HILLMAN, District Judge.
This is an ERISA action in which Plaintiff Susan Young ("Plaintiff") challenges the Defendants' termination of long-term disability benefits under the Children's Hospital Boston Group Long Term Disability Plan, an employee welfare benefit plan. Plaintiff has filed a motion to exclude documents from the record (Docket No. 23). For the following reasons, the Plaintiff's motion is
Plaintiff was previously employed at Children's Hospital in Boston. Through her employment at Children's, Plaintiff was covered by an ERISA welfare benefit plan underwritten by Aetna Life Insurance Company. Defendant Aetna Life Insurance Company is the claims administrator for the policy, and Children's Hospital is the plan administrator.
In September 2008, Plaintiff was involved in a car accident that caused severe injuries to her shoulder, back, and hip. At the time of the accident, Plaintiff was working as an ICU Floor nurse at Children's Hospital, and the injuries left her unable to perform her job. She made a claim under her welfare benefits policy for short-term disability benefits, which Aetna approved for six months. As her condition did not improve over the six months, Plaintiff applied and was initially approved for long-term disability benefits in March 2009. However, Aetna reviewed Plaintiff's claim in January 2012, and decided to terminate Plaintiff's benefits on May 25, 2012.
On August 13, 2014, Defendants filed their proposed record for judicial review (Docket No. 17). Plaintiff seeks to exclude documents submitted by Defendants marked as "Young Policy 000001 to 000062" ("Proposed Policy"), on the basis that they were not disclosed to Plaintiff during the internal appeals process.
During the internal appeals process Plaintiff repeatedly asked Aetna to provide her with a full set of documents for the Children's Hospital Boston Group Long Term Disability Plan, but was never given a version containing the discretionary authority language. Now, at the eleventh hour, the discretionary authority provision appears on the last page of the Proposed Policy submitted by Defendants. Plaintiff argues that the late disclosure of the discretionary authority language materially prejudices her position in this action, and therefore should be excluded.
For the same reason that Judge Woodlock did not impose a de novo standard of review in McDonough v. Aetna Life Insurance Company, I decline to exclude the discretionary authority provision. See 2014 WL 690319, CV No. 11-11167-DPW (D.Mass. Feb. 19, 2014). In McDonough, the plaintiff argued that the court should review Aetna's benefits determination de novo because Aetna did not disclose a discretionary authority provision until well after the litigation had commenced, even though the plaintiff had made repeated requests for a complete copy of the plan. Id. at *11. However, the plaintiff in McDonough also acknowledged that the benefits plan at issue did in fact contain the language reserving discretionary authority. Id. Consequently, notwithstanding the belated disclosure by Aetna, Judge Woodlock "decline[d] to impose de novo review where the plan unequivocally
As in McDonough, the benefits plan at issue expressly contains a discretionary authority provision. Plaintiff does not assert that Defendants have submitted an incorrect plan, but instead argues that the late disclosure is so prejudicial that the discretionary authority language should be excluded. I disagree. To be sure, an insurer's failure to provide beneficiaries with correct plan documents after repeated requests is worthy of reproach. It is also troubling that Aetna appears to be a repeat offender. As unseemly as the failure is, the fact that a plaintiff lacks notice of a plan's discretionary authority provision during the initial determination process is not so consequential that it warrants exclusion from the record. Such a provision "is effectively addressed not to the beneficiary, but only to a reviewing court that must act only after an application has been denied." Thurber v. Aetna Life Ins. Co., 712 F.3d 654, 660 (2d Cir. 2013).
In so doing, however, I note that a failure to provide beneficiaries with complete plan documents during the initial determination and internal appeals process may reflect on the insurer's ability to engage in a reasoned and principled decision making process. Thus, the issue may properly be taken into account as one of the "myriad of relevant factors" the Court considers in determining whether the benefits denial amounted to an abuse of discretion. See Denmark v. Liberty Life Assur. Co. of Boston, 566 F.3d 1, 9 (1st Cir.2009) (citing Metropolitan Life Ins. Co. v. Glenn, 554 U.S. 105, 115, 128 S.Ct. 2343, 171 L.Ed.2d 299 (2008)).
For the reasons set forth above, Plaintiff's motion to exclude documents from the record (Docket No. 23) is
SO ORDERED.