HAYWOOD S. GILLIAM, Jr., District Judge.
Plaintiff Heather Chalfant filed a complaint in this action on August 4, 2015 seeking to recover long-term disability benefits. Dkt. No. 1 ("Compl."). Two motions are pending before the Court. First, Defendant United of Omaha Life Insurance Company moves for summary judgment, contending Plaintiff's action is time-barred under the plan's contractual limitations period, Dkt No. 25. The Court held a hearing on this motion on February 18, 2016, Dkt. No. 40.
On April 11, 2016, before the Court had issued a ruling on the pending summary judgment motion, Plaintiff's counsel notified the Court that Plaintiff had passed away five days earlier. Dkt. No. 44. Accordingly, Plaintiff's motion for substitution of party under Federal Rule of Civil Procedure Rule 25(a), Dkt. No. 48, is also before the Court; the Court finds this motion suitable for disposition without oral argument, see Civ. L.R. 7-1(b).
For the reasons described below, the Court GRANTS Plaintiff's motion to substitute, and DENIES Defendant's motion for summary judgment.
Plaintiff was employed by Dealey, Renton & Associates Insurance Brokers Inc. starting in 2007, and participated in the company's Long-Term Disability Plan ("Plan"), which is regulated by the Employee Retirement Income Security Act ("ERISA"). See Compl. Defendant insures short-term disability ("STD") and long-term disability ("LTD") benefits under the Plan. Dkt. No. 25-1, ¶¶ 2-3. Plaintiff alleges she became disabled in February 2011, and subsequently sought both STD and LTD benefits under the Plan.
Fed. R. Civ. P. 25(a)(1). "In deciding a motion to substitute under Rule 25(a)(1), a court must consider whether: (1) the motion is timely; (2) the claims pled are extinguished; and (3) the person being substituted is a proper party." Veliz v. Cintas Corp., No. C 03-1180 RS, 2008 WL 2811171, at *1 (N.D. Cal. July 17, 2008). If Rule 25(a)(1) is met, "[t]he substituted party steps into the same position as [the] original party." Hilao v. Estate of Marcos, 103 F.3d 762, 766 (9th Cir. 1996).
Here, Plaintiff seeks to substitute Jasmine Chalfant as the new plaintiff in this action. Defendant does not contest that the motion is timely or contend that the claims pled are extinguished; rather, Defendant questions whether the substituted party is proper, Dkt. No. 49 at 3, seeking to ensure that the substitute can fully represent the estate and that Defendant will not later face claims by an individual or entity who may have claims against the estate. Dkt. No. 54 at 2.
Although Rule 25(a) is a procedural rule dictating the manner by which substitution may occur in federal courts, "[t]he question of who is a proper party. . . is a substantive issue, for which we must rely upon state law." Fox v. Cty. of Tulare, No. 1:11-CV-00520-AWI, 2014 WL 897040, at *6 (E.D. Cal. Mar. 6, 2014). The California Code of Civil Procedure provides that:
Cal. Civ. Proc. Code § 377.32(a). Additionally, a certified copy of the death certificate must be attached to the affidavit or declaration. § 377.32(c).
Here, decedent's mother Grace Jefferson submitted a declaration that met § 377.32(c)'s requirements. Dkt. No. 52. The declaration provided that Heather Chalfant died on April 6, 2016 in San Francisco, California, while this lawsuit was pending; that no proceeding is now pending in California for administration of her estate; that she died intestate without a surviving spouse or issue, and therefore Grace Jefferson is her successor in interest, as defined in § 377.11, thus succeeding decedent's interest in this action; and that no other person has a superior right to commence the action or proceeding or to be substituted in her place. Id. Counsel also filed with the Court a certified copy of her death certificate, confirming that she in fact passed away on April 6 in San Francisco. Id. Finally, Grace Jefferson states that through "a Limited Power of Attorney, I have assigned my rights to my daughter, Jasmine Chalfant, to be my attorney-in-fact for the above mentioned fact." Id.
The submitted declaration demonstrates that Grace Jefferson is a "proper party," and the Court therefore GRANTS the motion to substitute. Moreover, having reviewed the power of attorney, the Court finds that Jasmine Chalfant is appropriately recognized as the attorney-in-fact in this action. Dkt. Nos. 48-1, 48-2.
Defendant moves for summary judgment, contending that Plaintiff's suit for LTD benefits is not timely.
Summary judgment is proper "if the movant shows that there is no genuine dispute as to any material fact and the movant is entitled to judgment as a matter of law." Fed. R. Civ. P. 56(a). The moving party bears the initial burden of demonstrating the absence of a genuine issue of material fact. Celotex Corp. v. Catrett, 477 U.S. 317, 323 (1986). The moving party must demonstrate that there is an absence of evidence to support the non-moving party's case. Id. at 325.
