Thomas v. Lockheed Martin Information Systems

155 F. Supp. 2d 1316, 2001 U.S. Dist. LEXIS 11173, 2001 WL 801604
CourtDistrict Court, N.D. Florida
DecidedMarch 26, 2001
Docket3:99CV393/RV/SMN
StatusPublished
Cited by4 cases

This text of 155 F. Supp. 2d 1316 (Thomas v. Lockheed Martin Information Systems) is published on Counsel Stack Legal Research, covering District Court, N.D. Florida primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Thomas v. Lockheed Martin Information Systems, 155 F. Supp. 2d 1316, 2001 U.S. Dist. LEXIS 11173, 2001 WL 801604 (N.D. Fla. 2001).

Opinion

ORDER

VINSON, Chief Judge.

The parties have agreed to submit this case to the Court on their cross motions for summary judgment (docs. 44, 53).

In this action, plaintiff Lloyd G. Thomas seeks review of the denial of his application for long term disability (“LTD”) benefits under an employee benefit plan established by defendant Lockheed Martin Information Systems (“Lockheed Martin”) *1318 and governed by the Employee Retirement Income Security Act (“ERISA”), 29 U.S.C. § 1001 et seq.. Additionally, plaintiff has a state law claim for breach of contract for the denial of his application for short term disability (“STD”) benefits under a Salary Continuation Agreement with Lockheed Martin. Both of the contested benefit plans are administered by defendant Life Insurance Company of North America (“LINA”). However, LINA only insures and funds the LTD benefits. The STD benefits at issue are funded entirely by Lockheed Martin and paid from its general assets. ERISA governs and controls the LTD benefits claim, while the STD benefits are governed by state contract law. The LTD plan granted LINA discretion in making eligibility determinations. All parties have stipulated that the material facts are not in dispute and that the case can be decided on a summary judgment basis without trial. Therefore, I incorporate by reference the facts as set forth in the parties’ joint stipulation (doc. 20), which is attached as an addendum to this order. 1 Except as noted, the material facts discussed in this order are not in dispute.

In their cross motions for summary judgment, the parties’ have requested that I resolve the following four issues: first, with respect to his claim for STD benefits (Count II), is whether Thomas’s psychiatric disorder was so severe at the time his active service with Lockheed Martin terminated on March 17, 1998, that he was “unable to perform each and every material duty of his or her regular occupation;” 2 second, with respect to Thomas’s claim for LTD benefits (Count I), whether the arbitrary and capricious standard of review should be heightened under the “insurer conflict rule” of Brown v. Blue Cross & Blue Shield, 898 F.2d 1556 (11th Cir.1990); third, whether the administrative record shows that LINA’s denial of the LTD benefits claim was an abuse of discretion under the arbitrary and capricious standard, which may or may not be heightened under the insurer conflict rule; and fourth, whether the Court should exercise its discretion under ERISA to award attorney fees to any party and the reasonable amount of any such award.

DISCUSSION

A. Summary Judgment Standard.

A motion for summary judgment should be granted when “the pleadings, depositions, answers to interrogatories, and admissions on file, together with the affidavits, if any, show that there is no genuine issue as to any material fact and that the moving party is entitled to judgment as a matter of law.” Rule 56(c), Fed.R.Civ.P. “[T]he plain language of Rule 56(c) mandates the entry of summary judgment, after adequate time for discovery and upon motion, against a party who fails to make a showing sufficient to establish the existence of an element essential to that party’s case, and on which that party will bear the burden of proof at trial.” Celotex Corp. v. Catrett, 477 U.S. 317, 322, 106 S.Ct. 2548, 2552, 91 L.Ed.2d 265, 273 *1319 (1986); see also Morisky v. Broward County, 80 F.3d 445, 447 (11th Cir.1996).

However, summary judgment is improper “if a reasonable fact finder evaluating the evidence could draw more than one inference from the facts, and if that inference introduces a genuine issue of material fact.” Jeffery v. Sarasota White Sox, Inc., 64 F.3d 590, 594 (11th Cir.1995). An issue of fact is “material” if it might affect the outcome of the case under the governing law. See Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248, 106 S.Ct. 2505, 2510, 91 L.Ed.2d 202, 211 (1986). It is “genuine” if the record taken as a whole could lead a rational trier of fact to find for the non-moving party. See id.; see also Matsushita Electric Indus. Co. v. Zenith Radio Corp., 475 U.S. 574, 586, 106 S.Ct. 1348, 1356, 89 L.Ed.2d 538, 552 (1986).

Conclusory allegations based on subjective beliefs are insufficient to create a genuine issue of material fact. See Leigh v. Warner Bros., Inc., 212 F.3d 1210, 1217 (11th Cir.2000); Ramsey v. Leath, 706 F.2d 1166, 1170 (11th Cir.1983). On the other hand, if the record taken as a whole could lead a rational trier of fact to find for the nonmoving party, then the issue of fact is genuine. See Matsushita Elec. Indus. Co., supra, 475 U.S. at 586, 106 S.Ct. at 1356. On a summary judgment motion, the record and all reasonable inferences that can be drawn from it must be viewed in the light most favorable to the non-moving party. Whatley v. CNA Ins. Cos., 189 F.3d 1310, 1313 (11th Cir.1999).

B. Issue One: LINA’s Denial of Thomas’s STD Claim (Count II).

The breach of contract claim for STD benefits alleged in Count II raises the issue of whether Thomas’s psychiatric disorder was so severe as of the time that his active service with Lockheed Martin terminated (on March 17, 1998) that he was unable to perform each and every material duty of his regular occupation. The parties agree that I am to review this claim de novo, and that I may consider evidence outside of the administrative record because Count II asserts a state law breach of contract claim for which this Court sits as the finder of fact. The evidence outside of the administrative record primarily includes a pending discrimination action filed by Thomas against Lockheed Martin; a disability determination by the Social Security Administration (“SSA”); the expert testimony and reports of Dr.s Augustine Joseph, Mohammad La-tif, James Oenbrink, and Neda Koeheman; and the expert testimony and report of Dr. John Blankemeier. Much of the' post-March 1998 medical evidence deals with physical (not mental) problems experienced by Thomas, which is generally not relevant or material to the issues before me.

The pivotal date in this case is March 17, 1998, because this is the date on which Thomas stopped working for Lockheed Martin.

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Bluebook (online)
155 F. Supp. 2d 1316, 2001 U.S. Dist. LEXIS 11173, 2001 WL 801604, Counsel Stack Legal Research, https://law.counselstack.com/opinion/thomas-v-lockheed-martin-information-systems-flnd-2001.