Nagele v. Electronic Data Systems Corp.

193 F.R.D. 94, 2000 U.S. Dist. LEXIS 6564, 2000 WL 576264
CourtDistrict Court, W.D. New York
DecidedApril 27, 2000
DocketNo. 99-CV-498S(F)
StatusPublished
Cited by18 cases

This text of 193 F.R.D. 94 (Nagele v. Electronic Data Systems Corp.) is published on Counsel Stack Legal Research, covering District Court, W.D. New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Nagele v. Electronic Data Systems Corp., 193 F.R.D. 94, 2000 U.S. Dist. LEXIS 6564, 2000 WL 576264 (W.D.N.Y. 2000).

Opinion

DECISION and ORDER

FOSCHIO, United States Magistrate Judge.

JURISDICTION

This matter was referred to the undersigned for all non-dispositive pretrial matters by order of Hon. William M. Skretny dated September 16, 1999. It is presently before the court on Plaintiffs motion to compel dis- • eovery and for sanctions (Doc. # 18) filed February 10, 2000.

BACKGROUND

Plaintiff filed this action on July 20, 1999 alleging four causes of action based on improper termination of long term disability benefits under the terms of an employee welfare long term disability benefits plan, pursuant to Section 501(a)(1)(B) of the Employee Retirement Income Security Act of 1974 (“ERISA”), 29 U.S.C § 1132(a)(1)(B), breach of fiduciary duty pursuant to 29 U.S.C. § 1104, and for breach of contract.1 Specifically, Plaintiff alleges that Defendants improperly terminated her long term disability benefits under Defendants’ Plan established by Defendant Electronic Data Systems Corporation (“EDS”), her former employer, and administered by Defendant Metropolitan Life Insurance Company (“MetLife”).

Following treatment for injuries suffered in an automobile accident in 1994, Defendant was determined eligible for long term disability benefits under the Electronic Data Systems Corporation Long Term Disability Plan (“EDS Plan or the Plan”). However, in 1998, [97]*97MetLife determined Plaintiff was no longer eligible for such benefits based in part, according to Plaintiff, on the denial of her application for benefits under the Social Security Act, 42 U.S.C. §§ 401-432. Plaintiff represents and Defendants do not dispute that the decision of the Social Security Administration to deny Plaintiff benefits was recently vacated by this court and remanded for reconsideration with instructions. Plaintiffs benefits were terminated in January, 1999.

Plaintiff served her First Set of Interrogatories dated September 21, 1999 on MetLife; MetLife served its answers and objections on November 29, 1999. Specifically, Plaintiff served 32 interrogatories exclusive of subdivisions; however, as MetLife did not object under Fed.R.Civ.P. 33(a) (absent court order or agreement of the parties interrogatories including subparts shall be limited to 25 in total) such ground for objection is deemed waived.2

Metlife’s response to Plaintiffs motion was filed March 20, 2000. Affidavit of James J. Navagh, Esq., dated March 20, 2000 (“Navagh Affidavit”) (Doc. # 21). Plaintiffs Reply Declaration in Further Support of Plaintiffs Motion (“Declaration of Michael M. McClaren, Esq. dated March 29, 2000”) (“McClaren Declaration”) (Doc. #23) was filed March 30, 2000 along with Plaintiffs Reply Memorandum of Law in Further Support of Plaintiffs Motion (Doc.# 22). EDS filed a Declaration of David W. Neel, Esq., undated, (“Neel Declaration”) (Doc. # 24) on April 3, 2000. MetLife filed its Second Memorandum of Law (Doc. # 25) on April 4, 2000. Oral argument was conducted on April 5, 2000. MetLife submitted a post argument letter of additional authority dated April 6, 2000 (Doc. #28). Based on the following, Plaintiffs motion is GRANTED, in part and DENIED, in part.

FACTS3

Plaintiff was employed by EDS from April 1988 to December 1995 as an Education Coordinator performing primarily administrative tasks. On May 19,1994, Plaintiff was injured when the vehicle driven by her husband in which she was a passenger was struck in the passenger side by another car traveling at an estimated 50 m.p.h. Plaintiff sustained several disc herniations, a rib fracture, bruises and contusions. Following the accident, Plaintiff attempted to return to full time employment at her job with EDS but was unable to do so because of chronic and severe pain.

