McGowan v. New Orleans Employers International Longshoremen's Ass'n, AFL-CIO

538 F. App'x 495
CourtCourt of Appeals for the Fifth Circuit
DecidedAugust 12, 2013
Docket13-30051
StatusUnpublished
Cited by7 cases

This text of 538 F. App'x 495 (McGowan v. New Orleans Employers International Longshoremen's Ass'n, AFL-CIO) is published on Counsel Stack Legal Research, covering Court of Appeals for the Fifth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
McGowan v. New Orleans Employers International Longshoremen's Ass'n, AFL-CIO, 538 F. App'x 495 (5th Cir. 2013).

Opinion

*496 PER CURIAM: *

Troy McGowan filed suit against his pension plan following the termination of his disability pension benefits. The district court granted summary judgment in favor of the plan because McGowan failed to timely exhaust his administrative remedies, as required by the plan. McGowan appealed on multiple grounds. For the reasons that follow, we affirm the district court’s grant of summary judgment.

I. Factual and Procedural Background

Plaintiff-Appellant Troy McGowan (“McGowan”) worked as a longshoreman covered by a plan of benefits (“the Plan”) administered by Defendant-Appellee New Orleans Employers International Longshoremen’s Association, AFL-CIO Pension Fund (“the Fund”). McGowan was injured while winding up the landing gear on a container and subsequently qualified for disability benefits under the Plan effective December 2008.

The parties do not dispute that the Plan is an employee pension benefit plan as defined by the Employee Retirement Income Security Act of 1974 (“ERISA”), 29 U.S.C. § 1002(2)(A)(i). The Plan contains the following terms and conditions that are relevant to McGowan’s claims:

• “Disability means a physical or mental condition that permanently prevents an Employee from working in Employment in the Industry.”
• “A Disability Pension ... will terminate upon the happening of any of the following ... (ii) ceasing to be Disabled or engaging in gainful employment other than for purposes of rehabilitation on a nominal wage basis[.] ... If Disability Pension benefits are terminated, the Board will provide written notice by first class mail or personal delivery to the affected Qualified Pensioner, ... setting forth the reasons for termination and an explanation of the right to file a written claim for review....”
• “Within 180 days after receipt of an adverse benefit determination ... the claimant or his representative may appeal the determination by making a written request for review to the board!.]”
• “If a timely written request for review is not made, the initial decision on the claim will be final.”
• “[A]n initial decision on a claim under the Plan that is not timely appealed! ] will be conclusive, final and binding on all persons.”
• “In no event may legal action be brought by or on behalf of any individual to receive benefits under the Plan unless the individual ... has first fully complied with and timely exhausted the Claims and Claims Review Procedures under the Plan.”

On April 18, 2011, McGowan spoke with Thomas Daniel (“Daniel”), the Plan’s Administrative Manager. During the course of this discussion, it was suggested that McGowan may have returned to gainful employment and that disability benefits would be terminated if that was the case. Two days later McGowan received a letter notifying him that his benefits would be terminated effective April 30, 2011, on the basis that McGowan had returned to work and was thus no longer disabled. In addition to explaining the decision, the letter included the following language regarding McGowan’s ability to contest the determi *497 nation: “Your post-appeal rights are set forth on pages 36-39 of the enclosed Summary Plan Description booklet. Please note your right to pursue legal action under Section 502(a) of ERISA. The limitation period is one (1) year from today.” A booklet explaining the terms of the Plan accompanied the letter. Pages 36-39 of the booklet contained language explaining that McGowan had 180 days to file a written request for review.

McGowan concedes that he did not file a written appeal within 180 days of the April 20, 2011 letter. He does claim, however, that he called Daniel “to discuss the notice and [to] notif[y] him of his intent to appeal.” The Fund received two letters thereafter. The first letter was sent on September 12, 2011 by an attorney who claimed to be assisting McGowan in his attempt to return to work as a longshoreman. Approximately ten months after receiving the termination of benefits letter, on February 9, 2012, the Fund received a second letter from a different attorney. The second letter requested a reevaluation of McGowan’s eligibility for disability benefits.

On April 18, 2012, McGowan filed suit against the Fund, challenging the termination of his disability benefits. While McGowan’s suit was pending, the Fund held a hearing to evaluate the timeliness of McGowan’s appeal, as well as the underlying issue of disability, in response to the February 9, 2012 letter. On September 12, 2012, the Fund issued a final determination that denied McGowan’s claims. Specifically, the Fund found that (1) “No written appeal was filed by Mr. McGowan or his counsel within the 180-day period established by the Plan[;]” (2) “The ‘appeal’ lodged by Mr. McGowan’s second counsel ... was clearly untimely[;]” and (3) “Even if the February 9, 2012 letter constituted a timely appeal, the facts developed clearly confirm ... that [McGowan] was able to work as a longshoreman and that he had been working as a longshoreman since 2009.” The district court granted summary judgment in the Fund’s favor on October 15, 2012, holding that McGowan had failed to timely exhaust his administrative remedies. McGowan appealed.

II. Jurisdiction and Standard of Review

This Court has jurisdiction pursuant to 28 U.S.C. § 1291, because McGowan appeals the district court’s final judgment. On appeal, this Court reviews a district court’s grant of summary judgment de novo, applying the same standards as the district court. Greater Hous. Small Taxicab Co. Owners Ass’n v. City of Hous., 660 F.3d 235, 238 (5th Cir.2011). Summary judgment is warranted when the movant shows that there is no genuine dispute over any material fact and that the movant is entitled to judgment as a matter of law. Fed.R.Civ.P. 56(a). A genuine dispute of material fact exists if the evidence is such that a reasonable jury could find for the nonmoving party. Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248, 106 S.Ct. 2505, 91 L.Ed.2d 202 (1986). It is not enough to simply claim a fact is disputed; such an assertion must be supported by argumentation and citations to the record. Fed.R.Civ.P. 56(e)(l)(A)-(B).

III. Analysis

A. Sufficiency of the Termination Notice

McGowan argues that the 180-day period did not begin to run when he received the termination letter because the termination letter did not substantially comply with the requirements of 29 U.S.C.

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Bluebook (online)
538 F. App'x 495, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mcgowan-v-new-orleans-employers-international-longshoremens-assn-ca5-2013.