Pakovich v. Verizon LTD Plan

653 F.3d 488, 51 Employee Benefits Cas. (BNA) 2645, 2011 U.S. App. LEXIS 15014, 2011 WL 3010497
CourtCourt of Appeals for the Seventh Circuit
DecidedJuly 22, 2011
Docket10-1889, 10-3083
StatusPublished
Cited by61 cases

This text of 653 F.3d 488 (Pakovich v. Verizon LTD Plan) is published on Counsel Stack Legal Research, covering Court of Appeals for the Seventh Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Pakovich v. Verizon LTD Plan, 653 F.3d 488, 51 Employee Benefits Cas. (BNA) 2645, 2011 U.S. App. LEXIS 15014, 2011 WL 3010497 (7th Cir. 2011).

Opinion

FLAUM, Circuit Judge.

This case comes to us for a second time. Lisa Pakovich worked as a retail sales representative for Verizon when she became disabled and sought long-term disability benefits under Verizon’s ERISA plan (“the Plan”) after a series of back surgeries. On the first appeal, we reversed the district court’s decision that Pakovich was ineligible for long-term disability benefits after the first twenty-four months and remanded to Broadspire Services, Inc., the Plan Administrator, to determine her eligibility for benefits during that time period.

Having not heard from the Plan for almost five months, Pakovich again filed suit under ERISA, this time claiming that the Plan’s silence constituted a deemed denial of her benefit claim. She requested disability benefits pursuant to ERISA § 502(a)(1)(B), 29 U.S.C. § 1132(a)(1)(B), and attorney fees pursuant to ERISA § 502(g), 29 U.S.C. § 1132(g). A little over a month later, the Plan informed her that it would pay the benefits she requested in her complaint and shortly thereafter moved to dismiss the case as moot. The district court denied the motion, issued a judgment against the Plan for the exact amount it had agreed to pay Pakovich, and later denied Pakovich’s motion for fees.

We vacate the district court’s decision granting Pakovich summary judgment on her benefit claim, but affirm its denial of her fee request.

I. Background

Pakovich initially filed suit under ERISA § 502(a) against Broadspire, seeking long-term disability benefits from the ERISA Plan after Broadspire determined that she was no longer entitled to them (“Pakovich /”). The district court concluded that Broadspire’s decision to terminate Pakovich’s long-term disability benefits under the “own occupation” standard (under which Pakovich must have been unable to perform the essential functions of her sales position with Verizon to receive benefits) was arbitrary and capricious, and thus that Pakovich was entitled to disability benefits for the first twenty-four months. It further found that she was not entitled to disability benefits beyond twenty-four months because she did not qualify under the “any occupation” standard (under which benefits were available only if Pakovich was disabled from all occupations). It thus awarded Pakovich benefits from May 14, 2004, through July 16, 2004, but denied benefits beyond July 16.

On appeal, we reversed the district court’s decision that Pakovich was ineligible for benefits beyond twenty-four months and remanded to the Plan Administrator to determine her eligibility for benefits during that time period. Pakovich v. Broadspire Servs., Inc., 535 F.3d 601, 607 (7th Cir.2008). We also denied her request for attorney fees, costs, and expenses incurred on appeal. Id. We issued our opinion on July 24, 2008, and the district court remanded Pakovich’s claim to the Plan Administrator on September 4, 2008.

Having not heard whether the Plan would pay “any occupation” benefits for almost five months, Pakovich filed a second suit (“Pakovich II”) on January 30, 2009, under ERISA § 502(a)(1)(B), this *491 time against the Plan, 1 claiming that the Plan’s failure to determine her benefits between September 4, 2008, and January-29, 2009, constituted a “deemed denial” of her benefits claim. She sought all the benefits to which she was entitled under the terms of the Plan, interest on all unpaid amounts, and legal fees, costs, and expenses incurred in pursuing the case.

On March 6, 2009, a little over a month after filing Pakovich II, Pakovich’s counsel learned from the Plan’s claim handler that the Plan had agreed to pay her “any occupation” benefits from July 15, 2004. On April 7, 2009, Pakovich was sent a letter with a check that paid back benefits and past due interest owed since 2004. The letter also indicated that Pakovich would continue to receive benefits from the Plan as long as she remained qualified. The payments compensated Pakovich for the entire amount she sought for her benefit claim in Pakovich II.

On April 14, 2009, the defendants in Pakovich II filed a motion to dismiss under Federal Rule of Civil Procedure 12(b)(1) for lack of subject matter jurisdiction, arguing that the ease was moot because the Plan had paid the benefits Pakovich sought in her complaint and agreed to continue paying them in the future as long as she remained eligible. After the district court denied the motion, Pakovich filed a motion for summary judgment that sought monthly benefits in the amount the Plan was already paying her and attorney fees. The Plan cross-moved for summary judgment.

On March 24, 2010, the district court granted summary judgment for Pakovich, concluding that she was disabled under the “any occupation” standard and ordering the Plan to pay Pakovich disability benefits on a monthly basis until she turned sixty-five years old or Verizon, consistent with the terms of the Plan and ERISA, determined that Pakovich was no longer entitled to the benefits. The district court denied Pakovich’s request for attorney fees in a separate opinion and later rejected her Rule 60 motion to reconsider that decision.

The Plan appeals the district court’s decision that Pakovich’s benefit claim was not moot, and Pakovich appeals the district court’s denial of her request for fees. After briefly discussing jurisdiction, we review each argument in turn.

II. Discussion

A. Appellate Jurisdiction

Briefing came in two rounds, the first addressing the district court’s mootness decision, the second regarding its denial of Pakovich’s motion for fees. The first briefs debate whether the matter was a final order under 28 U.S.C. § 1291 when the district court had yet to rule on Pakovich’s motion for fees. This case comes to us as one consolidated appeal with nothing pending in the district court. We thus exercise jurisdiction pursuant to 28 U.S.C. § 1291.

B. Mootness

Pakovich’s complaint in Pakovich II seeks long-term disability benefits under a deemed denial theory — claiming that the Plan had not notified Pakovich of whether she was eligible for benefits under the “any occupation” provision almost five months after the district court remanded her case to the Plan Administrator' — and legal fees under ERISA § 502(g), ERISA’s fee-shifting provision. Despite the fact that the Plan had paid Pakovich *492 the benefits she requested in her complaint and agreed to continue paying into the future, the district court determined that Pakovich’s claim for benefits was not moot.

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653 F.3d 488, 51 Employee Benefits Cas. (BNA) 2645, 2011 U.S. App. LEXIS 15014, 2011 WL 3010497, Counsel Stack Legal Research, https://law.counselstack.com/opinion/pakovich-v-verizon-ltd-plan-ca7-2011.