Sconiers v. First Unum Life Insurance

830 F. Supp. 2d 772, 2011 WL 5827203, 2011 U.S. Dist. LEXIS 133509
CourtDistrict Court, N.D. California
DecidedNovember 18, 2011
DocketNo. C 11-01798 WHA
StatusPublished
Cited by8 cases

This text of 830 F. Supp. 2d 772 (Sconiers v. First Unum Life Insurance) is published on Counsel Stack Legal Research, covering District Court, N.D. California primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Sconiers v. First Unum Life Insurance, 830 F. Supp. 2d 772, 2011 WL 5827203, 2011 U.S. Dist. LEXIS 133509 (N.D. Cal. 2011).

Opinion

ORDER PARTIALLY GRANTING MOTION FOR SUMMARY JUDGMENT BY MORGAN STANLEY AND THE PLAN, DENYING MOTION FOR SUMMARY JUDGMENT BY UNUM, AND ALLOWING LIMITED DISCOVERY

WILLIAM ALSUP, District Judge.

INTRODUCTION

In this ERISA action, all defendants move for summary judgment. Plaintiff opposes the motions and requests leave to take discovery. For the reasons stated below, one motion for summary judgment is Granted in part and Denied in part, the other motion for summary judgment is Denied, and limited discovery will be allowed.

STATEMENT

Plaintiff Michele P. Sconiers was hired as a level-two banking associate by defendant Morgan Stanley & Co., Inc., on July 24, 2006. Less than a year later, on June 27, 2007, plaintiff stopped working due to a variety of disabling symptoms, including pain, swelling, fevers, dizziness, and forgetfulness. Plaintiff was 33 years old at the time, and her base salary was $100,000. Before joining Morgan Stanley, plaintiff had worked as an attorney at the Skadden, Arps law firm (Sconiers Decl. ¶¶2-3, 6; Braun Decl. ¶ 3; AR 114,140-41).1

Plaintiff applied for disability benefits based on her participation in defendant Morgan Stanley Disability Plan, alleging a [774]*774disability onset date of June 22, 2007. Defendant Morgan Stanley was the plan administrator of the Plan, and defendant First Unum Life Insurance Company was the claims fiduciary for long-term disability benefits under the Plan. Unum approved plaintiffs claim and begin paying her long-term disability benefits (AR 114-19, 131-42). According to plaintiff, however, the payments were too low. Plaintiff argues that her benefits were calculated under the wrong policy and that the terms of the disputed policy were not even applied correctly. Specifically, plaintiff argues that her claims were subject to the 2006 policy rather than the 2007 policy, and that the calculation of her benefits should have taken into account her expected bonuses and income from her previous employment as an attorney at Skadden.

Plaintiff sought medical treatment from numerous specialists, but her condition did not improve and no conclusive diagnosis was made that could explain all of her symptoms. In March 2010, Unum terminated plaintiffs benefits pursuant to a two-year limitation on benefits for disability due to mental illness (AR 2832-41). The termination was based on reports by Unum’s retained physicians, who had reviewed plaintiffs medical files and concluded that mental illness was the most plausible explanation for her combination of persistent symptoms. Specifically, Unum’s physicians opined that plaintiff suffered from somatoform disorder, a condition in which the patient believes herself to be suffering physical ailments that cannot otherwise be explained (e.g., AR 2786). Plaintiff, however, did not claim to suffer from any mental illness and in fact continues to deny any mental illness. Plaintiff appealed the termination of her benefits, and in November 2010 Unum upheld its denial on appeal (AR 3808-14).

Five months later, plaintiff filed the instant action. Her first amended complaint, which is currently operative, asserted four claims for relief: (1) recovery of employee benefits under 29 U.S.C. 1132(a)(1)(B), against all three defendants; (2) equitable relief under 29 U.S.C. 1132(a)(3), against Morgan Stanley and Unum; (3) declaratory and injunctive relief under California Insurance Code § 10144, against Unum; and (4) civil penalties for failure to produce documents under 29 U.S.C. 1132(c)(1) and 29 C.F.R. 2575.502c-l, against Morgan Stanley. A motion by Unum to dismiss the second and third claims was denied, but portions of the complaint were stricken (Dkt. No. 68).

All three defendants now move for summary judgment on all claims against them. Morgan Stanley and the Plan filed a joint motion, and Unum filed a separate motion. Plaintiff opposes both motions and requests leave to take discovery. This order follows full briefing and a hearing.

ANALYSIS

Each motion will be addressed in turn.

1. Motion for Summary Judgment by Morgan Stanley and the Plan.

The operative complaint asserted one ERISA claim against the Plan and three ERISA claims against Morgan Stanley. Each claim will be addressed in turn.

A. Claim for Recovery of Benefits Under 29 U.S.C. 1132(a)(1)(B).

Section 1132(a)(1)(B) allows a plan participant “to recover benefits due to him under the terms of his plan, to enforce his rights under the terms of the plan, or to clarify his rights to future benefits under the terms of the plan” by way of a civil action. The factual theories underlying plaintiffs Section 1132(a)(1)(B) claims against Morgan Stanley and the Plan are that the 2007 policy was not properly adopted, that notice of the 2007 policy was not properly provided, and that the policy [775]*775terms were not properly applied to the calculation of her benefit. Each factual theory will be addressed in turn.

(1) Adoption of the 2007 Policy.

Every ERISA plan must “provide a procedure for amending such plan, and for identifying the persons who have authority to amend the plan.” 29 U.S.C. 1102(b)(3). The parties agree that the relevant procedure was set forth as follows in the 2006 summary plan description (Braun Exh. M at MS00000262) (emphasis added):

Although Morgan Stanley and its affiliates expect to continue the Disability Plan indefinitely, Morgan Stanley & Co. Incorporated, by action of its Board of Directors (or its delegate, the Morgan Stanley Director of Global Human Resources), necessarily reserves the right to amend, modify or discontinue the Plan or any benefits under the Plan at any time for any reason or from time to time.

In 1989, the board of directors empowered an executive committee to exercise “all the powers of the Board of Directors in the management of the business and affairs of the Corporation to the extent provided by Section 141(c) of the General Corporation Law of the State of Delaware as it exists now or as it may be hereafter amended” (Tyler Exh. D at MS000811). Nothing in Section 141(c) forbade an executive committee of a corporation’s board of directors (as opposed to the board itself) from amending the corporation’s ERISA plan.

In November 2006, the executive committee amended the Plan by adopting the 2007 long-term disability benefits policy to replace the 2006 policy (Tyler Exh. H at MS00000033, MS00000050). Because the executive committee had been empowered to act with “all the powers of the Board of Directors” and the board of directors had authority amend the Plan, this amendment was valid.

Plaintiffs arguments to the contrary are unavailing. First, plaintiffs evidentiary objections to the Tyler declaration are overruled. Defendants’ reliance on Mr.

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Bluebook (online)
830 F. Supp. 2d 772, 2011 WL 5827203, 2011 U.S. Dist. LEXIS 133509, Counsel Stack Legal Research, https://law.counselstack.com/opinion/sconiers-v-first-unum-life-insurance-cand-2011.