Jack Leeson v. Transamerica Disability Income

671 F.3d 969, 51 Employee Benefits Cas. (BNA) 2889, 2012 WL 171598, 2012 U.S. App. LEXIS 1248
CourtCourt of Appeals for the Ninth Circuit
DecidedJanuary 23, 2012
Docket10-35380
StatusPublished
Cited by177 cases

This text of 671 F.3d 969 (Jack Leeson v. Transamerica Disability Income) is published on Counsel Stack Legal Research, covering Court of Appeals for the Ninth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Jack Leeson v. Transamerica Disability Income, 671 F.3d 969, 51 Employee Benefits Cas. (BNA) 2889, 2012 WL 171598, 2012 U.S. App. LEXIS 1248 (9th Cir. 2012).

Opinion

OPINION

PAEZ, Circuit Judge:

Plaintiff Jack Leeson (“Leeson”), a former employee of Defendant Transamerica Corporation (“Transamerica”), filed this action under the Employee Retirement Income Security Act (“ERISA”), 29 U.S.C. § 1101, et seq., to challenge the termination of his long-term disability benefits. The district court, applying an abuse of discretion standard of review, upheld the Transamerica Corporation Disability Income Plan’s decision to terminate his benefits. Leeson appealed. In a prior disposition, we reversed the district court’s grant of summary judgment to Transamerica and remanded with instructions to the district court to apply a de novo standard of review in determining whether Transamerica properly terminated Leeson’s benefits. Leeson v. Transamerica Disability Income Plan, 279 Fed.Appx. 563 (9th Cir. 2008).

On remand, Transamerica filed a motion to dismiss Leeson’s action for lack of subject matter jurisdiction on the ground that Leeson did not have statutory standing as a plan participant to file suit under ERISA. Leeson, on the other hand, argued that he was a plan participant because he was employed at Transamerica at the time he applied for benefits. Leeson also stressed that Transamerica approved his claim and, in fact, paid him benefits for four years. The district court, relying on Curtis v. Nevada Bonding Corp., 53 F.3d 1023 (9th Cir.1995), concluded that Leeson was not a plan participant and granted Transamerica’s motion to dismiss. The district court concluded that because Lee-son lacked standing to pursue an ERISA claim, there was no federal subject matter jurisdiction. Leeson again timely appealed.

In this appeal, Leeson argues that the district court erroneously relied on our prior holding in Curtis to dismiss the case for lack of subject matter jurisdiction. In Curtis, we held that a district court lacked jurisdiction to consider an ERISA claim where a former employee “had neither a reasonable expectation of returning to covered employment nor a colorable claim to vested benefits.” Id. at 1027. Relying on *971 a more recent decision, Vaughn v. Bay Environmental Management, Inc., Leeson contends that, under ERISA, a “dismissal for lack of statutory standing is properly viewed as a dismissal for failure to state a claim rather than a dismissal for lack of subject matter jurisdiction.” 567 F.3d 1021, 1024 (9th Cir.2009). Leeson therefore argues that because he alleged a colorable claim for benefits, the district court had subject matter jurisdiction to address the merits of his case on remand.

For the reasons explained below, we agree with Leeson that Vaughn controls. Whether Leeson is a participant for purposes of ERISA is a substantive element of his claim, not a prerequisite for subject matter jurisdiction. As the Supreme Court has instructed, “when Congress does not rank a statutory limitation on coverage as jurisdictional, courts should treat the restriction as nonjurisdictional in character.” Arbaugh v. Y & H Corp., 546 U.S. 500, 516, 126 S.Ct. 1235, 163 L.Ed.2d 1097 (2006). To the extent our prior cases—including Curtis—hold otherwise, they have “no precedential effect” because they are precisely the type of “drive-by jurisdictional rulings” the Supreme Court has since rejected. Id. at 511, 126 S.Ct. 1235 (quoting Steel Co. v. Citizens for a Better Env’t, 523 U.S. 83, 91, 118 S.Ct. 1003, 140 L.Ed.2d 210 (1998)). We therefore vacate the dismissal and remand for further proceedings.

