Lucas v. Challenge MacHinery Co. Salaried & Non-Union Employees' Retirement Plan

144 F. Supp. 2d 885, 2001 U.S. Dist. LEXIS 3429, 2001 WL 418924
CourtDistrict Court, W.D. Michigan
DecidedMarch 14, 2001
Docket1:00CV121
StatusPublished
Cited by1 cases

This text of 144 F. Supp. 2d 885 (Lucas v. Challenge MacHinery Co. Salaried & Non-Union Employees' Retirement Plan) is published on Counsel Stack Legal Research, covering District Court, W.D. Michigan primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Lucas v. Challenge MacHinery Co. Salaried & Non-Union Employees' Retirement Plan, 144 F. Supp. 2d 885, 2001 U.S. Dist. LEXIS 3429, 2001 WL 418924 (W.D. Mich. 2001).

Opinion

OPINION

HILLMAN, Senior District Judge.

This is an action for disability benefits under an employee benefit plan governed by the Employee Retirement Income Security Act (“ERISA”), 29 U.S.C. § 1001 et seq. The matter presently is before the court on the parties’ cross motions for judgment on the administrative record. 1 For the reasons that follow, defendant’s motion (docket # 17) is GRANTED and plaintiffs motion (docket # 16) is DENIED.

I.

Plaintiff Lauriane L. Lucas is a former employee of the Challenge Machinery Company. Lucas was employed by Challenge Machinery in the Personnel/Human Resources Department from 1971-1993. During her employment, Lucas was a participant in defendant Challenge Machinery Company Salaried and Non-Union Employees’ Retirement Plan (“the Plan”). The Plan includes a disability pension benefit.

Plaintiff voluntarily quit her position at Challenge Machinery effective June 22, 1993. Over five years later, plaintiff was determined disabled by the Social Security Administration as of October 1998 because of end-stage renal disease, and she began to receive Social Security benefits in April 1999. On April 1, 1999, plaintiff sought disability benefits under the Plan. (Admin.R. p. 83.) The administrator of the Plan denied benefits on September 14, 1999, determining that because plaintiff was not a current employee at the time she became disabled, she was not qualified to receive a disability pension under the Plan. (Admin. R. pp. 53-54.)

In a letter dated December 28, 1999, plaintiff advised the Plan administrator that she intended to “grieve” the determination that she was not eligible for disability pension benefits. (Admin.R. p. 52.) In that letter, plaintiff advised that during her employment, she had been told that, consistent with the administrator’s denial of benefits to her, the Plan was being administered to exclude participants from benefits if they were not active employees *887 at the time they became disabled. Plaintiff stated, however, that a member of the Pension Board, Michael 0. Anthes, had previously informed the Pension Board that this interpretation of the Plan was not clear in the Plan document. In addition, she stated that she was aware of one individual, Phillip Nass, who was awarded a disability pension despite the fact that he was not an active employee at the time he became disabled.

On December 27, 1999, plaintiffs attorney, John Halloran, wrote to Britt Cary, a trustee of the Plan, in a formal appeal of the decision to deny benefits. (Admin.R. pp. 55-56.) In that letter, Halloran sought a full and fair review of the determination. As part of that review, Halloran asked that the administrative record include, in addition to plaintiffs letter, the Social Security award, and the Plan. In addition, Hallo-ran requested the opportunity to depose Michael Anthes and Phillip Nass, as well as the pension administrator and relevant current and past pension board members. Further, Halloran asked for employment and pension records of all persons applying for disability pension retirement in the last ten years. Id.

On February 7, 2000, Cary sent plaintiff a determination of her appeal, again denying benefits. That determination was reached without granting depositions and discovery requested by plaintiffs attorney. The decision repeated the previously stated reasons for the denying benefits. Plaintiff then filed the instant action for benefits under ERISA.

II.

A. Procedural Posture

Pursuant to recent Sixth Circuit authority, ERISA benefit actions are substantially limited, not full trial proceedings. Ordinarily, in reviewing an administrator’s benefit determination, a district court is limited to reviewing the evidence contained in the administrative record. See Wilkins v. Baptist Healthcare Sys., Inc., 150 F.3d 609, 618 (6th Cir.1998); Perry v. Simplicity Engineering, 900 F.2d 963 (6th Cir. 1990).

The only exception to the above principle of not receiving new evidence at the district court level arises when consideration that evidence is necessary to resolve an ERISA claimant’s procedural challenge to the administrator’s decision, such as an alleged lack of due process afforded by the administrator or alleged bias on its part.

Wilkins, 150 F.3d at 618 (citing VanderK-lok v. Provident Life and Accident Ins. Co. Inc., 956 F.2d 610, 617 (6th Cir.1992) (insured permitted to present new evidence because the administrator failed to provide insured with proper notice as required by the administrative hearing procedures)).

In an earlier decision (docket ## 14, 15), this court granted defendant’s motion for an order protecting defendant from supplemental discovery. The court concluded that plaintiff had failed to show entitlement to additional discovery under Wilkins. Accordingly, the court determined that the court’s review of the administrator’s determination was limited to the evidence contained in the administrative record.

The parties have now filed cross motions for judgment on the administrative record.

B. Standard of Review

The Supreme Court has held that federal courts should apply a de novo standard of review to claims for benefits under ERISA unless the plan grants the administrator full discretionary authority to interpret the terms of the plan and determine eligibility. See Firestone Tire & Rubber Co. v. Bruch, 489 U.S. 101, 109 *888 S.Ct. 948, 103 L.Ed.2d 80 (1989). In order to insulate its decision from de novo review, the “grant of discretion to the administrator” must be “clear.” Brown v. Amp-co-Pittsburgh Corp., 876 F.2d 546, 550 (6th Cir.1989); see also Johnson v. Eaton Corp., 970 F.2d 1569, 1571 (6th Cir.1992); Perry, 900 F.2d at 965. If the plan confers discretionary authority on the plan administrator to determine eligibility for benefits or to construe the terms of the plan, this court will apply an arbitrary and capricious standard of review. Bruch, 489 U.S. at 115, 109 S.Ct. 948; Borda v. Hardy, Lewis, Pollard & Page, P.C., 138 F.3d 1062, 1066 (6th Cir.1998).

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Bluebook (online)
144 F. Supp. 2d 885, 2001 U.S. Dist. LEXIS 3429, 2001 WL 418924, Counsel Stack Legal Research, https://law.counselstack.com/opinion/lucas-v-challenge-machinery-co-salaried-non-union-employees-retirement-miwd-2001.