Lofton v. Panasonic Ideas for Life
Filing
61
MEMORANDUM Opinion and Order Signed by the Honorable Virginia M. Kendall on 12/12/2012.Mailed notice(tsa, )
IN THE UNITED STATES DISTRICT COURT
FOR THE NORTHERN DISTRICT OF ILLINOIS
EASTERN DIVISION
EVAN LOFTON,
Plaintiff,
v.
PANASONIC PENSION PLAN,
Defendant.
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No. 10 C 3909
Judge Virginia M. Kendall
MEMORANDUM OPINION AND ORDER
Plaintiff Evan Lofton (“Lofton”) brought a single count action against Defendant Panasonic
Pension Plan (the “Plan”) alleging that the Plan wrongly denied Lofton’s claim for pension benefits
in violation of Section 502 of the Employee Retirement Income Security Act of 1974, 29 U.S.C.
§1132(a)(1)(B). The Plan has moved for summary judgment. It asserts that Lofton’s claims are
barred by the statute of limitations and the doctrine of laches. The Plan also asserts that judgment
should be entered in its favor because the Plan’s decision to deny Lofton’s claim for additional
benefits was not arbitrary and capricious. For the reasons set forth below, the Court grants the Plan’s
motion and enters judgment in its favor.
STATEMENT OF UNDISPUTED MATERIAL FACTS1
Matsushita Industrial Company employed Lofton from March 10, 1976 until June 13, 1988.
(Doc. 56, Def. 56.1, ¶¶ 1-2.) As a Matsushita employee, Lofton participated in the Matsushita
Industrial Company Retirement Security Plan (the “MIC Plan”). (Id. at ¶ 3.) The MIC Plan merged
1
Throughout this Opinion, the Court refers to the Parties’ Local Rule 56.1 Statements of Undisputed Material
Facts as follows: citations to the Plan’s Statement of Uncontested Facts have been abbreviated to “Def. 56.1 ¶ or Ex. __,
p. __.”; and citations to Lofton’s Response to the Plan’s L.R. 56.1 Statement of Material Facts have been abbreviated
to “Pl. 56.1 Resp. ¶ __.”
with the Plan in 1988. (Id. at ¶ 4.) The version of the MIC Plant in effect on the date that Lofton’s
employment ended was the MIC Plan as restated effective April 2, 1984 and subsequently amended
in 1985 (the “1984 Plan”). (Id. at ¶¶ 8-9.) The 1984 Plan governed Lofton’s entitlement to benefits
under the MIC Plan. (Id. at ¶ 10.)
I.
The 1988 Payout of Lofton’s Benefits Under the Plan
Lofton’s personal contributions to the Plan plus interest through December 31, 1987 were
$2,422.74. (Id. at ¶ 13.) Upon termination of her employment with Matsushita, Lofton signed a
form entitled “Matsushita Industrial Company RSP Request for Payment of Benefits.” (Id. at ¶ 11.)2
The Request for Payment of Benefits sheet provided Lofton with five options for the method by
which she wished to receive benefits she was entitled to under the Plan. (Id.; Plan 004). One of
these options was for a lump-sum cash amount, which was equivalent to the actuarial value of her
retirement income. (Id.) A second option was for the refund of contributions plus interest thereon.
(Id.) This refund would be for the employee’s portion of contributions, Matsushita’s contributions
would remain in the RSP until Lofton was eligible for normal retirement. (Id.) Lofton selected the
refund of contributions plus interest option. (Def. 56.1, ¶ 20.)
2
The Court notes that Lofton has failed to comply Local Rule 56.1. In response to the Plan’s statement of
undisputed facts, she frequently dispute the Plan’s statement of facts by either introducing new facts that do not directly
refute the assertions stated or by citing to a seven-paragraph declaration that was executed by Lofton after the close of
discovery. This declaration contains a series of conclusory statements that do not rely on any evidentiary support.
