Roarty v. Tyco International Ltd. Group Business Travel Accident Insurance Plan et al

Filing 82

MEMORANDUM AND ORDER. Judgment is entered in favor of the defendants and against the plaintiff. Signed by Chief Judge Gregory M. Sleet on 9/26/12. (mmm)

IN THE UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF DELAWARE
KELLY ROARTY,

)
)

Plaintiff,

)
)

v.

)
Civil Action No. 06-195 GMS

)

TYCO INTERNATIONAL LTD. GROUP
BUSINESS TRAVEL ACCIDENT
INSURANCE PLAN, and LIFE
INSURANCE COMPANY OF NORTH
AMERICA,

)
)
)
)
)
)

Defendants.

)

____________________________ )
MEMORANDUM
I.

INTRODUCTION
Kelly Roarty ("Mrs. Roarty") brings this action against Tyco International, Ltd. Group

Business Travel Accident Insurance Plan (the "Tyco Plan") 1 and Life Insurance Company of
North America ("LICNA") 2 , (collectively, the "defendants"), pursuant to the Employee
Retirement Income Security Act ("ERISA"), 29 U.S.C. § 1001 et seq. Mrs. Roarty claims that
the defendants wrongfully denied her benefits to which she was entitled under an employee
benefits plan (the "BTA Plan") after her husband's death. Mrs. Roarty also claims that the
defendants breached their fiduciary duties to her during their review and subsequent denial of her
claim.
The court held a one-day bench trial on April 21, 2008. On September 12, 2008, the

1

The court will refer to this defendant as the "Tyco Plan," while using the "BTA Plan" to refer to the actual
written plan governing Mr. Roarty's benefit rights.
2

LICNA became the plan underwriter and designated plan fiduciary in 2002. In this capacity, LICNA was
granted authority to "interpret[] plan terms, decid[ e] questions of eligibility, and mak[ e] findings of fact relating to
the BTA Plan.'' (D.I. 62 at 4.)

1

court issued a memorandum opinion holding that LICNA's denial was an abuse of discretion and
erroneous as a matter oflaw. (D.I. 62.) Specifically, the court found that Tyco International Ltd.
("Tyco"), the parent company of Mr. Roarty's employer, failed to use measures reasonably
calculated to ensure Mr. Roarty's timely receipt of the required summary plan description
("SPD") or summary of material modifications ("SMM"), following the July 1, 2002
modification of the BTA Plan. (!d. at 8.) As such, the court concluded that the earlier 2000 SPD
remained in effect, and, by its terms, Mr. Roarty enjoyed coverage "24 hours a day whether
traveling or not, at home, at work, on vacation, while traveling anywhere in the world .... "
(Jd.at 12.) This extended well beyond the limited coverage provided by the modified BTA Plan.
Applying the rule that "where a summary plan description conflicts with the plan language, it is
the summary plan description that will control," the court found that the 2000 SPD continued to
govern Mr. Roarty's rights, making LICNA's denial unreasonable.
On July 8, 2010, the U.S. Court of Appeals for the Third Circuit vacated the judgment
and remanded this case. (D .I. 68.) The Third Circuit noted .that Tyco' s failure to ensure timely
receipt of the summary documents did not necessarily render those documents ineffective.
Roarty v. Tyco Int'l Ltd. Grp. Bus. Travel Accident Ins. Plan, 386 F. App'x 329, 333 (3d Cir.
2010). Rather, the 2002 SPD, as modified by the SMM, would continue to function as the
operative summary document absent a showing of "extraordinary circumstances." Id. at 334.
The Third Circuit remanded for the court to consider whether such "extraordinary
circumstances" existed, and, if necessary, to examine Mrs. Roarty's claim against LICNA for
breach of fiduciary duty under ERISA§ 502(a)(3). Id.
The court now holds that no such "extraordinary circumstances" were present, that
LICNA's claim denial was not an abuse of its discretion under the modified language ofthe BTA

2

Plan, and that LICNA did not breach any of its fiduciary duties.
II.