Examining physicians reported that Plaintiff complained of chronic generalized pain and bodily weakness including skin discoloration from broken blood vessels. Affidavit of Michael P. McClaren, Esq., dated February 10, 2000 (“McClaren Affidavit”) Exhibit D at 1, 5. One physician opined Plaintiff suffered from fibromyalgia.4 Id. at 4. Another physician believed Plaintiffs condition was not based on any “significant cervical pathology,” but that Plaintiff suffered from a “poly inflammatory disease” or “other form of diffused process” which could not be attributable to Plaintiffs neck. Exhibit D to McClaren Affidavit at 5. EMG and nerve conduction tests performed in 1997 failed to show any radiculopathy or entrapment neuropathy. Id. Plaintiff ceased her work at EDS in June 1995 and was subsequently diagnosed as suffering from fibromyalgia and recalcitrant myofacial pain syndrome.

While employed at EDS, Plaintiff was enrolled as a participant in the EDS Plan. Plaintiff elected to purchase Supplemental Long Term Disability coverage made avail[98]*98able to EDS employees under the Plan which provided an additional 10% of income replacement beyond the income replacement benefit available under the Plan’s basic coverage. An employee eligible for coverage under the Plan receives benefits when such employee is unable to perform the .material duties of her regular or a similar occupation as a result of a sickness or injury. Injury is defined by the Plan as an accidental bodily injury to an employee resulting in a loss covered by the Plan; sickness is defined as an illness or disease occurring to an employee resulting in such a loss. Benefits under the Plan become payable six months after an employee becomes disabled and for 24 months thereafter. Benefits as provided by the Plan, including supplemental long term disability benefits, are paid if an employee is then totally disabled. For the purpose of the first 24 month period of benefits, total disability is defined as the continuous inability to perform the material duties of an employee’s regular or similar occupation. At the end of the 24 month period, benefits may be paid if the employee is then totally disabled. As defined by the Plan, totally disabled means the employee is then unable to perform any gainful occupation or employment for wage • or profit for any employer. The Plan states that it is self funded through the EDS Employee Welfare Benefit Trust.

Section 6 of the Plan specifically grants to the Plan Administrator the “full discretionary authority” to interpret the Plan and to make benefit eligibility determinations. Further, the Plan provides that the Plan Administrator is the Benefits Administration Committee and that the powers of the Plan Administrator may be delegated to another person. Authority for making such determinations of eligibility for benefits under the Plan was delegated to MetLife by agreement between EDS and MetLife effective January 1, 1997. Neel Declaration, II3. Under the agreement, MetLife agreed to make, on a discretionary basis, determinations of eligibility for payment of benefits on claims submitted by EDS employees covered by the Plan and to provide advisory services to the Plan regarding its costs and operation. Id. The agreement also stated that benefits under the Plan were provided by EDS and not through any contract of insurance.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

(PC)Stevenson v. Holland
E.D. California, 2019
Babino v. Gesualdi
278 F. Supp. 3d 562 (E.D. New York, 2017)
Liyan He v. Cigna Life Insurance
304 F.R.D. 186 (S.D. New York, 2015)
Witt v. GC Services Ltd. Partnership
307 F.R.D. 554 (D. Colorado, 2014)
Gorrell v. Sneath
292 F.R.D. 629 (E.D. California, 2013)
Pretty v. Prudential Insurance Co. of America
696 F. Supp. 2d 170 (D. Connecticut, 2010)
Burgio v. Prudential Life Insurance Co. of America
253 F.R.D. 219 (E.D. New York, 2008)
Bartel v. Sun Life Assurance Co. of Canada
536 F. Supp. 2d 623 (D. Maryland, 2008)
Asuncion v. Metropolitan Life Insurance
493 F. Supp. 2d 716 (S.D. New York, 2007)
Cache La Poudre Feeds, LLC v. Land O'Lakes, Inc.
244 F.R.D. 614 (D. Colorado, 2007)
Cotter v. Prudential Financial
238 F.R.D. 567 (N.D. West Virginia, 2006)
Doe v. MAMSI LIFE AND HEALTH INS. CO.
448 F. Supp. 2d 179 (District of Columbia, 2006)
Mitchell v. First Reliance Standard Life Insurance
237 F.R.D. 50 (S.D. New York, 2006)
Cliffstar Corp. v. Sunsweet Growers, Inc.
218 F.R.D. 65 (W.D. New York, 2003)
Cerrito v. Liberty Life Assurance Co. of Boston
209 F.R.D. 663 (M.D. Florida, 2002)

Cite This Page — Counsel Stack

Bluebook (online)
193 F.R.D. 94, 2000 U.S. Dist. LEXIS 6564, 2000 WL 576264, Counsel Stack Legal Research, https://law.counselstack.com/opinion/nagele-v-electronic-data-systems-corp-nywd-2000.