Indeed, a number of these assertions are contradicted by the evidence offered by the Plan in support of its Motion. Such
an affidavit does not preclude the entry of summary judgment. See Keri v. Bd. of Trustees of Purdue University, 458
F.3d 620, 628 (7th Cir. 2006) (“conclusory allegations and self-serving affidavits, if not supported by the record, will
not preclude summary judgment”); Butts v. Aurora Health Care, Inc., 387 F.3d 921, 925 (7th Cir. 2004) (“Self-serving
statements in affidavits without factual support in the record carry no weight.”). This Court is afforded great discretion
in fashioning a penalty for a litigant’s non-compliance with Local Rule 56.1. See Cichon v. Exelon Generation Co.,
L.L.C., 401 F.3d 803, 809-10 (7th Cir. 2005). The court’s decision to disregard additional “facts” a litigant has proposed
is an appropriate penalty. See id. Accordingly, this Court will not consider the “facts” set forth in Lofton’s self-serving,
conclusory affidavit.
2
In order to effectuate the Request for Payment of Benefits, the Plan prepared a benefit
estimate work sheet to determine the benefits to which Lofton was entitled under the 1984 Plan. (Id.
at ¶ 14.) This estimate found that the value of Lofton’s entire vested benefit as of August 1, 1988
was $2,572.69. (Id. at ¶¶ 16-18.) Lofton concedes that the Plan’s calculation of her vested benefit
as of August 1, 1988 was correct. (Id. at ¶ 55.)
Section 7.10 of the 1984 Plan states that:
Nowithstanding a Participant’s election to the contrary or any other provision of this
Plan, if the Actuarial Equivalent single sum value of such Participant’s Retirement
Benefit...under this Plan is not greater than $3,500, the actuarial value of such
Retirement Benefit...shall be paid in one or more payments within a single calendar
year in full and final satisfaction thereof...”
(Id. at ¶ 19.) Since the Plan calculated Lofton’s total vested benefit to be $2,572.69, i.e., less than
$3,500, it paid her in a single lump-sum payment of her total vested benefit despite the fact she had
elected to only receive a refund of her contributions to the Plan plus interest. (Id. at ¶ 20.)
Accordingly, the Plan sent Lofton a check for $2,543.583 and a letter on August 1, 1988 via certified
mail. (Id. at ¶ 21.) The letter stated in relevant part that:
Upon termination of your employment with Matsushita Industrial Company you were
eligible for a vested benefit from the Retirement Security Plan (RSP). Payment of
this vested benefit normally begins at age 65. However, the RSP Advisory
Committee has approved a policy which affects those terminations eligible for a
small vested benefit. This policy directs payment, in a single lump-sum distribution,
of the present value of your vested benefit if this present value is less than $3,500.
We have determined that the present value of your vested benefit is less than $3,500.
Hence, the enclosed check in the amount of $2,543.58 represents a refund of your
contributions plus interest from RSP, as you requested in your Direction of Payment,
and a distribution of the present value of your vested benefits as approved by the
Advisory Committee.
3
The $29.11difference between the calculated amount of $2,572.69 and the amount that was actually distributed
was due to withholding for payment of federal taxes.
3
(Id. at ¶ 22.)
Lofton received both the August 1, 1988 letter and the $2,543.58 payment in August 1988.
(Id. at ¶ 23.) She deposited the check shortly after she received it. (Id.) This payment was a refund
of all of Lofton’s contributions to the Plan plus interest through her August 1, 1988 distribution date.
(Id. at ¶ 24.) It was also a distribution of her entire vested benefit because her contributions would
have been sufficient to fund the annual annuity provided for by the Plan as of her normal retirement
date of July 1, 2017. (Id.)
II.
The 1990 Supplemental Distribution of Benefits to Lofton from the Plan
On or around February 13, 1990, the Plan sent a letter to Lofton that stated in relevant part:
According to our records, you received a distribution from RSP during 1988. Federal
regulations were finalized in 1989 with respect to the calculation of your distribution.
As a result of these finalized regulations, we have determined that you are entitled
to an additional distribution from RSP. Because your additional RSP distribution
does not exceed $3,500, you will be paid a single sum payment as soon as
practicable.
