Goodwin v. Liberty Life

District Court, D. New Hampshire
Goodwin v. Liberty Life, 2014 DNH 047 (2014)

Goodwin v. Liberty Life

Opinion

UNITED STATES DISTRICT COURT FOR THE DISTRICT OF NEW HAMPSHIRE

Wendy Goodwin v. Civil No. 12-cv-414-JD Liberty Life Assurance Co. Opinion No.

2014 DNH 047

of Boston d/b/a Liberty Mutual Group, Inc.

O R D E R

Wendy Goodwin brought suit under the Employee Retirement

Income Security Act ("ERISA"),

29 U.S.C. § 1001

et seq., seeking

to overturn the decision of Liberty Life Assurance Co. of Boston

("Liberty") to terminate her long term disability ("LTD")

benefits. The parties have both moved for judgment on the

administrative record. SeeL.R. 9.4(c).

Standard of Review

The standard of review in an ERISA case differs from that in

an ordinary civil case, where summary judgment is designed to screen out cases that raise no trialworthy issues. See, e.g.,

Orndorf v. Paul Revere Life Ins. Co.,

404 F.3d 510, 517

(1st Cir.

2005). "In the ERISA context, summary judgment is merely a

vehicle for deciding the case," in lieu of a trial. Bard v.

Boston Shipping Ass'n,

471 F.3d 229, 235

(1st Cir. 2006). Rather

than consider affidavits and other evidence submitted by the

parties, the court reviews the denial of ERISA benefits based

"solely on the administrative record," and neither party is

entitled to factual inferences in its favor. IcL Thus, "in a very real sense, the district court sits more as an appellate tribunal than as a trial court" in deciding whether to uphold the administrative decision. Leahy v. Raytheon Co.,

315 F.3d 11, 18

(1st Cir. 2002) .

Background1

Wendy Goodwin was employed by The Timberland Company

("Timberland") as a customer fulfillment database administrator, a sedentary job, since 1987. As a Timberland employee, Goodwin

was eligible for and participated in the company's long-term

disability insurance plan ("Plan"), offered through Liberty.

To receive benefits under the Plan, an employee must be

certified as disabled by Liberty. The Plan defines a disabled

employee as one who "as a result of Injury or Sickness, is unable

to perform the Material and Substantial Duties of . . . [the

employee's] occupation that [she] was performing when [her]

Disability . . . began."

On January 23, 2006, Goodwin had a CT scan of her abdomen and pelvis because of stomach pain. Following the scan, Goodwin

was examined by Dr. Peter Carter on two occasions in early

February of 2006. On or about February 15, 2006, Dr. Carter

performed surgery on Goodwin to repair a ventral incisional

^he parties' joint statement of material facts does not comply with Local Rule 9.4(b). The court will consider the parties' motions in the interest of avoiding unnecessary delay.

2 hernia.2 At a follow-up appointment on March 8, 2006, Dr. Carter

prescribed Ciprofloxacin, an antibiotic, because Goodwin appeared

to have a possible infection at the incision site. He also

prescribed pain medication.

Goodwin saw Dr. Carter on March 24 and April 7, 2006.

During the March 24 appointment. Dr. Carter noted that the

antibiotic was helping to treat the infection. During the April

7 appointment. Dr. Carter noted that the incision had healed adeguately, but that Goodwin had a "mild keloid formation" and a

"moderate amount of discomfort." Dr. Carter advised Goodwin to

return to work but to remain on "light duty for this next

month."3

Goodwin saw Dr. Carter again on May 3, 2006. Dr. Carter

noted that Goodwin continued to have discomfort, mostly while

sitting, in the area of the incision. He ordered an ultrasound

of Goodwin's stomach and a pain consultation.

Goodwin saw Dr. Christopher Delorie for the pain

consultation on May 10, 2006. Dr. Delorie noted that the "area along the scar seems boggy and inflammed [sic]." He prescribed

Tramadol for Goodwin's pain. Dr. Delorie also noted that the

"next option would be . . . infiltration of the scar and deeper

tissues with local and steroid."

2Goodwin also told Dr. Carter that she had surgery in 2004 to repair an umbilical hernia.

3It is unclear whether Goodwin returned to work at that point or at any point prior to early October of 2006.

3 Goodwin saw Dr. Carter on May 17, 2006, to discuss the

results of the ultrasound. According to Dr. Carter, the

ultrasound showed a "collection of fluid" in Goodwin's abdomen.

Dr. Carter prescribed codeine for Goodwin, and referred her back

to Dr. Delorie for "some injections to soften up the scar

tissue." Goodwin saw Dr. Delorie on May 23, 2006, and received a

nerve block injection to ease her pain.

