Court Opinion

ID: 4545504
Source: CourtListenerOpinion
Date Created: 2020-07-01 16:00:22.560277+00
Date Added: 2024-06-11T08:52:15.965728
License: Public Domain

United States Court of Appeals
                             For the Eighth Circuit
                         ___________________________

                                 No. 19-2166
                         ___________________________

                                    Harry DaPron

                        lllllllllllllllllllllPlaintiff - Appellant

                                           v.

  Spire Missouri, Inc., formerly known as Laclede Gas Company; Laclede Gas
                     Company Employees’ Retirement Plan

                             lllllllllllllllllllllDefendants

                   Spire Inc. Retirement Plans Committee

                        lllllllllllllllllllllDefendant - Appellee
                                       ____________

                  Appeal from United States District Court
                for the Eastern District of Missouri - St. Louis
                                ____________

                            Submitted: January 15, 2020
                               Filed: July 1, 2020
                                 ____________

Before KELLY, MELLOY, and KOBES, Circuit Judges.
                           ____________

KOBES, Circuit Judge.
       Harry DaPron alleged that the Retirement Plan Committee for Spire, Inc.,
(Committee) wrongfully denied his disability claim under its Employees’ Retirement
Plan and breached its fiduciary duty by failing to conduct a full and fair review of his
medical records when reconsidering his claim. The district court1 decided that the
Committee followed and reasonably interpreted the Plan’s terms when it found that
DaPron’s claim was untimely. It also held the Committee did not breach its fiduciary
duty to review all of DaPron’s medical records because they were not relevant to the
timeliness inquiry. We affirm.

                                           I.

      DaPron worked for Laclede Gas2 for nearly 20 years and voluntarily resigned
on March 2, 2010. During his employment, he had severe mental health conditions
that caused him to be hospitalized, including shortly before his resignation in
February 2010 and shortly after in March 2010. He continued to suffer from severe
mental health conditions in the following years. He applied for Social Security
Disability benefits on March 4, 2012 and eventually received them. In February
2013, he began sustained treatment that ultimately caused him to improve enough to
apply for disability retirement benefits from Spire on May 16, 2016.

      The Committee denied the claim because the Plan required a covered employee
to apply for a disability pension before his employment terminated and because an
employee would not be considered eligible for benefits without a timely application.
The Committee had not made any exceptions to this requirement or administered the

      1
       The Honorable John M. Bodenhausen, United States Magistrate judge for the
Eastern District of Missouri, to whom this case was referred for final disposition by
consent of the parties pursuant to 28 U.S.C. § 636(c).
      2
         Spire Missouri Inc. was known as Laclede Gas Company at the time of
DaPron’s 2010 resignation. Comm. Br. 1 n.2. We will refer to the retirement plan
at issue as Spire’s plan.

                                          -2-
Plan differently in the past. Although the Committee did not try to determine whether
DaPron was disabled at the time of separation, it looked at the Plan documents and
found that DaPron’s claim was untimely because he applied more than six years after
separation. In its letter denying the claim, the Committee explained that “the
application for Disability Retirement must be made before/in connection with the
employee terminating employment” and DaPron “did not apply for Disability
Retirement benefits in connection with [his] termination.” Add. 9.

       DaPron appealed the decision in an eight-page letter outlining the medical
evidence of his disability and provided over 1,000 pages of his medical records.
Although the Committee considered DaPron’s appeal letter and other correspondence,
no one reviewed the medical records. It denied DaPron’s appeal and again explained
that the Plan requires a disability application “be filed with the Plan Administrator at
or around the time the Participant terminates employment.” Add. 11. It also noted
that this requirement helped the Committee determine if at the time of termination an
applicant was disabled and whether there was other work available for the employee
in the company.

       DaPron and the Committee filed cross-motions for summary judgment. The
district court granted judgment to the Committee, and DaPron timely appealed. We
have jurisdiction under 28 U.S.C. § 1291.

                                          II.

      We review the district court’s grant or denial of summary judgment de novo
“using the same standard as the district court, and we view the evidence in the light
most favorable to the nonmoving party.” Boyd v. ConAgra Foods, Inc., 879 F.3d 314,
319 (8th Cir. 2018). “Where an ERISA plan grants its administrator discretion to
decide questions of eligibility for benefits or construe plan terms—as the Plan does
here—judicial review of the administrator’s determinations generally is limited to the
abuse of discretion standard.” Id. (citation omitted).

                                          -3-
       DaPron only raises two issues. First, he claims that the Committee’s failure to
review his medical records during his appeal is a procedural irregularity that
constitutes a breach of its fiduciary duty to him. He argues that a “less deferential
standard of review than abuse of discretion may apply” when this happens. DaPron
Br. 16 (citing Leirer v. P&G Disability Ben. Plan, 910 F.3d 392, 396–97 (8th Cir.
2018)). We need not decide whether a less deferential standard applies to a
procedural irregularity because any irregularity “must have some connection to the
substantive decision reached.” Menz v. Procter & Gamble Health Care Plan, 520
F.3d 865, 869 (8th Cir. 2008) (citation omitted).

       DaPron never explains how a failure to review medical records showing that
he was disabled in 2010 relates to the Plan’s requirement that he file such a claim in
2010. It is undisputed he did not file at that time, and the Committee was unaware
of any exception having been previously granted. If anything, DaPron requested that
the Committee deviate from the Plan by allowing his 2016 claim to go forward. The
district court properly found that the Committee did not breach its fiduciary duty by
failing to review the medical records.

       Second, DaPron argues that the case must be remanded because the Committee
offered different rationales for denying his claim in litigation and in its denial letters.
We disagree. The Committee’s denial letters consistently state that the application
was denied as untimely because it was not made before or in connection with
DaPron’s separation. The Committee’s summary judgment motion claimed that it
was entitled to judgment as a matter of law by showing its interpretation of the Plan
was reasonable and internally consistent with other Plan provisions. That is not a
different position on why the claim was denied. And it is not like King v. Hartford

                                           -4-
Life & Acc. Ins. Co., 414 F.3d 994 (8th Cir. 2005) (en banc), where the Plan
Administrator justified its decision in court based on the correct legal standard that
was not used earlier during the administrative process.

      The district court is affirmed.
                             ______________________________

                                          -5-