(Id. at ¶ 25.) The Plan prepared another benefit estimate work sheet for Lofton in which it
recalculated that the present value of Lofton’s unpaid vested benefit under the Plan on April 1, 1990
would have been $6,381.54 if Lofton had not received the $2,572.69 distribution in 1988. (Id. at ¶
26.) The Plan then paid Lofton the $3,427.96 remainder of the vested benefit.4 (Id. at ¶¶ 26-27.)
Lofton disputes receiving any communications from the Plan about the recalculation of the vested
benefit; however, she does not dispute that she received a second distribution from the Plan. (Doc.
58, Pl. 56.1 Resp., ¶¶ 26-27.) These two distributions comprised Lofton’s entire vested benefit under
the Plan. (Doc. 56, Def. 56.1, ¶ 29.)
4
The present value of Lofton’s unpaid vested benefit in 1990 was $3,808.85. That amount was reduced by
$380.89 for applicable tax withholdings. (Def. 56.1, ¶ 28.)
4
III.
The 2008 Evaluation and Denial of Lofton’s Claim for Additional Benefits
In or about April 2008, Lofton contacted the Plan to inquire about her benefit entitlement.
(Id. at ¶ 33.) On May 21, 2008, the Plan responded and informed Lofton that all benefits due to her
under the Plan were previously paid and that she was not due any other benefits. (Id. at ¶ 34.) On
May 31, 2008, Lofton sent another letter to the Plan in which she again requested pension benefits.
(Id. at ¶ 35.) The Plan responded in July 2008. It told Lofton that it maintained its original decision;
however, it would submit her claim to the Plan’s Administrative Committee for review. (Id. at ¶ 37.)
In August 2008, the Plan asked Lofton to send it any written documentation that she had that
supported her claim for benefits. (Id. at ¶ 38.)
Section 8.01 of the Plan provides that the Panasonic Corporation of North America is the
Plan administrator. (Id. at ¶ 43.) This section also provides that Panasonic has “the power to
interpret or construe the Plan” and “to decide any dispute arising hereunder to the extent discretion
on such issue is not delegated to the Committee under the Plan.” (Id.) Section 8.02 provides that
Panasonic’s Board of Directors shall appoint a committee (the “Administrative Committee”) with
“power to interpret or construe the Plan in order to decide any disputes arising hereunder.” (Id. at
¶ 44.) It further provides that “[i]n exercising its authority to interpret the Plan, the Committee shall
have the maximum discretion allowed by law.”5 (Id.)
The Administrative Committee met on October 8, 2008 to review Lofton’s claim. (Id. at ¶
46.) At that meeting, Robert Ohme, the Group Manager for Retirement Plans Administration for
5
The Plan asserted that it should follow the procedures for claims review that are delineated in the most recent
version of the Plan. (Id. at ¶ 42.) Lofton disputed this assertion but failed to provide any support for her position. (Doc.
58, Pl. 56.1 Resp., ¶ 42.) Accordingly, the Court accepts the Plan’s statement as true. Even if were not, Lofton does
not dispute that the procedures for claims review in the 1984 Plan is similar to those set forth in the most recent version
of the Plan. (Doc. 58, Pl. 56.1 Resp., ¶ 45.) Accordingly, any dispute over the claims review procedure is immaterial.
5
Panasonic, and Sue McElroy, the Senior Supervisor for Retirement Plans Administration for
Panasonic, presented Lofton’s benefit denial appeal. (Id. at ¶ 47.) They told the Administrative
Committee that the Plan’s records indicated that Lofton had already been paid out her accrued
benefits under the Plan but that Lofton believed that she was entitled to a deferred benefit. (Id.)
After considering Lofton’s claim, including all of the documents submitted by Lofton and the Plan’s
own records (the “Administrative Record”), the Administrative Committee denied Lofton’s claim.
(Id. at ¶ 48.) The Administrative Committee’s review of Lofton’s claim was carried out according
to the procedure dictated by the applicable plan provisions. (Id. at ¶ 51.)
On October 24, 2008, the Plan provided Lofton formal notice that her appeal was denied.
(Id. at ¶ 50.)