On May 31, 2006, Goodwin saw Dr. William Gilbert of Kittery

Family Practice. Dr. Goodwin wrote Goodwin prescriptions for two

pain medications: Gabapentin and Darvocet (also known as

propoxyphene napsylate). Over the next several months, Goodwin

received and filled renewed prescriptions for these medications

from Dr. Gilbert.

Goodwin saw Dr. Carter on July 18, 2006. Dr. Carter did not

think that Goodwin's pain was being caused by the collection of

fluid shown on the ultrasound. He thought Goodwin may be having

a reaction to the suture used to close the incision from her

previous operation. On August 8, 2006, Goodwin underwent a

"[d]ebridement of scar tissue, excision of Prolene suture, evacuation of seroma . . . . [and] repair of small incisional

hernia."

Goodwin saw Dr. Carter on August 24, 2006, to examine her

for a "possible wound infection" after her August 8 procedure.

Dr. Carter thought that Goodwin was having a "superficial

reaction to the suture material" and noted that he was "at a loss

4 as to why [Goodwin] has so much discomfort." Dr. Carter

prescribed Darvocet for Goodwin's pain.

Goodwin saw Dr. Carter again on September 7, 2006. Dr.

Carter noted that he had never had a "patient with this much

chronic pain for the entire duration of my career, so I am

perplexed regarding what could be contributing to her

discomfort." Dr. Carter also expressed concern "about the amount

of Darvocet and Tylenol [Goodwin] has been taking." Dr. Carter

wrote Goodwin a prescription for Tramadol.

Goodwin next saw Dr. Carter on September 28, 2006. Dr.

Carter encouraged Goodwin to return to work. He directed her to

see him again in one month, at which point "the inflammation

should subside, and she should feel better." He also wrote her a

prescription for Hydrocodone, a pain medication. It does not

appear that Goodwin saw Dr. Carter the following month or at any

point after the September 28 appointment.

Goodwin returned to work in early October 2006. Around this

time. Dr. Gilbert wrote Goodwin prescriptions for two pain

medications: Cymbalta (also known as Duloxetine) and Lidoderm patches. Goodwin also reguested, and apparently received, a new

prescription for Darvocet from Dr. Frederick Thaler of Kittery

Family Practice. Goodwin stopped going to work in late October

or early November 2006.

Shortly after Goodwin stopped going to work, she completed a

Disability Claim Form for LTD benefits. On the form, she

5 reported "[p]ersistent severe abdominal incisional pain related

to surgeries performed on 2/15/06 and 8/8/06." Goodwin's claim

was approved, and she began receiving LTD benefits on March 6,

2007.4

On February 19, 2007, Goodwin completed an Activities

Questionnaire for Liberty. On the guestionnaire, Goodwin wrote

that she could sit upright for less than an hour, walk for up to

fifteen minutes when necessary, and drive a car for thirty

minutes.

In March of 2007, Dr. Gilbert completed a Restrictions Form

concerning Goodwin for Liberty. Dr. Gilbert indicated that

Goodwin suffered from "constant abdominal incisional pain" and

that they "have exhausted all treatment options."

On March 26, 2007, Liberty sent a letter to Dr. Gilbert

asking for his opinions on Goodwin's ailments so that "we may

continue processing [Goodwin's] disability claim." Dr. Gilbert

completed the form on or about April 2, 2007. Dr. Gilbert again

indicated that he has "exhausted all treatment options." He also wrote that Goodwin was "unable to work."

On April 23, 2007, the Social Security Administration

("SSA") issued a "Notice of Disapproved Claim" concerning

Goodwin's claims for social security disability benefits.

4Goodwin's last day of work for disability purposes was deemed to be August 7, 200 6.

6 On May 4, 2007, Dr. Gilbert completed another Restrictions

Form concerning Goodwin. Dr. Gilbert indicated that Goodwin was

not capable of performing even sedentary work, and stated that "I

have nothing else to offer her at this point."

On October 18, 2007, Goodwin saw Dr. Joshua Greenspan at

Paincare Centers. Dr. Greenspan noted that Goodwin reported that

her pain had become more manageable and she had improved since

starting chronic narcotic therapy. Goodwin also told Greenspan,

however, that she was in constant pain in her stomach, and that

her pain was aggravated by "activity, driving, lying down,

sitting, standing, walking, bending, lifting, prolonged

positions, sneezing, [and] coughing." Dr. Greenspan prescribed

two medications to help Goodwin manage her pain: Namenda and

Opana. In addition, Goodwin continued to take Hydrocodone and

Darvocet throughout 2007, both of which were prescribed by Dr.

Gilbert.

