Spears v. Liberty Life Assurance Company of Boston

CourtDistrict Court, D. Connecticut
DecidedMay 12, 2020
Docket3:11-cv-01807
StatusUnknown

This text of Spears v. Liberty Life Assurance Company of Boston (Spears v. Liberty Life Assurance Company of Boston) 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
Spears v. Liberty Life Assurance Company of Boston, (D. Conn. 2020).

Opinion

UNITED STATES DISTRICT COURT DISTRICT OF CONNECTICUT

HALEY SPEARS, : PLAINTIFF, : : CIVIL ACTION NO.: : 3:11-cv-1807 (VLB) v. : : LIBERTY LIFE ASSURANCE COMPANY : OF BOSTON; : THE GROUP LIFE INSURANCE : AND DISABILITY PLAN OF UNITED : TECHNOLOGIES CORPORATION, aka : May 12, 2020 THE UTC CHOICE INTEGRATED : DISABILITY BENEFIT PROGRAM, : DEFENDANTS. :

MEMORANDUM OF DECISION GRANTING-IN-PART PLAINTIFF’S MOTION FOR DAMAGES ORDER, [ECF NO. 198], AND PLAINTIFF’S MOTION FOR ATTORNEYS’ FEES, [ECF NO. 199]

This action is an appeal of a denial of long-term disability benefits brought by the Plaintiff, Haley Spears (“Spears”), against the United Technologies Choice Integrated Disability Benefit Program (the “Plan”), sponsored by her former employer, United Technologies Corporation (UTC), and the plan administrator, Liberty Life Assurance Company of Boston (“Liberty”), acting pursuant to the Employee Retirement Income Security Act of 1974 (“ERISA”).1 Spears alleged that the Defendants improperly denied her claim for Long Term Disability (“LTD”) benefits under the Plan, in violation of the provisions of 29

1 Spears also named her former employer, UTC, as a defendant in this action, but all claims against UTC were dismissed on August 3, 2012. [ECF No. 22, Order, at 14-17]. C.F.R. § 2560.503-1, which governs processing and handling of claims for ERISA plan benefits. On April 28, 2014, Spears and the Defendants, respectively, filed motions for summary judgment and for judgment on the administrative record. [ECF Nos. 82, 85].

In a Memorandum of Decision dated March 31, 2015, [ECF No. 103] (the “Remand Order”), the Court granted, in part, Spears’ Motion for Summary Judgment, denied Defendants’ Motion for Judgment on the Administrative Record, and remanded the case to the plan administrator for further proceedings in accordance with the Court’s Order and the instructions contained therein. The Court entered Judgment for Spears the same day. [ECF No. 104]. On September 20, 2018, the case was reassigned to the Honorable Kari A. Dooley, District Judge, for all further proceedings. [ECF No. 134]. The transfer was incident to the random assignment of cases to newly appointed district judges.

More than two and one half years after this Court’s remand and after the transfer, on November 16, 2018, the Parties filed cross-motions for summary judgment, [ECF Nos. 137, 138], with Liberty arguing that it was “entitled to judgment as a matter of law on all claims asserted by Plaintiff, because Liberty’s remand determinations are reasonable and supported by substantial evidence,” [ECF No. 142 at 5], and with Spears arguing that she was entitled to judgment “as a matter of law” because Liberty’s denial on remand violated the Court’s Remand Order and ERISA’s requirements in improperly denying her request for LTD benefits. [ECF Nos. 138 at 1, 138-1 at 26-34]. On July 15, 2019, the case was reassigned back to this Court for all further proceedings. [ECF No. 181]. The Court, recognizing the complexity of the issues involved, scheduled and heard oral argument on the Parties’ cross-motions for summary judgment on September 19, 2019. [ECF Nos. 188, 191]. On September 30, 2019, the Court granted Spears’ Motion for Summary