Once the moving party has met its burden, the burden shifts to the nonmoving party to "set forth, by affidavit or as otherwise provided in Rule 56, `specific facts showing that there is a genuine issue for trial.'" T.W. Elec. Service, Inc. v. Pacific Elec. Contractors Ass'n, 809 F.2d 626, 630 (9th Cir. 1987) (citing Celotex, 477 U.S. at 324). To carry this burden, the non-moving party must "do more than simply show that there is some metaphysical doubt as to the material facts." Matsushita Elec. Indus. Co., Ltd. v. Zenith Radio Corp., 475 U.S. 574, 586 (1986). "The mere existence of a scintilla of evidence . . . will be insufficient; there must be evidence on which the jury could reasonably find for the [non-moving party]." Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 252 (1986).
In deciding a summary judgment motion, the Court must view the evidence in the light most favorable to the non-moving party and draw all justifiable inferences in its favor. Id. at 255. However, conclusory, speculative testimony in affidavits and moving papers is insufficient to raise genuine issues of fact and defeat summary judgment. Thornhill Publ'g Co., Inc. v. GTE Corp., 594 F.2d 730, 738 (9th Cir. 1979); see also Hexcel Corp. v. Ineos Polymers, Inc., 681 F.3d 1055, 1063 (9th Cir. 2012).
California Insurance Code § 10350.11 provides:
Cal. Ins. Code § 10350.11. Consistent with § 10350.11, the parties agree that there is a three year limitations period, and that the limitations period began to accrue after Plaintiff's written proof of loss was due. See Dkt. No. 25 at 3-4; see Dkt. No. 26 at 3.
Turning to the question of when proof of loss was due, Defendant's proof of loss policy for LTD claims provides as follows:
Id. at 1360.
The Elimination Period for LTD is the first 90 days of a period of disability. Dkt. No. 25-1, ¶ 3; Dkt. No. 25-3 at 1335. Plaintiff's alleged disability date is February 10, 2011. Compl. ¶ 9. The Elimination Period, or ninety days after the disability date, is May 10, 2011. Accordingly, if it was "reasonably possible" for Plaintiff to send the claim form within 90 days after the Elimination Period, by August 10, 2011, then the three year statute of limitations started accruing on August 10, 2011. If it was not reasonably possible to submit the proof of loss within 90 days, then at the latest, Plaintiff was required to submit it no later than one year later on August 10, 2012, and August 10, 2012 would be the date from which the limitations period accrues. Plaintiff filed this action on August 4, 2015. See Compl. The timeliness of her claim thus hinges on whether it was "reasonably possible" for her to submit the proof of loss by August 10, 2011. If it was, then the statute of limitations expired in August 10, 2014, and her claim is untimely. If it was not, then the statute of limitations expired on August 10, 2015, and her claim is timely.
As the moving party, Defendant met its initial burden of identifying facts to show that it was "reasonably possible" for Plaintiff to file a proof of loss by August 10, 2011. The LTD Plan identifies the limited requirements a claimant must meet in filing the proof of loss. The claimant must provide a claim form or written statement of what happened that includes:
Dkt. No. 25, Ex. B at 1360. Additionally, the employee and employer must sign the claim form, and the employee's doctor must fill out portions of the form as well. Id.
The record shows Plaintiff was capable of submitting her STD claim form, which largely included the same information required in the proof of loss, during the same time period the proof of loss was due. She submitted the form on February 26, 2011, listing February 7, 2011 as the date of her disability and February 10, 2011 as the date she became unable to work full-time. Dkt. No. 25-4 at 4. She identified her responsibilities at work and her weekly earnings, and indicated that she was under the care of physicians, specifically including the names of treating physicians and an occupational health specialist. Id. at 4-10. Plaintiff further provided an employer's statement and attending physician's statement as a part of her claim. Id.
In response, Plaintiff's opposition consists largely of unsupported assertions about her ability to "reasonably" submit a proof of loss by August 10.
The record before the Court in support of Plaintiff's position is very weak. For example, there is no evidence before the Court regarding the March 2011 hospital visit, what Plaintiff was treated for, or how it limited her ability to meet the minimal proof of loss requirements by August 2011. But although it seems unlikely that Plaintiff will be able to establish at trial that this action was timely filed, at this stage of litigation, the Court must make all reasonable inferences in Plaintiff's favor. In doing so, the Court cannot conclude as a matter of law that it was reasonably possible for Plaintiff to submit the LTD proof of loss form within 90 days. See Hexcel, 681 F.3d at 1063 (holding that the district court may grant summary judgment "only if uncontroverted evidence `irrefutably demonstrates'" that plaintiff failed to timely file a complaint). Accordingly, the Court DENIES the motion for summary judgment.
The Court GRANTS Plaintiff's motion to substitute Grace Jefferson as the proper party under Rule 25(a), and DENIES Defendant's motion for summary judgment.
The Court sets a case management conference for September 6, 2016 at 2:00 p.m. to discuss case scheduling and the possible resolution of this case through mediation.