JOHN S. BRYANT, Magistrate Judge.
Four motions related to discovery are currently pending in this case: Plaintiff's "Motion to Compel, or in the Alternative, to Amend Previously Filed Discovery Requests as Motion for Discovery" (Docket Entry No. 39); Plaintiff's "Request to Amend the Record with Manual Filing" (Docket Entry No. 41); Plaintiff's "Motion to Extend Scheduling Order Based on Pending Discovery Requests" (Docket Entry No. 42); and Defendants' "Response to Plaintiff's Motion to Amend the Administrative Record and Motion to Compel Production" (Docket Entry No. 43).
For the reasons stated below, the undersigned Magistrate Judge
Plaintiff Buchan, who is proceeding pro se, has filed this action seeking to recover certain medical insurance benefits to which he claims he is entitled under an employee health insurance plan provided by his employer, NPC International, Inc., and underwritten by Defendant Connecticut General Life Insurance Corporation ("CGLIC") (Docket Entry No. 1-1). The Defendants have filed answers denying liability and asserting certain affirmative defenses (Docket Entry Nos. 31 and 32).
This Court has previously determined that Plaintiff's complaint should be construed as one asserting a claim under the ERISA statute (Docket Entry No. 28).
In summary, Plaintiff Buchan alleges that he enrolled in the Starbridge Health Insurance Program offered by his employer NPC, effective September 3, 2008, and was provided an enrollment package confirming his enrollment and describing benefits provided by the coverage (Docket Entry No. 1-1 at 10-11). Plaintiff alleges that his annual inpatient benefits health insurance coverage for hospitalization was for $50,000 (Docket Entry No. 1-1 at 6).
Plaintiff further alleges that on November 19, 2008, he was admitted to Southern Hills Medical Center for emergency surgery, requiring a one-week postoperative stay in the hospital, and resulting in total charges of $50,000. Plaintiff alleges that he had been precertified for this hospital admission and, understanding his annual inpatient benefit coverage for hospitalization to be $50,000, reasonably expected that his health insurance policy would cover the entire bill.
Plaintiff Buchan further alleges that, after his enrollment in the company medical benefit plan in September 2008, NPC had unilaterally decided to reduce the health insurance coverage of its employees, but that notification of these reductions in coverage was not provided to him until a mailing in December 2008, weeks after the hospital charges at issue were incurred. Plaintiff maintains that he incurred the hospital expenses at Southern Hills Medical Center in November 2008 in reasonable reliance upon the insurance coverage information provided to him when he enrolled in September 2008, and that Defendants equitably should not be allowed to provide only the reduced benefits following the changing coverage of which he was not notified until December 2008.
On October 18, 2012, the undersigned Magistrate Judge entered a scheduling order in this case (Docket Entry No. 33). This order provides in pertinent part that discovery in ERISA cases is not typically needed or appropriate. However, following the filing of the administrative record, if Plaintiff wished to pursue limited discovery he should file a motion for discovery on or before December 5, 2012. This motion was ordered to include as an exhibit any proposed discovery that Plaintiff sought to serve on Defendants. Defendants were given 14 days thereafter to respond to any such motion for discovery.
Plaintiff failed to follow this order. Rather than filing a motion seeking leave to serve discovery, Plaintiff apparently served his first set of requests for production of documents upon defendants in early December 2012 (Docket Entry No. 39-1). Defendants filed a response in opposition to Plaintiff's motion for discovery (Docket Entry No. 38), and thereafter Plaintiff Buchan filed his "Motion to Compel, or in the Alternative, to Amend Previously Filed Discovery Requests as Motion for Discovery" (Docket Entry No. 39). Defendants have responded in opposition to Plaintiff's motion to compel discovery (Docket Entry No. 40).
The Sixth Circuit Court of Appeals has held that in reviewing a denial of benefits in an ERISA action, the district court is generally confined to the record that was before the Plan Administrator. Wilkins v. Baptist Healthcare System, Inc., 150 F.3d 609, 615 (6
Wilkins, 150 F.3d at 616 (citations omitted).
The undersigned Magistrate Judge has reviewed the requests for production of documents served by Plaintiff upon the Defendants. In light of the limited discovery generally available in ERISA actions, these requests exceed by far the scope of permissible discovery and, therefore, Plaintiff's "Motion to Compel, or in the Alternative, to Amend Previously Filed Discovery Requests as Motion for Discovery" (Docket Entry No. 39) must be largely denied. Nevertheless, given the somewhat unusual presentation of the claim in this case, the undersigned Magistrate Judge
Plaintiff further has moved to amend the administrative record with a manual filing consisting of a compact disc of a recorded conversation (Docket Entry No. 41). The CD to which Plaintiff refers was not filed along with his motion, so the undersigned Magistrate Judge has been unable to listen to this recording in order to ascertain its contents. In addition, it does not appear that the recorded conversation on this CD was considered by the Plan Administrator when denying medical insurance benefits to Plaintiff Buchan. For these reasons, Plaintiff's motion to amend the record (Docket Entry No. 41) is
Plaintiff has filed his "Motion to Extend Scheduling Order Based on Pending Discovery Requests" (Docket Entry No. 42). This motion is
Finally, Defendants' conditional motion to compel production of the compact disc referenced above (Docket Entry No. 43) is
It is so