Tholke v. Unisys Corp.

235 F. App'x 834
CourtCourt of Appeals for the Second Circuit
DecidedJune 7, 2007
DocketNos. 04-6107-cv(L), 05-1153-cv(CON)
StatusPublished
Cited by2 cases

This text of 235 F. App'x 834 (Tholke v. Unisys Corp.) is published on Counsel Stack Legal Research, covering Court of Appeals for the Second Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Tholke v. Unisys Corp., 235 F. App'x 834 (2d Cir. 2007).

Opinion

SUMMARY ORDER

Plaintiff-Appellant Andrea Tholke (Tholke) had been a longtime employee of Defendant-Appellee Unisys Corporation (Unisys),1 but, after being injured in a car accident on December 5, 1992, she claimed that she was unable to continue her work. Based on her alleged disability, Tholke sought benefits under Unisys’s long-term disability plan (the Plan). The Plan defines employees as “disabled” when they have an injury or illness that renders them unable to perform the “essential functions” of their “regular occupation at any job site within Unisys.” See Tholke v. Unisys Corp., 96 Fed.Appx. 762, 763 (2d Cir.2004) (summary order) (internal citations omitted). Tholke and Unisys sharply disagreed over precisely what the “essential functions” of her “regular occupation” had been. Tholke asserted that her “job is a very physical job,” id. at 765, whereas Unisys contended that her position was sedentary, id. at 764. The Unisys Employee Benefits Administrative Committee (the Committee), which was the designated Plan Administrator, declined to determine the “essential functions” of her former job, and, without meaningfully considering the [836]*836evidence of disability, denied Tholke’s claim. In response to the denial, Tholke brought this ERISA2 action against Unisys and other defendants in the United States District Court for the Southern District of New York (Baer, Jr., J.).

BACKGROUND

1. The district court’s April 15, 2002 remand to the Committee

On April 15, 2002, the district court, on cross motions for summary judgment, agreed with Tholke that the Committee’s review of her case had been more “perfunctory” than “full and fair,” and that its determination that Tholke was not disabled was therefore “arbitrary and capricious.” Tholke v. Unisys Corp., No. 01-5495, 2002 WL 575650 (S.D.N.Y. Apr. 16, 2002) (internal citations omitted). As such, it denied the defendants’ motion for summary judgment, and granted Tholke’s motion, but only to the extent of remanding the case to the Committee for further consideration. The district court directed the Committee to examine fully, and presumably to resolve, “(1) the discrepancy between the statements by [Plaintiff] and her supervisors as to the nature of her job, and (2) the discrepancy between the diagnoses” of the various doctors who had examined Tholke. Id.

On remand, the Committee did not— directly — follow the district court’s'instructions. Instead, it retained an orthopedic surgeon, Dr. Richard Silver, to serve as consultant and to review the conflicting medical opinions. On July 3, 2002, Dr. Silver submitted a five-page letter to the Committee. In response to the question, “What is Ms. Tholke’s disability status relative to her job duties (a) As described by [Ms.] Tholke; (b) As described by her employer,” Dr. Silver wrote:

There is a discrepancy here. In the various different legal documents and affidavits that Ms. Tholke signed, she indicates one thing, and the employer indicates another thing. This is not something as an orthopedic surgeon [sic] that can be easily deciphered. The job description certainly shows that she would be doing a great deal of active work. Her own words say that she does a great deal of active work. The employer’s information from the supervisor says that they would be making accommodations for her and that she was not going to be doing what they do in active work. Certainly if Ms. Tholke was a sedentary worker, she could remain at gainful employment since her injury was no more than a left knee contusion---- [T]he medical records do[ ] not support a left knee condition that would require her to become totally disabled from a Social Security standpoint or impaired from gainful employment. There are no objective findings to substantiate her inability to work in my considered medical/orthopedic/surgical opinion.

J.Á. at 1021 (emphases added). Dr. Silver’s opinion, as expressed in his July 3, 2002 letter, is notably cautious. In the letter, Dr. Silver noted the dispute over Tholke’s job description, but did not purport to resolve it. Rather, he acknowledged that “[t]his is not something as an orthopedic surgeon [sic] that can be easily deciphered.” Moreover, Dr. Silver’s conclusion was tentative; he stated that “if Ms. Tholke was a sedentary worker”— which her employer claimed, and which Tholke vigorously denied — “she could remain at gainful work.” And Dr. Silver, in stating that there were no “objective findings to substantiate her inability to work,” once again did not attempt to specify what he meant by “work.”

[837]*837On July 8, 2002, the Committee met to discuss Tholke’s case, during which time Dr. Silver was consulted by phone. According to the minutes taken at the meeting, Dr. Silver was far less cautious by phone than he had been in his letter. The minutes assert that “Dr. Silver offered his opinion that Ms. Tholke was able to perform the job duties under either job description and that, therefore, she would not have been disabled if her job duties had been as she had explained, or as her supervisor had explained.”

On July 9, 2002, a day after the July 8 meeting, Dr. Silver submitted to the Committee another copy of his cautious July 3, 2002 letter.

Following the July 8, 2002 meeting and phone conference with Dr. Silver, the Committee concluded that it could deny Tholke’s benefits without resolving the controversy over her job duties. This was because, according to the July 8, 2002 minutes, Dr. Silver had opined that Tholke was capable of performing her former job as either she or her supervisor described it. Accordingly, the Committee denied Tholke’s claim once again, and memorialized its decision in a July 15, 2002 letter addressed to Tholke’s attorney.

II. This court’s May 5, 200k remand to the district court

On August 12, 2002, Tholke’s attorney sent the district court a two-page letter advising it of the Committee’s decision, asserting that the Committee had failed to follow the district court’s instructions, and asking that the matter be “scheduled for trial.”

A. The district court’s May 21, 2003 grant of summary judgment

On May 21, 2003, without giving prior notice to the parties that it was considering summary judgment, the district court issued an opinion and order granting summary judgment in favor of the defendants. Tholke v. Unisys Corp., No. 01-5495, 2003 WL 21203349 (S.D.N.Y. May 21, 2003).

In its opinion and order, the district court explained why, in its view, it was permissible for the Committee to avoid resolving the dispute over Tholke’s job description:

In view of the lack of evidence supplied by Tholke to show she was unable to perform adequately her primary responsibilities as a copy person before the accident, and Dr. Silver’s conclusion that Tholke’s injuries from her accident were sufficiently minor that she could have resumed the work she had been doing before the accident, the Committee concluded that it was unnecessary to resolve the discrepancy in her job description because it would not change the Committee’s decision that she is not eligible for LTD benefits.

Id.

B. The district court’s September 5, 2003 denial of attorney’s fees

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Related

Tholke v. Unisys Corp.
335 F. App'x 105 (Second Circuit, 2009)

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235 F. App'x 834, Counsel Stack Legal Research, https://law.counselstack.com/opinion/tholke-v-unisys-corp-ca2-2007.