The notice explained why Lofton was not entitled to additional benefits and the
specific reasons why her appeal was denied. (Id.) Prior to the Administrative Committee reaching
its decision, Lofton never told the MIC Retirement Security Plan, the Plan or the Administrative
Committee that the August 1, 1988 Calculation of the present value of her vested benefit was
inaccurate. (Id. at ¶ 54.) She never told them that the August 1, 1988 payment to her of the present
value of her vested benefit in a single-lump sum distribution was improper. (Id.) Lofton does not
dispute that the August 1, 1988 calculation of the present value of her vested benefit was accurate.
(Id. at ¶ 55.) She also does not dispute that the calculation of the April 2, 1990 payment of $3,427.96
was accurate. (Id. at ¶ 56.) Finally, Lofton never told the MIC Retirement Security Plan, the Plan
or the Administrative Committee that the April 2, 1990 $3,427.96 payment was improper. (Id. at
¶ 57.)
6
STANDARD OF REVIEW
Summary judgment is proper when the “pleadings, depositions, answers to interrogatories,
and admissions on file, together with the affidavits, if any, show that there is no genuine issue as to
any material fact and that the moving party is entitled to judgment as a matter of law.” Fed. R. Civ.
P. 56(c). In determining whether a genuine issue of fact exists, the Court must view the evidence
and draw all reasonable inferences in favor of the party opposing the motion. Bennington v.
Caterpillar Inc., 275 F.3d 654, 658 (7th Cir. 2001); see also Anderson v. Liberty Lobby, Inc., 477
U.S. 242, 255 (1986). However, the Court will “limit its analysis of the facts on summary judgment
to evidence that is properly identified and supported in the parties’ [Local Rule 56.1] statement.”
Bordelon v. Chicago Sch. Reform Bd. Of Trustees, 233 F.3d 524, 529 (7th Cir. 2000). Where a
proposed statement of fact is supported by the record and not adequately rebutted by the opposing
party, the Court will accept that statement as true for the purposes of summary judgment. An
adequate rebuttal requires a citation to specific support in the record; an unsubstantiated denial is not
adequate. See Albiero v. City of Kankakee, 246 F.3d 927, 933 (7th Cir. 2001); Drake v. Minnesota
Mining & Mfg. Co., 134 F.3d 878, 887 (7th Cir. 1998) (“Rule 56 demands something more specific
than the bald assertion of the general truth of a particular matter[;] rather it requires affidavits that
cite specific concrete facts establishing the existence of the truth of the matter asserted.”). The nonmoving party, therefore, cannot rely on mere conclusions and allegations to create factual issues.
Bladerston v. Fairbanks Morse Engine Div. Of Coltec Ind., 328 F.3d 309, 320 (7th Cir. 2003). Nor
can speculation be used “to manufacture a genuine issue of fact.” Springer v. Durflinger, 518 F.3d
479, 484 (7th Cir. 2008) (citing Amadio v. Ford Motor Co., 238 F.3d 919, 927 (7th Cir. 2001)).
7
DISCUSSION
The Plan raises two primary arguments for why the Court should grant its motion for
summary judgment. First, it argues that Lofton’s claim is untimely because it was not brought within
the ten-year statute of limitations for ERISA benefit claims brought in Illinois. Second, it argues
that judgment should be entered in its favor because the Administrative Committee’s decision to
deny her claim was not arbitrary and capricious.6 Both of these arguments are correct and warrant
entry of judgment in favor of the Plan.
I.
The Statute of Limitations
As described above, Lofton brought her claim for denial of benefits pursuant to Section
502(a)(1)(B) of ERISA. Because ERISA does not provide a limitations period for actions brought
under § 502, courts borrow the most analogous statute of limitations from the state with the most
significant connections to the dispute. See Berger v. AXA Network LLC, 459 F.3d 804, 808 (7th Cir.
2006); Young v. Verizon’s Bell Atl. Cash Balance Plan, 615 F.3d 808, 813 (7th Cir. 2010).
Lofton worked for Matsushita in Illinois and remains an Illinois resident. (Def. 56.1, ¶ 1-2.)