On December 16, 2007, the SSA issued another "Notice of

Unfavorable Decision" concerning Goodwin's claim for social

security disability benefits. On February 5, 2008, Dr. Greenspan completed a Restrictions

Form for Liberty. Dr. Greenspan indicated that he "cannot

comment on degree of disability," but stated only that Goodwin

had "no mental or cognitive restriction."

7 On February 8, 2008, a doctor at Kittery Family Practice

returned an unsigned Restrictions Form to Liberty.5 The form

indicated that Goodwin "can not even do sedentary work" and that

the doctor who filled out the form "do[es] not see [Goodwin]

returning to work until pain issue is resolved." The doctor also

indicated that "I have no other treatment."

On March 8, 2008, a "vocational consultant," Teresa Margues,

prepared an Occupational Analysis concerning Goodwin. Margues indicated that Goodwin's job "is at the sedentary physical demand

level with primarily sitting, occasional intermittent standing,

and walking and lifting up to 10 pounds."

On March 10, 2008, Dr. Gilbert completed another

Restrictions Form. Dr. Gilbert indicated that he had not seen

Goodwin since September 11, 2007, but opined that she was "unable

to work in any capacity at present."

That same day, a field investigator interviewed Goodwin. He

observed that she "walked gingerly and appeared to be in pain."

Goodwin told the investigator that she is unable to walk or exercise, that she remains inside all day, and that she is only

able to drive when she is not taking any medications, which is

rare.

On or about June 27, 2008, Goodwin completed another

Activities Questionnaire. She indicated on the guestionnaire

Although the form was unsigned. Liberty addressed the letter enclosing the Restrictions Form to Dr. Gilbert. that she could sit upright for ten to fifteen minutes, walk or

stand for fifteen to twenty minutes, was unable to drive a car

and could sit in a car for fifteen to thirty minutes.

Around this time. Liberty hired a company to do a

surveillance investigation on Goodwin. Surveillance was

conducted on Goodwin on June 30, July 1, and July 2, 2008. A

report was issued and sent to Liberty on July 14, 2008, along

with a surveillance video. The report stated that Goodwin rode as a passenger in a car on July 1 and July 2 while another person

drove the car, and that the car made several stops each day.

On or about July 23, 2008, Dr. Gilbert responded to

Liberty's reguest for additional information concerning Goodwin.

Dr. Gilbert indicated that Goodwin was "unable to work in any

capacity" and that she could perform "less than sedentary work."

Surveillance was again conducted on Goodwin on September 18,

September 19, September 20, and September 23, 2008. A report was

issued and sent to Liberty on September 29, 2008, along with a

surveillance video. The report stated that the investigator observed Goodwin walking "in what appeared to be a normal

fashion." Goodwin traveled in a car to and attended a hearing on

her claim for social security disability benefits at the SSA on

September 18. Goodwin rode as a passenger in the car for twenty

to thirty minutes to and from the hearing.6 She attended the

6Liberty states in its motion that the ride to and from the SSA was approximately ninety minutes. That assertion is contrary to the times listed in the surveillance report. hearing for approximately two and a half hours. The investigator

did not observe Goodwin on any day other than September 18.

On or about October 30, 2008, Dr. Gilbert responded to

Liberty's second reguest for additional information concerning

Goodwin. Dr. Gilbert again indicated that Goodwin was "unable to

work [in] any capacity."

On October 31, 2008, the SSA issued a "Notice of Decision -

Fully Favorable" concerning Goodwin's claim for disability

benefits.

Liberty arranged for Goodwin to undergo an independent

medical examination ("IMF"). The IMF was conducted on January 6,

2009, by Dr. Stuart Glassman. Dr. Glassman observed that

Goodwin's "ongoing pain complaints appear to be more subjective

than objective in nature." He opined that Goodwin "is more

functional than what she self-reports" and "would have a full

time light duty work capability, lifting 20 pounds maximally and

10 pounds freguently, 8 hours a day, 5 days a week."

At the end of January of 2009, Liberty sent the IMF to Dr.

Gilbert for comments. Dr. Gilbert did not respond within the reguested time. By letter dated February 16, 2009, Liberty

advised Goodwin of its determination that she no longer met the

Plan's definition of disability and, therefore, that benefits

were not payable beyond February 13, 2009.

On April 3, 2009, Dr. Gilbert responded to Liberty's reguest

for comments on the IMF. Dr. Gilbert indicated that he disagreed

10 with Dr. Glassman's opinion concerning Goodwin's functionality,

and stated that she was not able to lift up to twenty pounds or

lift ten pounds frequently in an eight hour day. Dr. Gilbert

also wrote that he "feel[s] at this time [Goodwin] is not

employable in any capacity."

