Riley v. Metropolitan Life Insurance

971 F. Supp. 2d 186, 56 Employee Benefits Cas. (BNA) 2470, 2013 WL 5009618, 2013 U.S. Dist. LEXIS 129689
CourtDistrict Court, D. Massachusetts
DecidedSeptember 11, 2013
DocketCivil Action No. 12-10531-DPW
StatusPublished
Cited by2 cases

This text of 971 F. Supp. 2d 186 (Riley v. Metropolitan Life Insurance) is published on Counsel Stack Legal Research, covering District Court, D. Massachusetts primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Riley v. Metropolitan Life Insurance, 971 F. Supp. 2d 186, 56 Employee Benefits Cas. (BNA) 2470, 2013 WL 5009618, 2013 U.S. Dist. LEXIS 129689 (D. Mass. 2013).

Opinion

MEMORANDUM AND ORDER

DOUGLAS P. WOODLOCK, District Judge.

Apparently having been disserved by prior attorneys in connection with this dispute, plaintiff Robert Riley belatedly brought this action to obtain a remedy for an alleged miscalculation of his long-term disability benefits by defendant Metropolitan Life Insurance Company (“MetLife”).

I. BACKGROUND

A. Factual Background

The relevant facts are undisputed. Riley was an associate general manager for MetLife, making approximately $80,000 per year, until he left work in February 2000 as a result of depression and chronic pain. Riley received short-term disability benefits until July 2000. In the Spring of 2001, he returned to work in a non-managerial capacity, earning much less than he did in his managerial position.

In May 2002, Riley’s chronic pain returned, and he went back on short-term disability through November 2002. When no longer eligible for short-term disability, Riley applied for long-term disability benefits, which were approved in March 2005.

Under the long-term disability plan — an employee benefit plan governed by ERISA, 29 U.S.C. § 1001 et seq. — Riley was entitled to receive fifty percent of his pre-disability earnings. MetLife measured Riley’s long-term disability from 2002, meaning his benefits were based on his non-managerial salary. Riley was thus entitled to $871 per month, but the benefit was reduced to $50 per month — the minimum allowed by the plan — following an offset in the amount of Social Security benefits received by Riley. Using Riley’s managerial 2000 salary, his long-term disability benefit would have been about $3,000 per month which, after the Social Security offset, would have come to about $1,400 per month.

Riley received his first long-term disability benefits check, for $50, on April 15, 2005. He continued to receive these checks monthly, but refused to cash them, and returned the checks to MetLife in December 2005. Riley also communicated with MetLife through counsel in October 2005, threatening suit based on MetLife’s allegedly improper determination of the period of long-term disability and the relevant salary Riley earned at the beginning of the period of disability.

Represented by his prior counsel, Rear-don & Horgan, Riley brought suit against MetLife in state court under Mass. Gen. Law ch. 98A on February 7, 2007, for the alleged mishandling of his benefits. Met-Life removed the case to federal court, and the action was dismissed in November 2007 as preempted by ERISA. Riley v. MetLife, Order, No. 07-10467-RGS (D.Mass. Nov. 1, 2007). An untimely motion for reconsideration was also denied, and the district court’s judgment was affirmed on appeal. Riley v. MetLife, Judgment, No. 08-2569 (1st Cir. Oct. 14, 2009). Reardon & Horgan, meanwhile, failed to inform Riley that the action had been dismissed, and that the post-judgment motions and appeal had been denied.

Following efforts by Riley to communicate with his counsel early in 2011 — which included expressions of concern about the statute of limitations — Reardon & Horgan re-filed suit in federal court on March 18, 2011, bringing a claim under ERISA to recover unpaid benefits. The complaint, however, did not conform to local rules, [189]*189and counsel also failed to serve MetLife’s designated process agent. After Riley’s counsel failed to oppose a motion to dismiss by MetLife, the action was dismissed in January 2012. Riley v. MetLife, Order, No. 11-10473-GAO (D.Mass. Jan. 17, 2012).

B. Procedural History

Represented by new counsel, Riley filed this action on March 22, 2012. The complaint included malpractice claims against his prior counsel, but the parties have stipulated to dismissal of those claims. Remaining is Riley’s claim under ERISA to recover unpaid disability benefits from MetLife. Following limited discovery structured to address timeliness questions, on November 30, 2012, MetLife filed the motion for summary judgment before me on the ground that this action was filed outside the applicable statute of limitations.

II. STANDARD OF REVIEW

Fed.R.Civ.P. 56 “mandates the entry of summary judgment, after adequate time for discovery and upon motion, against a party who fails to make a showing sufficient to establish the existence of an element essential to that party’s case, and on which that party will bear the burden of proof at trial.” Celotex Corp. v. Catrett, 477 U.S. 317, 322, 106 S.Ct. 2548, 91 L.Ed.2d 265 (1986). The question is whether, viewing the facts in the light most favorable to the nonmoving party, there is a “genuine dispute as to any material fact.” Fed.R.Civ.P. 56(a); Casas Office Machines, Inc. v. Mita Copy star Am., Inc., 42 F.3d 668, 684 (1st Cir.1994).

III. STATUTE OF LIMITATIONS

A. Legal Framework

The parties agree that ERISA does not supply a statute of limitations for Riley’s claim, given that the allegations are unrelated to a breach of fiduciary duty. Cf. 29 U.S.C. § 1113 (setting limitation on claims for breach of fiduciary duty). Without guidance from federal law, courts borrow the limitations period for the most closely analogous state law, while applying federal common law to determine the accrual date. Salcedo v. John Hancock Mut. Life Ins. Co., 38 F.Supp.2d 37, 42 (D.Mass.1998) (citing Carreras-Rosa v. Alves-Cruz, 127 F.3d 172, 174 (1st Cir.1997)).

Both parties characterize Riley’s claim as one to correct MetLife’s miscalculation of his long-term disability benefits, and to recover resulting unpaid benefits. Riley, however, does not specify which civil enforcement provision of ERISA § 502 he means to invoke. See, e.g., 29 U.S.C. § 1132(a)(1)(B) (allowing plan participant “to recover benefits due to him under the terms of his plan” and “to enforce his rights under the terms of the plan”); id. § 1132(a)(3) (allowing plan participant to obtain “appropriate equitable relief ... to redress” plan violations). In any event, the parties agree that Riley’s claim is most closely analogous to a claim for breach of contract, and thus the six-year statute of limitations under Massachusetts law applies. Laurenzano v. Blue Cross & Blue Shield of Massachusetts, Inc. Ret. Income Trust, 134 F.Supp.2d 189, 207 (D.Mass.2001).

MetLife contends that Riley’s claim accrued when he knew or reasonably should have known that his benefits payment had been miscalculated. See Novella v. Westchester County,

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971 F. Supp. 2d 186, 56 Employee Benefits Cas. (BNA) 2470, 2013 WL 5009618, 2013 U.S. Dist. LEXIS 129689, Counsel Stack Legal Research, https://law.counselstack.com/opinion/riley-v-metropolitan-life-insurance-mad-2013.