In addition, certain of the events relevant to this action took place in Illinois. (Id.) Accordingly, the
most analogous statute of limitations in this case is Illinois’s ten-year statute of limitations period
for written contracts. See Daill v. Sheet Metal Workers’ Local 73 Pension Fund, 100 F.3d 62, 65
6
The Plan also raised an argument that Lofton’s claim is barred by the doctrine of laches. However, this defense
is simply derivative of the statute of limitations defense in this case. In cases where a federal statute does not contain
an express statute of limitations and instead borrows from state statutes, such as in an ERISA case, the analogous state
limitations period serves a baseline for a presumption of laches. See Hot Wax, Inc. v. Turtle Wax, Inc., 191 F.3d 813,
821 (7th Cir. 1999); Samaritan Health Ctr. v. Simplicity Health Care Plan, 516 F. Supp. 2d 939, 945-46 (E.D. W is.
2007). “This baseline principle presumes that an action is not barred [by the doctrine of laches] if brought within the
state limitations period.” Samaritan Health Ctr., 516 F. Supp. 2d at 946 (citing Hot Wax, Inc., 191 F.3d at 821-22).
Here, if Lofton’s cause of action accrued when the Plan contends, it will be barred by the statute of limitations. If
Lofton’s cause of action accrued when she contends, she will have brought it within the statute of limitations and it will
not be barred by the doctrine of laches. Accordingly, the laches defense is redundant of the statute of limitations defense
in this case.
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(7th Cir. 1996) (stating that Illinois’s statute of limitations for written contracts applied to claim
brought pursuant to Section 502(a)(1)(B) of ERISA); Jenkins v. Local 705 Intern. Broth. of
Teamsters Pension Plan, 713 F.2d 247, 253-54 (7th Cir. 1983) (same).
While the Court applies the most applicable state statute of limitations, federal law governs
the accrual of Lofton’s ERISA claim. Daill, 100 F.3d at 65. “The general federal common law rule
is that an ERISA claim accrues when the plaintiff knows or should know of conduct that interferes
with the plaintiff’s ERISA rights.” Young, 615 F.3d at 817. In the context of Section 502(a), a claim
“accrues ‘upon a clear and unequivocal repudiation of rights under the pension plan which has been
made known the beneficiary.’” Id. at 816 (quoting Daill, 100 F.3d at 66).
In this case, the letter that the Plan sent Lofton in 1988 contained a clear and unequivocal
repudiation of her rights under the Plan. It stated that the enclosed check “represents a refund of
your contributions plus interest from RSP, as you requested in your Direction of Payment, and a
distribution of the present value of your vested benefits as approved by the Advisory Committee.”
(Def. 56.1, ¶ 22 [emphasis added].) This statement is sufficient to give Lofton notice of any
potential claim because it informed her that she was receiving a single lump-sum distribution of her
entire vested benefit. See Thompson v. Ret. Plan for Employees of S.C. Johnson & Son, Inc., 651
F.3d 600, 606 (7th Cir. 2011) (holding that a lump-sum distribution coupled with information that
no additional benefits would be forthcoming was sufficient to trigger the statute of limitations in a
Section 502 case).
Lofton’s arguments to the contrary are unavailing. First, Lofton argues that 1988 letter
should not trigger the statute of limitations because she “understood the payment made to her in
August of 1988 to merely be a refund of her contributions, with additional amounts remaining until
9
her normal retirement.” (Doc. 57 at 5.) In support, she asserts that the “key statement in the August
1, 1988 letter is that the enclosed check ‘represents a refund of your contributions plus interest from
RSP as you requested in your Direction of Payment.’” (Id.) However, she ignores the second half
of that same “key statement.” Namely, that the enclosed check also represents a “distribution of the
present value of [Lofton’s] vested benefit.” (Def. 56.1, ¶ 22.) The use of the conjunctive “and”
clearly informed Lofton that the check represented more than just a refund of her contributions plus
interest. Notice that the Plan had distributed her entire vested benefit is sufficient to make her
reasonably aware that no future benefits would be forthcoming.
