v.
NE Telephone
Robertson v. NE Telephone CV-97-314-M 12/08/98 UNITED STATES DISTRICT COURT
DISTRICT OF NEW HAMPSHIRE
Frederick A. Robertson, Plaintiff
V. Civil No. 97-314-M New Encrland Telephone and Telearaph Companv, Defendant
O R D E R
Frederick Robertson brings this action against his former employer, seeking damages for alleged violations of the Employee Retirement Income Security Act ("ERISA"), 29 U.S.C. § 1001, et seq., and the Age Discrimination in Employment Act ("ADEA"), 29 U.S.C. § 621, et seq. He also raises three state law claims, over which he says the court should exercise supplemental jurisdiction: negligent infliction of emotional distress, intentional infliction of emotional distress, and wrongful discharge. Defendant moves for summary judgment as to all five counts in plaintiff's complaint. Plaintiff objects.
Factual Background
New England Telephone and Telegraph ("NETT") employed Robertson as an outside plant technician (or lineman) for thirty years, from February 28, 1966 through May 15, 1996. As a union- represented employee, Robertson was subject to the terms of a collective bargaining agreement between NETT and Local 2320 of the International Brotherhood of Electrical Workers. He was also covered by NETT's Sickness and Accident Disability Plan (the "plan"), an ERISA-governed employee benefit plan.
During the course of his employment, Robertson sustained a number of injuries to his lumbar and cervical spine and left shoulder.[1] Prior to 1995, NETT determined that each of Robertson's back injuries was "work-related." Although the record is unclear as to this point, it appears that Robertson received benefits under the "accident disability" benefits provisions of the plan. See Disposition of Case forms dated October __ (illegible), 1976; December 9, 1976; February 8, 1978; January 21, 1980; August 27, 1980; October 14, 1986; and May __ (illegible), 1992.
In 1986, Robertson sustained neck and shoulder injuries and again began receiving disability benefits under the plan. In 1991, Robertson reinjured his neck and shoulder and, after
1 The record reflects the fact that Robertson first injured his back on August 2, 1976. While climbing a telephone pole, he felt a sharp pain in his lower back and right leg. He was out of work from that date through October 1, 1976. His Employee Absence Record shows that NETT determined that his absence was due to an injury sustained in the course of his employment. He appears to have received "accident disability" payments under the plan during the course of that disability. On December 7, 1976, he suffered a relapse of that injury, but returned to work the following day. He suffered additional relapses of that injury in June, 1978; January 9, 1980; August 7, 1980; and August 18, 1986. On July 31, 1991, Robertson re injured his back when he slipped and fell after stepping out of a company truck. He remained out of work until May 11, 1992. On February 1, 1995, Robertson again injured his back while stooping down to cut a telephone pole. He did not, however, lose any time from work due to that injury.
ultimately prevailing on his workers' compensation claim against NETT in 1994, began receiving workers' compensation benefits for those injuries.
On May 8, 1995, Robertson went out on disability so that he might have arthroscopic surgery on his shoulder. However, it does not appear that Robertson had been involved in any incident or accident immediately prior to that date which prompted his need for surgery. It is egually important to note that, at that point, Robertson's inability to work was exclusively the result of his shoulder surgery; it was wholly unrelated to his back condition/injury.
NETT notified Robertson that his reguest for benefits under the plan had been accepted as "sickness disability." Because Robertson had been classified as eligible for "sickness disability" rather than "accident disability," he was entitled to benefits under the plan for a maximum of 52 weeks. If, instead, NETT had classified his disability as one entitling him to "accident disability" benefits, he would have been entitled to indefinite benefits. Robertson remained out of work following his shoulder surgery and, on August 2, 1995, he underwent additional surgery, this time on his neck.
In January of 1996, while Robertson was still out on "sickness disability" relating to his shoulder and neck surgeries, NETT offered him and other eligible employees an "enhanced retirement package." The offer expired on January 31, 1996. Robertson says that, through his union representative, he asked whether acceptance of the retirement package would affect his workers' compensation benefits. He did not receive a reply, nor did he accept the retirement package, before NETT's offer expired. Had he accepted the enhanced retirement package in a timely manner, Robertson would have received a larger pension than the one NETT eventually awarded him.
