Syed v.
Hercules, Inc., 214 F.3d 155 (3rd Cir. 2000)-Syed filed suit
against his former employer after it discontinued his long-term disability
benefits after two years.
Hercules discontinued the benefits based on a doctor's opinion that he
could do "sedentary to light" work (and therefore no longer met the
definition of "total disability").
Syed made four arguments on appeal.
This court affirmed the denial of all arguments on appeal.
First, he contended that the district court used the wrong statute of
limitations to deny his claim.
This court affirmed the district court's choice of Delaware's one-year
statutory limit for wage and benefit disputes instead of Delaware’s three-year
limit for general contract disputes.
The test is whether, as a whole, the coverage of the statute is more
analogous to the ERISA claim.
Second,
Syed requested the imposition of sanctions under 29 U.S.C. § 1132(c) against
Hercules for failure to provide him with the plan document pursuant to a written
request. This
court found this argument lacking, because although Hercules provided him with a
plan summary instead of the plan itself, the two were "identical in all
respects material to this dispute."
Third,
Syed argued that Hercules violated 29 U.S.C. § 1133 both by failing to provide
specific reasons for the denial of his claim and by neglecting to name any
additional material or information that would have helped him perfect his claim.
This court found that Hercules' letter clearly contained all the required
elements of notice, namely:
"(1) The specific reason or reasons for the denial; (2) Specific
reference to pertinent plan provisions on which the denial is based; (3) A
description of any additional material or information necessary for the claimant
to perfect the claim and an explanation of why such material or information is
necessary; and (4) Appropriate information as to the steps to be taken if the
participant or beneficiary wishes to submit his or her claim for review."
Finally,
Syed asserted that the District Court should have exercised plenary review over
the Claims Fiduciary's decision to deny his benefits, rather than reviewing for
an abuse of discretion, as the Plan did not grant discretion to the Claims
Fiduciary to make a disability determination.
This court found no need to address this claim, since the statute of
limitations had run.