Lofton’s reliance on Young and Redmon v. Sud-Chemical Inc. is similarly misplaced. In
Young, a claimant alleged that a plan improperly calculated her benefit. See Young, 615 F. 3d at 814.
The defendant argued that the plaintiff’s cause of action accrued when she received her lump-sum
benefit payment of $286,095. Id. at 816. However, it was not until the administrative claim review
process that the plan informed the claimant that it had rejected her interpretation of the plan. Id. The
Seventh Circuit found that the statute of limitations did not begin to run when the plaintiff received
her lump-sum benefit because that payment was “not so inconsistent with her current claim for
additional benefits as to serve as a clear repudiation.” Id. Specifically, in that case, the trustees
ignored a scrivener’s error in the plan document and distributed lump sums that were smaller than
the plan literally prescribed. Conversely here, there was a clear repudiation because the 1988 letter
explicitly informed Lofton that while “[p]ayment of [the] vested benefit normally begins at age 65,”
the Plan was distributing her entire “vested” benefit in a lump-sum payment pursuant to the Small
Benefit Provision because it was less than $3,500. (Def. 56.1, ¶ 22.) There was no ambiguity in this
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letter that could cause Lofton to reasonably believe that she was entitled to additional benefits.
Accordingly, Young is not controlling here.
Similarly, Redmon does not help Lofton’s case. There, the plaintiff argued that a claim for
benefits did not accrue until it was formerly denied during the administrative process. See Redmon
v. Sud-Chemical Inc. Ret. Plan for Union Employees, 547 F.3d 531, 539 (6th Cir. 2008). The Sixth
Circuit rejected this argument and held that the defendant’s refusal to make additional annuity
payments was a clear and unequivocal repudiation of any claim that the plaintiff was entitled to
survivor benefits. Id. Similarly here, the Plan’s clear statement that its 1988 payment represented
a payment for Lofton’s entire vested benefit was a clear repudiation of her right to any additional
benefits. This was sufficient to put her on notice of her claim. Therefore, Lofton’s claim is barred
by the ten-year statute of limitations for filing ERISA claim under Illinois law.
II.
Denial of Lofton’s Claim Was Not Arbitrary and Capricious
Even if Lofton’s claim was not barred by the statute of limitations, summary judgment should
still be granted in favor of the Plan because the Plan’s decision to deny Lofton’s claim was not
arbitrary and capricious. A court reviewing a claimant’s challenge to a denial of employee benefits
under Section 502(a)(1)(B) applies the arbitrary and capricious standard to the plan administrator’s
actions if the plan grants the administrator discretionary authority to determine eligibility for
benefits. See Dabertin v. HCR Manor Care, Inc., 373 F.3d 822, 827-28 (7th Cir. 2004). The
arbitrary and capricious standard of review is “the least demanding form of judicial review of
administrative action.” Trombetta v. Cragin Fed. Bank for Sav. Employee Stock Ownership Plan,
102 F.3d 1435, 1438 (7th Cir. 1997). Under the arbitrary and capricious standard of review, courts
“do not ask whether the administrator reached the correct conclusion or even whether it relied on the
11
proper authority.” Kobs v. United Wis. Ins. Co., 400 F.3d 1036, 1039 (7th Cir. 2005). Rather, the
only question is whether the administrator’s decision was “downright unreasonable.” Dabertin, 373
F.3d at 828.
Whether the Court would have reached the same determination as the plan
administrator is irrelevant. Hess v. Reg-Ellen Machine Tool Corp., 423 F.3d 653, 658 (7th Cir.
2005). However, this “deferential standard does not amount to a rubber stamp.” Dabertin, 373 F.
3d at 828. An administrative committee “must articulate a rational connection between the facts
found, the issue to be decided and the choice made.” Id. If the decision “defies all common sense,
[a] district court must overturn that decision.” Id.
The plan at issue here provides that the Administrative Committee has “the power to interpret
or construe the Plan in order to decide any disputes arising hereunder.” (Def. 56.1, ¶ 44.) It also
states that “[i]n exercising its authority to interpret the Plan, the Committee shall have the maximum
discretion allowed by law.” (Id.) The parties agree that this Court should only overturn the
Administrative Committee’s decision regarding Lofton’s claim if that decision was arbitrary and
capricious. (See Doc. 55, at 8; Doc. 57, at 7.)