FINDINGS OF FACT

The court relies primarily on its previous findings of fact, set forth in its September 12,
2008 Memorandum Opinion. (D.I. 62 at 2-9.) To the extent necessary, the court makes new
findings of fact consistent with undisputed evidence in the record.

The parties' disputes

generally surround the application of the law to these undisputed facts.
III.

CONCLUSIONS OF LAW

The court will first consider Mrs. Roarty's claim that she is owed benefits under the 2000
SPD and ERISA § 502(a)(l)(B) due to what she contends are extraordinary circumstances
surrounding Tyco's failure to distribute the 2002 SPD and 2002 SMM. The court will then
discuss whether LICNA abused its discretion in applying the modified BTA Plan language to
Mrs. Roarty's claim. Finally, the court will tum to the issue of whether LICNA breached its
fiduciary duties under ERISA§ 502(a)(3).
The court will not addres.s Mrs. Roarty's breach of fiduciary duty claim against the Tyco
Plan3 or her equitable estoppel claims against the Tyco Plan and LICNA. 4
A.

ERISA Disclosure Obligations and "Extraordina•1' Circumstances"

3

The Complaint does not raise a breach of fiduciary duty claim against either Tyco or the Tyco Plan.
Moreover, even were the court to agree with Mrs. Roarty and fmd that the Tyco Plan implicitly consented to such a
claim under Federal Rule of Civil Procedure 15(b)(2), that claim should have been brought against Tyco, the plan
administrator, and not the Tyco Plan itself. This latter problem is more serious and cannot be addressed via a
"consent" argument. While Rule 15(b)(2) can be used to "amend" and "bring the pleadings in line with the actual
issues upon which the case was tried," DRR, L.L.C. v. Sears, Roebuck & Co., :.71 F.R.D. 162, 165 (D. Del. 1997)
(internal quotation omitted), it cannot create duties and liability where none exist. Even if the court were to fmd
that Tyco Plan implicitly consented to an amendment of the pleadings to add a claim against it for breach of
fiduciary duties, that claim still must fail-all Mrs. Roarty purports to demonstrate are fiduciary duty breaches of a
separate legal entity, Tyco.
4

These claims are beyond the scope of the Third Circuit's mandate, which instructed the court to "also
consider Roarty's equitable claim for breach o.f fiduciary duty under ERISA section 502(a)(3)." Roarty, 386 F.
App'x at 334 (emphasis added). "Upon remand of a case for further proceedings after a decision by the appellate
court, the trial court must 'proceed in accordance with the mandate and the law of the case as established on
appeal."' United States v. Kikumura, 947 F.2d 72, 76 (3d Cir. 1991) (quoting Bankers Trust Co. v. Bethlehem Steel
Corp., 761 F.2d 943,949 (3d Cir. 1985)).

3

As the court has previously held, if the 2000 SPD remained the controlling statement of
Mr. Roarty's benefits, LICNA's claim denial was erroneous as a matter of law and an abuse of
discretion. (Id. at 12.) The court therefore turns its attention to whether there were, in fact,
"extraordinary circumstances" that rendered the subsequent 2002 SPD and 2002 SMM
ineffective and left the 2000 SPD as the operative summary document.
ERISA requires that plan administrators provide beneficiaries with a summary plan
description setting forth the general terms of a benefits plan and a summary document providing
notice of material modifications.

29 U.S.C. § 1024(b)(1); see also Curtiss Wright Corp. v.

Schoonejongen, 514 U.S. 73, 83 (1995).

The court previously determined that Tyco never

distributed the 2002 SPD and SMM to Mr. Roarty, thereby violating these provisions. (D.I. 62 at
8.) .The Third Circuit, however, has found that such a failure generally "[does] not give rise to a
substantive remedy other than that provided for in section 502(a)(l)(A) of [ERISA]." Ackerman
v. Warnaco, Inc., 55 F.3d 117, 124 (3d Cir. 1995). In order for the::: court to apply the additional
remedy of regarding the 2002 SPD and the modified 2002 BTA Plan as ineffective, there must
be a showing of "extraordinary circumstances" in connection with the distribution failure. I d. at
124-25.

