SANDRA J. FEUERSTEIN, District Judge.
On January 28, 2010, plaintiff Virginia Ianniello ("plaintiff' or "Ianniello") commenced this action against defendants Hartford Life and Accident Insurance Company ("Hartford") and Group Long Term Disability Plan for Employees of American International Group, Inc. (together, "defendants") pursuant to the Employee Retirement Income Security Act of 1974, 29 U.S.C. §§ 1001
Both parties have moved for summary judgment pursuant to Federal Rule of Civil Procedure 56. [Dockets No. 35, 43]. On August 16, 2011, pursuant to a referral, Magistrate Judge Arlene R. Lindsay issued a Report and Recommendation (the "Report") recommending that defendant's motion be granted and that plaintiffs motion be denied. [Docket Entry No. 69]. On August 30, 2011, plaintiff filed objections to Judge Lindsay's Report. ("Pl. Obj.") [Docket Entry No. 70].
For the reasons that follow, Magistrate Judge Lindsay's Report and Recommendation is adopted in its entirety. Defendant's motion for summary judgment is granted and plaintiffs motion for summary judgment is denied.
Plaintiff was hired by AIG Travel, Inc. as a Manager of Multi-National Accounts on January 1, 2007. Report at 2; Administrative Record [Docket Entry Nos. 61-66] ("AR") at 121; 1261. Plaintiff stopped working in December 2007, at which time she claims to have become disabled by vertigo, dizziness, and nausea. Report at 2; AR at 79. Hartford paid plaintiff short term disability benefits through June 3, 2008, and plaintiff filed a claim for long term disability benefits. Report at 2; AR at 116-118, 120-121, 131, 133, 1216.
On January 2, 2009, Hartford denied Ianniello's claim for long term disability benefits. Report at 2, 21. Hartford explained that it had concluded that her job was a "sedentary" position and that, based on a review of the medical information in her file, she was capable of performing a sedentary job on a full-time basis. Report at 21; AR at 363-367. After an appeal by Ianniello, Hartford affirmed its decision on November 2, 2009. Report at 2; AR at 272-278. This action followed.
Rule 72 of the Federal Rules of Civil Procedure permits a magistrate judge to conduct proceedings of dispositive pretrial matters without the consent of the parties. Fed. R. Civ. P. 72(b). Any portion of a report and recommendation on dispositive matters to which a timely objection has been made is reviewed
"`Summary judgment must be granted where the pleadings, the discovery and disclosure materials on file, and any affidavits show `that there is no genuine dispute as to any material fact and the movant is entitled to judgment as a matter of law.'"
An issue of fact is genuine only if "the evidence is such that a reasonable jury could return a verdict for the nonmoving party."
"In order to defeat a motion for summary judgment supported by proof of facts that would entitle the movant to judgment as a matter of law, the nonmoving party is required . . . to set forth specific facts showing that there is a genuine issue of material fact to be tried. . . . If the nonmoving party does not so respond, summary judgment will be entered against him."
"ERISA permits a person denied benefits under an employee benefit plan to challenge the denial in federal court."
In this case, it appears undisputed that the plan gives the administrator such discretionary authority.
Plaintiff has asserted twelve (12) objections to the Report and Recommendation. In large measure, the objections reiterate arguments raised in plaintiff's summary judgment motion. To the extent they do so, the Report is reviewed for clear error.
First, plaintiff asserts a general objection that "Hartford abused its discretion and Ianniello is entitled to benefits as a matter of law." Pl. Obj. at 1. Plaintiff points to specific evidence in the record, including the medical opinion of Dr. Carl Anderson, as well as the fact that she was awarded Social Security Insurance ("SSDI") benefits. The Report's review of the record, application of the law, and finding that Hartford did not abuse its discretion are not clearly erroneous.
Second, plaintiff argues that "the facts and law establish that Defendants' Motion for Summary Judgment should be denied" and that Hartford "denied [her] a full and fair review."
"Section 503(2) of ERISA requires that claims for benefits be afforded a `full and fair review by the appropriate named fiduciary of the decision denying the claim.'"
Third, plaintiff argues that the Report "does not accurately summarize" the opinions of Dr. Darrin Campo, an independent peer review physician who reviewed plaintiff's medical records and found that plaintiff was capable of working on a full-time basis. AR at 382. Specifically, plaintiff argues — as she did in her summary judgment motion — that Dr. Campo did not sufficiently explain his conclusion and failed to address certain elements of Dr. Anderson's report. Pl. Obj. at 3; Plaintiff's Brief[Docket Entry No. 37] ("Pl. Br.") at 16-17. However, plaintiff fails to identify any actual error in the Report's discussion, and the Court finds none.