In this case, there is no genuine issue of material fact as to whether the Administrative
Committee acted arbitrarily or capriciously in denying Lofton’s claim for additional benefits. The
Administrative Committee completed a full review and analysis of Lofton’s claim in accordance
with the applicable claim review procedures. (Def. 56.1, ¶ 51.) The Administrative Committee
reviewed the Plan’s records, including Lofton’s pension records, and all information submitted by
Lofton in support of her claim. (Id. at ¶ 48.) Lofton has not submitted any evidence to suggest that
the Plan’s review of her claim did not adhere to the Plan’s internal review process or that the Plan
failed to consider any relevant evidence. Most importantly, Lofton has failed to set forth any
12
evidence to suggest that the Plan’s determination was incorrect. She concedes that she is not aware
of any basis for asserting that either the August 1, 1988 calculation of the present value of her vested
benefit or the calculation of the April 2, 1990 payment was inaccurate. (Id. at ¶¶ 54-55.) In fact, her
response is totally devoid of any argument as to what additional benefits she is entitled to. As a
result, the administrative record demonstrates that the Plan’s determination was reasonable and there
is no basis for this Court to disturb its findings.
Lofton’s only argument in response is that the Plan’s determination was unreasonable
because Lofton’s benefits were improperly paid out in a lump-sum pursuant to the $3,500 Small
Benefits Provision in the Plan. (Doc. 57, at 7-9.) This provision states that if the actuarial equivalent
single sum value of a participant’s retirement benefit is $3,500 or less, that benefit shall be paid in
one more payments within a year. (Def. 56.1, ¶ 19.) Lofton contends that it was unreasonable to
deny her claim for additional benefits pursuant to this provision because her actual benefit was
$6,381.54. However, this argument fails for two reasons.
First, Lofton waived this argument by failing to present it during the administrative review
process. Because the Court’s review of a denial for benefits claim is limited to the record that was
presented to the administrative committee, a plaintiff cannot raise issues with this Court that were
not first presented to the administrative committee. See Hess, 423 F.3d at 662; see also DeBartolo
v. Blue Cross Blue Shield of Ill., 375 F. Supp. 2d 710, 714 (N.D. Ill. 2005) (holding that plaintiff
could not raise issues with the plan’s review of his claim that he failed to raise during the
administrative review process). Lofton does not dispute the Plan’s assertion that she never told the
MIC Retirement Security Plan, the Plan, or the Administrative Committee that the August 1, 1988
calculation of her vested benefit was inaccurate or that the August 1, 1988 payment to her of the
13
vested benefit in a single lump-sum distribution was improper. (Def. 56.1, ¶¶ 54-55.) She also
concedes that she never told the MIC Retirement Security Plan, the Plan or the Administrative
Committee that the calculation of the April 2, 1990 payment was not accurate or that the 1990
payment was improper. (Id. at ¶¶ 56-57.) Accordingly, Lofton has waived any argument before this
Court that it was improper, much less unreasonable, for the Administrative Committee to deny her
claim for additional benefits because its determination was based on the fact that she had been paid
a lump-sum distribution of all of her vested benefits pursuant to the Small Benefits provision.
Second, even if Lofton had not waived this argument, there is still no basis to find that the
Administrative Committee’s decision was unreasonable because Lofton has failed to adduce any
evidence that she is actually entitled to any more money. She concedes that the present value
calculations upon which here benefit payouts were based were accurate and she offers no evidence
of any other financial harm. Therefore, Lofton failed to raise a genuine issue of material fact as to
whether the Administrative Committee was arbitrary and capricious in its decision to deny her claim
for additional benefits. As a result, the Plan is entitled to summary judgment on Lofton’s claim.
CONCLUSION AND ORDER
For the foregoing reasons, the Court grants the Plan’s Motion for Summary Judgment and
enters judgment in its favor.
________________________________________
Virginia M. Kendall
United States District Court Judge
Northern District of Illinois
Date: December 12, 2012
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