Leppert v. Liberty Life Assurance Co. of Boston

661 F. App'x 425
CourtCourt of Appeals for the Sixth Circuit
DecidedNovember 29, 2016
Docket16-3387
StatusUnpublished
Cited by6 cases

This text of 661 F. App'x 425 (Leppert v. Liberty Life Assurance Co. of Boston) is published on Counsel Stack Legal Research, covering Court of Appeals for the Sixth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Leppert v. Liberty Life Assurance Co. of Boston, 661 F. App'x 425 (6th Cir. 2016).

Opinion

CLAY, Circuit Judge.

Plaintiff Dana Leppert appeals from the judgment entered by the district court on March 24, 2016, granting Defendant Liberty Life Assurance Company of Boston’s (“Liberty”) motion for summary judgment, and upholding Liberty’s decision to termi *427 nate Leppert’s long term disability benefits. On appeal, Leppert argues that Liberty’s benefits termination was arbitrary and capricious in violation of the Employee Retirement Income Security Act of 1974 (“ERISA”). See 29 U.S.C. § 1001 et seq. We have jurisdiction to entertain this appeal pursuant to 28 U.S.C. § 1291. For the reasons set forth below, we AFFIRM the district court’s judgment.

BACKGROUND

I. Factual Background

Plaintiff Dana Leppert is a 60-year-old man formerly employed by Triumph Group Inc. (“Triumph”), an aircraft manufacturer. Leppert graduated from high school in 1974, and has never attended college or a trade school. Rather, Leppert has spent his entire adult life working as a physical laborer in a variety of jobs ranging from farm work to washing and detailing automobiles. From 1999 to 2011, Lep-pert worked as a window repairman for Triumph’s fleet of aircraft.

In 2011, at age 65, Leppert was performing maintenance on his car when he heard and felt several “pops” in his shoulders. (R. 11, Sealed Administrative Record, PagelD #103.) Leppert was subsequently diagnosed with “[m]assive” rotator cuff tears in both shoulders and end-stage osteoarthritis in both knees, along with other smoking and obesity-related ailments. Leppert ceased working at Triumph in May 2011, and applied for Social Security disability benefits.

Leppert was examined by Dr. Elizabeth Das (“Dr. Das”) in order to determine his eligibility for Social Security benefits. On December 13, 2011, Dr. Das issued a report finding Leppert disabled within the meaning of the Social Security Act. Dr. Das determined that Leppert suffers from three medically determinable impairments: (1) osteoarthritis and allied disorders; (2) degenerative disc disease in his back; and (3) major joint dysfunction. Dr. Das classified all three impairments as “[sjevere.” (Id. PagelD #235.) Based on these impairments, Dr. Das opined that Leppert was limited to “LIGHT” 1 work (id. PagelD #207), and could only: (1) lift or carry twenty pounds for roughly two-to-three hours per day; (2) lift or carry ten pounds for roughly two-to-five hours per day; (3) stand or walk for six hours per day; and (4) sit for six hours per day. Dr. Das also noted that Leppert’s ability to use his hands was “[ujnlimited.” (Id. PagelD #206.) On December 31, 2011, the Social Security Administration accepted Dr. Das’ findings and awarded Leppert disability benefits beginning October 2011.

Leppert also sought disability benefits under Triumph’s disability insurance plan with Defendant Liberty Life Assurance Company of Boston (“the Plan”). The Plan provides 'two methods of qualifying for long term disability benefits. First, if a worker becomes disabled from performing his own occupation, he can receive up to two years’ worth of disability insurance payments. Second, if a worker becomes *428 disabled from performing any occupation, he can continue to receive disability benefits until he is no longer disabled, or his maximum benefit period expires, which for Leppert would have been September 18, 2022.

On or around August 31, 2011, Liberty contacted Dr. Joseph Assenmacher (“Dr. Assenmacher”), Leppert’s treating orthopedist, in connection with Leppert’s claim that he was disabled from performing his own occupation. After speaking with Dr. Assenmacher, Liberty agreed that Lep-pert could no longer function as an airplane window repairman, and granted Leppert twenty-four months of disability benefits starting October 29, 2011. Leppert was eventually required to offset these benefits by his award from the Social Security Administration.

Liberty then began assessing Leppert’s long term prognosis. In connection with this evaluation, Liberty enlisted Dr. Gale Brown, Jr. (“Dr. Brown”) to evaluate Lep-pert’s medical records. As' part of this review, Dr. Brown contacted Dr. Assen-macher to discuss Leppert’s ailments. Dr. Brown and Dr. Assenmacher agreed that Leppert could perform full-time work with the following restrictions:

• Occasional standing/walking, 10-15 minutes/session;
• Constant sitting, 45 minutes/session;
• No reaching/lifting above left shoulder level;
• Occasional lifting/carrying/pushing/pulling 10 lbs.
• No climbing/squatting/crouching/kneeling/ crawling.

(M PagelD #654.)

On May 3, 2012, Dr. Brown issued a report summarizing his findings. Relevant to this appeal, Dr. Brown concluded that: (1) Leppert suffered from permanent partial physical impairment in his shoulders and knees; (2) Leppert was therefore restricted to sedentary-light work as defined in Department of Labor regulations; (3) Leppert’s prognosis for resuming sedentary-light work was “excellent;” (4) there was “no evidence for functionally limiting comorbid diagnoses or medication side effects;” and (5) Leppert’s various complaints were completely consistent with the conditions identified in his medical records. (Id. PagelD #667-68.) On February 18, 2013, after reviewing additional medical records submitted by Leppert, Dr. Brown issued a supplemental report adhering to his conclusions expressed in the May 3, 2012 report.

After Dr. Brown issued his May 2012 report, Leppert was referred by Liberty to Ms. Lori Ashworth (“Ms. Ashworth”), a vocational rehabilitation counselor, to determine whether Leppert would be a good candidate for a job-retraining program. For reasons that are not entirely clear from the record, this analysis was never completed. Ms. Ashworth stated on May 22, 2012 that the analysis was being postponed so that Leppert could see Dr. As-senmacher about pain and numbness in his hands. However, Dr. Assenmacher’s treatment notes for this period make no mention of any problems with Leppert’s hands. In any event, on September 19, 2012 Ms. Ashworth made a notation in Leppert’s file stating: “CONCLUDED [Leppert] NOT A GOOD CANDipATE FOR [Vocational] RETRAINING PROGRAM.” (Id. PagelD #92.) Leppert was accordingly never afforded vocational retraining services.

On March 6, 2013, Liberty began formally reviewing whether Leppert was disabled from performing any occupation within the meaning of the Plan. As part of this review, Liberty asked Michelle Red-dinger (“Ms. Reddinger”), a certified rehabilitation counselor, to conduct a vocational review and transferable skills analysis *429 based on Dr. Brown’s report to determine whether Leppert retained any skills that could help him find alternate employment. On March 8, 2013, Ms.

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