Linda Allinder v. Inter-City Products Corporation (Usa), Robert Henningsen

152 F.3d 544, 22 Employee Benefits Cas. (BNA) 2735, 1998 U.S. App. LEXIS 18321, 1998 WL 458374
CourtCourt of Appeals for the Sixth Circuit
DecidedAugust 10, 1998
Docket97-5909
StatusPublished
Cited by76 cases

This text of 152 F.3d 544 (Linda Allinder v. Inter-City Products Corporation (Usa), Robert Henningsen) 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
Linda Allinder v. Inter-City Products Corporation (Usa), Robert Henningsen, 152 F.3d 544, 22 Employee Benefits Cas. (BNA) 2735, 1998 U.S. App. LEXIS 18321, 1998 WL 458374 (6th Cir. 1998).

Opinion

GILMAN, Circuit Judge.

Linda Allinder sued her former employer, Inter-City Products Corporation, and its Vice President of Human Resources, Robert Henningsen (collectively “ICP”), for alleged violations of the Employee Retirement Income Security Act of 1974 (“ERISA”). She specifically claimed that ICP violated 29 U.S.C. § 1132(c) (refusal to supply requested information) and §§ 1104(a)(1) and 1106(b)(2) (breach of fiduciary duty). The essence of Allinder’s suit concerned ICP’s refusal to complete a form necessary for her to file a long-term disability insurance claim after she suffered a debilitating toxic reaction to pesticides sprayed in her work area. Although she was eventually paid in full the amount of benefits due under the policy, Allinder sought compensatory and punitive damages based on the allegedly intentional misrepre *546 sentations made by ICP in order to delay such payment.

While sympathetic to Allinder’s plight, the district court nonetheless granted summary judgment in favor of ICP. The court’s reasoning was twofold. First, the court concluded that ERISA’s document-disclosure provisions do not cover claim forms. Second, relying upon this court’s decision in Tassinare v. American Nat. Ins. Co., 32 F.3d 220 (6th Cir.1994), the district court held that Allinder could not make out a claim for breach of fiduciary duty because “fiduciary liability under ERISA arises in favor of the plan itself, and ... plan participants may not seek to recover in an individual capacity.” For the reasons set forth below, we AFFIRM the judgment of the district court.

I. BACKGROUND

A. ICP’s Long-Term Disability Insurance Policy

Allinder began work as a computer systems analyst at ICP’s Lovergne, Tennessee facility in May of 1986. As is standard in the employment setting, ICP offered its employees a package of benefits, including a company-sponsored long-term disability insurance policy (“the policy”). Allinder elected to enroll in the policy when she assumed her position at ICP. The terms and conditions of the policy were contained in an insurance contract signed by ICP and Life Insurance Company of North America (“insurance company”).

Under the terms of the policy, an eligible employee was considered insured at the conclusion of an initial twelve-month waiting period. In order to fall within the class of eligible employees, the employee had to be in active service and regularly work a minimum of thirty hours a week. An employee was considered to be in active service if he or she performed “all of the regular duties of his work” during scheduled work days. The policy did provide one exception: employees did not have to meet the eligibility requirements if they were unable to work due to a “total disability.”

The term “total disability” was defined by the policy as one where, “because of injury or sickness, [an employee] is unable to perform all the essential duties of his occupation.” The policy further provided that insured employees were entitled to receive payment of long-term disability benefits after they had suffered from a “total disability” for more than six months. According to the section of the policy titled “Long Term Disability Benefits,” the insurance company was obligated to make monthly payments of disability benefits once it received proof that “the employee became Totally Disabled while insured.” (emphasis added). Insured employees were thus entitled to disability benefits once they became disabled, regardless of when they filed a claim for benefits. The policy concluded by stating that the insurance company would deal solely with ICP, which was deemed the representative for the employee, and that any action ICP took in regal’d to the administration of the plan was binding on the employee.

B. The Disability Claim

ICP hired a local pest-control company in March of 1990 to spray for termites in the work area used by Allinder. Shortly after the spraying, Allinder began to experience a number of adverse symptoms, including itching, severe shortness of breath, extreme fatigue, pain, fever, and difficulty walking. After reporting these symptoms to her supervisor, Allinder left work and remained at home for several days. When she returned to work, Allinder requested that she be moved to another area in the building that had not been sprayed with pesticides. ICP accommodated Allinder’s request and moved her to an alternate work area in its facility. Allinder’s symptoms apparently subsided once she was transferred to the new work area. On April 10, 1990, however, Allinder’s immediate supervisor, Rick Zorn, ordered Allinder to return to her original work area. Her symptoms reappeared upon her return. Allinder again requested and was allowed to go back to the alternate work area to carry out her job duties.

In early June of 1990, Zorn again forced Allinder to return to her original work area. Upon her return, Allinder began to suffer even more severe symptoms than she had *547 earlier experienced. On June 19,1990, Allin-der’s condition worsened to the point that she experienced uncontrollable tremors in her hands and legs, including one episode where her legs involuntarily jerked for four hours. Allinder was rushed to nearby Baptist Hospital’s emergency room, where she was diagnosed as suffering from a toxic reaction to the pesticide sprayed by the pest-control company. Allinder’s treating physician later diagnosed her as having suffered nerve damage from her exposure to the pesticide. Allinder remained away from work for the remainder of June because of her illness.

Allinder met with members of ICP’s management in July to discuss her medical condition. At this meeting, Allinder presented a letter from her physician stating that she should not work in an area where pesticides have been applied or, alternatively, that she should be allowed to work at home. At the conclusion of this meeting, Allinder was asked whether she was resigning her job. Allinder responded that she intended to continue to work for ICP after she recovered from her illness. ICP nonetheless terminated Allinder’s employment on August 24,1990 due to her failure to report to work while she was seeking treatment for her illness. At the time she was fired, Allinder was less than a month away from being entitled to receive payment of long-term disability benefits.

On November 14, 1991, Allinder requested that ICP fill out its portion of the .long-term disability claim form and submit it to the insurance company so that she could begin receiving payments of disability benefits. This claim form is a two-sided document. The front of the document provides questions for the employee to answer, while the back is to be completed by ICP. In a letter dated January 17, 1992, ICP’s in-house counsel informed Allinder that the company would not fill out its portion of the form because she failed to “me[e]t the threshold requirement of active employee status at the time she made a claim for LTD (Long Term Disability) benefits.”

This representation, as conceded by ICP at oral argument, was incorrect.

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

Related

Cite This Page — Counsel Stack

Bluebook (online)
152 F.3d 544, 22 Employee Benefits Cas. (BNA) 2735, 1998 U.S. App. LEXIS 18321, 1998 WL 458374, Counsel Stack Legal Research, https://law.counselstack.com/opinion/linda-allinder-v-inter-city-products-corporation-usa-robert-henningsen-ca6-1998.