I

Leeson is a former employee of Transamerica. While employed there, he participated in Transamerica’s long-term disability (“LTD”) income plans. The Basic Plan, known as the Transamerica Corporation Disability Income Plan (“Basic Plan”), provided benefits based on a participant’s predisability annual earnings up to $150,000. A second plan, known as the Transamerica Corporation Class 2 Long Term Disability Coverage Supplemental Plan (“Supplemental Plan”), 1 provided benefits on eligible pre-disability annual earnings over $150,000.

Leeson began working as a Regional Pension Manager for Transamerica in 1983. In December 1993, Leeson was in an automobile accident that resulted in injury to his neck and caused him to suffer severe headaches. Leeson continued to work until June 1996, at which time he took a leave of absence due to his deteriorating physical condition. Shortly thereafter, Leeson timely applied for LTD benefits under both the Basic and Supplemental Plans.

On April 1, 1997, Prudential Insurance Company of America (“Prudential”), as Claims Administrator, determined that Leeson was eligible for LTD benefits 2 and approved his application subject to “continuing evaluation of his claim.” 3 Pruden *972 tial paid Leeson LTD benefits until July 2, 2001, when it determined that he was no longer disabled within the meaning of the LTD plan. 4 In terminating Leeson’s benefits, Prudential determined that the medical evidence no longer supported Leeson’s claim that he suffered from a physical impairment that prevented him from returning to work. Prudential further concluded that, although Leeson may have suffered from an impairment that resulted from a psychological condition, the maximum benefits available for a mental impairment limitation had been exhausted.

Leeson appealed Prudential’s decision to terminate his LTD benefits. Leeson disputed Prudential’s interpretation of the medical evidence and requested that Prudential reinstate his benefits. In a letter dated October 19, 2001, Prudential affirmed its decision to terminate Leeson’s benefits. The letter explained that Lee-son’s benefits were terminated because of the 24-month mental disorder limitation and because the medical evidence did not show that Leeson suffered from a physical disability that prevented him from working.

In February 2002, Leeson filed a second administrative appeal with the AEGON Committee, which had replaced Transamerica as the Plan Administrator. 5 Subsequently, on June 19, 2002, the AEGON Committee denied Leeson’s appeal on the ground that he “d[id] not meet the definition of disability under the Plan that is applicable after the first 24 months of disability.”

One year later, in August 2003, Leeson filed a second appeal with the AEGON Committee. The Committee denied this appeal, explaining that its June 19, 2002, decision was final. Having pursued his administrative remedies, Leeson filed this action pursuant to 29 U.S.C.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Hart v. Google Inc.
N.D. California, 2025
Dhillon v. Edwards
E.D. California, 2025
Meyer v. County of Sonoma
N.D. California, 2025
N.A. v. Jaddou
S.D. California, 2024
Engel v. United States
D. Nevada, 2023
Tolentino v. Saito
D. Hawaii, 2023
Syed v. Mayorkas
D. Oregon, 2023
Hemsley v. Hawk
D. Hawaii, 2023
Robert Bugielski v. At&t Services, Inc.
76 F.4th 894 (Ninth Circuit, 2023)
BGC, Inc. v. Bryant
N.D. California, 2023
Lopez Garcia v. Renaud
D. Oregon, 2023
Torricellas v. Core
S.D. California, 2023
Allen v. Garland
N.D. California, 2023

Cite This Page — Counsel Stack

Bluebook (online)
671 F.3d 969, 51 Employee Benefits Cas. (BNA) 2889, 2012 WL 171598, 2012 U.S. App. LEXIS 1248, Counsel Stack Legal Research, https://law.counselstack.com/opinion/jack-leeson-v-transamerica-disability-income-ca9-2012.