to any employee.

Id. at 148.

Plaintiff disagreed with Dr. Del Giacco’s findings. See id. at 54; Def. 7.1(a)(3) Stmt, at ¶ 14. After examining Hotaling in late July 1997, Dr. Del Giacco now reported:

On examination [Hotaling] has decreased motion in the lumbar spine in all directions.... She reports that she is unable to sit for more than 15 minutes without back pain.... Based on her current symptoms and findings on exam I do not feel she is able to perform a job which requires prolonged sitting.

Administrative Record at 150 (emphasis added).

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Bluebook (online)
62 F. Supp. 2d 731, 1999 U.S. Dist. LEXIS 13189, 1999 WL 675431, Counsel Stack Legal Research, https://law.counselstack.com/opinion/hotaling-v-teachers-insurance-annuity-assn-of-america-nynd-1999.