Source: s3://data.kl3m.ai/documents/govinfo/USCOURTS/USCOURTS-cand-3_09-cv-02487/USCOURTS-cand-3_09-cv-02487-5/pdf.json

Nature of Suit Code: 791
Nature of Suit: Employee Retirement Income Security Act (ERISA)
Cause of Action: 28:1332 Diversity-Employment Discrimination

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United States District Court

For the Northern District of California

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IN THE UNITED STATES DISTRICT COURT

FOR THE NORTHERN DISTRICT OF CALIFORNIA

HEATHER CONNER,

Plaintiff,

 v.

RELIANCE STEEL & ALUMINUM CO.’s

LONG TERM DISABILITY PLAN,

Defendant. /

No. C 09-02487 JSW

ORDER GRANTING IN PART

MOTION TO AUGMENT THE

ADMINISTRATIVE RECORD

Now before the Court is Plaintiff Heather Conner’s motion for an order directing

Defendant to augment the administrative record and for leave to conduct discovery. This matter

is now fully briefed and ripe for decision. The Court finds that this matter is appropriate for

disposition without oral argument and the matter is deemed submitted. See N.D. Civ. L.R. 7-

1(b). Accordingly, the hearing set for January 15, 2010 is HEREBY VACATED. Having

considered the parties’ arguments, relevant legal authority, the Court GRANTS IN PART AND

DENIES IN PART Plaintiff’s motion to augment the administrative record and for leave to

conduct discovery.

Plaintiff brings this motion to conduct discovery regarding defendant Life Insurance

Company of North America (“LINA”) and Reliance Steel & Aluminum Co.’s Long Term

Disability Plan (collectively “Defendants”) conflict of interest. Plaintiff argues that there was

an apparent conflict of interest because LINA acted as both the funding source and the

administrator of the ERISA plan. See Metropolitan Life Ins. Co. v. Glenn, __ U.S. __, 128 S. 

Case 3:09-cv-02487-JSW Document 31 Filed 01/05/10 Page 1 of 4
United States District Court

For the Northern District of California

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Ct. 2343, 2348 (2008) (“If a benefit plan gives discretion to an administrator or fiduciary who is

operating under a conflict of interest, that conflict must be weighed as a factor in determining

whether there is an abuse of discretion.”) (emphasis in original, internal quotations omitted); see

also Abatie v. Alta Health & Life Ins. Co., 458 F.3d 955, 965 (9th Cir.2006) (“an insurer that 

acts both as the plan administrator and the funding source for the plan operates under what may

be termed a structural conflict of interest”). Under Glenn and Abatie, a court must consider a

conflict of interest as a factor to be weighed in abuse of discretion review. Glenn, 128 S.Ct. at

2350-52; Abatie, 458 F.3d at 970. In determining how much weight to give a conflict of

interest under the abuse of discretion standard, courts may consider evidence outside the

administrative record. Abatie, 458 F.3d at 970 (“The district court may, in its discretion,

consider evidence outside the administrative record to decide the nature, extent, and effect on

the decision-making process of any conflict of interest; the decision on the merits, though, must

rest on the administrative record once the conflict (if any) has been established by extrinsic

evidence or otherwise.”); see also Welch v. Metropolitan Life Ins. Co., 480 F.3d 942, 949-50

(9th Cir. 2007). 

In Welch, the court implicitly held that a plaintiff may conduct discovery in order to

show a conflict of interest. In reviewing the district court’s determination of attorney’s fees, the

Ninth Circuit stated that, “[b]ecause an ERISA plaintiff may be permitted to supplement the

administrative record with evidence of a conflict of interest on the part of the defendants, ...

some discovery aimed at demonstrating a conflict of interest may have been appropriate.” Id. at

949-50 (emphasis in original); see also Gullidge v. Hartford Life & Accident Ins. Co., 501 F.

Supp. 2d 1280, 1283 (C.D. Cal. 2007) (citing Welch for the proposition that conducting

discovery regarding whether a conflict of interest existed is appropriate).

Based on the structural conflict of interest present in this matter, the Court finds that

discovery into the scope of the conflict, as well as discovery regarding the nature, extent, and

effect of the conflict on the decision making process is appropriate. Accordingly, the Court

HEREBY GRANTS Plaintiff’s motion to conduct limited discovery. The Court reminds

Case 3:09-cv-02487-JSW Document 31 Filed 01/05/10 Page 2 of 4
United States District Court

For the Northern District of California

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Plaintiff that “such discovery must be narrowly tailored and cannot be a fishing expedition.” 

Groom v. Standard Ins. Co., 492 F. Supp. 2d 1202, 1205 (C.D. Cal. 2007).

The Court declines to adjudicate any specific discovery request. To the extent the

parties are unable to resolve disputes regarding specific discovery requests, pursuant to Civil

Local Rule 72-1, the Court HEREBY REFERS this matter to a randomly assigned magistrate

judge for resolution of such discovery disputes and for resolution of all discovery matters.

Plaintiff also seeks to augment the administrative record. Pursuant to 29 U.S.C. § 1133,

Plaintiff is entitled to a “full and fair review” of LINA’s denial of her disability claim. 

Providing a “full and fair review” requires that claimants be given access to all “information

relevant to the claimant’s claim for benefits.” See 29 C.F.R. § 2650.503-1(h)(2)(iii). The

regulations define “relevant” to mean all documents, records, or other information that:

(i) Was relied upon in making the benefit determination; 

(ii) Was submitted, considered, or generated in the course of making the benefit

determination, without regard to whether such document, record, or other

information was relied upon in making the benefit determination; 

(iii) Demonstrates compliance with the administrative processes and safeguards

required pursuant to paragraph (b)(5) of this section in making the benefit

determination; or 

(iv) In the case of a group health plan or a plan providing disability benefits,

constitutes a statement of policy or guidance with respect to the plan concerning

the denied treatment option or benefit for the claimant’s diagnosis, without

regard to whether such advice or statement was relied upon in making the benefit

determination.

29 C.F.R. § 2650.503-1(m)(8). 

LINA argues that it should not be required to produce its Claim Policy and Procedures

(“P&P”) because these internal guidelines were not relied upon and are not plan-specific. 

LINA provides sufficient evidence that its internal guidelines apply generally to all claims, not

merely to those arising under the Plan at issue in this case. (Declaration of Richard Lodi, ¶¶ 5-

10.) Therefore, the Court DENIES Plaintiff’s motion to augment the administrative record with

production of LINA’s P&P.

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Case 3:09-cv-02487-JSW Document 31 Filed 01/05/10 Page 3 of 4
United States District Court

For the Northern District of California

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Defendants agree to produce the summary plan description (“SPD”) as requested by

Plaintiff and such production shall be made forthwith.

IT IS SO ORDERED.

Dated: January 5, 2010 

JEFFREY S. WHITE

UNITED STATES DISTRICT JUDGE

Case 3:09-cv-02487-JSW Document 31 Filed 01/05/10 Page 4 of 4