Slusarski v. Life Insurance Co. of North America

632 F. Supp. 2d 159, 2009 U.S. Dist. LEXIS 63014, 2009 WL 1990178
CourtDistrict Court, D. Rhode Island
DecidedJuly 9, 2009
DocketCA 08-292 S
StatusPublished
Cited by1 cases

This text of 632 F. Supp. 2d 159 (Slusarski v. Life Insurance Co. of North America) is published on Counsel Stack Legal Research, covering District Court, D. Rhode Island primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Slusarski v. Life Insurance Co. of North America, 632 F. Supp. 2d 159, 2009 U.S. Dist. LEXIS 63014, 2009 WL 1990178 (D.R.I. 2009).

Opinion

MEMORANDUM AND ORDER GRANTING IN PART AND DENYING IN PART MOTIONS FOR PROTECTIVE ORDER

DAVID L. MARTIN, United States Magistrate Judge.

Before the Court are two motions for protective orders filed by Defendants Life Insurance Company of North America (“LINA”), Cigna Group Insurance, 1 and Assa Abloy, Inc. Long-Term Disability Plan (the “Plan”) (collectively “Defendants”). See Defendants’ Motion for Protective Order (Doc. # 12) (“First Motion”); Defendants’ Motion for Protective Order (Doc. # 15) (“Second Motion”) (collectively, the “Motions”). By the First Motion, Defendants seek to block the Rule 30(b)(6) deposition of LINA noticed by Plaintiff Ronald Slusarski (“Plaintiff’ or “Mr. Slusarski”). See Memorandum in Support of Defendants’ Motion for Protective Order (“Defendants’ Mem. First Motion”) at 1. By the Second Motion, Defendants seek to block discovery sought by Plaintiff via two sets of interrogatories, two sets of requests for production, and one request for admissions. See Second Motion at 1. The Court conducted hearings on the Motions on May 29 and June 18, 2009. Thereafter, it took the matters under advisement.

Facts

The Amended Complaint alleges that Plaintiff was an employee of Assa Abloy, Inc. (“Assa Abloy”), and also an employee of a subsidiary corporation, Assa Abloy Architectural Hardware, Inc. (“AAAH”). 2 Amended Complaint (Doc. # 26) ¶¶ 9, 14. As a result of his employment, Plaintiff was a participant in the Plan, an employee *163 welfare benefit plan regulated by ERISA. 3 See id. ¶¶ 11, 13, 14-15. The Plan was established by Assa Abloy and maintained for the benefit of its employees and those of its numerous subsidiary and affiliated companies. 4 See id. ¶¶ 11, 13, 15. Among other features, the Plan, which was insured and administered by LINA, provided long term disability (“LTD”) benefits to participants. See id. ¶ 11, 16. The Plan listed approximately twenty-two classifications under which Plan participants would fall depending on which subsidiary or affiliation of Assa Abloy was their employer. See id. ¶¶ 17, 70, 86, 87.

According to Plaintiff, he was employed as a Director of Product Development Engineering for AAAH until he became fully disabled in September, 2005, due to degenerative and progressive spinal stenosis and related symptoms. See id. ¶ 20. In August 2005, he applied for and subsequently received short term disability benefits under the Plan. See id. ¶ 21. Thereafter, Plaintiff filed for LTD benefits under the Plan and for a waiver of premium benefits on his life insurance policy. See id. ¶ 23. In April of 2006, LINA denied Plaintiffs claim for benefits. See id. ¶ 24. Plaintiff appealed LINA’s denial of benefits in October of 2006. See id. ¶ 26. After several extension requests by both LINA and Plaintiff, on February 2, 2007, LINA forwarded a letter to Plaintiff, affirming the previous denials of waiver of premium benefits and LTD benefits. See id. ¶ 27.

In August 2007, Plaintiff requested a review of the denial of benefits. See id. ¶ 28. Over the next several months, Plaintiff, through his attorney, requested documents pertaining to the Plan and forwarded further medical documentation to LINA. See id. ¶¶ 31-32. Plaintiffs second appeal was completed on June 9, 2008. See id. ¶ 32. When he did not receive a determination or notice of an extension with respect to this appeal within forty-five days, Plaintiff filed this action on August 1, 2008. See id. ¶¶ 34-35.

In his Complaint (Doc. # 1), Plaintiff requested payment of LTD benefits due under the policy, waiver of premium payments from the date of disability with reimbursement for premiums paid plus interest, prejudgment interest on all benefits that accrued prior to judgment, attorney’s fees, and costs of suit. See Amended Complaint ¶ 36. Within days of filing suit, Defendants reversed the previous denial and awarded benefits. 5 See id. ¶ 37. However, Plaintiff alleges that the benefits awarded “are disproportionately lower than the benefits he should receive relative to his predisability income level, and to the benefits enjoyed by other Plan participants.” Id. ¶ 88.

In his Amended Complaint, Plaintiff alleges that LINA improperly classified him *164 as a Class 1 Plan participant, 6 see id. ¶ 77, that this classification resulted in the lowest possible level of benefits under the Plan, see id. ¶¶ 40, 73, and that the decision to so classify him was wrongful and contrary to Defendants’ fiduciary duty to Plaintiff, see id. ¶ 79. In particular, Plaintiff complains that as a result of being placed in Class 1 his benefits are limited to $5,000.00 per month (about 43% of his predisability earnings), see id. ¶¶42, 75, that other classes under the Plan have substantially higher caps, such as $10,000.00 and $12,000.00, see id. ¶ 76, and that if the “Maximum Monthly Benefit” limitation contained in Class 1 had not limited his benefits, he would have been entitled to receive approximately $7,000.00 per month, 7 see id. ¶ 42. Plaintiff further complains that he has continuously met the Plan’s definition of “disabled,” id. ¶ 38, since the onset of his disability and that, despite this, LINA has refused to pay interest on back benefits, as well as attorney’s fees and costs of suit, see id. ¶ 44.

In Count I, Plaintiff seeks interest on the disability payments which were paid retroactively. See id. ¶¶ 54-56. As support for this claim, Plaintiff states that LINA had the use of this money during the period benefits were not paid and that the payment of interest on this money would serve to make him whole. See id. ¶¶ 55-56. In Count II, Plaintiff seeks attorney’s fees and costs of suit. See id. ¶ 59, 62. As support for this claim, Plaintiff states that Defendants’ refusal to pay benefits until litigation commenced was wrongful and contrary to Defendants’ fiduciary duty to Plaintiff. See id. ¶ 60. In Counts III and IV, Plaintiff challenges Defendants’ decision to classify him as a Class 1 participant, see id. ¶¶ 77, 79, and he indicates that he seeks “Recovery of Benefits Due,” id. (parenthetical subtitles appearing beneath Counts III and IV).

The Discovery Sought

Plaintiff seeks to conduct discovery regarding the following general topics: 1) why AAAH was not listed among the classes designated in the Plan, see, e.g., Defendants’ Mem.

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Cite This Page — Counsel Stack

Bluebook (online)
632 F. Supp. 2d 159, 2009 U.S. Dist. LEXIS 63014, 2009 WL 1990178, Counsel Stack Legal Research, https://law.counselstack.com/opinion/slusarski-v-life-insurance-co-of-north-america-rid-2009.