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Card v. Principal Life Ins. Co.

Card v. Principal Life Ins. Co.

United States Court of Appeals for the Sixth Circuit

October 21, 2021, Argued; November 2, 2021, Decided; November 2, 2021, Filed

File Name: 21a0248p.06

No. 20-6217

Opinion

 [*622]  [***1]   The court delivered a PER CURIAM opinion. MURPHY, J. (pp. 9-13), delivered a separate concurring opinion.

 [***2]  PER CURIAM. This case under the Employee Retirement Income Security Act (ERISA) reaches our court for a second time. On Susan Card's first appeal, we found that the administrator of her disability plan arbitrarily denied her benefits, so we ordered a remand to the plan administrator for it to take a second look at her claims. See Card v. Principal Life Ins. Co., 790 F. App'x 730, 732 (6th Cir. 2019). When Card filed various motions in the district court after this remand, the district court held that it lacked jurisdiction because we had bypassed [**2]  the court and remanded Card's case directly to the administrator. Card now appeals this jurisdictional ruling. The ruling requires us to address how "remands" to plan administrators should work. Because a district court retains jurisdiction over a beneficiary's ERISA suit during the remand, we vacate the court's order holding that it lacked jurisdiction and remand for it to consider Card's motions.

In February 2013, a doctor diagnosed Card with "chronic lymphocytic leukemia," a slow-growing blood cancer that can cause fatigue. See id. at 732 & n.1. By the following December, Card alleges, her worsening fatigue left her unable to perform her job as a night-shift nurse at a long-term care and skilled rehabilitation center. Id. at 732-33. She applied for disability benefits under an ERISA-governed plan administered by Principal Life Insurance Company. Id. at 733. Principal Life denied her requests for short-term, long-term, and total disability benefits on the ground that she did not fall within the plan's various "disability" definitions. Id. at 733-34.

Card sued Principal Life seeking these benefits under ERISA. The district court granted summary judgment to Principal Life. Id. at 734. We reversed. [**3]  The plan delegated discretionary claims-processing authority to Principal Life, so we reviewed its denial of benefits under the deferential arbitrary-and-capricious test. See id. at 734-36. But we held that Principal Life's denial failed this test. Id. at 737-43. The plan's definition of short-term disability turned on  [***3]  whether beneficiaries could perform the essential tasks of their specific jobs; its definition of long-term disability turned on whether beneficiaries could perform the essential tasks of their general occupations. Id. at 737-39. We reasoned that Principal Life had not analyzed whether Card's cancer prevented her from performing the tasks of her job or occupation. Id. at 738-42.

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17 F.4th 620 *; 2021 U.S. App. LEXIS 32599 **; 2021 FED App. 0248P (6th Cir.) ***

SUSAN CARD, Plaintiff-Appellant, v. PRINCIPAL LIFE INSURANCE COMPANY, Defendant-Appellee.

Prior History:  [**1] Appeal from the United States District Court for the Eastern District of Kentucky at Lexington. No. 5:15-cv-00139. Karen K. Caldwell, District Judge.

Card v. Principal Life Ins. Co., 2016 U.S. Dist. LEXIS 43019 (E.D. Ky., Mar. 31, 2016)

CORE TERMS

district court, benefits, plan administrator, courts, remands, motions, decisions, cases, per curiam, instructions, orders, disability benefits, further proceedings, circuit court, subject-matter, vacate

Civil Procedure, Appeals, Appellate Jurisdiction, Final Judgment Rule, Voluntary Dismissals, Notice of Dismissal, Dismissal Without Prejudice, Court Order, Removal, Postremoval Remands, Appellate Review, Pensions & Benefits Law, Judicial Review, Standards of Review, Arbitrary & Capricious Review, De Novo Standard of Review, Civil Litigation, Causes of Action, Suits to Recover Plan Benefits, Remedies, Injunctions, Permanent Injunctions, ERISA, Claim Procedures, Remedies, Remands