BRIAN K. EPPS, Magistrate Judge.
Pursuant to the Employment Retirement Income Security Act of 1974, 29 U.S.C. § 1001, et seq. ("ERISA"), Plaintiffs challenge a plan administrator's determination their decedent father never designated beneficiaries for a life insurance policy. Before the Court is a dispute concerning whether Defendants must produce relevant documents that are not part of the administrative record. Finding Defendants must do so, the Court
Plaintiffs are the only biological children of James T. Taylor, Sr., a retired employee of Defendant Sears Roebuck and Co. who died on September 25, 2013. (Doc. no. 13, Am. Compl. ¶¶ 1, 15; doc. no. 27, Answer ¶¶ 1, 15.) The Decedent had a universal term life insurance policy with a value of $180,000 and a basic term life insurance policy with a value of $6,380. (
Prudential determined the decedent designated Plaintiffs as the only beneficiaries of the basic policy and split between Plaintiffs the payout of $6,380. In contrast, Prudential determined the decedent failed to designate any beneficiaries of the universal policy and divided equally the payout of $180,000 among the four surviving children, i.e. Plaintiffs and two step-children. (
Defendants produced the administrative records for both policies, meaning every document considered by Prudential when determining beneficiaries. Plaintiffs seek documents outside the administrative record within the following categories: (1) correspondence between the decedent and Defendants, excluding premium payment correspondence; (2) documents concerning what prompted Prudential to issue the three beneficiary confirmations or clarifying to which policies they apply; (3) beneficiary forms completed by the decedent and correspondence concerning his purported failure to designate beneficiaries; and (4) documents concerning the affirmative defenses that Plaintiffs failed to exhaust administrative remedies and failed to meet their Plan obligations. (Doc. no. 53-2, RFP Nos. 2, 4, 5, 6, 9, 10, 11.) Contending judicial review is limited to the administrative record, Defendants claim a right to withhold all documents not considered by Prudential.
"Parties may obtain discovery regarding any nonprivileged matter that is relevant to any party's claim or defense and proportional to the needs of the case . . . ." Fed. R. Civ. P. 26(b)(1). Were Rule 26(b) the sole consideration, there would likely be no dispute since the discovery requests are relevant and there is no suggestion of excessive volume, expense, or burden. However, in ERISA cases, "the scope of discovery is dictated by the applicable standard of review: under the de novo standard, the Court may examine facts not before the administrator, but under the arbitrary and capricious standard, the Court may only consider the `facts known to the administrator at the time the decision was made.'"
Even when the arbitrary and capricious standard limits review to the administrative record, courts consider whether the record was complete and remand for a new determination if incomplete.
Similarly, in
Here, the Court need not determine the standard of review at this early stage of the litigation because discovery of the disputed documents is necessary regardless so that Plaintiffs may determine the adequacy of the administrative record and strength of any argument for remand. Indeed, by withholding responsive documents outside the administrative record, Defendants concede by implication that Prudential failed to consider documents within the following critical categories: (1) correspondence between the decedent and Defendants; (2) documents concerning why Prudential issued three confirmations of beneficiary designations to the decedent, and documents explaining to which policies these confirmations apply; and (3) beneficiary designation and change forms completed by the decedent, and correspondence or notices to the decedent concerning his purported failure to designate beneficiaries. (Doc. no. 53-2, RFP Nos. 2, 9, 10, 11.)
Under Defendants' reasoning, if the decedent completed a form designating Plaintiffs as the only beneficiaries of the universal policy, Defendants need not produce that form so long as Prudential recklessly failed to find and consider it when determining beneficiaries of that same policy. The argument runs counter to common sense, fundamental notions of due process and fairness, and an administrator's duty to compile a complete record before making plan determinations. As explained by the court in
The only other requests at issue seek documents concerning the affirmative defenses that Plaintiffs failed to exhaust their administrative remedies and failed to meet their Plan obligations. (Doc. no. 53-2, RFP Request Nos. 4, 5, 6.) Production is warranted because these documents do not concern the propriety of the administrator's decision and the Court's review of the same, but instead defenses as to why Plaintiffs are allegedly not entitled to judicial review. The issue may be moot, however, based on Defendants' representation they produced all responsive documents. (Doc. no. 54, p. 12.)
A party prevailing on a motion to compel may not recover fees and costs when nondisclosure was substantially justified or other circumstances make an award unjust. Fed. R. Civ. P. 37(a)(5)(A). A party is substantially justified when "reasonable people could differ as to the appropriateness of the contested action."
The Court
SO ORDERED.