Moffitt v. Whittle Communications, L.P.

895 F. Supp. 961, 1995 U.S. Dist. LEXIS 15744, 1995 WL 462004
CourtDistrict Court, E.D. Tennessee
DecidedJanuary 12, 1995
Docket2:94-cv-00176
StatusPublished
Cited by9 cases

This text of 895 F. Supp. 961 (Moffitt v. Whittle Communications, L.P.) is published on Counsel Stack Legal Research, covering District Court, E.D. Tennessee primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Moffitt v. Whittle Communications, L.P., 895 F. Supp. 961, 1995 U.S. Dist. LEXIS 15744, 1995 WL 462004 (E.D. Tenn. 1995).

Opinion

MEMORANDUM OPINION

JORDAN, District Judge.

This is a civil action governed by the provisions of the Employee Retirement Income Security Act of 1974, as amended, 29 U.S.C. §§ 1001, et seq. (ERISA). The action is before the court for consideration of multiple motions.

The defendant UNUM Life Insurance Company of America (UNUM) moved first for summary judgment [doc. 21; supporting brief, doc. 22]. The other defendants, Whittle Communications, L.P. Long Term Disability Income Plan, Whittle Communications, L.P., Whittle Communications, Inc., and Associated Partnership I, Inc. 1 (collectively, the Whittle defendants), followed suit [doc. 23; supporting brief, doe. 24]. The plaintiff then filed briefs in response [docs. 28 and 29], and UNUM filed a reply brief [doe. 30].

Next, the Whittle defendants moved again for summary judgment [doc. 32; supporting brief, doe. 33], on a limitations ground not stated in their earlier motion. UNUM then filed a supplemental motion for summary judgment [doc. 34], also arguing that the plaintiff’s claim against it is time-barred. The plaintiff responded to these motions for summary judgments with briefs [docs. 35 and 36]. The Whittle defendants then replied to the plaintiffs’ response [doc. 41],

The various exhibits submitted by the parties in support of and in opposition to these motions show that there is little dispute concerning the pertinent facts, except with respect to alleged oral conversations or negotiations between the plaintiff and one or more officers or management personnel of Whittle Communications, L.P. The court finds that oral argument would not assist it in ruling on the issues presented.

The undisputed evidence shows that before October 31, 1988, the plaintiff Mr. Moffitt was a full-time employee of Whittle Communications, L.P., and was a participant in the defendant long term disability income plan. The plan was funded by a group disability insurance policy underwritten by the defendant UNUM.

The Long Term Disability Income Plan issued by UNUM to Whittle Communications provided disability insurance for eligible em *965 ployees in active employment. In the booklet which describes the plan and which was distributed to Whittle Communications’ employees, “active employment” is defined in a commonsensical manner to require, among other criteria, that the employee be working for the employer “on a permanent full-time basis and paid regular earnings.” Another section of the plan provides that cessation of active employment is deemed to be termination of employment, which terminates coverage, unless the employee is disabled on the date of termination, or the employer provides continued coverage, pursuant to a nondiscriminatory policy, for employees who have been temporarily laid off or given leaves of absence.

The plan booklet states an elimination period of 90 days, measured from the first day of disability, during which no benefit is payable. Upon disability, benefits are payable monthly after the end of the elimination period. Written notice of a claim is required within 30 days after disability begins, or as soon as possible. Written proof of claim is required “no later than 90 days after the end of the elimination period,” or “as soon as reasonably possible,” but no later than “one year after the time it is otherwise required.” An insured employee may not commence suit on the disability insurance policy until 60 days after proof of claim is given, and may not commence suit more than three years after the time proof of claim is required. This booklet also provides, in its summary plan description portion, that a claimant may appeal to the insurer from a denial of a claim, within 60 days after receipt of the insurer’s notice of denial of the claim.

The plaintiff Mr. Moffitt suffers from ocular histoplasmosis. In November 1987, the plaintiffs problems with his eyes were causing him difficulties at work. Nicholas Glover, then the president and chief executive officer of Whittle Communications, offered on behalf of the plaintiffs employer to assist the plaintiff in choosing an alternative career and in obtaining retraining for a new career. In his November 16,1987, letter to the plaintiff, Mr. Glover stated that “at any point now or during this process, if you choose to resign, the Company will continue to pay your base salary for a period of 12 months, or until you become employed elsewhere.”

On October 17,1988, the plaintiff Mr. Mof-fitt wrote to Mr. Glover, confirming his understanding of the outstanding offer of “12 months severance pay upon receipt of my resignation,” and giving notice of his resignation, to become effective on October 31, 1988. Mr. Moffitt wrote in this letter, “Additionally the subject of continued insurance coverage was not explicitly covered in [Mr. Glover’s November 16, 1987 letter]. May I assume the' company will (traditionally) provide coverage or offer an alternative solution?” '

Mr. Glover responded to the plaintiffs resignation and inquiry in a letter dated October 21, 1988. In this letter, Mr. Glover wrote, “As we discussed, we will continue your base salary and benefits until October 31,1989, as referred to in my letter of November 16, 1987.” (Emphasis added.)

On December 19, 1990, the defendant UNUM received the plaintiffs application for disability benefits, dated November 5, 1990, together with the employer’s report of claim, dated December 17, 1990, and an attending physician’s statement. This was the defendant insurer’s first notice of the plaintiffs claim. There is no evidence that the plaintiff made any earlier claim against his former employer for disability benefits.

In his application for disability benefits, the plaintiff described his disability as “Loss/impairment of vision inLeft eye later additional loss in both eyes.” Mr. Moffitt assigned December 6, 1986, as the date on which he first noticed the symptoms of his illness, this being the date on which he was first treated for the condition. According to the plaintiffs attending physician, John C. Hoskins, M.D., Mr. Moffitt became disabled on August 1,1989. On the employer’s report of claim, Whittle Communications assigned October 21, 1988, as the date on which the plaintiff last worked for the defendant employer.

On January 11, 1991, a representative of UNUM telephoned Mr. Moffitt and told him that his claim had been denied. According to notes in UNUM’s claim file, the plaintiff protested that he had been kept on Whittle *966 Communications’ payroll until 1989 and his benefits had been continued until that time, and that therefore his claim had been submitted in a timely manner. These notes include the statement, “Feels we should reconsider now & avoid him having to go thru appeal process.” After consulting with a superior, UNUM’s representative advised Mr.

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Bluebook (online)
895 F. Supp. 961, 1995 U.S. Dist. LEXIS 15744, 1995 WL 462004, Counsel Stack Legal Research, https://law.counselstack.com/opinion/moffitt-v-whittle-communications-lp-tned-1995.