Trella v. CIGNA Group Insurance

D. Connecticut

Trella v. CIGNA Group Insurance

379 F. Supp. 2d 266, 2005 U.S. Dist. LEXIS 19700, 2005 WL 1813278

CourtDistrict Court, D. Connecticut

DecidedJune 27, 2005

Docket3:04CV1102 (DJS)

StatusPublished

This text of 379 F. Supp. 2d 266 (Trella v. CIGNA Group Insurance) 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

Trella v. CIGNA Group Insurance, 379 F. Supp. 2d 266, 2005 U.S. Dist. LEXIS 19700, 2005 WL 1813278 (D. Conn. 2005).

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Opinion

ORDER

SQUATRITO, District Judge.

Now pending before this court is defendants’ motion for a protective order (dkt.#27). Plaintiff brings this action challenging defendants’ denial of both short-term and long-term disability benefits pursuant to ERISA. In their papers, the parties disagree over the scope of evidence that may be admitted in a trial of plaintiffs claim. Specifically, defendants have objected to certain discovery requests on the grounds that the responses could not possibly be admissible at trial because this court is bound to apply the arbitrary and capricious standard, and in applying that standard in this ease, evidence may not be admitted beyond the administrative record.

Plaintiff may discover evidence outside the administrative record because this type of evidence could possibly be admissible. Although the court expresses no opinion regarding the appropriate standard of review, or precisely what evidence is admissible, evidence that the insurer’s decision was influenced by a conflict of interest could be admissible under either the de novo standard or the arbitrary and capricious standard. See Pagan v. NYNEX Pension Plan, 52 F.3d 438, 442 (2d Cir.1995) (considering extrinsic evidence that the defendant acted under a conflict of interest, but declining to hold that the existence of a conflict triggered de novo review of the defendant’s decision). Plaintiffs discovery requests seek to discover information that could be relevant to determining whether defendants review of plaintiffs claim was tainted by a conflict of interest, despite defendants’ arguments in favor of applying the arbitrary and capricious standard. Therefore, defendants’ motion for a protective order (dkt.# 27) is DENIED; plaintiff may seek evidence that defendants were influenced by a conflict of interest. Defendants shall respond to plaintiffs requests on or before July 25, 2005.

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ORDER

SQUATRITO, District Judge.

Now pending before this court is defendants’ motion for a protective order (dkt.#27). Plaintiff brings this action challenging defendants’ denial of both short-term and long-term disability benefits pursuant to ERISA. In their papers, the parties disagree over the scope of evidence that may be admitted in a trial of plaintiffs claim. Specifically, defendants have objected to certain discovery requests on the grounds that the responses could not possibly be admissible at trial because this court is bound to apply the arbitrary and capricious standard, and in applying that standard in this ease, evidence may not be admitted beyond the administrative record.

Plaintiff may discover evidence outside the administrative record because this type of evidence could possibly be admissible. Although the court expresses no opinion regarding the appropriate standard of review, or precisely what evidence is admissible, evidence that the insurer’s decision was influenced by a conflict of interest could be admissible under either the de novo standard or the arbitrary and capricious standard. See Pagan v. NYNEX Pension Plan, 52 F.3d 438, 442 (2d Cir.1995) (considering extrinsic evidence that the defendant acted under a conflict of interest, but declining to hold that the existence of a conflict triggered de novo review of the defendant’s decision). Plaintiffs discovery requests seek to discover information that could be relevant to determining whether defendants review of plaintiffs claim was tainted by a conflict of interest, despite defendants’ arguments in favor of applying the arbitrary and capricious standard. Therefore, defendants’ motion for a protective order (dkt.# 27) is DENIED; plaintiff may seek evidence that defendants were influenced by a conflict of interest. Defendants shall respond to plaintiffs requests on or before July 25, 2005.

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Bluebook (online)

379 F. Supp. 2d 266, 2005 U.S. Dist. LEXIS 19700, 2005 WL 1813278, Counsel Stack Legal Research, https://law.counselstack.com/opinion/trella-v-cigna-group-insurance-ctd-2005.

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