Such circumstances may exist "where the employer has acted in bad faith, or has

actively concealed a change in a benefit plan, and the covered employees have been substantially
harmed by virtue of the employer's actions." Id. at 125; see also Jordan v. Federal Express
Corp., 116 F.3d 1005, 1011 (3d Cir. 1997).
Mrs. Roarty argues that both bad faith and active concealment existed here. (D.I. 73 at
29.) She first claims that the 2002 SMM was intended only to infl)rm employees that Tyco had
changed carriers and not to advise of changes to the BT A Plan. (Id.)

Presumably, it is Mrs.

Roarty's argument that such a limited intent is indicative of Tyco' s broader effort to conceal the

4

Plan modifications. The court, however, is not convinced that it can infer active concealment on
this basis alone. Moreover, the record does not necessarily support her contention that the 2002
SMM was intended only to alert employees to the new carrier. While Ms. Beauchesne, a Tyco
employee responsible for the cash management of health and welfare benefits, did testify that
this was the purpose of the 2002 SMM, it is not at all clear from her statement that this was the
sole objective of the document. (D.I. 73-6 at 10.) Finally, the court has previously observed that
the 2002 SMM did explain, albeit fleetingly, "that the BTA Plan would categorically no longer
cover an employee engaged in non-business travel." (D.I. 62 at 5.)
Mrs. Roarty next argues that the failure of the 2002 SPD to explicitly discuss the Plan
amendments suggests active concealment.

(D.I. 73 at 30.)

The court finds this contention

similarly unconvincing. As an initial matter, the 2002 SPD did state that the Plan was "subject to
change July 1, 2002," thereby inviting beneficiaries to reference the 2002 SMM, which
explained that employees engaged in non-business travel were no longer covered. (D.I. 62 at 5.)
While not particularly clear and perhaps inadequate under federal law, the summary documents
provided some notice of the modification. Furthermore, adopting Mrs. Roarty's argument would
come dangerously close to collapsing the "extraordinary circumstances" inquiry into the
preliminary question of whether Tyco failed to provide its plan participants with adequate
summary materials.

The mere fact that a plan administrator failed to offer the required

disclosures cannot answer the question of why such a failure occurn::d. 5 See Ackerman, 55 F.3d at
125 n.8 ("[A]n inference ofbad faith or active concealment does not arise simply from a failure

5

The court recognizes that Mrs. Roarty does not entirely repeat her original argument that a disclosure
violation occurred through Tyco's failure to ensure delivery. Rather, she suggests that, even if the summary
materials were properly delivered, their content would not have sufficiently informed Tyco employees of the Plan
changes. In this way, she provides some small additional measure of evidence in support of her "extraordinary
circumstances" claim, separate from the evidence underlying her "failed delivery" point. This alone, however, is not
sufficient to demonstrate active concealment or bad faith.

5

to comply with ERISA's reporting or disclosure requirements.").
Mrs. Roarty also relies heavily on Ackerman v. Warnaco, Inc., 55 F.3d 117 (3d Cir.
1995). The Ackerman court reversed an order granting summary judgment to the defendant plan
administrator upon finding that the record below could support an inference that the defendant
actively concealed changes to a severance plan in order to prevent employees from leaving. Id.
at 125. The Third Circuit based this conclusion on "the fact that mt:etings that were scheduled to
inform the plaintiffs of the change in policy were never held, the fact that the [a handbook noting
the changes] was never distributed to the . . . employees, and the fact that a letter [from the
defendant's CEO] spoke of 'changes' in (rather than the elimination of) the severance plan." ld.
at 124.

