Roberton v. Citizens Utilities Co.

122 F. Supp. 2d 279, 2000 U.S. Dist. LEXIS 19113, 2000 WL 1742515
CourtDistrict Court, D. Connecticut
DecidedSeptember 21, 2000
Docket3:93-r-00043
StatusPublished
Cited by2 cases

This text of 122 F. Supp. 2d 279 (Roberton v. Citizens Utilities Co.) is published on Counsel Stack Legal Research, covering District Court, D. Connecticut primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Roberton v. Citizens Utilities Co., 122 F. Supp. 2d 279, 2000 U.S. Dist. LEXIS 19113, 2000 WL 1742515 (D. Conn. 2000).

Opinion

MEMORANDUM OF DECISION

SMITH, United States Magistrate Judge.

I. INTRODUCTION

This is an action for damages and declaratory relief brought by the plaintiff, Donald Roberton, against the defendant, Citizens Utilities Co. (“Citizens”) brought pursuant to the Employee Retirement Income Security Act of 1974, 29 U.S.C. § 1001 et seq. (“ERISA”). The plaintiff is a former employee of the defendant company, and alleges in count one that Citizens violated ERISA when it denied him benefits under the terms of its Split Dollar Agreement (“Agreement”). The plaintiff also claims in count three 1 that the defendant violated ERISA when it did not give him an enhanced pension payment under the “wearaway” provision of the Voluntary Employee Early Retirement Program (“VEERP”). The defendant denies these allegations.

A bench trial was held June 1, 2, 5, and 6, 2000, 2 pursuant to 28 U.S.C. § 636(c). For the following reasons, the court concludes that the defendant did violate the terms of the Split Dollar Agreement and that the plaintiff is fully vested under the agreement, but that the plaintiff is not entitled to enforce the “wearaway” provision of the “VEERP.” Judgment shall enter in favor of the plaintiff on count one, and for the defendant on count three.

II. DISCUSSION

A. THE SPLIT DOLLAR AGREEMENT

Count one of the complaint alleges that defendant improperly denied plaintiff benefits under the Split Dollar Life Insurance Agreement and seeks recovery under 29 U.S.C. § 1132(a)(1)(B). For the reasons set forth below, the court awards the requested relief.

1. STANDARD OF REVIEW

As a threshold matter, in an action to recover benefits under 29 U.S.C. § 1132(a)(1)(B), the court must determine the appropriate standard of review to apply to the plan administrator’s decision. See Hotaling v. Teacher’s Ins. and Annuity Ass’n of America, 62 F.Supp.2d 731, 736 (N.D.N.Y.1999). Such claims for benefits are “to be reviewed under a de novo standard unless the benefit plan gives the administrator discretionary authority to determine eligibility for benefits or to construe the terms of the plan.” Firestone Tire and Rubber Co. v. Bruch, 489 U.S. 101, 115, 109 S.Ct. 948, 103 L.Ed.2d 80 (1989). The party seeking review under the arbitrary and capricious standard bears the burden of proving its applicability because “the party claiming deferential *282 review should prove the predicate that justifies it.” Kinstler v. First Reliance Standard Life Ins. Co., 181 F.3d 243, 249 (2d Cir.1999) (internal quotation marks omitted; quoting Sharkey v. Ultramar Energy Ltd., 70 F.3d 226, 230 (2d Cir.1995)).

In order to successfully meet this burden, the administrator must point toward language in the plan “stating that the award of benefits is within the discretion of the plan administrator or language that is plainly the functional equivalent of such wording.” Kinstler, 181 F.3d at 252. In the case at bar, defendant relies upon language contained in the Citizens Utilities Company Non-Death Benefit Claims Review Procedure for Citizens Utilities Company Split Dollar Agreements (“Split Dollar Procedure”). Specifically, under the subheading “Filing of Benefit Claims,” the Split Dollar Procedure states that

Citizens Utilities company has established a Split Dollar Life Insurance Administrative Oversight Committee to Administer the Split Dollar Life Insurance Program (the “Administrative Committee”) and process and determine claims.... All benefit claims ... should be filed with the Administrative Committee.

(Def.’s Ex. RR). In addition, the Split Dollar Plan states, under the heading “Time for Processing Claims,” that “[t]he Administrative Committee generally will adjudicate Claims within 90 days of receipt.” (Id.). Defendant contends that the language set forth in the Split Dollar Procedure 3 is sufficient to confer discretionary authority to interpret the provisions of the Split Dollar Agreement upon the Administrative Committee.

The court disagrees with the defendant’s contentions, and finds that the de novo standard of review applies to the Split Dollar Plan. Although words such as “adjudicate,” “process,” and “determine” may have discretionary connotations, in the context of their use in the Split Dollar Procedure they do not rise to the level of the functional equivalent of “discretionary.” The Split Dollar Procedure merely sets forth the process for appealing a decision, and does not purport to confer discretionary authority to the Administrative Committee. The court will not infer discretionary authority from possible connotations of words taken out of context.

Examination of recent authority in the Second Circuit supports this conclusion. In Kinstler, the court expressly required language above and beyond merely stating the obvious: that the administrator would make the preliminary decision. See Kinstler, 181 F.3d at 252 (“Every plan that is administered requires submission of proof that will ‘satisfy’ the administrator. No plan provides benefits when the administrator thinks that benefits should not be paid! Thus, saying that proof must be satisfactory ‘to the administrator’ merely states the obvious point that the administrator is the decision-maker, at least in the first instance”). Subsequent cases have reached similar conclusions in construing the language of other plans. See, e.g., Hotaling, 62 F.Supp.2d at 737-38 (declining to interpret language setting forth general requirements as conferring discretionary authority); Barnable v. First Fortis Life Ins. Co., 44 F.Supp.2d 196, 203-04 (E.D.N.Y.1999) (same). Because a more definitive, unambiguous statement of discretionary authority is necessary, the defendant has not met its burden of proving the applicability of the arbitrary and capricious standard. Accordingly, the court will apply the de novo standard of review to the Split Dollar Agreement.

2. APPLICATION TO EVIDENCE OFFERED AT TRIAL

In 1994, Citizens provided Rober-ton and other high level management per *283 sonnel with an Executive Split Dollar Life Insurance Benefit (“Split Dollar”).

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Bluebook (online)
122 F. Supp. 2d 279, 2000 U.S. Dist. LEXIS 19113, 2000 WL 1742515, Counsel Stack Legal Research, https://law.counselstack.com/opinion/roberton-v-citizens-utilities-co-ctd-2000.