Nupur Sahai v. Lincoln Financial Group, Inc., et al.

CourtDistrict Court, N.D. California
DecidedMay 29, 2026
Docket5:24-cv-07791
StatusUnknown

This text of Nupur Sahai v. Lincoln Financial Group, Inc., et al. (Nupur Sahai v. Lincoln Financial Group, Inc., et al.) is published on Counsel Stack Legal Research, covering District Court, N.D. California primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Nupur Sahai v. Lincoln Financial Group, Inc., et al., (N.D. Cal. 2026).

Opinion

1 2 3 4 UNITED STATES DISTRICT COURT 5 NORTHERN DISTRICT OF CALIFORNIA 6 7 NUPUR SAHAI, Case No. 24-cv-07791-NW

8 Plaintiff, ORDER DENYING CROSS MOTIONS 9 v. FOR SUMMARY JUDGMENT, GRANTING MOTION FOR RELIEF, 10 LINCOLN FINANCIAL GROUP, INC., et AND TERMINATING AS MOOT al., MOTIONS TO FILE UNDER SEAL 11 Defendants. Re: ECF No. 70, 71, 72, 73, 74, 77 12 13 Plaintiff Nupur Sahai alleges that Defendants The Lincoln National Life Insurance 14 Company and Lincoln Life Assurance Company of Boston (collectively, “Lincoln” or 15 “Defendants”) wrongfully denied her long-term disability insurance claim. Sahai moves for 16 summary judgment on her claims for breach of the implied covenant of good faith and fair dealing 17 and breach of contract.1 ECF No. 712 (“Sahai MSJ”). Lincoln opposes Sahai’s motion, cross- 18 moves for summary judgment on the breach of the implied covenant claim, and seeks summary 19 judgment on Sahai’s prayer for punitive damages. ECF No. 74 (“Lincoln MSJ”). 20 The Court held a hearing on the motions on May 27, 2026. Having considered the parties’ 21 arguments and the relevant legal authority, the Court DENIES both motions for summary 22 judgment. The Court also GRANTS Sahai’s motion for relief to file an untimely motion for 23 summary judgment (ECF No. 72) and TERMINATES AS MOOT the parties’ motions to file 24 1 Although Sahai seeks summary judgment on both claims, she titles her motion a “partial motion 25 for summary judgment.” At the hearing, Sahai clarified that her motion concerns Lincoln’s alleged bad faith at the time of the termination of benefits but does not address any ongoing bad 26 faith. 27 2 Record citations are to material in the Electronic Case File (“ECF”); pinpoint citations are to the 1 under seal (ECF Nos. 70, 73, 77). 2 I. BACKGROUND3 3 A. The Group Policy 4 Lincoln issued the University of California group policies to fund short-term disability 5 (“STD”) benefits (Group Policy No. GD3-860-037972-01) and long-term disability (“LTD”) 6 benefits (Group Policy No. GF3-860-037972-01) (together, the “Group Policy”) under the 7 University of California’s disability plan. See ECF No. 74-4 (Group Policy). The Group Policy 8 limits short-term disability benefits to 24 weeks. Id. at 14. 9 Under the Group Policy, 10 “Total Disability” or “Totally Disabled”, with respect to Long-term Disability, means: 11 i. that during the Elimination Period and the next 24 months of 12 Total Disability the Covered Person, as a result of Injury or Sickness, is unable to perform with reasonable continuity the 13 Substantial and Material Acts necessary to pursue his Own Occupation in the usual and customary way; and 14 ii. thereafter, the Covered Person is unable to engage with 15 reasonable continuity in any occupation in which he could reasonably be expected to perform satisfactorily in light of his 16 age, education, training, experience, station in life, and physical and mental capacity. 17 18 Id. at 5 (emphasis in the original). The Group Policy defines “‘Substantial and Material Acts’, 19 with respect [to] Long Term Disability” as “the important tasks, functions and operations that: 20 1. are generally required by employers from those engaged in the Covered Person’s Own 21 Occupation; and 2. cannot be reasonably omitted or modified.” Id. at 5. 22 B. Sahai’s Short-Term Disability Claim 23 Sahai completed her Ph.D. with honors and residency at the University of Illinois in 2017. 24 In 2019, Sahai was hired by the University of California Santa Cruz as a Counseling 25 Psychologist II. She performed clinical work, including providing approximately four or more 26