The Ackerman court further relied on evidence concerning the (presumably) poor

"employment climate" at the plaintiffs' workplace. ld. at 125.
This comparison to Ackerman is not particularly convincing.

The decision merely

teaches that, given the particular facts before the Third Circuit, "a reasonable fact finder could
infer ... that [the defendant] actively concealed the change to ills severance policy," making
summary judgment inappropriate. I d. (emphasis added). The court does not believe that the
facts in this case offer equivalent support for such an inference. 6 Regardless, it is not enough for
the court to find that active concealment is within the range of n:ason here-at this stage, the
burden rests with Mrs. Roarty to demonstrate that "extraordinary circumstances" actually were
present.
Thus, Mrs. Roarty has not demonstrated that Tyco acted in bad faith or engaged in active

6

First, there is no indication of a poor "employment climate" at Tyco or Scott Instruments-Tyco' s
subsidiary and Mr. Roarty's immediate employer-that might have motivated Tyco to conceal the Plan changes.
Relatedly, the benefits modification at issue in this case is far less severe than that considered in Ackerman. The
court ventures that an employee is more likely to react negatively to an announcement that his severance plan was
eliminated than to an announcement that his business travel insurance has been scaled back. The incentives for an
employer to actively conceal the latter simply are not as powerful.

6

concealment. As the court previously observed, while Tyco failed to distribute the 2002 SPD
and SMM in accordance with federal law, "[t]he reason for Tyco's failure ... is not apparent
from the record."

(D.I. 62 at 8 n.3).

Accordingly, the court cannot find the requisite

"extraordinary circumstances" and will not assess LICNA's claim determination under the
language of the superseded 2000 SPD.
B.

ERISA Discretionary Review 7

Since there were no "extraordinary circumstances" here, the operative summary
document was the 2002 SPD, as modified by the 2002 SMM. Roarty, 386 F. App'x at 334. The
BTA Plan therefore controlled LICNA's benefits determination, as there was no clear conflict
between the 2002 SPD and the modified Plan language. See Burstein v. Allegheny Health Educ.
& Research Found., 334 F.3d 365, 378 (3d Cir. 2003).

As s1.1ch, the court must consider

whether, under the new BTA Plan, LICNA abused its discretion in denying Mrs. Roarty's claim
for benefits. 8
The BTA Plan states, in pertinent part:
We9 will pay benefits ... for any accident which occurs anywhere in the world
while a covered person, on a business trip, is traveling or making a short stay:
7

While the scope of the court's review on remand is limited by the mandate and opinion of the Court of
Appeals, the court believes that addressing the propriety of LICNA's claim decision under the modified BTA Plan is
consistent with that mandate. The court did not reach this issue in its earlier Memorandum and Order because it
found that the new Plan did not control. Operating now from the understanding that the modified Plan does, in fact,
govern, the court finds it is necessary to conduct the standard abuse of discretion examination. The Third Circuit
appears to have implicitly endorsed this inquiry through its reference to footnote 9 of the court's Memorandum,
which preserved this issue: "Because the above findings and conclusions, the court need not address whether
LICNA breached its fiduciary duties to Mrs. Roarty or otherwise abused its discretion in denying her claim."
Roarty, 386 F. App'x at 334 (citing D.l. 62 at 12 n.9).
8

Mrs. Roarty correctly notes that LICNA was subject to a conflict of interest, as it both funded and made
claim determinations regarding the benefits at issue. See Metropolitan Life Ins. Co. v. Glenn, 554 U.S. 105, 112
(2008); Culley v. Liberty Life Assurance Co., 339 F. App'x 240, 242-43 (3d Cir. 2009). The presence of such a
conflict, however, does not require that a court engage in de novo review of a benefits decision-the conflict
functions merely as one factor in the broader abuse of discretion inquiry. Glenn, 554 U.S. at 115.
9

"We" refers to LICNA. "You" and ''your" refer to Tyco.

