Thomas v. Amazon

CourtDistrict Court, S.D. Texas
DecidedSeptember 28, 2025
Docket4:21-cv-02997
StatusUnknown

This text of Thomas v. Amazon (Thomas v. Amazon) is published on Counsel Stack Legal Research, covering District Court, S.D. Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Thomas v. Amazon, (S.D. Tex. 2025).

Opinion

UNITED STATES DISTRICT COURT September 29, 2025 SOUTHERN DISTRICT OF TEXAS Nathan Ochsner, Clerk HOUSTON DIVISION MICHEL THOMAS, § § Plaintiff, § § v. § Civil Action No. 4:21-CV-02997 § AMAZON.COM SERVICES, INC. § and ANCHOR RISK MANAGEMENT, § § Defendants. § MEMORANDUM OPINION AND ORDER

Plaintiff Michel Thomas worked as an associate at one of Defendant Amazon.com Services Inc.’s (“Amazon”) Houston-area warehouses for just over two years. During that time, he was covered by an employee-benefit plan administered by Defendant Anchor Risk Management (“Anchor”) and governed by the Employee Retirement Income Security Act (“ERISA”). Thomas suffered three work-related injuries and sought benefits for each under the plan. Anchor denied all three claims, citing different reasons. Thomas also requested leave under the Family and Medical Leave Act (“FMLA”), but Amazon denied that request as well. When Amazon directed him to return to work after his medical restrictions expired, he did not and was fired in September 2019. Proceeding pro se, Thomas filed this lawsuit on September 15, 2021—more than a year after the final benefits denial and nearly two years after his termination. Both Parties have moved for summary judgment. Amazon and Anchor argue that Thomas’s claims are time-barred and fail on the merits. (Dkt. No. 97). Thomas contends

that he is entitled to judgment as a matter of law. (Dkt. No. 105). Before the Court are Defendants’ Motion for Summary Judgment, (Dkt. No. 97), and Thomas’s Motion for Summary Judgment, (Dkt. No. 105). For the reasons below, the Court GRANTS in part and DENIES in part Defendants’ Motion, (Dkt. No. 97), and DENIES Thomas’s Motion, (Dkt. No. 105). I. BACKGROUND1

Amazon hired Thomas as an associate at one of its Houston-area warehouses in August 2017. (Dkt. No. 55 at 2); (Dkt. No. 109 at 6). From that employment relationship, two disputes arose. First, Thomas suffered three workplace injuries between March and May 2019 and claimed benefits under Amazon’s employee-benefit plan (governed by ERISA), all of which the plan administrator—Anchor—denied. (Dkt. No. 50 at 2–8); (Dkt. No. 97 at 90, 117, 123). Second, Thomas requested FMLA leave in July 2019, which

Amazon denied. (Dkt. No. 97 at 189). Amazon fired Thomas in September 2019 after a month of unexcused absences. (Id. at 137). Though these events unfolded concurrently during the summer of 2019, the Court presents the facts underlying Thomas’s ERISA claims and FMLA claims separately below for clarity.

1 Except where noted, this Section contains only undisputed facts, and all facts and reasonable inferences have been construed in favor of the nonmovant. Renfroe v. Parker, 974 F.3d 594, 599 (5th Cir. 2020). The Court has not weighed evidence or made credibility findings. Id. A. THOMAS’S INJURIES AND DENIED BENEFITS (ERISA) First, the facts underlying Thomas’s ERISA claims. During his employment, Thomas was covered under Amazon’s AmazonTXCare Employee Injury Benefit Plan (the

