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Opeta v. Northwest Airlines Pension Plan

Opeta v. Northwest Airlines Pension Plan

United States Court of Appeals for the Ninth Circuit

September 12, 2006, Argued and Submitted, Pasadena, California ; May 7, 2007, Filed

No. 04-56719

Opinion

 [*1213]  WARDLAW, Circuit Judge:

 Ioane John Opeta appeals the district court's judgment that he is not "totally and permanently" disabled, and therefore ineligible for a disability pension benefit under the Northwest Airlines Pension Plan for Contract Employees (the "Plan"), which is administered by Northwest Airlines ("Northwest") and regulated by the Employee Retirement Income Security Act of 1974 ("ERISA"). We must determine whether the district court, in conducting a de novo review of the Plan's denial of benefits, abused its discretion by admitting evidence extrinsic [**2]  to the administrative record. We hold that because the circumstances did not clearly establish that the evidence was necessary to the district court's review, Friedrich v. Intel Corp., 181 F.3d 1105, 1110-11 (9th Cir. 1999), the district court abused its discretion by admitting the evidence. Therefore, we reverse the district court's judgment and remand for a grant of benefits under the Plan.

On October 30, 1996, Ioane John Opeta, a Northwest employee, severely injured his back when he grabbed a falling 300-pound crate while loading cargo onto an aircraft. Opeta underwent surgery and received extensive treatment for his injury, including physical therapy, and numerous epidurals for pain relief. In 1998, Opeta returned to work for Northwest as a ramp coordinator on light duty, but was terminated from his position as equipment lead supervisor because of his medical condition. He proceeded to work at Northwest in various positions, including as an accountant, a security coordinator, and an inspector of security and pollution processes  [*1214]  at several Northwest facilities. Opeta remained in constant pain that was exacerbated by long periods of sitting or standing.

In [**3]  2001, Opeta's condition worsened and he began experiencing sharp pain in his lower back. Medical tests revealed that he had mild degenerative disc disease in his spine. Dr. Mealer, the orthopedic surgeon to whom Opeta had been referred by Northwest, and who performed Opeta's surgery, reported that Opeta was temporarily totally disabled, but nevertheless cleared him for work. In 2002, on Dr. Mealer's recommendation, Opeta was placed on leave due to total disability.

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484 F.3d 1211 *; 2007 U.S. App. LEXIS 10793 **; 40 Employee Benefits Cas. (BNA) 2361

IOANE JOHN OPETA, Plaintiff-Appellant, v. NORTHWEST AIRLINES PENSION PLAN FOR CONTRACT EMPLOYEES, Defendant-Appellee.

Prior History:  [**1]  Appeal from the United States District Court for the Central District of California. D.C. No. CV-03-05189-WJR. William J. Rea, District Judge, Presiding.

Disposition: REVERSED and REMANDED.

CORE TERMS

district court, permanent disability, benefits, videotape, de novo review, administrative record, terms of the plan, disability, additional evidence, plan administrator, binding, total disability, circumstances, eligibility, sedentary, extrinsic evidence, correctly, abuse of discretion, de novo, surveillance, conferred, questions, records, abused, remote

Civil Procedure, Appeals, Standards of Review, Abuse of Discretion, Pensions & Benefits Law, Judicial Review, Clearly Erroneous Review, De Novo Review, De Novo Standard of Review, Handling of Claims, Scope of Review