7

a) away from your premises in his city of permanent assignment; and
b) on business for you, and in the course of your business.
All trips must be authorized by you.
(D.I. 73-2 at 3.) While the relevant language may well be ambiguous, the court cannot say that
LICNA's interpretation and application of the BTA Plan was unreasonable. 10 The facts indicate
that Mr. Roarty and his family intended to travel to Pittsburgh on August 3, 2004 to vacation and
attend a wedding. (D.I. 73-4 at 7.) Mr. Roarty, however, depart,:::d for the Pittsburgh area on
August 2, separately from his family and a day earlier than was planned, to meet with a client of
Scott Instruments. (Id. at 8.) On August 4, it became clear that no face-to-face meeting would
be required, but Mr. Roarty remained in the area with his family for several days and attended
the wedding on August 7. (Id. at 10-12.) It was not until August 8, on the drive back to
Newark, Delaware, that he was tragically killed. (!d. at 12-16.)
The court finds that LICNA reasonably viewed Mr. Roarty's trip as extending beyond the
scope of the BTA Plan after August 4, since he was no longer acting in furtherance of Tyco's
business at that point. (D.I. 73-8 at 11.) This interpretation is bolstered by the Plan's explicit
requirements that the employee be "on business for [Tyco], and in the course of [Tyco' s]
business" as well as the language indicating that "coverage will end when the covered person ...
makes a personal deviation." (D.I. 73-2 at 3.)
The plaintiffs reliance on Garber v. Provident Life Ins. Co., 181 F.3d 100 (6th Cir.
1999), is also misplaced.

In that case, the plan administrator was called upon to apply the

10

Where the language of a plan is ambiguous, the court asks whether the administrator's benefit
determination was "reasonable." Bill Gray Enters. Emp. Health & Welfare Plan v. Gourley, 248 F.3d 206, 218 (3d
Cir. 2001). Mrs. Roarty contends that any ambiguity requires the court to construe the relevant language in her
favor and against LICNA. (D.I. 78 at 8-9.) This argument, however, fails to appreciate the effect of LICNA's
discretionary authority to determine benefit claims. (D.I. 73 at 21.) Construction of ambiguous plan language in
favor of the beneficiary is appropriate where review is de novo, see Fay v. Oxford Health Plan, 287 F.3d 96, 104 (2d
Cir. 2002), but where a claim fiduciary possesses discretionary authority, the c:Jurt employs a deferential abuse of
discretion standard, Metro. Life Ins. Co. v. Glenn, 554 U.S. 105, 111 (2008).

8

following language:
Coverage will apply to any injury sustained by an Employee when on Business
for the Policyholder during any bonafide trip.
Coverage for such trip begins on the later of when an Employee leaves his or her
place of residence or place of regular employment for the purpose of going on
such trip.
Coverage ends on the earlier of when an Employee returns to his or her place of
residence or place of regular employment.
Definition
The term "when on Business for the Policyholder" means furthering the business
of the policyholder. This does not include an injury sustained during the course of
travel to and from work, leave of absence or vacation.
Id. at * 1. Given the structure of the first quoted sentence and the language in the "Definition"

section, the administrator interpreted coverage to extend only to times when an employee was
acting in furtherance of business. See id. at *3. The Sixth Circuit, however, found that it was
unreasonable to impose a "furtherance of business" requirement on the scope of coverage when
such an application would force the administrator to divide up a single workday into separate
leisure and business phases. Jd. at *4. Such a partition would be impractical and run counter to
the otherwise broad coverage language of the plan. !d.
Here, there is no indication that LICNA drew so fine a line. 11

11

While Mr. Roarty

In rather conclusory fashion, the plaintiffs Joint Reply Brief discusses Garber as follows:

"The Court in Garber, held that the policy was poorly drafted and required great interpretation,
which the Defendant claimed should be a very restrictive interpretation. The Court held, 'any
interpretation of the policy that requires such a fine line to be drawn is not a reasonable
interpretation.' Defendant [LICNA] admits that 'Plaintiff established a second reasonable
interpretation of Mr. Roarty's trip .... ' Therefore, as held in Garber, any interpretation by
Defendant [LICNA] was umeasonable and an abuse of discretion, and therefore, Mrs. Roarty is
entitled to substantive relief."
(D.l. 78 at 8-9.) Mrs. Roarty makes no attempt to address the actual "interpretation" at issue in Garber or compare
it to LICNA's interpretation in this case. Moreover, the mere fact that "Plaintiff established a second reasonable
interpretation" here, does not necessarily render all other interpretations umeasonable. Neither Garber nor basic
principles of logic require such a conclusion.

