Wilcott v. Matlack, Inc.

64 F.3d 1458
CourtCourt of Appeals for the Tenth Circuit
DecidedAugust 30, 1995
DocketNos. 94-1296, 94-1583
StatusPublished
Cited by17 cases

This text of 64 F.3d 1458 (Wilcott v. Matlack, Inc.) is published on Counsel Stack Legal Research, covering Court of Appeals for the Tenth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Wilcott v. Matlack, Inc., 64 F.3d 1458 (10th Cir. 1995).

Opinion

LOGAN, Circuit Judge.

These appeals arise from an action plaintiff Willis H. Wilcott initially filed in state court seeking redress for the denial of employee disability benefits, wrongful discharge, and associated contract and tort claims. After the case was removed to federal court, the district court dismissed all state claims as preempted by the Employee Retirement Income Security Act (ERISA), which “supersede[s] any and all State laws insofar as they may now or hereafter relate to any employee benefit plan,” 29 U.S.C. § 1144(a). Three federal claims were then tried to the court: (1) denial of short and long-term disability benefits due under defendants’ ERISA plan, see 29 U.S.C. § 1132(a)(1)(B); (2) interference with ERISA rights (i.e., termination of employment in an attempt to avoid paying benefits), see 29 U.S.C. § 1140; and (3) failure to provide requested information about the ERISA plan, see 29 U.S.C. § 1132(c). The court entered judgment for plaintiff on the first claim and for defendants on the others. On appeal, defendants challenge the award of long-term disability benefits (appeal No. 94—1296),1 and plaintiff objects to the decision not to impose a penalty under § 1132(e) and the dismissal of his state law claims (cross-appeal No. 94-1583).2

I

Most of the pertinent facts are undisputed. In January 1990, plaintiffs treating physician recommended that he take time off from work in an attempt to alleviate debilitating chest pains. Upon being advised of the situation, defendant Erwin (who was defendant Matlack, Inc.’s Western Regional Vice President) told plaintiff he could take a short-term disability leave of six months at half salary or several weeks at full pay. (Plaintiff alleges Erwin also assured him at this time that he would have his job for as long as he wished.) Plaintiff agreed to the shorter leave, wound up some pending matters, and went on disability commencing January 27, 1990. Five days later, plaintiff was notified that he had been terminated as a part of a general reduction in force.

Thereafter, plaintiff attempted to secure long-term disability benefits under defendants’ ERISA plan, but his requests and inquiries elicited no response. He tried a position with another employer in April 1990, but this effort ended with his hospitalization a month later. After one more unsuccessful attempt at employment, plaintiff applied for and was awarded social security disability benefits retroactive to May 1990. He did not, however, ever receive long-term disability benefits from defendants.

Defendants assert that plaintiff did not satisfy the criteria for total disability benefits under the ERISA plan, i.e., that he did not “require[] regular medical supervision” and was not “in a continuous state of [vocational] incapacity” for the requisite time period, see App., PL ex. 1 (Employee Benefits Plan) at 29. Defendants also contend that plaintiffs post-termination employment undercuts any evidence that might otherwise indicate the requisite disability.

Defendants characterize these contentions as involving the construction of the ERISA plan and, accordingly, insist on de novo review of the district court’s interpretation. We disagree. The dispositive issue is “not really the interpretation of the [ERISA plan], but rather a question of fact: whether [1461]*1461[plaintiff] was totally and permanently disabled from any kind of work.” Delaney v. Union Carbide Corp., 749 F.2d 17, 19 (8th Cir.1984); see Kirwan v. Marriott Corp., 10 F.3d 784, 790 (11th Cir.1994) (reversing summary judgment against ERISA plaintiff because of dispute over factual question of total disability). Thus, we will not disturb the district court’s determination absent clear error. See, e.g., Hopkins v. Seagate, 80 F.3d 104, 106 (10th Cir.1994) (applying clear error standard to factual findings dispositive of ERISA claim).3

The district court rejected defendants’ position on long-term disability for several reasons. First, the prerequisites for such disability were established by plaintiffs treating physician, who testified that he had provided regular medical supervision to plaintiff and that plaintiff was totally and continuously disabled from and after January 1990. Supp. App. 47-50. Moreover, echoing the physician’s own views, see id. at 49, the district court deemed plaintiffs subsequent aborted attempts at employment to be consistent with this disability, rather than, as defendants contend, evidence of an unused capacity for work. Cf. Washington v. Shalala, 37 F.3d 1437, 1442-43 (10th Cir.1994) (recognizing same point in social security context). Finally, the court noted that under the ERISA plan, plaintiffs social security award, retroactive to May 1990, constitutes conclusive proof of his total disability thereafter. App., PI. ex. 1 (Employee Benefits Plan) at 32 (“Notwithstanding the above [provisions regarding substantiation of total disability], the awarding of a primary Social Security Disability Benefit will be accepted by the Trust as proof of total disability and the continuation of such Social Security Disability Benefit will be accepted as proof of a continuing total disability.”).

The record fully supports the district court’s finding of a continuing total disability compensable under the ERISA plan. Accordingly, we affirm its award of long-term disability benefits pursuant to § 1132(a)(1)(B).

II

On cross-appeal, plaintiff asserts the district court should have imposed a penalty under 29 U.S.C. § 1132(e), which grants the district court discretion to impose a penalty on any ERISA plan administrator “who fails or refuses to comply with a request for any information which such administrator is required ... to furnish to a participant or beneficiary (unless such failure or refusal results from matters reasonably beyond the control of the administrator) by mailing the material requested ... within 30 days after such request.” 29 U.S.C. § 1132(c)(1)(B). Plaintiff invoked this statutory remedy in conjunction with his allegations of repeated, unanswered requests regarding disability application procedures. The district court deemed the penalty unwarranted under the circumstances, particularly in light of plaintiffs failure to address his communications directly to the plan administrator. We must accept that determination absent an abuse of discretion. Boone v. Leavenworth Anesthesia, Inc., 20 F.3d 1108, 1111 (10th Cir.1994).

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Wilcott v. Matlack, Inc.
64 F.3d 1458 (Tenth Circuit, 1995)

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64 F.3d 1458, Counsel Stack Legal Research, https://law.counselstack.com/opinion/wilcott-v-matlack-inc-ca10-1995.