Rosser-Monahan v. Avon Products, Inc.

227 F.R.D. 695, 2004 U.S. Dist. LEXIS 27821, 2004 WL 3326139
CourtDistrict Court, M.D. Florida
DecidedNovember 18, 2004
DocketNo. 8:04CV45T24EAJ
StatusPublished
Cited by4 cases

This text of 227 F.R.D. 695 (Rosser-Monahan v. Avon Products, Inc.) is published on Counsel Stack Legal Research, covering District Court, M.D. Florida primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Rosser-Monahan v. Avon Products, Inc., 227 F.R.D. 695, 2004 U.S. Dist. LEXIS 27821, 2004 WL 3326139 (M.D. Fla. 2004).

Opinion

ORDER

JENKINS, United States Magistrate Judge.

Before the court is Defendant Avon Products, Inc.’s Expedited Motion For Protective Order And Rule 3.01(g) Certificate (Dkt. 33), Defendant’s Brief In Support of Motion for Protective Order (Dkt. 34), both filed on October 28, 2004, and Plaintiffs Memorandum of Law in Opposition to Defendant’s Expedited Motion for Protective Order (Dkt. 36) filed October 29, 2004.

Defendant Avon Products, Inc. (“Avon”) seeks a protective order prohibiting the Plaintiff from deposing Donna B. Ng, Lori Lundberg, and from taking a deposition of Defendant pursuant to Rule 30(b)(6), Fed. R.Civ.P. These three depositions have been noticed for November 22 and 23, 2004 in New York, New York and Hartford, Connecticut. Background

Plaintiffs claim arises from the denial of long-term disability benefits by her (former) employer Defendant Avon. (Dkt. 34 at 1-2) Plaintiffs claim for benefits was reviewed and denied twice by Defendant Avon. (Dkt. 34 at 2) Plaintiff claims that at least one of the denials was based on the lack of “objective” medical evidence to support her condition. (Dkt. 36 at 14)

Deponent Donna Ng is Avon’s Vice President of Global Compensation and Benefits and Global Human Resources who signed one of the documents relating to Plaintiffs claim in the administrative appeals file produced by Avon. Deponent Lori Lundberg is an appeals analyst with Aetna Life Insurance Company. See Plaintiffs’ Notices of Taking Depositions, Dkt. 34, Ex. 1 and 2.

Defendant argues that the noticed depositions are outside the limited scope of discovery permitted in ERISA1 actions because discovery is limited to the “administrative record”. Defendant contends that its production of the claims file, the plan documents and answers to interrogatories constitute all of the permissible discovery in this action.2

Plaintiff responds that determining what facts were known to the administrator may involve “more than what AVON put in its claim file.” Plaintiff points out several areas in which the discovery provided does not answer questions relating factors which the court may consider in this case, such as the credentials of the medical advisor or other expert consulted, the source of the requirement for “objective” medical evidence, and the basis for the email by an Avon employee regarding “votes” for denying Plaintiffs appeal.

Discussion

The Eleventh Circuit has identified three varying standards of review that a court may apply in reviewing a plan administrator’s claims decision under ERISA: “(1) de novo where the plan does not grant the administrator discretion; (2) arbitrary and capricious [where] the plan grants the administrator discretion; and (3) heightened arbitrary and capricious where there is a conflict of interest.” Buckley v. Metropolitan Life, 115 F.3d 936, 939 (11th Cir.1997); Marecek v. BellSouth Telecommunications, Inc., 49 F.3d 702, 705 (11th Cir.1995).

When reviewing a denial of benefits under the de novo standard of review, where the plan does not grant the administrator discretion, the court may examine facts not before the administrator. Kirwan v. Marriott Corp, 10 F.3d 784, 790 n. 31 (11th Cir.1994) (citations omitted). On the other hand, under the arbitrary and capricious standard, where the plan expressly grants the administrator discretion, the court may consider only the “facts known to the administrator at the time the decision was made to deny [ ] cover[698]*698age.” Lee v. Blue Cross/Blue Shield, 10 F.3d 1547, 1550 (11th Cir.1994); Jett v. Blue Cross and Blue Shield of Alabama, Inc., 890 F.2d 1137, 1139 (11th Cir.1989).

The parties agree that the arbitrary and capricious standard applies in this case. (Dkt. 34, at 2, Dkt. 36 at 5) “In applying the arbitrary and capricious standard to a plan administrator’s decision, the district court’s role is limited to determining whether the contested interpretation was made rationally and in good faith.” Blank v. Bethlehem Steel Corp., 926 F.2d 1090, 1093 (11th Cir.1991). Under this review, the court would consider factors such as:

(1) the uniformity of the administrator’s construction;
(2) the “fair reading” and reasonableness of his interpretation;
(3) the concern for unanticipated costs to the health plan;
(4) the internal consistency of the plan under the interpretation given by the administrator;
(5) any regulations by appropriate agencies; and
(6) the factual background of the determination as well as any inferences of lack of good faith.

See Blank, 926 F.2d at 1093; Harris v. Pullman Standard, Inc., 809 F.2d 1495, 1498 (11th Cir.1987).

The parties have not cited, nor has the court’s research revealed, any case in which the Eleventh Circuit has ruled on the proper scope of discovery in ERISA cases involving the arbitrary and capricious standard of review. Some courts have held that discovery in such cases is not limited to the documentary administrative record, but may include all “facts known to the administrator” whether or not those facts were reduced to paper, and whether or not those facts were included in the file which Defendant deems its “administrative record”. See e.g. Lake v. Hartford Life and Accident Ins. Co., 218 F.R.D. 260, 261 (M.D.Fla.2003).3

Thus, in such a case a plaintiff may conduct discovery to evaluate “(1) the exact nature of the information considered by the fiduciary in making the decision; (2) whether the fiduciary was competent to evaluate the information [known to him]; (3) how the fiduciary reached its decision; (4) whether, given the nature of the information in the record, it was incumbent upon the fiduciary to seek outside technical assistance in reaching a “fair and full review” of the claim; and (5) to determine whether a conflict of interest existed.” Cerrito v. Liberty Life Assurance Co., 209 F.R.D. 663, 664 (M.D.Fla.2002). See also Lake, supra; Woodward v. Reliance Standard Life Insurance Co., 2003 WL 1798519, 2003 U.S. Dist. LEXIS 19206 (N.D.Fla. March 10, 2003). But see Featherston v. Metropolitan Life Ins. Co., 223 F.R.D. 647 (N.D.Fla.2004).

Defendant, and perhaps some courts, have equated the Eleventh Circuit pronouncement “facts known to the administrator” to be synonymous with the term “administrative record”.

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Bluebook (online)
227 F.R.D. 695, 2004 U.S. Dist. LEXIS 27821, 2004 WL 3326139, Counsel Stack Legal Research, https://law.counselstack.com/opinion/rosser-monahan-v-avon-products-inc-flmd-2004.