9

embarked upon a business trip to attend a client meeting, the accident did not occur until after he
learned that the meeting was cancelled, remained in the area with his family for several days, and
attended a wedding with them. LICNA suggests that the trip lost [ts "business" character upon
Mr. Roarty's decision to remain in the Pittsburgh area with his vacationing family on August 4.
The court finds it reasonable to conclude that this shift in purpose oecurred either then or at some
other point in the four days prior to the accident. (D.I. 73-8 at 11.)
Finally, Mrs. Roarty contends that the investigation

(~onducted

by LICNA was

inadequate, as it consisted almost entirely of questioning Tyco employees and occurred, in part,
after LICNA had already made its claim decision. (D.I. 73 at 22-23.) The court does not find
this argument persuasive.

The record reflects that LICNA received information from Tyco

suggesting that Mr. Roarty was not on a business trip both before denying Mrs. Roarty's initial
claim and before denying her appeal. (D.I. 73-2 at 29; D.I. 76-2 at 42.) Furthermore, LICNA's
decision was not made unreasonable by its reliance on Tyco's reports. See Estate of Schwing v.
The Lilly Health Plan, 562 F.3d 522, 527 (3d Cir. 2009) ("There is no requirement that an

ERISA administrator faced with an issue of who is to be believed must conduct an independent
investigation into the veracity of each account."); Vega v. Nat'l Life Ins. Servs., Inc., 188 F.3d
287, 299 (5th Cir. 1999) (en bane) (''[W]hen confronted with a denial ofbenefits by a conflicted
administrator, the district court may not impose a duty to reasonably investigate on the
administrator.").
For the foregoing reasons, the court finds that LICNA's interpretation of the BTA Plan
and the Plan's application to Mr. Roarty's accident was reasonable and not an abuse of its
discretion.

C.

ERISA Fiduciary Duties
10

The court next turns to Mrs. Roarty's breach of fiduciary duty claim against LICNA. A
plaintiff raising a breach of fiduciary duty claim under ERISA must demonstrate that: "(1) the
defendant was acting in a fiduciary capacity; (2) the defendant made affirmative
misrepresentations or failed to adequately inform plan participants and beneficiaries; (3) the
misrepresentation or inadequate disclosure was material; and (4)

th~:

plaintiff detrimentally relied

on the misrepresentation or inadequate disclosure." Shook v. Avaya, Inc., 625 F.3d 69, 73 (3d
Cir. 201 0). Here, it is clear that LICNA was operating as a fiduciary with respect to its claim
determination, (D.I. 53 at Uncontested Fact ,-r 7), and Mrs. Roarty alleges several
misrepresentations, (D.I. 73 at 35-38).

The court, however, is not convinced that these

statements were actually false or that detrimental reliance resulted
Mrs. Roarty first argues that LICNA materially

fi~om

any ofthem.

misrepres~mted

that it would conduct a

proper investigation. (Id. at 35.) As noted above, however, LICNA did conduct an investigation
even if it failed to await the final Tyco confirmation before deciding the appeal. (D.I. 76-2 at 17,
21, 23-25, 42, 49-51.) The court also finds that there was no detrimental reliance here. While
Mrs. Roarty emphasizes that LICNA failed to await final confirmation from Tyco before making
its appeal decision, there is no indication that Tyco would have provided information any
different from each of its previous communications with LICNA, all of which suggested that the
accident did not occur while on business.
In support of her second contention that "[LICNA] materially misrepresented that Mr.
Roarty was not on an authorized business trip," Mrs. Roarty points to the testimony of Mr.
Billeter, a LICNA representative. (D.I. 73 at 36.) At trial, Mr. Rilleter acknowledged that Mr.
Roarty was on an authorized business trip "at the outset" of his trip. (D.I. 73-9 at 12.) Mrs.
Roarty appears to argue that this statement undercuts LICNA's stated rationale for denying