“Plan”). (Dkt. No. 109 at 6); (Dkt. No. 50 at 1). The Plan is administered by Anchor and governed by ERISA. (Dkt. No. 55 at 2). Neither Party has provided a copy of the Plan to the Court. Instead, a Summary Plan Description (“SPD”)—a document prepared by Defendants and mandated by ERISA, 29 U.S.C. § 1022—summarizes the Plan’s participation criteria, reporting

requirements, benefits and exclusions, claims procedures, and other provisions, (Dkt. No. 97 at 58–88). Even so, the SPD recognizes that the Plan’s “official terms are set forth in the Plan document” and that, “[i]n the case of any conflict between the terms and provisions of the Plan and the terms and provisions of this SPD, the Plan will control and govern.” (Id. at 62). The SPD even hyperlinks to the Plan document. (Id.). Between March and May 2019, Thomas suffered three workplace injuries and

sought benefits under the Plan for each. (Dkt. No. 50 at 2–8); (Dkt. No. 97 at 90, 117, 123). Anchor denied all three claims for different reasons: the first because Thomas had reached maximum rehabilitative capacity, the second because it was a continuation of the first, and the third because Thomas failed to timely report the injury. (Dkt. No. 97 at 142, 150, 157–58).

1. The First Injury (March 18, 2019) The first alleged injury happened on March 18, 2019, when Thomas felt a pulling sensation in his left neck and shoulder while lifting a large box. (Id. at 106–07, 179). Later that day, Thomas felt tingling in his left hand as he lifted another box. (Id. at 107). Thomas reported the injury the same day and requested an initial medical evaluation.

(Id. at 90). Meanwhile, as an accommodation for his reported injury, Amazon referred Thomas to its light-work program. (Id. at 92–99, 180–81). Thomas initially declined the assignment but eventually accepted and started his light-work duties around May 6, 2019. (Id. at 92–99, 103). Nearly four months after the initial injury, Dr. Scott Orth conducted an

independent medical evaluation of Thomas on July 16, 2019. (Id. at 106–13). Dr. Orth concluded that Thomas’s complaints resulted from “age-related[,] pre-existing” conditions and that there was “no objective evidence of any aggravation of his pre- existing cervical degenerative disc disease.” (Id. at 110–11). Dr. Orth determined that Thomas could “return back to full, unrestricted duty” and was “at maximum medical

improvement” with “[n]o further treatment . . . necessary to cure, promote recovery, or enhance his ability to return back to work.” (Id. at 112). Based on Dr. Orth’s evaluation, Anchor denied further disability and medical- expense benefits for the first injury. (Id. at 142–43). Anchor determined that Thomas had been cleared to return to work and had reached Maximum Rehabilitative Capacity—

defined in the SPD as “the earliest date after which, based upon reasonable medical probability, further material recovery from or lasting improvement to an injury can no longer be reasonably anticipated.” (Id. at 69, 142–43). According to the SPD’s summary of the Plan’s terms, disability and medical-expense benefits end when this threshold is reached. (Id. at 69, 71).

The adverse-determination letter for the first injury informed Thomas that he had the right to appeal the decision through the Plan’s appeal procedure. (Id. at 143). The letter also informed Thomas that if he “receive[d] an Adverse Benefit Determination on Review,” he had the “right to bring an action under section 502(a) of [ERISA].” (Dkt. No. 105-9 at 7). The letter then informed Thomas that “[a]ny such ERISA action must be brought no later than one (1) year from the date of the Adverse Benefit Determination on

Review.” (Id.). 2. The Second Injury (May 6, 2019) Thomas’s second alleged injury happened on his first day at the light-work assignment, May 6, 2019. (Dkt. No. 97 at 115). Thomas told other Amazon employees that the light-work duties—like putting clothes on hangers—had “exacerbated [his] injuries.” (Id.).

Anchor denied benefits for the second injury on May 30, 2019. (Id. at 150). Anchor determined that the second injury was a continuation of the first injury and was therefore not a new “Accident” as defined by the Plan. (Id. at 150–52). Like the first letter, the adverse-determination letter for the second injury informed Thomas that he had the right to appeal the decision through the Plan’s appeal procedure

and the right to bring an ERISA action within a year. (Id. at 151–52). 3. Third Injury (May 18, 2019) Just 12 days after his second injury, Thomas claims he suffered a third injury on May 18, 2019, when helping a fellow Amazon employee on whom a cabinet had fallen.

(Id. at 157–62, 185–86).

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