TAEKMAN v. UNUM LIFE INSURANCE COMPANY OF AMERICA

CourtDistrict Court, M.D. North Carolina
DecidedJuly 26, 2023
Docket1:22-cv-00605
StatusUnknown

This text of TAEKMAN v. UNUM LIFE INSURANCE COMPANY OF AMERICA (TAEKMAN v. UNUM LIFE INSURANCE COMPANY OF AMERICA) is published on Counsel Stack Legal Research, covering District Court, M.D. North Carolina primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
TAEKMAN v. UNUM LIFE INSURANCE COMPANY OF AMERICA, (M.D.N.C. 2023).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE MIDDLE DISTRICT OF NORTH CAROLINA JEFFREY TAEKMAN, M.D., ) ) Plaintiff, ) ) v. ) 1:22cv605 ) UNUM LIFE INSURANCE COMPANY ) OF AMERICA, ) ) Defendant. ) MEMORANDUM OPINION AND ORDER This case comes before the Court on “Defendant’s Motion for Protective Order” (Docket Entry 18) (the “Protective Order Motion”) filed by Unum Life Insurance Company of America (the “Defendant” or “Unum”); “Defendant’s Motion for Leave to File Under Seal” (Docket Entry 17) (the “Sealing Motion”) (collectively, “Defendant’s Motions”); and “Plaintiff’s Motion to Compel Discovery” (Docket Entry 32) (“Plaintiff’s Motion”) filed by Dr. Jeffrey Taekman (the “Plaintiff” or “Dr. Taekman”). For the reasons that follow, the Court will deny the Protective Order Motion and Plaintiff’s Motion, but will grant the Sealing Motion. BACKGROUND Plaintiff initiated this action under the Employee Retirement Income Security Act of 1974 (“ERISA”) to recover long-term disability (“LTD”) benefits under the Private Diagnostic Clinic, PLLC Long Term Disability Plan (the “Plan”) offered by his former employer, the Private Diagnostic Clinic, PLLC at Duke University Medical Center. (See Docket Entry 1 (Plaintiff’s Complaint) at 1- 10.)1 Unum Group Policy No. 409811 002 (the “Policy”) funds the Plan (see id., ¶ 10; Docket Entry 5 (Defendant’s Answer), ¶ 10), and Defendant administers and insures both the Plan and Policy (see Docket Entry 1, ¶ 11; Docket Entry 5, ¶ 11). “Unum is solely responsible for making all benefit determinations and for paying and providing all benefits under the Policy from Unum’s own funds.” (Docket Entry 1, ¶ 12; see Docket Entry 5, ¶ 12.) “At all times relevant to this action, Dr. Taekman was a board-certified Anesthesiologist, and practiced medicine in the specialty of anesthesiology.” (Docket Entry 1, ¶ 9; see Docket Entry 5, ¶ 9.) Plaintiff suffers from various health impairments, including Chronic Lymphocytic Leukemia (“CLL”). (See Docket Entry 1, ¶ 13; Docket Entry 5, ¶ 13; see also, e.g., Docket Entry 20 at 13 (indicating that “[Plaintiff] was diagnosed with CLL in 2015 and notes symptoms of fatigue” and also “has co-morbid medical conditions” including, among other ailments, “Crohn’s Disease[ and] essential hypertension”).) The parties agree that, for at least “a period of time” (Docket Entry 5, ¶ 14), Plaintiff “became limited

from performing the material and substantial duties of his regular occupation” (Docket Entry 1, ¶ 14; see Docket Entry 5, ¶ 14). Plaintiff timely applied for benefits under the Policy (Docket

