Myron v. Trust Co. Bank Long Term Disability Benefit Plan

522 F. Supp. 511, 1981 U.S. Dist. LEXIS 9823
CourtDistrict Court, N.D. Georgia
DecidedSeptember 15, 1981
DocketCiv. A. C80-1428A
StatusPublished
Cited by11 cases

This text of 522 F. Supp. 511 (Myron v. Trust Co. Bank Long Term Disability Benefit Plan) 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
Myron v. Trust Co. Bank Long Term Disability Benefit Plan, 522 F. Supp. 511, 1981 U.S. Dist. LEXIS 9823 (N.D. Ga. 1981).

Opinion

ORDER

ORINDA D. EVANS, District Judge.

This action under The Employee Retirement Income Security Act of 1974, 29 U.S.C. § 1001 et seq., and the Court’s pendent jurisdiction, is before the Court on plaintiff’s motion to amend his complaint, defendants Trust Company Bank Long Term Disability Benefit Plan and Trust Company Bank’s (hereinafter “the Bank”) motion for summary judgment, defendant Great West Life Assurance Company’s (hereinafter “Great West”) motion for summary judgment and plaintiff’s cross-motion for summary judgment.

Motion to Amend

Defendants have filed no response to plaintiff’s motion to amend the complaint. The Court therefore FINDS that this motion is unopposed and hereby GRANTS plaintiff’s motion. Local Rule 91.2.

Motions for Summary Judgment

The basic undisputed “background” facts of this case (culled from the various statements of facts filed in support of the motions before the Court) are these:

The plaintiff, Harold L. Myron, is sixty years of age. Plaintiff served in the military for thirty years and retired from the United States Army as a full colonel in June 1973. From July 1973 through August 1, 1979 plaintiff was an employee of Trust Company Bank. Plaintiff retired from the bank due to total and permanent disability effective August 1, 1979. At the time of his retirement, plaintiff’s basic salary with the Bank was $35,400 per year.

As a result of his military service, plaintiff became eligible for and began receiving military retired pay as of August 1, 1979. Effective April 1, 1978, plaintiff became eligible for and began to receive disability benefits from the Veterans Administration (VA). Effective September 1, 1979, plaintiff became eligible to receive 100 percent service-connected VA disability payments. Both of these payments have increased between the time of plaintiff’s original eligibility and the filing of this suit. 1

In May 1980, plaintiff was awarded social security benefits in the amount of $485.50 *514 per month. Those benefits were awarded retroactively to January 1, 1980.

Plaintiff, as of March 31, 1981, was receiving VA disability, social security disability, and military retirement pay totaling at least $3,875 per month or at least $46,500 per year. Plaintiff’s Answers and Objections to Interrogatories Nos. 1, 2, 3; Appendix Tab B, Great West’s Appendix to Statement of Undisputed Material Facts.

Some time prior to 1976, Trust Company Bank initiated for its employees a long-term disability benefit plan. From July 15, 1975 through April 30, 1979, this plan was funded through an employee group long-term disability income insurance policy with Northwestern National Life Insurance Company (hereinafter “Northwestern”).

In September of 1978, Great West submitted to Johnson & Higgins of Georgia, Inc. (an insurance consulting firm) a proposal containing its funding recommendation for a long-term disability insurance plan for Trust Company Bank. The basic provisions of this proposal were eventually accepted by Trust Company Bank as of May 1, 1979.

As of May 1, 1979, the Bank contracted with Great West to convert the funding of the plan to a self-funded program with claims adjudication and fund management services to be provided by Great West.

The Issues

There are two key questions to be decided here:

(1) What are the terms of the Trust Company Bank Long-Term Disability Benefit Plan which are applicable to plaintiff?
(2) Should plaintiff’s military retirement pay, VA disability payments and social security disability payments be deducted from any payments to which he may be entitled under the Bank’s benefit plan?

Under the terms of the Bank’s benefit plan, the “maximum monthly indemnity” that plaintiff is eligible to receive is $1,770 per month. This figure is equal to 60 percent of plaintiff’s salary on the date of his disability, and is undisputed by the parties. What is disputed is how much of this $1,770 per month plaintiff is entitled to receive.

The center of the dispute is the following excerpt from the section of what, for now, will be called the original group disability insurance plan 2 entitled “Income From Other Sources”:

The total of an Insured’s “income from other sources” is deducted from his Gross Monthly Indemnity to determine his Monthly Income Benefits and includes the following:
(a) Any benefits the Insured and his dependents are eligible to receive because of the Insured’s disability or age under the Federal Social Security Act, Public Employees’ Retirement Association, Railroad Retirement Act or any other Federal, State, County or Municipal Retirement Act or Law
(c) Any benefits the Insured is eligible to receive from a retirement plan, pension plan or other similar plan for which the Insured’s past or present employer has directly or indirectly sponsored, or for which such employer has paid any part of the cost or has made a payroll deduction.
(d) Any benefits the Insured is eligible to receive under Workmen’s Compensation or similar legislation or under any governmental or private disability income plan which provides benefits for loss of time from employment, for which the policyholder or the Insured’s past or present employer contributes or makes payroll deductions.

Allison Deposition, Exhibit 15.

Plaintiff, in his original complaint, asserted that he is entitled to receive $1,284.50 *515 per month from the Bank under the benefit plan. This figure represents the $1,770 maximum monthly indemnity less the $485.50 per month plaintiff initially received in social security disability benefits. Complaint, ¶ 16. In his amended complaint, plaintiff asserts that he is entitled to the entire $1,770 in monthly benefits under the Plan. First Amendment to Complaint, ¶ 16.

It is plaintiff’s contention that his military retirement pay, his VA disability benefits, and (now, apparently) his social security disability benefits, should not be offset against his benefits under the Bank’s plan. Plaintiff offers three theories to support his position. The first two are premised on the argument that “the plan” under which the Bank was administering its disability benefit program prior to May 1, 1979, and from which the above-quoted excerpt was taken, was terminated when the Bank switched insurance companies from Northwestern to Great West. Because the relevant ERISA section requires that every employee benefit plan be “maintained pursuant to a written instrument”, 29 U.S.C. § 1102(a)(1), and because, under plaintiff’s argument, the original plan was no longer binding, another “written instrument” must have set out the terms of the plan.

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522 F. Supp. 511, 1981 U.S. Dist. LEXIS 9823, Counsel Stack Legal Research, https://law.counselstack.com/opinion/myron-v-trust-co-bank-long-term-disability-benefit-plan-gand-1981.