9th Circuit Backs LTD Benefits Plaintiff

June 30, 2011 at 08:00 PM
Share & Print

A federal appeals court in California has ruled against an insurance company and in favor of the plaintiff in a long-term disability (LTD) benefits case.

The 11 judges of the 9th U.S. Circuit Court of Appeals agreed en banc to uphold part of a lower-court ruling in favor of Laura Cyr and against the Reliance Standard Life Insurance Company, a subsidiary of Delphi Financial Group Inc. (NYSE:DFG), Wilmington, Del.

The judges have held that Reliance Standard is a proper defendant in the case, even though it was merely the insurer of an employer's LTD plan and not the administrator of the plan.

The ruling addresses only the question of whether Reliance Standard can be a defendant in the case and not with the merits of the case.

Cyr was a vice president at Channel Technologies Inc. (CTI), Santa Barbara, Calif. After she was terminated in 2000, she immediately filed a claim for long term disability benefits (LTD) from Reliance based on her $85,000 salary with CTI.

A year later Cyr filed a gender discrimination lawsuit against CTI. She claimed that male employees performing work of equal skill, effort, and responsibility made up to double her annual salary. After her salary was retroactively adjusted to $155,000, Reliance was denied an increase in benefit payments based upon her newly adjusted salary figure.

Cyr later filed an action against Reliance in the U.S. District Court for the Central District of California, where the court ruled in her favor.

Reliance appealed the decision, arguing that it was not the plan administrator and could not be the proper defendant for the claim.

Cyr asked for the 9th Circuit court to hear the case en banc, or as a group. Originally, the court told her that she would have to go through the usual process of having her case heard by a three-judge panel. The three-judge panel heard oral arguments in October 2009

"Following that argument but prior to any decision by the three-judge panel, we revisited the question of whether the case should be considered by the court en banc," Judge Richard Clifton writes in an opinion for the 9th Circuit panel. "After obtaining supplemental briefs from the parties on that subject, we agreed, upon the vote of a majority of nonrecused active judges, to hear the case en banc."

Reliance was found to not be the plan administrator, but, because it was the plan's insurer and has a responsibility to pay legitimate benefits claims, it was deemed to be a proper defendant.

"Reliance denied Cyr's request for increased benefits even though, as the plan insurer, it was responsible for paying legitimate benefits claims," White says. "Reliance is, therefore, a logical defendant for an action by Cyr to recover benefits due to her under the terms of the plan and to enforce her rights under the terms of the plan."

The case was transferred back to the three-judge 9th Circuit panel that heard oral arguments in October 2009.

***

CORRECTION: In an earlier version of this article, the scope of the 9th Circuit ruling was described incorrectly. The 9th Circuit looked only at the question of whether the insurance company involved in the case should be a defendant.

NOT FOR REPRINT

© 2024 ALM Global, LLC, All Rights Reserved. Request academic re-use from www.copyright.com. All other uses, submit a request to [email protected]. For more information visit Asset & Logo Licensing.

Related Stories

Resource Center