Mattias v. Computer Sciences Corp.

34 F. Supp. 2d 120, 1999 U.S. Dist. LEXIS 1192, 1999 WL 51919
CourtDistrict Court, D. Rhode Island
DecidedFebruary 2, 1999
Docket97-666L
StatusPublished
Cited by7 cases

This text of 34 F. Supp. 2d 120 (Mattias v. Computer Sciences Corp.) is published on Counsel Stack Legal Research, covering District Court, D. Rhode Island primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Mattias v. Computer Sciences Corp., 34 F. Supp. 2d 120, 1999 U.S. Dist. LEXIS 1192, 1999 WL 51919 (D.R.I. 1999).

Opinion

DECISION AND ORDER

LAGUEUX, Chief Judge.

Barbara Mattias (“plaintiff’) was working for Computer Sciences Corporation when she suffered a back injury in January 1995. She has sued her employer, Continental Casualty Company and the CNA Insurance Companies (collectively “defendants”) for long term disability payments that she believes she should receive under Computer Sciences Corporation’s ERISA plan. Plaintiff received “total disability” benefits from July 1995 to July 1997, but the parties disagree now on whether she qualifies for “partial disability” benefits thereafter.

In plaintiffs job, she entered data into computers and lifted boxes of computer paper. In September 1995, Dr. Thomas L. Green reported that plaintiff suffered a herniated disc with sciatica in her lower back. The condition had originated on January 24, 1995. Plaintiff was covered by Computer Sciences Corporation’s employee benefit pro *122 gram, which was insured and administered by CNA Insurance Companies’ Continental Casualty Company. Plaintiff does not claim total disability benefits after July 1997. Although the back injury prevents plaintiff from returning to her former job, she could return to other, less-physically straining employment. In March 1997, plaintiffs physician Dr. Philo F. Willetts, Jr. reported that:

She could return to a variety of light and sedentary jobs. Her restrictions would be to avoid more than an occasional bending, avoid lifting more than 20 pounds, and avoid working in tight compartments. She could sit, stand, walk and drive, so long as she could frequently change positions as comfort dictated. She could occasionally climb and descend stairs. She could use her feet for foot pedal controls and use her hands without further restrictions.

(Record at 132 (attached to Aff. of William C. Lerette)). Dr. Willetts went on to state that based upon the AMA Guidelines, he would rate plaintiff as having a 5% permanent partial impairment of the whole person; he stated that this would be equivalent to a 7% permanent partial physical impairment of the lumbar spine. Therefore, plaintiff is not totally disabled, but she suffers some disability. The dispute is whether plaintiff qualifies for partial disability benefits, and that depends on how “partial disability” is to be defined in this case.

Following ERISA’s requirements, defendants published two documents describing Computer Sciences Corporation’s employee benefit program: the detailed plan description (the “CSC Plan”) and a summary in the employee handbook (the “CSC Summary”).

The CSC Summary contained language that:

“[i]n the event you are partially disabled you are eligible to receive benefits to assist your return to your previous profession... [Following] a period for which you received Total Disability ... benefits, you will receive a Partial Disability benefit for each month that you are partially disabled.”

(CSC Summary at 7-3) (attached as Exhibit E to Aff. of Barbara Mattias). The CSC Plan contained the following language:

“Partial disability” means that the Insured Employee, because of Injury or Sickness is:
(1) continuously unable to perform the substantial and material duties of his regular occupation;
(2) under the regular care of a licensed physician other than himself; and
(3) gainfully employed in his regular occupation on a partial and/or part-time basis.

(Record at 15 (attached to Aff. of William C. Lerette).)

Plaintiff argues that her doctor has found her to be partially disabled, and under the CSC Summary, she is eligible to receive benefits. Defendants argue that the CSC Plan’s definition controls this case, and because plaintiff has not returned to her regular occupation on a partial and/or part-time basis, she is not eligible.

For the reasons outlined below, this Court holds that the CSC Summary’s language controls and plaintiff is eligible for partial disability benefits. Defendants’ motion for summary judgment is denied, and plaintiffs motion for summary judgment is granted as to liability.

I. Legal Standard for Motion for Summary Judgment

Rule 56(c) of the Federal Rules of Civil Procedure sets forth the standard for ruling on summary judgment motions:

The judgment sought shall be rendered forthwith if the pleadings, depositions, answers to interrogatories, and admissions on file, together with the affidavits, if any, show that there is no genuine issue of any material fact and that the moving party is entitled to a judgment as a matter of law.

Fed.R.Civ.P. 56(c). Therefore, the critical inquiry is whether a genuine issue of material fact exists. “Material facts are those ‘that might affect the outcome of the suit under the governing law.’” Morrissey v. Boston Five Cents Sav. Bank, 54 F.3d 27, 31 (1st Cir.1995) (quoting Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248, 106 S.Ct. 2505, 2510, 91 L.Ed.2d 202 (1986)). “A dispute as *123 to a material fact is genuine ‘if the evidence is such that a reasonable jury could return a verdict for the nonmoving party.’ ” Id.

On a motion for summary judgment, the Court must view all evidence and related inferences in the light most favorable to the nonmoving party. See Springfield Terminal Ry. Co. v. Canadian Pac. Ltd., 133 F.3d 103, 106 (1st Cir.1997). “[Wjhen the facts support plausible but conflicting inferences on a pivotal issue in the case, the judge may not choose between those inferences at the summary judgment stage.” Coyne v. Taber Partners I, 53 F.3d 454, 460 (1st Cir.1995). Similarly, “[sjummary judgment is not appropriate merely because the facts offered by the moving party seem more plausible, or because the opponent is unlikely to prevail at trial.” Gannon v. Narragansett Elec. Co., 777 F.Supp. 167, 169 (D.R.I.1991).

The coincidence that both parties move simultaneously for summary judgment does not relax the standards under Rule 56. See Blackie v. Maine, 75 F.3d 716, 721 (1st Cir.1996). Barring special circumstances, the Court must consider each motion separately, drawing inferences against each movant in turn. See id.

II. Standard of Review

When this Court reviews decisions by benefit providers in ERISA cases, it lacks stable, deep-rooted rules like those that govern motions for dismissal or summary judgment.

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Bluebook (online)
34 F. Supp. 2d 120, 1999 U.S. Dist. LEXIS 1192, 1999 WL 51919, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mattias-v-computer-sciences-corp-rid-1999.