Manning v. American Republic Insurance

630 F. Supp. 2d 1017, 47 Employee Benefits Cas. (BNA) 1165, 2009 U.S. Dist. LEXIS 56975, 2009 WL 1743736
CourtDistrict Court, S.D. Iowa
DecidedJune 19, 2009
Docket4:07-cv-00217-JEG
StatusPublished

This text of 630 F. Supp. 2d 1017 (Manning v. American Republic Insurance) is published on Counsel Stack Legal Research, covering District Court, S.D. Iowa primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Manning v. American Republic Insurance, 630 F. Supp. 2d 1017, 47 Employee Benefits Cas. (BNA) 1165, 2009 U.S. Dist. LEXIS 56975, 2009 WL 1743736 (S.D. Iowa 2009).

Opinion

ORDER

JAMES E. GRITZNER, District Judge.

This matter comes before the Court on a Motion for Partial Summary Judgment by Defendant American Republic Insurance Company (ARIC), which Plaintiff Kim *1020 Iann Manning (Manning) resists. The Court held a hearing on the matter on May 20, 2009. Manning was represented by Bruce and Andrew Stoltze. ARIC was represented by Thomas Foley. The matter is fully submitted and ready for disposition.

I. BACKGROUND

The Court’s February 24, 2009, order affirming the ARIC plan administrator’s decision denying Manning’s application for short-term disability (STD) benefits contained a thorough recitation of the facts of this case (Clerk’s No. 47 at 1-9). However, the Court will briefly summarize the specific material facts for Defendant’s motion either as undisputed or “in the light most favorable to [Manning], as the non-moving part[y].” O’Brien v. Dep’t of Agric., 532 F.3d 805, 808 (8th Cir.2008).

Manning began working at ARIC on January 31, 2005, and was covered under ARIC’s medical and disability plan (the Plan), including STD benefits. Manning took a medical leave of absence on April 26, 2005, and applied for STD benefits on May 5, 2005. Manning corresponded with ARIC representatives between May and August 2005 about Manning’s STD claim, addressing whether Manning had consulted an “Approved Health Care Provider” under the Plan and whether she had presented “objective medical evidence” as both these terms are defined by ARIC’s STD Plan. On July 25, 2005, ARIC sent Dr. Kenneth Moon (Dr. Moon), Manning’s physician and an approved health care provider, a letter stating, “Please note, that your patient’s continued employment is dependent upon us receiving clarification of her condition from you.” Pl. SUF ¶ 14; Def. App. 125. On July 29, 2005, Jodi Lanipher (Lanipher), an ARIC human resources employee, prepared notes of her telephone conversation with Dr. Moon. Lanipher’s notes state that “[i]f [Manning] plans to return to work next week and is o.k. with her STD claim as it stands now then she doesn’t need to set up an [appointment] with Dr. Moon.” Def. App. 127. On August 1, 2005, Dr. Moon adopted the recommendation of physician’s assistant Andra Kennedy that Manning could not return to work until September 2005. On August 6, 2005, Dr. Moon faxed his medical notes to ARIC.

On August 8, 2005, ARIC sent a letter to Manning denying her STD claim stating that, if Manning did not return to work by August 15, 2005, “[ARIC’s] records will be noted to reflect that you have abandoned your position with [ARIC].... ” Pl. SUF ¶ 23; Def. App. 144. The August 8 letter did not mention that Manning was required to bring a work release when she reported for work. Manning appealed ARIC’s decision on August 12, 2005, but reported to work on August 15, 2005, consistent with ARIC’s August 8 letter; however, ARIC sent Manning home for failure to provide medical certification that Manning was able to return to work. ARIC had a general unwritten policy that all employees must obtain medical certification before returning to work in order to assure that ARIC would not have liability if Manning’s health condition resulted in further complications at work. 1 There is no evidence in the record that ARIC ever varied from this unwritten policy for any employee.

ARIC affirmed its denial of STD benefits on August 29, 2005, stating it lacked objective medical evidence to support her STD claim. ARIC’s August 29 letter to *1021 Manning explained that Manning had two options:

1. Return to work on Wednesday, August [31], with certification from your [AJpproved Health Care Provider that you are able to return to work.
2. Provide us with objective medical information, from your [A]pproved Health Care Provider, that you are disabled from performing your job duties.

Def. App. 149 (emphasis in original).

ARIC’s STD benefits plan states that “[a] decision on STD eligibility will not be made until objective medical evidence to support [the] disability is received by the enterprise.” Def. App. 97. The STD benefits plan further states that any employee returning to work following a leave due to a “Medically Certified Health Condition” must provide a statement from an approved health care provider releasing him or her to return to work, with or without restrictions, before the employee is allowed to return to active employment. As noted, independent of ARIC’s STD Plan, ARIC has a general policy requiring certification from an approved health care provider medically clearing an employee to return to work after that employee has táken an extended leave of absence based on medical reasons. On August 30, 2005, Manning informed ARIC that she had an appointment with Dr. Moon for the morning of August 31, 2005. Manning went to her appointment with Dr. Moon, who did not release her for work at that time and extended her disability period for an additional month. On September 6, 2005, ARIC sent Manning a letter stating that ARIC was terminating her employment effective August 31, 2005. Under ARIC’s STD Plan, terminated employees are not eligible for STD benefits.

Manning was released to return to work without any restrictions in October 2005. Manning never applied for long-term disability (LTD) benefits from ARIC. Manning would not have been eligible for LTD benefits if she had remained employed with ARIC because the six-month STD period would not have expired by October 2005.

Manning filed this action, bringing (1) a claim for judicial review of ARIC’s denial of her STD benefits under the Employee Retirement Income Security Act (ERISA), pursuant to 29 U.S.C. § 1132(a)(1)(B) (Count One); (2) an ERISA retaliation claim asserting ARIC terminated Manning based on her application for STD benefits, pursuant to 29 U.S.C. § 1140 (Count Two); and (3) a claim that ARIC’s wrongful termination prevented her from obtaining future rights and benefits under ARIC’s LTD benefits plan (Count Three). The Court resolved Count One and affirmed ARIC’s denial of Manning’s STD application in a previous order on February 24, 2009 (Clerk’s No. 47). Defendant filed this Partial Motion for Summary Judgment on Counts Two and Three of Manning’s complaint, arguing no genuine issues of material fact remain for trial and it is entitled to judgment as a matter of law. Manning resists.

II. DISCUSSION

A. Summary Judgment Standard

Summary judgment must be granted if the record shows “that there is no genuine issue as to any material fact and that the movant is entitled to judgment as a matter of law.” Fed.R.Civ.P. 56(c); Walnut Grove Partners, L.P. v. Am. Fam. Mut. Ins. Co., 479 F.3d 949, 951-52 (8th Cir.2007). “In considering a motion for summary judgment the court does not weigh the evidence, make credibility determinations, or attempt to discern the truth of any factual issue.” Thomas v.

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Bluebook (online)
630 F. Supp. 2d 1017, 47 Employee Benefits Cas. (BNA) 1165, 2009 U.S. Dist. LEXIS 56975, 2009 WL 1743736, Counsel Stack Legal Research, https://law.counselstack.com/opinion/manning-v-american-republic-insurance-iasd-2009.