Opinion · Court of Appeals for the D.C. Circuit

Ralph Block v. Pitney Bowes Inc.

Ralph Block v. Pitney Bowes Inc., 952 F.2d 1450 (Court of Appeals for the D.C. Circuit 1992)

Type
Opinion
Court
Court of Appeals for the D.C. Circuit
Jurisdiction
Federal
Date
1992-01-21
Topic
employee-benefits-and-executive-compensation

holding that “[n]o provision” 16 No. 08-30967 of the plan required the administrator to “ensure the availability of an alternative job” | holding that claimant’s limitations on standing (two hours), walking, lifting (20 pounds), and bending (four out of eight hours) were not so great as to conclude that claimant would not be qualified for any job | holding that changing a decision based on new information does not demonstrate inconsistency | finding that a review “may only be based on the record available to the administrator or fiduciary at the time the decision was made” | according “no weight to the Social Security Administration’s determination” because “[t]he Social Security award ... rested at least in part on medical reports never submitted to the [plan administrator]” | refusing to find administrator’s decision denying long-term disability benefits arbitrary based on subsequent Social Security Administration award resting in part on medical reports never submitted to the plan administrator | giving no weight to a Social Security Administration determination made after the defendant’s decision | no need for plan administrator to provide vocational evidence of jobs where plan used phrase “reasonably fitted by education, experience, capability or training” | administrator had discretion where plan gave it power “to determine all questions of eligibility and the rights and status of Participants” | “Courts review ERISA-plan benefit decisions on the evidence presented to the plan administrators, not on a record later made in another forum.” | “Courts review ERISA-plan benefit decisions on the evidence presented to the plan administrators, not on a record later made in another forum.” | "The essential inquiry here . . . is [d]id the Committee reasonably construe and apply the Pitney Bowes Plan in Ralph Block's case?" | "The essential inquiry here, in short, is . . . [d]id the Committee reasonably construe and apply the Pitney Bowes Plan in Ralph Block's case?" | “Rather, the Supreme Court directed lower courts to focus on the breadth of the administrators' power—their ‘authority to determine eligibility for benefits or to construe the terms of the plan.’” | "The distinction, if any, between 'arbitrary and capricious review' and review for 'abuse of discretion' is subtle ... we are satisfied, there is no need to adopt one phrase and avoid the other." | Plan Committee had discretion where plan provided that its decisions “shall, to the extent not inconsistent with the provisions of the Plan, be final and conclusive and binding upon all persons having an interest in the Plan” | Citations & internal 5 We should note that in Block, as in most of these cases, it was the plan administrator and not the claimant who moved for summary judgment and who thus had the concomitant burden of proof. -14- quotes omitted. | finding similar language sufficient to establish discretionary authority

Citator

Cited by
55 opinions