Piecznski v. Dril-Quip, Inc. Long Term Disability Plan

354 F. App'x 207
CourtCourt of Appeals for the Fifth Circuit
DecidedNovember 23, 2009
Docket09-20187
StatusUnpublished
Cited by3 cases

This text of 354 F. App'x 207 (Piecznski v. Dril-Quip, Inc. Long Term Disability Plan) is published on Counsel Stack Legal Research, covering Court of Appeals for the Fifth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Piecznski v. Dril-Quip, Inc. Long Term Disability Plan, 354 F. App'x 207 (5th Cir. 2009).

Opinion

PER CURIAM: *

Larry Piecznski appeals from the district court’s grant of summary judgment to Dril-Quip, Inc. Long Term Disability Plan (the Plan). The district court concluded that Piecznski had not exhausted available administrative remedies prior to bringing suit to recover benefits under the disability plan, and, alternatively, that Pieeznski’s claim was time-barred by the Plan’s limitations period for filing suit. We affirm.

I

Piecznski, as an employee of Dril-Quip, Inc., participated in the Dril-Quip, Inc. Long Term Disability Plan, an employee welfare benefit plan governed by the Employee Retirement Income Security Act (ERISA). Piecznski was diagnosed with multiple sclerosis and in February 2004 applied for long-term disability benefits under the Plan.'

Metropolitan Life Insurance Company (MetLife), as the Plan’s claim administrator and a Plan fiduciary, reviewed Piecznski’s claim and determined that Piecznski was not disabled as defined by the terms of the Plan. MetLife sent Piecznski a letter on May 26, 2004, notifying him that his claim had been denied. The letter included the following information regarding the appeal process:

Because your claim was denied in whole or in part, you may appeal this decision by sending a written request for appeal to MetLife Disability ... within 180 days after you receive this denial letter. Please include in your appeal letter the reason(s) you believe that claim was improperly denied, and submit any additional comments, documents, records or other information relating to your claim that you deem appropriate for us to give your appeal proper consideration. Upon request, MetLife will provide you with a copy of the documents, records, or other information we have that are relevant to your claim and identify any medical or vocational expert(s) whose advice was obtained with your claim.
MetLife will evaluate all the information and advise you of our determination of your appeal within 45 days after we receive your written request for appeal. If there are special circumstances requiring additional time to complete [our] review, we may take up to an additional 45 days, but only after notifying you of the special circumstances in writing. In the event your appeal is denied in whole or in part, you will have the right to bring a civil action under Section 502(a) of the Employee Retirement Income Security Act of 1974.

On September 2, 2004, Pieeznski’s attorney sent a letter to MetLife:

Prior correspondence indicates that you have denied long term disability *209 benefits to Mr. Piecznski and that his case is in the administrative appeals process. We believe there is additional evidence that will become available soon that justifies review of his claim.
Please accept this letter as notice of Mr. Piecznski’s intention to appeal your decision denying benefits under the above referenced policy. Once we have adequate time to review and supplement the record, we will notify you in writing to proceed with Mr. Piecznski’s administrative appeal under the terms of the Plan.

The letter also requested copies of various documents and “requested] that [MetLife] disclose any deadlines imposed under the policy that you believe are pending, will be pending upon any event in the future or that you believe have already expired.”

MetLife responded to this letter on September 15, 2004, and sent a complete copy of Piecznski’s claim file. The letter stated, “As indicated in our May 26, 2004 letter, your client has 180 days from receipt of that letter to submit his appeal. Accordingly, please submit any additional information you wish MetLife to consider in its review of your client’s claim by November 29, 2004.”

On August 16, 2006, Piecznski’s attorney sent a letter to MetLife to “supplement ] his appeal of MetLife’s decision with further medical evidence and with information to further clarify his condition.” The letter specified the grounds of Piecznski’s appeal in great detail. MetLife responded by letter on August 28, 2006, stating that Piecznski “is not entitled to an appeal as the 180 days have expired.”

Piecznski then filed suit in district court, seeking long-term disability benefits from the plan. Both parties moved for summary judgment. The district court granted summary judgment to the Plan, concluding that Piecznski had not exhausted available administrative remedies, and even if he had exhausted all available administrative remedies, his suit was barred by the limitations period in the Plan. Piecznski appeals from this judgment.

II

We review a district court’s grant of summary judgment de novo. 1 Summary judgment is proper if there is no genuine issue of material fact and the movant is entitled to a judgment as a matter of law. 2

III

On appeal, Piecznski argues that the district court erred in granting summary judgment to the Plan because he presented sufficient evidence to raise at least a fact issue that: (1) Piecznski exhausted or was prevented from exhausting his administrative remedies, and (2) Piecznski’s lawsuit was not time-barred because Met-Life’s refusal to issue a final decision effectively delayed suit and tolled the statute of limitations.

A

Piecznski first argues that he has presented sufficient evidence to raise at least a fact issue that he exhausted or was prevented from exhausting his administrative remedies. Exhaustion of administrative remedies is a prerequisite to an ERISA action in federal court. 3 We have recognized an exception to this require *210 ment when an attempt to exhaust would be futile. 4 Piecznski contends that he preserved his right to appeal by sending a letter to MetLife on September 2, 2004, as notice of appeal, and that this letter was within the 180-day time limit for filing an appeal. Piecznski argues that the exception to the exhaustion requirement applies because MetLife has made Piecznski’s attempts to exhaust his remedies futile by refusing to consider his appeal.

The district court found that Piecznski’s September 2, 2004 letter was not an appeal, recognizing that “an employee cannot indefinitely extend an ERISA plan’s appeal deadline by notifying the plan that he intends to appeal sometime in the future” because “[s]uch a rule would render the plan’s deadlines meaningless.” The district court’s finding is further supported by this court’s recent decision in Swanson v. Hearst Corp. Long Term Disability Plan 5 which held that a claimant’s letter expressing an intention to appeal was not an appeal for purposes of the ERISA plan.

The facts in Swanson are almost identical to the facts in this case. The ERISA plan in Swanson

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Bluebook (online)
354 F. App'x 207, Counsel Stack Legal Research, https://law.counselstack.com/opinion/piecznski-v-dril-quip-inc-long-term-disability-plan-ca5-2009.