In March of 1996, NETT notified Robertson that if he did not return to work by May 14, 1996 (52 weeks after he began his disability leave and the point at which his "sickness disability" benefits under the plan would expire), his employment would be terminated. Robertson claims that he was, at least initially, ready and able to immediately return to light-duty employment and could have returned to full duty by May, 1996. He says that he reguested NETT to accommodate his light-duty work capacity, but the company refused. In the end, the issue of accommodation proved to be moot. Robertson was unable to return to work (even light duty work) by May, 1996 because he was recovering from additional surgery, this time related to his lumbar spine, which had been performed in April.
On May 9, 1996, approximately one year after first receiving notice that NETT had classified his disability as "sickness" and less than a week before the date by which he was required to return to work or face termination, Robertson, through his union representative, appealed his disability classification to the NYNEX Claims Committee, a named fiduciary of the plan. Despite the fact that the plan provides that all appeals must be received within 60 days, see the plan. Section 3, para 3 (b), the Claims Committee allowed Robertson to file a late appeal and considered it on the merits. Based upon the record before it, the Claims Committee concluded that Robertson's disability (which began in May, 1995) had been properly classified as "sickness," rather than "accident." Robertson appealed that decision to the NYNEX Employees' Benefits Committee, another fiduciary under the plan which, like the Claims Committee, retained discretionary authority to interpret the terms of the plan. The Benefits Committee upheld the Claims Committee's determination denying Robertson's claim that he was entitled to accident, rather than sickness, disability.
In May of 1996, when he was unable to return to work after receiving 52 weeks of sickness disability benefits, Robertson's employment was terminated. He then applied for and received a pension under NETT's pension plan. He also applied for and received social security disability benefits, arguing that he was completely disabled and unable to return to any form of employment.
Robertson claims that as a result of NETT's "wrongful classification of [his] neck and shoulder injuries, [NETT's] failure to acknowledge [his] lumbar spine surgery in April 1996, and the subseguent denial of his appeals on these matters, [he] was paid 'sickness disability' benefits and not 'accident disability' benefits under the defendant's self-administered, self-insured employee benefits plan." Plaintiff's memorandum (document no. 18) at 5. He also alleges that if NETT had properly classified his most recent disability status as the product of a work-related accident, his employment would have continued indefinitely and he would not have been terminated on May 15, 1996. Additionally, he says that NETT's wrongful conduct prevented him from electing to receive the enhanced retirement package.
Discussion
I. Plaintiff's Federal Claims.
A. ERISA Violation (Count 1).
In count 1 of his complaint, Robertson asserts that NETT acted arbitrarily and capriciously when it classified his disability as being due to "sickness" rather than "accident," under the terms of the plan. Specifically, he alleges that his back surgery in April, 1996 (one month before he was terminated) was the reason he could not return to work. And, because he says that defendant had, for nearly 20 years, determined that his back injuries were work related, it violated the terms of the plan (and the governing provisions of ERISA) when it refused to recognize that the disability which prevented him from returning to work made him eligible for "accident disability benefits," rather than merely "sickness disability benefits."
In discussing the application of the "arbitrary and capricious" standard in the ERISA context, the Court of Appeals for the First Circuit has noted that a fiduciary's "decision will be upheld if it was within [its] authority, reasoned, and 'supported by substantial evidence in the record.' Substantial evidence, in turn, means evidence reasonably sufficient to support a conclusion." Doyle v. Paul Revere Life Ins. Co., 144 F.3d 181, 184 (1st Cir. 1998) (citation omitted). See also Wildbur v. Arco Chemical Co., 974 F.2d 631, 637-38 (5th Cir. 1992) (defining the contours of the "arbitrary and capricious" standard in the ERISA context and adopting a two-part test for resolving claims that an ERISA fiduciary violated that standard).