1 Docket Entry page citations utilize the CM/ECF footer’s pagination. 2 Entry 1, ¶ 15; Docket Entry 5, ¶ 15), and “Unum determined that Dr. Taekman’s disabling medical conditions limited him from performing the material and substantial duties of his regular occupation for approximately twelve weeks” (Docket Entry 1, ¶ 18; see Docket Entry 5, ¶ 18). However, “[b]y letter dated August 12, 2020, Unum then denied Dr. Taekman’s LTD benefits, effective on or about June 14, 2020.” (Docket Entry 1, ¶ 19; see Docket Entry 5, ¶ 19.) After an unsuccessful appeal of that decision (see Docket Entry 1, ¶¶ 20-23; Docket Entry 5, ¶¶ 20-23; Docket Entry 20-2 at 206-12), Plaintiff initiated this “action for payment of [LTD] benefits and enforcement of ERISA rights pursuant to 29 U.S.C. § 1132” (Docket Entry 1, ¶ 2; see Docket Entry 5, ¶ 2). In the parties’ “Certification and Report of [Federal Rule of Civil Procedure] 26(f) Conference and Discovery Plan” (Docket Entry 12 at 1 (all-cap and bold font omitted)), “Defendant contend[ed] that[,] because this matter is governed by ERISA, discovery is limited to the administrative record [(at times, the ‘AR’)], exclusively.” (Id. at 2.) More specifically, Unum contend[ed] that discovery in this matter is limited to production of the Administrative Records [sic], which is comprised of the applicable Plan documents and the claim file assembled and maintained by Unum in connection with Plaintiff’s claims for Plan benefits. . . . Defendant argues that, like in Quesinberry [v. Life Ins. Co. of N. Am., 987 F.2d 1017 (4th Cir. 1993) (en banc)], the discovery should be limited to the administrative 3 record to promote the economic and judicial efficiency of ERISA claims.[2] In that regard, Unum contends that this matter does not involve “exceptional circumstances” or any reason that additional evidence is “necessary,” such that the Court should exercise its discretion to allow limited discovery to supplement the Administrative Record. (Id. at 3-4.) Plaintiff disputed that contention, asserting that, “per [the United States Court of Appeals for the] Fourth Circuit precedent[,] . . . the evidence is not limited to the items Defendant chooses to describe as its ‘Administrative Records.’” (Id. at 4 (citing Helton v. AT&T, Inc., 709 F.3d 343 (4th Cir. 2013)).) Further, “Plaintiff contend[ed] that discovery is appropriate and may be needed on subjects including but not limited to,” inter alia, (i) “[t]he evidence known to Defendant at the time of its final decision, regardless of whether Defendant included such evidence among the documents in its claim file production,” (ii) “[t]he adequacy and completeness of the documents Defendant includes in its claim file production, which must consist of all ‘relevant information,’ as that term is defined by ERISA,” and (iii) “[t]he existence and impact of Defendant’s conflict of interest as both the adjudicator and payor of benefit claims.” (Id. at 4-5.) Nevertheless, “[a]s far as total limits, the Parties agree[d], 2 In tension with this contention, the decision in Quesinberry notes the parties’ participation in “the discovery stage of the case,” id. at 1020 n.2, and affirms the district court’s admission of live testimony at trial, see id. at 1027. 4 subject to the orders of this Court should Plaintiff propound discovery to which Unum had reserved objection about the permissible scope of that discovery,” to 25 interrogatories, 25 requests for admission, 25 requests for production, and six depositions per party, with each deposition limited to no more than six hours. (Id. at 5.) The parties additionally agreed that “Ta]ll discovery should be completed by April 28, 2023.” (Id. at 3.) Following an unsuccessful mediation (see Docket Entry 15 at 1), Plaintiff served interrogatories, requests for admission, and requests for production of documents on Defendant (see Docket Entry 18-1 (the “Discovery Requests”) at 2-21). On April 12, 2023, Defendant responded to the Discovery Requests, answering some and objecting to others. (See Docket Entry 18-4 (the “Discovery Responses”) at 2-39.) Among its various objections to some of the Discovery Requests, “Defendant object[ed] on the grounds that thle relevant request] seeks discovery and information beyond the permissible scope allowed in ERISA benefits cases subject to the de novo standard of judicial review.” (Docket Entry 18-4 at 3 (citing Quesinberry, 987 F.2d at 1025); see id. at 2-36.)* A day later, on April 13, 2023, Defendant filed Defendant’s Motions. (See Docket Entry 17 at 3; Docket Entry 18 at 3.) For its part, the Sealing

3 Defendant did not raise this objection to all of the Discovery Requests to which it objected. (See, e.g., id. at 15.)

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Bluebook (online)
TAEKMAN v. UNUM LIFE INSURANCE COMPANY OF AMERICA, Counsel Stack Legal Research, https://law.counselstack.com/opinion/taekman-v-unum-life-insurance-company-of-america-ncmd-2023.