James A. Stempel v. Unum Life Insurance Company of America

District Court, N.D. Illinois·Decided August 4, 2026·No. 1:24-cv-06077·Unknown

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE NORTHERN DISTRICT OF ILLINOIS EASTERN DIVISION

JAMES A. STEMPEL,

Plaintiff, No. 24 C 6077

v. Judge John F. Kness

UNUM LIFE INSURANCE COMPANY OF AMERICA,

Defendant.

MEMORANDUM OPINION AND ORDER Plaintiff James A. Stempel seeks long-term disability benefits under a group plan issued by Defendant Unum Life Insurance Company of America to Plaintiff’s former employer. Plaintiff contends that, after Defendant denied his claim for benefits, he filed a timely administrative appeal in January 2022. Defendant asserts that it did not receive that notice of appeal. After receiving a December 2023 letter containing the January 2022 appeal and a July 2022 follow-up letter (after the appeal window had closed), Defendant denied Plaintiff’s appeal as untimely. Plaintiff then brought this action under the Employment Retirement Income Security Act (ERISA) Section 502(a)(1)(B) (29 U.S.C. § 1132(a)(1)(B)). Defendant seeks a judgment in its favor under Rule 52 of the Federal Rules of Civil Procedure and argues that Defendant failed to discharge his duty to exhaust administrative remedies before filing this ERISA suit. Defendant is entitled to a judgment in its favor. As explained below, exhaustion of administrative remedies before filing suit is required both by the relevant benefits plan and strong federal policy. But Plaintiff cannot prove that

Defendant received any notice of appeal. Plaintiff’s attempt to rely upon the mailbox rule to prove exhaustion similarly fails, because the evidence of mailing that Plaintiff cites is neither credible nor sufficient to establish the mailbox presumption. And even if the mailbox presumption might otherwise apply, it is defeated both by Plaintiff’s error in addressing the January 2022 letter and Defendant’s robust evidence of nonreceipt. Defendant’s motion for judgment must therefore be granted. I. BACKGROUND

On May 14, 2021, Plaintiff, a former lawyer, filed a claim for long-term disability (“LTD”) benefits under a group LTD plan Defendant issued to Plaintiff’s former employer, Kirkland & Ellis LLP (the plan became effective on January 1, 2020). (Dkt. 33-2 at 133–60; Dkt. 33-1.) Defendant confirmed receipt of this claim. (Dkt. 33-2 at 22.) On August 5, 2021, Plaintiff received a letter addressed to his home in Highland Park, Illinois, denying his LTD claim. (Id. at 191–97.) This letter

included instructions for how to appeal and informed Plaintiff that, should he file an appeal, he would receive a confirmation of receipt from Defendant’s appeals team. (Id. at 195–96.) Plaintiff contends that he began drafting an appeal letter in or around March 2021, sent that letter on January 12, 2022, and then sent a follow-up letter on July 16, 2022. (Id. at 45–46, 51–52.) Plaintiff offered no witnesses to confirm the January and July 2022 mailings and failed to provide electronic copies of either letter. (Id. at 59, 60, 63, 80–81, 93–94.) Plaintiff also provided inconsistent testimony about the laptops on which he allegedly drafted these letters. (Id. at 21, 75.) Plaintiff furnished

a copy of the envelope that he allegedly mailed the January 2022 letter in, but the envelope is incorrectly addressed, is devoid of postage, and bears no postmark. (Dkt. 33-2 at 223; Dkt. 33-3 at 11, 45.) Defendant denies receipt of the January and July 2022 letters. (Dkt. 34 at 4.) Defendant’s mail room supervisor testified that, in 2022, Defendant followed a strict protocol for receiving, sorting, and storing mail and conducted multiple quality control checks. (Dkt. 33-3 at 12–15, 45–46.) Defendant maintains digital records of

all mail received for at least seven years. (Id. at 46.) Defendant’s mail room supervisor also testified that a thorough search was conducted through Defendant’s digital records and at its mail provider’s physical facility, but neither the January nor the July 2022 letter was found. (Id. at 17, 47.) On December 30, 2023, Plaintiff sent Defendant a letter by Priority mail and enclosed copies of the alleged January and July 2022 letters. (Dkt. 33-2 at 198–216.)

Defendant received this letter and responded with a letter dated January 5, 2024, informing Plaintiff that it did not receive the 2022 letters and that the deadline for filing his appeal had expired. (Id. at 217–18.) This suit followed on July 18, 2024. (Dkt. 1.) Neither party requested a jury trial. (Dkt. 11 at 3.) Following limited discovery on the exhaustion issue, the parties jointly agreed, under Rule 52 of the Federal Rules of Civil Procedure, to submit that issue for decision on the existing record; both sides then filed cross-motions requesting that relief.1 (Dkt. 34.) II. LEGAL STANDARD

As it is limited to the exhaustion issue, Defendant’s motion is best construed as a Rule 52(c) motion. Rule 52(c) of the Federal Rules of Civil Procedure, added in 1991, allows the court to enter judgment on a specific issue within a case. Fed. R. Civ. P. 52(c) advisory committee’s note to 1991 amendment. Rule 52(c) replaces part of the former Rule 41(b). Id. Case law that developed under Rule 41(b) is also applicable under Rule 52(c). See Gaffney v. Riverboat Servs. of Indiana, Inc., 451 F.3d 424, 451 n.29 (7th Cir. 2006). Because the motion is decided at an interim stage, denial of a

party’s motion under this rule “amounts to nothing more than a refusal to enter judgment at that time.” Armour Rsch. Found. of Illinois Inst. of Tech. v. Chi., R. I. & P. R. Co., 311 F.2d 493, 494 (7th Cir. 1963) (discussing a motion under Rule 41(b)). When ruling on a Rule 52(c) motion, a trial court acts as “a finder of fact, weighing evidence and assessing the credibility of the witnesses.” Pinkston v. Madry, 440 F.3d 879, 890 (7th Cir. 2006); see also Stop Ill. Health Care Fraud, LLC v. Sayeed,

957 F.3d 743, 748 (7th Cir. 2020) (citing Wilborn v. Ealey, 881 F.3d 998, 1008 (7th Cir. 2018)). A judgment under Rule 52(c) “must be supported by findings of fact and conclusions of law as required by Rule 52(a).” Fed. R. Civ. P. 52(c). These factual

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James A. Stempel v. Unum Life Insurance Company of America, (N.D. Ill. 2026).

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