Metzger v. Unum Life Insurance Co. of America

151 F. App'x 648
CourtCourt of Appeals for the Tenth Circuit
DecidedOctober 6, 2005
Docket04-3484
StatusUnpublished
Cited by2 cases

This text of 151 F. App'x 648 (Metzger v. Unum Life Insurance Co. of America) is published on Counsel Stack Legal Research, covering Court of Appeals for the Tenth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Metzger v. Unum Life Insurance Co. of America, 151 F. App'x 648 (10th Cir. 2005).

Opinion

ORDER AND JUDGMENT *

TYMKOVICH, Circuit Judge.

After examining the briefs and appellate record, this panel has determined unanimously to grant the parties’ request for a decision on the briefs without oral argument. See Fed. RApp. P. 34(f); 10th Cir. R. 34.1(G). The case is therefore ordered submitted without oral argument.

Plaintiff Sarah E. Metzger appeals from a district court order ruling that it lacked subject-matter jurisdiction over her motion seeking sanctions against defendant UNUM Life Insurance Company of America (UNUM). Following a district court order remanding her ERISA complaint to UNUM for further proceedings, Metzger filed a sanction motion with the district court claiming UNUM had not followed the procedures required by the remand order. The district court ruled it lacked subject-matter jurisdiction to hear her motion. We exercise jurisdiction over the limited question of whether the district court correctly ruled it lacked jurisdiction to consider the sanction motion. See Estate of Harshman v. Jackson Hole Mountain Resort Corp., 379 F.3d 1161, 1163 (10th Cir.2004). We conclude that the district court had ancillary jurisdiction to enforce its remand order; thus, we reverse and remand for further proceedings.

Background

Metzger sought long-term disability benefits from UNUM, her employer’s ERISA plan administrator. UNUM denied her disability claim, stating she had not presented evidence she was under regular physician care for a condition that impaired her ability to work. Metzger administratively appealed this decision to UNUM, submitting a current medical evaluation from her treating physician. UNUM sent Metzger’s medical file to two medical consultants, Ms. Hess, a nurse, and Dr. Fluter, a physician, who opined that Metzger had not presented evidence demonstrating the functional limitations of her medical condition. Based on these opinions, UNUM upheld its decision to deny Metzger’s benefit request.

Metzger then filed a complaint in federal district court alleging in part that UNUM failed in its statutory and fiduciary duty under ERISA to provide a full and fair review of her claim because it had not given her any opportunity to review and rebut the opinions of Hess and Fluter. *650 The district court agreed. It ruled that Metzger was entitled to know what evidence UNUM relied upon, to have an opportunity to address the accuracy and reliability of that evidence, and to have UNUM consider the evidence presented by both parties before reaching any decision. ApltApp. at A41, A43 (citing Sage v. Automation, Inc. Pension Plan & Trust, 845 F.2d 885, 893-94 (10th Cir.1988)). The district court rejected UNUM’s argument that the opinions of Hess and Fluter did not constitute “evidence” because they only reviewed the medical evidence submitted by Metzger. It ruled that the opinions of these professionals did constitute “evidence” of a type that Metzger was entitled to review prior to UNUM’s final decision. Id. at A43. It also rejected UNUM’s argument that allowing Metzger to continually present rebuttal evidence would thwart the administrative review process. Id. at A44.

The district court then remanded the case to UNUM for further consideration. It granted Metzger sixty days from the date of its order to review the opinions of Hess and Fluter and to submit any rebuttal evidence. It gave UNUM 120 days from the date of the order to render its decision, reviewing the matter as it would from an appeal from an initial denial of benefits. Metzger timely submitted rebuttal evidence from her treating physician.

After receiving Metzger’s rebuttal evidence, UNUM again used outside consultants, a physician, Dr. Hill, and a vocational expert (VE), to review Metzger’s medical evidence. UNUM again denied benefits, citing the opinions of Hill and the VE as the basis of its denial. UNUM did not provide Metzger with any opportunity to review and rebut the opinion evidence of Hill or the VE prior to making its decision.

In response, Metzger filed a motion with the district court (entitled a Motion For Order to Show Cause) seeking sanctions, including an award of benefits. The motion, which is the subject of this appeal, claimed UNUM did not comply with the procedures outlined in the district court’s remand order. Metzger argued that UNUM’s use of outside consultants to evaluate and ultimately deny her claim, without providing her with any opportunity to review and rebut that evidence, was a blatant violation of the district court’s legal ruling in the remand order. UNUM disagreed, arguing the remand order only obligated it to receive Metzger’s rebuttal evidence with respect to Hess and Fluter and to reevaluate her appeal. It stated it was not obligated under the remand order to provide Metzger with a continuing opportunity to rebut future consultant evaluations it obtained, and noted its continued disagreement with the district court’s determination that Metzger should be allowed to rebut even Hess and Fluter’s opinions. Aplt.App. at A85-A86.

The district court sua sponte ruled that it lacked subject-matter jurisdiction to hear Metzger’s motion. It stated that its remand order disposed of all pending claims by the parties, was a final judgment under Fed.R.Civ.P. 58, and contained no language indicating the court would retain continuing jurisdiction over further motions in the ERISA proceeding. Metzger appeals from that ruling.

Analysis

Metzger contends on appeal that the remand order was an interlocutory order, not a final and appealable judgment, and that the district court retained subject-matter jurisdiction to hear her motion. As support, Metzger cites this court’s decision in Rekstad v. First Bank Sys., Inc., 238 F.3d 1259 (10th Cir.2001). There, we held *651 that a district court’s remand order to an ERISA plan administrator was not a final order because the ERISA claimant’s eligibility for disability damages still remained to be determined on remand, and the remand order expressly stated that either party could obtain court review of the issues remanded by the order. Id. at 1261-62. Rekstad stated its ruling was in harmony with the majority of circuits that hold ERISA remand orders are not final and appealable orders, but expressly declined to adopt a per se rule that remand orders are nonfinal. 1 Id. at 1268. Instead, Rekstad held that the decision as to whether an ERISA remand order is final should be made on a case-by-case basis. Id.

UNUM agrees with Metzger that the remand order was not a final judgment. It further argues that even if the remand order was a final judgment, the district court had jurisdiction over Metzger’s sanction motion pursuant to its continuing jurisdiction to enforce its own orders and judgments.

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Related

Weller v. HSBC Finance Corp.
187 F. Supp. 3d 1263 (D. Colorado, 2016)
Metzger v. Unum Life Insurance Co. of America
476 F.3d 1161 (Tenth Circuit, 2007)

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Bluebook (online)
151 F. App'x 648, Counsel Stack Legal Research, https://law.counselstack.com/opinion/metzger-v-unum-life-insurance-co-of-america-ca10-2005.