Fourth, plaintiff claims the Report "erroneously analyzes" Hartford's rejection of Amy Cook's initial recommendation that long term benefits be paid to Ianniello. Plaintiff argues that: (I) her job, as "recognized in the general workplace," was properly classified as a "light duty" occupation, which she was incapable of performing; and (2) even if her job was a "sedentary" occupation, she was unable to perform a sedentary full-time job. Pl. Obj. at 3-8.
In support of this argument, plaintiff emphasizes the fact that Hartford initially classified her job as a "light duty" occupation. Pl. Obj. at 5-6. However, when Hartford sought further guidance from AIG, an AIG human resource representative stated that the job description was inaccurate, and that Ianniello's position was actually "a sedentary occupation with little or no travel required." Report at 20; AR at 1141-42. The representative stated that, since drafting the job description, AIG had "realized that the travel component as originally stated was not required of this role." Report at 20; AR at 1141-42. Hartford's reliance on AIG's description of Ianniello'sjob as a "sedentary" occupation was not unreasonable or improper.
Fifth, plaintiff argues that the Report "makes erroneous assumptions regarding [her] Social Security Disability award." Pl. Obj. at 9. According to plaintiff, the Report implies that Ianniello withheld the Social Security Administration's rationale in granting her benefit claim and that Hartford was "therefore unable to evaluate the meaning of the SSA determination."
Sixth, plaintiff argues that the Report "mischaracterizes" and "unjustifiably relie[s] upon" the report and opinion of Dr. James Bress, who performed a peer review of plaintiffs file in connection with her appeal. Pl. Obj. at 9. The sixth objection is duplicative of arguments made elsewhere in plaintiffs objections, and is addressed
Seventh, plaintiff argues the Report assigned too little weight to the plan administrator's conflict of interest.
Hartford's procedural safeguards reduced the risk that its decision would be influenced by its conflict. Plaintiffs claim was denied by members of the company's claims department, and then affirmed on appeal by members of the company's separate and independent appeals unit.
Plaintiff further claims that Dr. James Bress's opinion is "riddled with factual errors," and that Hartford's continued use of Dr. Bress signals its conflict of interest. Pl. Obj. at 17-21. Specifically, plaintiff disputes Dr. Bress' note that "Dr. Anderson's medical records are devoid of any evidence showing a trigger point testing was ever conducted on Ianniello to confirm a diagnosis of fibromyalgia," and claims that Dr. Anderson's notes imply that a trigger point test had been conducted.
The Court disagrees with plaintiffs claim that the Report "miscontrue[d]" the law or "failed to apply the proper legal standards,"
Eighth, plaintiff argues that the Report "mischaracterizes" and "unjustifiably relied upon" the report of Dr. Melvyn Lurie, a board certified psychiatrist who conducted an independent psychiatric review of plaintiffs file. Pl. Obj. at 22. Plaintiff contends that Dr. Lurie does not address the issues of fatigue or pain in his evaluation, Pl. Obj. at 22-23; however, the record indicates that Dr. Lurie was retained solely in his capacity as a psychiatrist,
Ninth, plaintiff points out that the Policy determines disability by examining whether the claimant is capable of performing her "own occupation," rather than "any occupation." Pl. Obj. at 23. This objection is duplicative of arguments made elsewhere in plaintiffs objections, and is overruled for the reasons discussed
Ninth, plaintiff objects to the Report's statement that the record "mostly contain[s] contradictory and conclusory opinions of her treating physicians that do not provide a basis for her purported functional limitations." Pl. Obj. at 23. Plaintiff claims that "there was no uncertainty or contradiction[] as to the
Eleventh, plaintiff objects to the Report's statement that "the administrative record is devoid of any objective proof to confirm the existence of a condition that could be clinically correlated to her subjective complaints of dizziness, loss of appetite, exhaustion, hair loss, tremors and pain." Pl. Obj. at 24 (citing Report at 35). Plaintiff appears to acknowledge the accuracy of this statement, but again argues that she did not produce any objective evidence because she was not specifically asked for any. This objection is overruled for the reasons discussed
Twelfth, and finally, Ianniello argues again that she did not receive a full and fair review.
The Court has reviewed the remainder of the Report and finds that it is not clearly erroneous.
For the foregoing reasons, the Report and Recommendation is accepted in its entirety. Defendant's motion for summary judgment is granted, and plaintiffs motion for summary judgment is denied. The Clerk of Court is directed to close this case.