FILED
NOT FOR PUBLICATION
JAN 16 2020
UNITED STATES COURT OF APPEALS MOLLY C. DWYER, CLERK
U.S. COURT OF APPEALS
FOR THE NINTH CIRCUIT
DYEL O. TALBOT, a married woman, No. 18-15375
Plaintiff-Appellant, D.C. No. 2:14-cv-00231-DJH
v.
MEMORANDUM*
RELIANCE STANDARD LIFE
INSURANCE COMPANY;
PAYMENTECH MANAGEMENT
RESOURCES, INC.,
Defendants-Appellees.
Appeal from the United States District Court
for the District of Arizona
Diane J. Humetewa, District Judge, Presiding
Argued and Submitted November 15, 2019
San Francisco, California
Before: WARDLAW, W. FLETCHER, and LINN,** Circuit Judges.
In 1996, Paymentech Resources (“PMR”) established the Paymentech
Welfare Benefit Plan (“Plan”). The Plan included long-term disability (“LTD”)
*
This disposition is not appropriate for publication and is not precedent
except as provided by Ninth Circuit Rule 36-3.
**
The Honorable Richard Linn, United States Circuit Judge for the U.S.
Court of Appeals for the Federal Circuit, sitting by designation.
benefits, which PMR funded through an LTD Policy purchased from Reliance
Standard Life Insurance Company (“RSLIC”). RSLIC had complete and final
discretion to determine benefits eligibility under the LTD Policy.
In 2008, PMR terminated the Plan and Policy, and PMR ceased to exist as an
entity by December 31, 2010. RSLIC’s payments of LTD benefits remained
unaffected. Plaintiff-Appellant Dyel Talbot began working for PMR in 2006 and
was injured in October 2007. Talbot never returned to PMR and submitted a claim
for LTD benefits. Although RSLIC initially approved Talbot’s claim, it terminated
her benefits in May 2013.
Talbot appeals the district court’s orders granting RSLIC’s motions to
dismiss and denying Talbot’s motions for summary judgment. Talbot claims that
under the Employee Retirement Income Security Act, 29 U.S.C. § 1001 et seq., (1)
RSLIC wrongfully terminated her LTD benefits, (2) either RSLIC or PMR was the
Plan Administrator with a duty to provide her plan documents, and (3) the district
court erred in dismissing disgorgement of profits as an available equitable remedy.
We affirm the district court on all three issues.
First, RSLIC did not abuse its discretion by denying Talbot’s benefits. See
29 U.S.C. § 1132(a)(1)(B); Abatie v. Alta Health & Life Ins. Co., 458 F.3d 955,
963 (9th Cir. 2006). A participant was entitled to LTD benefits under the Plan if
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she was “totally disabled,” meaning that she could not “perform the material duties
of any occupation.” While receiving LTD benefits, Talbot underwent three
Independent Medical Examinations (“IMEs”), each of which concluded that Talbot
was capable of full-time sedentary work with minor adjustments. All three IMEs
also found inconsistencies between Talbot’s self-reported symptoms and the
objective medical evidence. Even considering RSLIC’s conflict of interest as a
factor, see Montour v. Hartford Life & Acc. Ins. Co., 588 F.3d 623, 630 (9th Cir.
2009), we cannot say that RSLIC’s decision was “illogical,” “implausible,” or
“without support” from the record, Salomaa v. Honda Long Term Disability Plan,
642 F.3d 666, 676 (9th Cir. 2011).
We also decline to hold RSLIC or PMR liable for failing to furnish plan
documents as the Plan Administrator. See 29 U.S.C. §§ 1132(c)(1), 1024(b)(4).
First, RSLIC is not liable because the Plan specifically designated PMR as the Plan
Administrator, see 29 U.S.C. § 1002(16)(A), and PMR admits it was the Plan
Administrator. Second, this court has long rejected Talbot’s theory that RSLIC can
be deemed a de facto administrator. See Moran v. Aetna Life Ins. Co., 872 F.2d
296, 299–300 (9th Cir. 1989); Sgro v. Danone Waters of N. Am., Inc., 532 F.3d
940, 945 (9th Cir. 2008). Third, when Talbot requested Plan documents in 2013,
PMR had been defunct for nearly three years, and the Plan had been terminated for
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five years. Section 1132(c)(1) grants us broad discretion to impose damages, and
explicitly excuses a Plan Administrator whose “failure or refusal results from
matters reasonably beyond the control of the administrator.” Although PMR was
the designated Plan Administrator, the three-year non-existence of the Plan
Administrator to a five-year defunct Plan reasonably excuses PMR from liability.
Finally, we hold that Talbot is not entitled to equitable relief under 29
U.S.C. § 1132(a)(3). The district court granted RSLIC’s motion to dismiss on the
ground that Talbot’s alleged harm could instead be remedied under §
1132(a)(1)(B). Talbot v. Reliance Standard Life Ins. Co., 2015 WL 4134548, at
*16 (D. Ariz. June 18, 2015). A year after the district court’s order, we clarified
that a plaintiff at the pleading stage may seek § 1132(a)(1)(B) and § 1132(a)(3)
claims in the alternative. See Moyle v. Liberty Mut. Ret. Benefit Plan, 823 F.3d
948, 959–62 (9th Cir. 2016). However, we may affirm the district court on any
ground supported by the record. ASARCO, LLC v. Union Pac. R. Co., 765 F.3d
999, 1004 (9th Cir. 2014). Alternate grounds are available here: RSLIC did not
wrongfully deny benefits, so there is no injury to equitably address under §
1132(a)(3).
AFFIRMED.
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