Mullins v. Prudential Insurance

267 F.R.D. 504, 2010 U.S. Dist. LEXIS 52468, 2010 WL 1802044
CourtDistrict Court, W.D. Kentucky
DecidedApril 30, 2010
DocketCivil Action No. 3:09-CV-371-S
StatusPublished
Cited by20 cases

This text of 267 F.R.D. 504 (Mullins v. Prudential Insurance) is published on Counsel Stack Legal Research, covering District Court, W.D. Kentucky primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Mullins v. Prudential Insurance, 267 F.R.D. 504, 2010 U.S. Dist. LEXIS 52468, 2010 WL 1802044 (W.D. Ky. 2010).

Opinion

ORDER

DAVE WHALIN, United States Magistrate Judge.

This order considers two motions. Both motions arise from a discovery dispute that involves an Employee Retirement Income Security Act of 1974 (ERISA) claim. See 29 U.S.C. § 1001, et seq. (DN 43, 46). The claim is brought by Plaintiff John A. Mullins, a former employee of Gordon Food Services (GFS). GFS maintains its own employee disability benefit plan, known as the GFS Division Voluntary Employee Benefit Plan (GFS Plan). Mullins has sued the GFS Plan and the Prudential Insurance Company of America (Prudential) for their refusal to provide him with further long-term disability (LTD) benefits due to his osteoarthritis and degenerative disc disease in his cervical and lumbar spine.

The GFS Plan paid Mullins disability benefits for a year, then his disability claim was filed with Prudential, the insurer for the GFS Plan. Prudential paid Mullins retroactive LTD benefits for two years, but then determined that his condition, and its attendant limitations, did not meet Prudential’s definition of long term disability, an “any occupation” definition broader than the “similar occupation” definition found in the GFS Plan. Mullins, who by that time had been separately determined to be disabled for the same condition by the Social Security Administration, proceeded to bring suit against the GFS Plan and Prudential in federal court alleging, among other claims, that both had violated their fiduciary duties arising under ERISA, 29 U.S.C. § 1132.

After filing suit, Mullins served Prudential and the GFS Plan with interrogatories and requests for production of documents. Prudential responded to these discovery requests and supplemented its response. Mullins now maintains that the information provided by Prudential falls far short of what he is entitled to receive under Metropolitan Life Ins. Co. v. Glenn, 554 U.S. 105, 128 S.Ct. 2343, 171 L.Ed.2d 299 (2008), given the existence of a per se conflict of interest arising from Prudential’s dual status as an ERISA plan administrator, who determines eligibility for benefits, and a payor who pays such benefits from its own pocket. Glenn, 128 S.Ct. at 2346.

Mullins insists in his motion to compel that he is entitled to full discovery, beyond the contents of the administrative record, to explore this inherent conflict of interest and the resulting bias. He supports this view with citation to a number of recent Kentucky district court decisions that discuss the impact of Glenn on the prior status of discovery established in Wilkins v. Baptist Healthcare System, Inc., 150 F.3d 609, 619 (6th Cir.1998). See, Kinsler v. Lincoln Nat. Life Ins. Co., 660 F.Supp.2d 830, 832-836 (M.D.Tenn.2009); McQueen v. Life Ins. Co. of North America, 595 F.Supp.2d 752, 754-56 (E.D.Ky.2009); Thornton v. Western and Southern Life Ins. Co. Flexible Benefits Plan, Case No. 3:08-CV-00648-M, 2010 WL 411119 (W.D.Ky. Jan. 28, 2010); Raney v. Life Ins. Co. of North America, 2009 WL 1044891 (E.D.Ky. Apr.20, 2009); Johnson v. Conn. Gen. Life Ins. Co., 324 Fed.Appx. 459, 465-67 (6th Cir. Apr. 7, 2009); Pemberton v. Reliance Standard Life Ins. Co., 2009 WL 89696 (E.D.Ky. Jan. 13, 2009).

The GFS Plan, in response to the discovery served by Mullins, has filed a separate motion for a protective order (DN 43). In this related motion, the plan seeks to preclude Mullins from taking discovery beyond the administrative record already provided to him. The plan also maintains that because it has fully paid Mullins all of the disability benefits available to him under its self-insured, one-year benefits plan, no possible basis for recovery against it remains under ERISA.

Background Facts

Plaintiff John Mullins is a former employee of Gordon Food Service (GFS). Mullins began work for GFS in the early 1990s and continued to work for the company as a customer development specialist until early [508]*508October of 2005, when he took a FMLA leave of absence due to pain-related limitations arising from arthritic degenerative disc disease in his cervical and lumbar spine (DN 28, Administrative Record, GFS 225-229). Magnetic resonance imaging of Mullins’ cervical spine confirmed the presence of moderate to severe spondylosis at the C3-C4 and C6-C7 vertebrae accompanied by degenerative os-teoarthritic changes including narrowing of the spinal canal, along with the presence of a bulging cervical disc (DN 28, Admin. Rec. GFS 285-287). Mullins’ job duties with GFS in 2005 required him to travel extensively in a designated sales territory to deliver GFS food products to commercial customers and solicit additional orders of GFS products (Id. at GFS 230). These duties, according to Mullins, would occasionally require him to lift and carry food products that weighed between 25 and 100 lbs.

Soon after taking leave from GFS, Mullins moved from his home in Rowan County, Kentucky, to Ocala, Florida near Gainesville where he sought treatment for his back and arm pain. Mullins began treatment with Dr. Gabrielle Umana and her physician’s assistant, Mukti Patel, at the Family Care Specialists Center in Ocala (Id. at GFS 290-296). Dr. Umana provided Mullins with a number of medical excuse slips advising GFS that Mullins remained unable to return to work. Mullins underwent weekly physical therapy at TLC Rehabilitation in late January through March of 2006 (DN 27, Admin. Rec. D138, D210-249). That January, he also sought pain management treatment from Dr. Mangala Shetty of Marion Pain Management (Id. D88). Mullins apparently was evaluated for possible orthopedic surgery to relieve his symptoms, but declined surgical intervention to pursue more conservative treatment.

In May of 2006, after learning of Mullins’ relocation to Florida, GFS notified him that if he did not contact the company within 30 days he would be terminated from employment given the absence of any expected return to work date and his relocation to Ocala (DN 27, GFS 256). The following month, on June 1, 2006, GFS terminated Mullins’ employment. Mullins, who was then receiving LTD benefits from GFS, was provided with a voluntary LTD benefits application for Prudential’s plan in mid-July of 2006. He completed and submitted the application that August (Id. at GFS 233). Prudential initially denied his claim based on incomplete medical information (Id.). Mullins appealed with the assistance of his prior counsel and on March 12, 2008, was awarded 24-months of LTD benefits beginning October of 2006 (Id.).

During this time, Mullins had pending before the Social Security Administration an application for disability insurance benefits which he filed on October 20, 2005, based on his degenerative osteoarthritis, degenerative disc disease of the cervical and lumbar spine, obesity and diabetes mellitus (DN 28, Admin. Rec. D0092-97). Following a hearing before Administrative Law Judge James Quinlivin, the SSA found Mullins to be disabled as of October 4, 2005 from all substantial gainful activity due to his medical conditions (Id. at D0097).

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267 F.R.D. 504, 2010 U.S. Dist. LEXIS 52468, 2010 WL 1802044, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mullins-v-prudential-insurance-kywd-2010.