Miller v. Bank of America Corp.

401 F. Supp. 2d 1372, 2005 WL 3071503
CourtDistrict Court, N.D. Georgia
DecidedNovember 7, 2005
DocketCIV.A. 104CV2227CC
StatusPublished
Cited by1 cases

This text of 401 F. Supp. 2d 1372 (Miller v. Bank of America Corp.) is published on Counsel Stack Legal Research, covering District Court, N.D. Georgia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Miller v. Bank of America Corp., 401 F. Supp. 2d 1372, 2005 WL 3071503 (N.D. Ga. 2005).

Opinion

ORDER

COOPER, District Judge.

In this action arising under the Employment Retirement Income Security Act of 1974 (“ERISA”), as amended, 29 U.S.C. § 1001 et seq., Plaintiff Jeanette Miller (“Plaintiff’), a former employee of Defendant Bank of America Corporation (“Bank of America”), seeks recovery of long-term disability benefits under a plan issued to Bank of America by Defendant Metropolitan Life Insurance Company (“MetLife”). Plaintiff alleges that she is entitled to these benefits pursuant to the terms of the Bank of America Group Benefits Program (the “Plan”). This matter is presently before the Court on Plaintiffs Motion for Extension of Time to Complete Discovery [Doc. No. 32], Defendant Metropolitan Life Insurance Company’s Motion for Protective Order [Doc. No. 36], Plaintiffs Motion to Compel Defendant Metropolitan Life Insurance Company to Produce and Propound Discovery [Doc. No. 44], Plaintiffs request to file Supplemental Statement to Plaintiffs Motion to Compel Defendant MetLife to Produce and Propound Discovery [Doc. No. 48], and Plaintiffs Motion for Leave to Supplement Plaintiffs Brief in Reply to MetLife’s Brief in Opposition to Plaintiff [sic] Motion to Compel Discovery and Motion for Leave to Supplement Plaintiffs Motion to Extend Discovery [Doc. No. 52]. 1

I. APPLICABLE STANDARD OF REVIEW

To resolve the central issue underlying the pending motions, the appropriate scope of discovery, the Court first addresses the standard of review applicable in this ERISA action. Plaintiff argues that the de novo standard of review is appropriate because the Plan does not expressly grant MetLife discretion to determine eligibility for benefits. MetLife argues, on the other hand, that the heightened arbitrary and capricious standard of review is appropriate because MetLife is granted such discretion, notwithstanding the existence of a conflict of interest.

ERISA does not set forth a standard of review for challenges to decisions of plan administrators. However, the standard has evolved as a matter of federal common law. See Firestone Tire & Rubber Co. v. Bruch, 489 U.S. 101, 109, 109 S.Ct. 948, 103 L.Ed.2d 80 (1989). In *1375 Firestone, the United States Supreme Court held that a de novo standard applies “unless the benefit plan gives the administrator or fiduciary discretionary authority to determine eligibility for benefits or to construe the terms of the plan.” Id. at 115, 109 S.Ct. 948. Following Firestone, the Eleventh Circuit adopted three standards for reviewing a plan administrator’s decision: (1) de novo where the plan does not grant the administrator or fiduciary discretion; (2) arbitrary and capricious where the plan gives the administrator or fiduciary discretion; and (3) heightened arbitrary and capricious where the plan gives the administrator or fiduciary discretion but there is a conflict of interest. Buckley v. Metropolitan Life, 115 F.3d 936, 939 (11th Cir.1997) (per curiam). The court looks “to the plan documents to determine whether the plan documents grant the claims administrator discretion to interpret disputed terms.” HCA Health Servs. of Ga., Inc. v. Employers Health Ins. Co., 240 F.3d 982, 993 (11th Cir.2001).

As contemplated by ERISA, several documents govern the operation and administration of the Plan at issue. See, e.g., 29 U.S.C. § 1024(b)(4) (identifying the following as plan documents: “summary plan description, ... annual report, ... terminal report, the bargaining agreement, trust agreement, contract or other instruments under which the plan is established or operated”). First, the Bank of America Group Benefits Program effective December 31, 1999, is relevant to the operation and administration of the Plan. Second, the “Bank of America Corporation Corporate Benefits Committee Written Consent to Action” and the “Officer’s Certificate of Corporate Personnel Executive Regarding Bank of America Benefit Plans Claim and Review Procedure” govern the operation and administration of the Plan. Third, the Bank of America Associate Handbook 2002, otherwise referred to as the summary plan description (the “SPD”), summarizes the terms of the Plan. 2 Fourth, a Certificate of Insurance (the “Certificate”) issued to Bank of America by MetLife also contains a description of the benefits provided under the policy. Fifth and finally, a document entitled ‘Your Employee Benefit Plan,” which incorporates the Certificate of Insurance, describes the benefits available to Plan participants. All of these documents must be considered by the Court in determining whether MetLife has been granted discretion to determine eligibility for benefits and to interpret Plan documents. Shaw v. Connecticut Gen. Life Ins. Co., 353 F.3d 1276, 1282 (11th Cir.2003), (a “court is required to examine ‘all of the plan documents’ ” (citation omitted)); Cagle v. Bruner, 112 F.3d 1510, 1517 (11th Cir.1997) (per curiam) (“we look to all of the plan documents to determine whether the plan affords the Fund enough discretion to make the arbitrariness standard applicable”).

The Court first finds that the Bank of America Group Benefits Program effective December 31, 1999, expressly gives the Bank of America Corporation Corporate Benefits Committee (the “Committee”) responsibility to act as the plan administrator. 3 {See Pl.’s Br. in Opposition to Def. *1376 Metropolitan Life Insurance Company’s Mot. for Protective Order, Ex. A, Bank of America Group Benefits Program §§ 2.2 and 5.2.) Section 5.3 of that document further provides:

The Committee shall have discretionary authority to determine eligibility for and to construe the terms of the Group Benefits Program. The Committee shall have such other discretionary authority as may be necessary to enable it to discharge its responsibilities under the Group Benefits Program, including, but not limited to, the power to resolve disputes concerning eligibility and participation ... including the ability to make factual determinations ... delegate responsibility for the operation and administration of the Group Benefits Program, including the authority to review claims, appoint or employ one or more persons to assist in the administration of the Group Benefits Program, or to render advice with regard to any of its responsibilities ....

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Bluebook (online)
401 F. Supp. 2d 1372, 2005 WL 3071503, Counsel Stack Legal Research, https://law.counselstack.com/opinion/miller-v-bank-of-america-corp-gand-2005.