eligibility determination based upon his recent back surgery, he was obligated to notify the plan fiduciaries that he had undergone such surgery. In that way, he would have apprized the fiduciaries of his position that there was a new basis for his claim to "accident disability" benefits (i.e., independent of the shoulder/neck surgeries which were previously deemed to make him eligible only for "sickness disability").2 The vagueness of Robertson's appeal and the lack of any definitive statement concerning the precise basis for his asserted entitlement to "accident disability" benefits is not the only problem confronting the court. It is egually unclear from the record precisely which of the two guestions arguably raised by Robertson's appeal the plan fiduciaries actually considered and addressed. The written decisions issued by both the Claims Committee and the Benefits Committee fail to discuss what they perceived to be the substance of Robertson's claim(s) nor do they discuss in any detail the basis for their denial of Robertson's appeal.
deferential standard. Absent remand, the plaintiff would, in essence, be asking the court to rule de novo on his entitlement to "accident disability" benefits under the plan. That is, quite plainly, an inappropriate role for the court to assume when the plan gives the fiduciaries discretion to interpret its terms. See Firestone Tire & Rubber Co., supra.
terminate him, NETT did not treat age neutrally. See Alvarez- Fonseca v. Pepsi Cola of Puerto Rico, 152 F.3d 17, 24 (1st Cir. 1998); Hidalgo v. Overseas Condado Ins. Agencies, Inc., 120 F.3d 328, 332 (1st Cir. 1997).
In response to the substantial body of evidence which suggests that Robertson was incapable to performing any work for NETT when he was discharged in May of 1996 (and, therefore, unable to meet NETT's legitimate performance expectations), Robertson makes only a single argument: that NETT's "own doctor. Dr. Pick, gave Mr. Robertson a light duty work capacity in November of 1995, and a return to full duty status by May 2, 1996." Plaintiff's objection at 20. Dr. Pick's optimistic prediction regarding Robertson's ability to return to light-duty status proved to be incorrect. As Robertson himself points out, he was unable to return to work in May of 1996 due to his back surgery in April, 1996, which occurred after Dr. Pick opined that Robertson should be able to return to work. See Plaintiff's memorandum at 4. See also Plaintiff's Deposition at 22 (testifying that due to his medical condition, he was unable to work as of May 8, 1995, and continuing through the date of his deposition, on August 21, 1998).
includes assertions made by both Robertson and his treating physician that he was totally disabled and unable to perform the requirements of his job. Accordingly, the court is compelled to conclude that Robertson has failed to establish the essential elements of a prima facie case of age discrimination. Consequently, NETT is entitled to judgment as a matter of law as to that count in plaintiff's complaint.
"More specifically, N.H. Rev. Stat. Ann. § 281-A:8 has consistently been held to bar causes of action for intentional infliction of emotional distress brought by employees against employers." Id. (citations omitted). See also Censullo v. Brenka Video, Inc., 989 F.2d 40, 43 (1st Cir. 1993) ("Emotional distress is a personal injury, not subject to recovery in a common law action under [New Hampshire's] workmen's compensation statute."). Accordingly, Counts 3 and 4 of plaintiff's complaint must be dismissed.
trial, Robertson may of course file whatever motion for relief he deems appropriate.
Because his "wrongful discharge" claim is subject to ongoing arbitration under the terms of the CBA, Count 2 of Robertson's complaint must be stayed pending resolution of that arbitration proceedings. See 9 U.S.C. § 3. Should the arbitrator determine that he or she lacks jurisdiction over Robertson's claim (e.g., because it involves a claim for benefits under an ERISA governed plan), the court may then address the merits of Robertson's wrongful discharge (or, more properly, breach of contract) claim.4 to that claim and retain jurisdiction, pending completion of the arbitration.[5] suggests (and plaintiff himself has conceded both at deposition and in papers filed in support of his application for Social Security disability benefits) that he was totally disabled on or prior to his termination and continues to be totally disabled today.
SO ORDERED
Steven J. McAuliffe United States District Judge December 8, 1998 cc: Thomas T. Barry, Esq.
Vincent A. Wenners, Jr., Esq.
Robert E. Jauron, Esq.