11

benefits-that the accident did not occur while Mr. Roarty was o:o. a business trip. The court
cannot agree. LICNA merely concluded that Mr. Roarty was not on business at the time of the
accident on August 8, 2004. (D.I. 76-2 at 51.) Mr. Billeter's assertion that Mr. Roarty was on
business until August 4 does not make that conclusion a misrepresentation. Additionally, Mrs.
Roarty does not indicate how she relied on this alleged misrepresentation to her detriment.
Indeed, she cannot-far from relying on LICNA's assertion, Mrs. Roarty contested this point
throughout the claims process and the present litigation.
Mrs. Roarty next contends that LICNA misrepresented that its denial was based on a
determination that Mr. Roarty's trip was not an authorized business trip while, in fact, its
decision was based on a determination that the business trip was "open-ended." (D.I. 73 at 37.)
The plaintiff, however, does not point to an instance in the patties' communications where
LICNA claimed that no authorized business trip had ever existed.

Again, LICNA simply

concluded that Mr. Roarty was not on an authorized business trip "at the time of his accident."
(D.I. 76-2 at 51.) Mrs. Roarty argues that she relied on this supposed misrepresentation in
determining what information to provide LICNA during the claims process.

She again fails,

however, to indicate what information she could have provided that might have affected the
outcome.
Finally, Mrs. Roarty insists that LICNA misled her by suggesting that its denial was
based on the fact that her husband was not reimbursed for his trip. (D.I. 73 at 37.) She claims
this was a fabricated rationale that did not actually enter into LICNA's calculus. (Jd.) While the
record is unclear on this point, the court finds that no detrimental reliance could have existed in
any case. Mrs. Roarty argues that "if she had known that [LICNA] was denying her claim
because of ... an expense reimbursement she could have supplied a response or documentation

12

explaining the expense reimbursement concern." (D.I. 73 at 38.) As an initial matter, it is not
clear that she could have provided such evidence-the expense reimbursement issue first
surfaced in the appeal denial letter, which effectively closed the claims process. Moreover, Mrs.
Roarty herself represents that LICNA did not base its decision on the expense reimbursement
issue. (/d. at 37.) As such, it is unclear how documentation of expense reimbursements or Scott
Instrument's reimbursement policy would have been helpful to her case.
The court therefore holds that LICNA did not breach its fiduciary duties with respect to
its assessment ofMrs. Roarty's benefits claim.

IV.

CONCLUSION
For the foregoing reasons, the court will grant judgment in £:tvor ofthe defendants.

Dated: September

li, 2012

13

IN THE UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF DELAWARE
KELLY ROARTY,

)
)
Plaintiff,
)
)
v.
)
)
TYCO INTERNATIONAL LTD. GROUP )
BUSINESS TRAVEL ACCIDENT
)
)
INSURANCE PLAN, and LIFE
INSURANCE COMPANY OF NORTH
)
AMERICA,
)
)
Defendants.
)

Civil Action No. 06-195 GMS

__________________________ )
ORDER

For the reasons stated in the court's Memorandum of this same date, IT IS HEREBY
ORDERED that:
Judgment is entered in favor of the defendants, TYCO INTERNATIONAL LTD.
GROUP BUSINESS TRAVEL ACCIDENT INSURANCE PLAN and LIFE INSURANCE
COMPANY OF NORTH AMERICA, and against the plaintiff, KELLY ROAR

Dated: September

_Jj;__, 2012

E