Judgment and denied Liberty’s motion for the same. [ECF No. 195]. In its Memorandum of Decision, the Court set a schedule for briefing on damages and attorneys’ fees associated with the Court’s grant of summary judgment to Spears. Id. at 117-18. The Parties completed briefing same on December 16, 2019. [ECF No. 211]. The Parties largely agree on the amount of damages awardable to Spears: “Defendants have adopted Plaintiff’s method of calculation . . . [and] agree with the amount of unadjusted benefits due each month . . . Plaintiff’s argument[s] . . . may justify an award of prejudgment interest . . . Defendants agree with Plaintiff’s

position regarding annual compounding of prejudgment interest”),” [ECF No. 201 at 1, 11, 17]. As Liberty aptly puts it, “the only disagreement the parties have for calculation of damages is regarding the prejudgment interest rate, and enforcement of the Policy’s offset requirement associated with Plaintiff’s receipt of Social Security Disability (“SSD”) benefits.” Id. at 1-2. As a result of the Parties’ two areas of disagreement regarding damages, the Court addresses each dispute in turn, starting with the dispute over whether Spears’ LTD benefit amount should be reduced by the amount she received in SSD benefits, the Plan’s so-called “offset.” The Parties also agree that attorneys’ fees are awardable to Spears but disagree as to the amount of the fee award. [ECF Nos. 199, 202]. The Court will address the attorneys’ fees awardable to Spears following its discussion of damages. Damages

I. SSD Benefit Offset The Parties, as mentioned, “agree with the amount of unadjusted benefits [Spears is] due.” [ECF No. 201 at 1]. However, the Parties dispute whether Spears’ LTD benefits amount should be reduced, or “offset,” by the amount she received in Social Security Disability (“SSD”) benefits. Spears concedes that the Plan requires a reduction in LTD benefits for amounts paid to her in the form of SSD benefits. “The policy provides for an offset for social security benefits. . . . The policy provides that disability payments under the Social Security Act are ‘other income benefits’ and are deducted from the

monthly amount.” [ECF No. 198-1 at 4, 7]. But Spears makes three arguments as to why the Court should not enforce that offset. First, Spears argues that the offset part of the Plan is “void under Connecticut law” because the type of notice the Plan provides regarding the offset, e.g. the font type used in the Plan section discussing the offset, “does not comply with th[e] statute.” Id. at 4-5. Spears quotes Connecticut General Statutes Section 38a-519(b): Connecticut General Statutes Title 38A. Insurance § 38a-519. Offset proviso prohibited in certain policies. Required disclosures for group long-term disability policies (b) For each group long-term disability income protection coverage policy delivered, issued for delivery, renewed, amended or continued in this state that contains an offset, the insurer shall disclose to a policyholder in a separate document and in a conspicuous manner in not less than fourteen-point boldface type:

(1) That the policy contains an offset;

(2) that such offset will function to limit payments to an insured under the policy, taking into account Social Security disability benefits and other benefits the insured may receive;

(3) for what other categories of benefits the policy will offset;

(4) the percentage of income the policy covers and the maximum dollar limit of the policy, if applicable; and

(5) at least one example showing how such offset will operate. Such disclosure shall include a statement that, if an eligible individual wants a policy that does not contain an offset, the individual may contact an insurance agent or company for an individual policy.

[ECF No. 198-1 at 4-5 (quoting Conn. Gen. Stat. § 38a-519(b))]. Spears argues that the offset notice in the Plan does not comply with the statute because (i) “[t]he offset provision is not in 14 point boldface type,” (ii) “[t]here is no statement that, if an eligible individual wants a policy that does not contain an offset, the individual may contact an insurance agent or company for an individual policy,” and (iii) “[t]here is no separate document which makes this disclosure in a conspicuous manner.” Id. at 5. Apparently anticipating an argument in defense by Liberty, Spears argues that this Connecticut statute is not preempted by ERISA, and therefore applies with full force.

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Spears v. Liberty Life Assurance Company of Boston, Counsel Stack Legal Research, https://law.counselstack.com/opinion/spears-v-liberty-life-assurance-company-of-boston-ctd-2020.