Myers v. Anthem Life Insurance

316 F.R.D. 186, 2016 U.S. Dist. LEXIS 37411
CourtDistrict Court, W.D. Kentucky
DecidedMarch 22, 2016
DocketCIVIL ACTION NO. 3:14-C V-948-JHM-CHL
StatusPublished
Cited by6 cases

This text of 316 F.R.D. 186 (Myers v. Anthem Life 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
Myers v. Anthem Life Insurance, 316 F.R.D. 186, 2016 U.S. Dist. LEXIS 37411 (W.D. Ky. 2016).

Opinion

MEMORANDUM OPINION AND ORDER

Colin Lindsay, Magistrate Judge, United States District Court

This matter is before the Court on a motion for discovery (“Motion for “Discovery”) (DN 14) filed by Plaintiff Nicole Myers (“Myers”). The Motion for Discovery has been extensively briefed by both parties. Among several related filings is a motion to strike (DN 36) filed by Defendant Anthem Life Insurance Company (“Anthem”). Both motions are ripe for review. For the following reasons, Myers’s Motion for Discovery (DN 14) is GRANTED IN PART and DENIED IN PART; Myers’s motion for sanctions within DN 35 is DENIED; and An[191]*191them’s motion to strike (DN 36) is DENIED AS MOOT.

BACKGROUND

At the heart of this dispute is a disagreement regarding the scope of discovery in ERISA cases. Myers asserts a breach of contract claim pursuant to ERISA, specifically 29 U.S.C. § 1132(a)(1)(B), in relation to Anthem’s denial of her claim for benefits under a long-term disability policy.1 Myers filed the Motion for Discovery due to her conviction that she is entitled to discovery in particular areas beyond the administrative record. Following the filing of the Motion for Discovery, Anthem filed a response in opposition and Myers filed a reply. (DN 16, 18.) Myers subsequently filed three notices of supplemental authority (DN 22, 33, 39), one of which sparked the filing of an additional response (DN 34) and reply (DN 35). Finally, Anthem filed the motion to strike (DN 36), requesting that the Court strike Myers’s reply (DN 35) in support of her first notice of supplemental authority (DN 33) on the basis that the reply amounts to a meritless and improperly pleaded motion for sanctions. Myers filed a response in opposition to the motion to strike, and Anthem filed a reply. (DN 38,40.)

1. Motion for Discovery

A. Procedural History

On March 23, 2015, the Court entered a scheduling order (DN 9) in this case. With respect to discovery, the scheduling order provides in its entirety, “No discovery shall be permitted at this time. After reviewing the Administrative Record, plaintiff may move the Court to allow discovery on a discrete issue or issues.” (DN 9, ¶ 3.) Thereafter, Defendant timely filed — under seal — the administrative record. (DN 10-12.) Myers then filed the Motion for Discovery and on the same day served on Anthem her discovery requests. (See DN 14, 14-1, 14-2.) The Court recounts this history for two reasons. First, Anthem contends that by serving discovery requests without first moving the Court to permit discovery on discrete issues beyond the administrative record, Myers violated the terms of the scheduling order. Anthem is correct. In serving discovery at a time when “[n]o discovery shall be permitted,” Myers disobeyed DN 9. However, the Motion for Discovery is in keeping with the spirit of the scheduling order, if not the letter, in that the motion seeks the Court’s approval of the requests that Myers has served on Anthem. Moreover, given the staggering amount of time and resources that both parties have already put into this discovery dispute, to require Myers to file a distinct motion seeking approval of its discovery requests and then re-serve approved requests on Anthem would only serve to further delay the progression of this case.

Second, both parties acknowledge that Anthem has not responded to Myers’s discovery requests both for the reasons asserted in its response (DN 16) to the Motion for Discovery and because of its contention that service of the discovery requests violated the scheduling order as described above. In any event, because Anthem has not responded to the discovery requests, the Court is left to address the Motion for Discovery without being able to address any existing, specific objections by Anthem. Cf. Gluc v. Prudential Life Ins. Co. of Am., 309 F.R.D. 406, 408 (W.D.Ky.2015) (stating in background section [192]*192basis for defendant’s objections to discovery requests).

B. Myers’s Motion

Myers begins her Motion for Discovery by acknowledging that the Court’s review in ERISA eases is generally limited to the administrative record. However, she argues, discovery related to Section 1132(a)(1)(B) claims is broader in scope; it permits discovery of “evidence outside the record ... offered in support of a procedural challenge to the administrator’s decision, such as an alleged lack of due process afforded by the administrator or alleged bias on its part.” (DN 14 at 1 (quoting Johnson v. Conn. Gen. Life Ins. Co., 324 Fed.Appx. 459, 466 (6th Cir.2009) (additional citations omitted)).) Myers contends that discovery is appropriate in this case because there is an inherent bias or conflict of interest where, as here (she argues), the same entity both determines whether an employee is eligible for benefits and makes benefits payments. Myers argues that so long as she makes an initial allegation of a conflict of interest, that is, that Anthem is the entity responsible for both determining eligibility for benefits and paying any benefits, then she is entitled to discovery on particularized areas of inquiry.

The specific areas of discovery to which Myers argues she is entitled include the following: (1) the identities of the employees who were directly involved in Myers’s claims and appeals process, as well as “the extent to which those persons may have been pressured to render particular outcomes;” (b) the structure of Anthem’s claims and appeals units; (c) Anthem’s efforts to eliminate bias and promote accuracy; and (d) third-party medical reviewers used by Anthem in relation to Myers’s claim and appeal. (DN 14 at 5.)

C. Anthem’s Response

Anthem filed a lengthy response in opposition (DN 16) to the Motion for Discovery. Anthem states that while Myers alleges in her Motion for Discovery that Anthem “has a structural conflict of interest, which entitles her to discovery ... [she] has never pled in her bare-bones complaint or stated in any other filing to this Court how a conflict of interest led to an arbitrary denial of benefits, nor has she ever pled or otherwise articulated how the process of Anthem’s denial violated her rights under the plan.” (DN 16 at 2.) Anthem contends that discovery beyond the administrative record is inconsistent with ERISA’s goal of providing a mechanism for employees to resolve benefits disputes “inexpensively and expeditiously.” (Id. at 3 (quotations omitted).)

With respect to expanded discovery due to a conflict of interest, Anthem argues that this district has limited such discovery to that which would assist the court in determining whether a conflict of interest affected the plan administrator’s decision. Anthem contends that Myers should be limited to discovery requests related to which “she can articulate the relevancy based on the circumstances of the case and the administrative record.” (Id. at 6.) Anthem cites a 2012 decision from this district, Clark v. American Electrical Power Systems Long Term Disability Plan, 871 F.Supp.2d 655, 658-59 (W.D.Ky.2012), in support of a list of what it contends are permissible areas2 of discovery in this ease. (Id. at 7.) According to Anthem, Myers seeks discovery well beyond3 those [193]*193permissible areas of inquiry.

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316 F.R.D. 186, 2016 U.S. Dist. LEXIS 37411, Counsel Stack Legal Research, https://law.counselstack.com/opinion/myers-v-anthem-life-insurance-kywd-2016.