27 3 The background facts are drawn from the parties’ respective motions for summary judgment and 1 individual therapy sessions per day, five days a week; provided outreach and programming; held 2 trainings; and participated in meetings. 3 1. Dr. Layno-Moses’ Peer Review 4 Sahai was covered under the Group Policy as of August 12, 2019. On October 15, 2021, 5 she filed a claim for short-term disability benefits due to ankle pain and chest pain. Senior Claims 6 Specialist David George handled the claim and asked a third-party vendor, Exam Coordinators 7 Network (“ECN”), to conduct a peer review of Sahai’s medical records. ECN selected Annie 8 Layno-Moses, M.D., a board-certified physiatrist and pain management physician to perform the 9 review. 10 Dr. Layno-Moses reviewed Sahai’s records from June 17, 2021, through November 3, 11 2021, including: records from Carl Carlson, M.D., V. Liane Rice, O.D., and Dipali Apte, M.D.; 12 Sahai’s Patient Health Questionnaire; and records from Swanson McArthur Physical Therapy. In 13 her December 13, 2021 peer review, Dr. Layno-Moses noted that Sahai had “a medical history 14 significant for bilateral ankle pain, mast cell activation syndrome, hypermobility, and 15 fibromyalgia.” ECF No. 74-16 at 2. Dr. Layno-Moses concluded that, “taking into consideration 16 the entire clinical picture, including evidence-based medicine and any medication or other 17 treatment side effects, [Sahai] does not have impairment that translates into restrictions and 18 limitations from - 8/22/21 to - 11/29/21.” Id. at 3. Dr. Layno-Moses also found that “the medical 19 records do not support R&Ls [restrictions and limitations] that were recommended by treating 20 providers for the timeframes in question.” Id. at 4. In particular, Dr. Layno-Moses was “unable to 21 concur with Dr. Carlsons’ [sic] recommendation of total restriction as the medical records 22 reviewed above do not support severe physical impairment that precludes occupational 23 functioning.” Id. 24 Dr. Layno-Moses attempted to contact Dr. Carlson regarding her findings. Dr. Carlson did 25 not speak to her over the phone, but instead requested written questions. 26 2. Dr. Layno-Moses’ Addendum 27 Dr. Layno-Moses submitted a January 6, 2022 addendum, in which she considered 1 Sahai’s ankle pain that “alter[ed] [her] previous opinion.” ECF No. 74-17 at 3. Dr. Layno-Moses 2 found that, “[b]ased on the information provided, [Sahai] has been experiencing bilateral ankle 3 pain along with hypermobility and difficulty walking. She was using custom molded, fully 4 functional orthotic appliances.” Id. Dr. Layno-Moses then “opine[d] that [Sahai] requires 5 additional restrictions” as follows: Sahai could (1) stand and walk occasionally, for up to 2 hours 6 per day; (2) walk, lift, carry, push, and pull occasionally up to 20 pounds; (3) occasionally climb 7 stairs, balance, stoop, kneel, crouch, and crawl; (4) never crawl; (5) use her lower extremities for 8 foot controls occasionally; and (6) not climb ladders, work at unprotected heights, or operate 9 heavy machinery. Id. Sahai’s ability to sit and reach, her fine manipulation, and simple and firm 10 grasping were unrestricted. Id. Dr. Layno-Moses opined that “restrictions and limitations are 11 indicated from 8/22/21 to - 11/29/21, with re-assessment on or around 3/1/2022.” 12 3. Approval of Claim 13 Lincoln approved Sahai’s short-term disability claim on February 22, 2022. Lincoln 14 determined her date of disability to be August 23, 2021. The letter further noted that “[t]he 15 information we currently have indicates that your physician has advised you to cease work through 16 November 28, 2021” and that “[w]e will continue to update your file to support that you meet the 17 definition of disability going forward.” ECF No. 79-19 at 2. 18 As the Group Policy limited short-term disability benefits to 24 weeks, Sahai’s “initial 24 19 weeks of benefits ended on February 20, 2022.” ECF No. 74-25 at 2. 20 C. Sahai’s Long-Term Disability Claim 21 In March 2022, Sahai’s claim was escalated to long-term disability and assigned to LTD 22 Claims Specialist Jamila Davidson. 23 1.

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Nupur Sahai v. Lincoln Financial Group, Inc., et al., Counsel Stack Legal Research, https://law.counselstack.com/opinion/nupur-sahai-v-lincoln-financial-group-inc-et-al-cand-2026.