US EX REL. LOUGHREN v. UnumProvident Corp.

604 F. Supp. 2d 269, 2009 U.S. Dist. LEXIS 24340
District Court, D. Massachusetts·Decided March 24, 2009·No. Civil Action 03-11699-PBS·Published

Opinion

MEMORANDUM AND ORDER

SARIS, District Judge.

Defendants have moved for entry of final judgment on the jury’s verdict concerning claimants Jennine and George pursuant to Fed.R.Civ.P. 54(b). Relator takes no position on the motion. The Court ALLOWS the Defendants’ motion, enters *272 final judgment and assesses treble damages and the maximum statutory penalty against the Defendants.

On October 22, 2008, following a four-week trial, the jury returned a verdict finding Unum liable under the False Claims Act for causing the submission of false Social Security Disability Insurance (“SSDI”) claims to the Social Security Administration (“SSA”) by two claimants, Jennine and George. The jury also returned a verdict finding Unum not liable for claims submitted by two other claimants, Linda and Randall. The jury deadlocked concerning the claim filed by claimant Jessica, and the Court directed a verdict in favor of Unum on the claim of another claimant, Shannon, prior to the jury’s deliberations. At this point, Unum’s liability as to claims filed by fifty-five additional claimants remains unresolved.

Rule 54(b) provides, “[w]hen an action presents more than one claim for relief ... the court may direct entry of a final judgment as to one or more, but fewer than all, claims ... only if the court expressly determines that there is no just reason for delay.” Fed.R.Civ.P. 54(b). This rule “permits the entry of judgment, and thus an appeal, on fewer than all the claims in a multi-claim action.” Spiegel v. Trs. of Tufts Coll, 843 F.2d 38, 42 (1st Cir.1988). In determining whether entry of a final judgment is appropriate under Rule 54(b), the court “must first assess the finality of the disputed ruling.” Id. “Once the finality hurdle has been cleared, the district court must determine whether, in the idiom of the rule, ‘there is no just reason for delay’ in entering judgment.” Id. at 43. The Rule 54(b) analysis “entails an assessment of the litigation as a whole, and a weighing of all factors relevant to the desirability of relaxing the usual prohibition against piecemeal appellate review in the particular circumstances.” Id.

The “determination of finality is governed by 28 U.S.C. § 1291.” State St. Bank & Trust Co. v. Brockrim, Inc., 87 F.3d 1487, 1490 (1st Cir.1996). A court thus must “consider whether the [ruling] would count as a final decision under § 1291 in a hypothetical independent case”. Id. That is, the court must be sure “that the ruling, at a bare minimum, disposes fully of at least a single substantive claim.” Spiegel, 843 F.2d at 43 (quotation marks omitted). If the jury’s verdict as to Jennine and George would be a decision that “ends the litigation on the merits and leaves nothing more for the court to do but execute the judgment” were it not for the remaining claims involving different claimants, then the finality requirement of Rule 54(b) is satisfied. State St. Bank & Trust Co., 87 F.3d at 1490 (quotation marks omitted). Here, once the Court has assessed damages and statutory penalties, the substantive claims relating to Jennine and George will be fully disposed, and there will be nothing more for the Court to do regarding those claims but to execute the judgment. Were there no other claimants to address, this case would be over; in a “hypothetical independent case” involving only Jennine and George, the ruling would count as a final decision under § 1291. As such, the finality requirement of Rule 54(b) is satisfied.

There is likewise no “just reason for delay”. In considering whether there is any “just reason for delay”

[t]he court’s role becomes that of a “dispatcher,” exercising its discretion to decide which “final” decisions in a multiclaim action should be sent upstairs immediately and which withheld pending resolution of the entire controversy in the district court. The process, tilted from the start against fragmentation of *273 appeals, is necessarily case-specific. It entails an assessment of the litigation as a whole, and a weighing of all factors relevant to the desirability of relaxing the usual prohibition against piecemeal appellate review in the particular circumstances.

Spiegel, 843 F.2d at 43 (internal citations omitted). Here, although each claim must be evaluated one-by-one, the Court has already resolved the essential legal issues that undergird all of the claims. Evidence at trial suggested that Unum had a general policy of requiring claimants for Long-Term Disability (“LTD”) insurance to file an application for SSDI as soon as they had been disabled for six months, making no separate subjective evaluation regarding whether the claimant actually met the SSA’s requirements. (See, e.g., Trial Tr. vol. 14, 38-41, Oct. 15, 2008 (testimony of Unum claim administrator regarding a letter sent to a claimant “based on the time frame she’s been out of work” stating that “[s]ince your disability has extended beyond five months, to receive an unreduced disability benefit, we encourage you to apply for Social Security Disability Insurance benefits.”); Trial Tr. vol. 3, 122-23, Sept. 24, 2008 (Unum employee testifying that claims handlers had access to a manual instructing them that “[i]f it is anticipated that the disability will be more than a short duration, the claimant will be asked to apply for SSDI.”); Trial Tr. vol. 4, 22-23, Sept. 25, 2008 (testimony regarding a document stating that, for at least one major claim site, “[generally, if disabled over six months, SSDI advocacy pursued,” and describing a similar policy at another site); Trial Tr. vol. 4, 64-67, Sept. 25, 2008 (testimony of former Unum employee that Unum “would say to the insured, if they believed that the disability was going to last more than six months, they would tell them that they needed to apply for Social Security Disability.... It was just simply a duration analysis” and other eligibility requirements were not considered); Trial Tr. vol. 5, 39-45, Sept. 26, 2008 (testimony of former Unum employee that Unum’s policy was to tell insureds that they were required to apply for SSDI with “no assessment with respect to the Social Security requirements” so long as a claimant’s “disability was going to extend beyond five months.”); Trial Tr. vol. 9, 139-142, Oct. 3, 2008 (testimony of Unum employee that internal review indicated that claimants whose disabilities were expected to last more than six months were told to apply for SSDI).)

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US EX REL. LOUGHREN v. UnumProvident Corp., 604 F. Supp. 2d 269, 2009 U.S. Dist. LEXIS 24340 (D. Mass. 2009).

604 F. Supp. 2d 269 (US EX REL. LOUGHREN v. UnumProvident Corp.) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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