By letter dated August 13, 2009, Goodwin requested a "review

of the decision to terminate [her] benefits." In support of her

appeal, Goodwin submitted the SSA's October 31, 2008, decision

and records from Kittery Family Practice. The appeal was

referred to Dr. Milton Klein for review. Dr. Klein issued his

report on October 26, 2009, opining that Goodwin "does have the

capacity to sustain full-time work (8 hours per day, 5 days per

week) as she does not demonstrate any documented evidence of

neuromuscular impairment that would support restrictions or

limitations." By letter dated October 30, 2009, Liberty advised Goodwin that it was "unable to alter our original decision to deny benefits beyond February 13, 2009." Goodwin filed this action on October 29, 2012.

Discussion

Goodwin argues that her challenge should be reviewed de novo

because the Plan does not give Liberty discretionary authority to

determine eligibility for benefits. She further argues that,

under either the de novo standard or the deferential standard,

she is entitled to judgment because Liberty's termination of her

11 LTD benefits is unsupported by the medical evidence in the

administrative record and is arbitrary and capricious. Liberty

argues that the Plan grants it discretionary authority to

determine eligibility for benefits so its decision must be upheld

unless it was arbitrary and capricious, which it was not. It

further argues that even if the court uses the de novo standard

on review, the termination of Goodwin's benefits is supported by

the administrative record in any event.

A. Deferential or De Novo Review

A case challenging the denial or termination of benefits

under ERISA is reviewed de novo "unless the benefit plan gives

the administrator or fiduciary discretionary authority to

determine eligibility for benefits or to construe the terms of

the plan." Firestone Tire & Rubber Co. v. Bruch,

489 U.S. 101, 115

(1989); see also Matias-Correa v. Pfizer, Inc.,

345 F.3d 7, 11

(1st Cir. 2003); Brigham v. Sun Life of Canada,

317 F.3d 72, 80

(1st Cir. 2003). If the benefit plan gives the administrator

discretionary authority, "the administrator's decision must be

upheld unless it is arbitrary, capricious, or an abuse of

discretion." Wright v. R.R. Donnelley & Sons Co. Group Benefits

Plan,

402 F.3d 67, 74

(1st Cir. 2005). To trigger the arbitrary

and capricious standard, "the grant of discretionary authority

must be clear." Terry v. Bayer Corp.,

145 F.3d 28, 37

(1st Cir.

1998); see also Rodriguez-Abreu v. Chase Manhattan Bank, N.A.,

986 F.2d 580, 583

(1st Cir. 1993).

12 Goodwin argues that Liberty's decision should be reviewed de

novo because the Plan's terms are "unclear, conflicting and

ambiguous." In support, she points to the following clause in

the Plan: "When Liberty receives proof that a Covered Person is

Disabled due to Injury or Sickness and reguires the regular

Attendance of a Physician, Liberty will pay the Covered Person a

Monthly Benefit after the end of the Elimination Period . . . ."

Although Goodwin acknowledges that other clauses in the Plan

appear to grant Liberty discretionary authority, she argues that

this clause does not give Liberty the right to determine whether

proof of disability is sufficient and, therefore, the Plan is

ambiguous and should be construed against the drafter. Liberty.

Liberty argues that the Plan clearly grants it discretionary

authority. It points to three clauses to support its argument.

The first provides that "Liberty shall possess the authority in

its sole discretion, to construe the terms of this policy and to

determine benefit eligibility hereunder." The second provides

that "[p]roof [of disability] must be submitted in a form or

format satisfactory to Liberty." The third provides that

"Liberty reserves the right to determine if the Covered Person's

Proof of loss is satisfactory."

The First Circuit has held that language in a benefits plan

giving an insurer "sole discretion" to determine eligibility was

sufficient to convey discretionary authority. See Leahy,

315 F.3d at 15

("discretionary grant hardly could be clearer" where

the plan documents gave the insurer "'the exclusive right, in

13 [its] sole discretion, to interpret the Plan and decide all

matters arising thereunder'"); see also McCabe v. Liberty Life

Assur. Co. of Boston,

2011 WL 4499998

, at *1 (D.N.H. Sept. 27,

2011). In addition, language that suggests that proof must be

satisfactory to the insurer is sufficient to vest discretionary

authority in the insurer. See Brigham,

317 F.3d at 81

(adopting

the view that language such as " ^ o us' after Satisfactory' [is]

an indicator of subjective, discretionary authority on the part of the administrator, distinguishing such phrasing from policies

that simply reguire Satisfactory proof of disability, without

specifying who must be satisfied"); see also Figueiredo v. Life

Ins. Co. of N. Am.,

709 F. Supp. 2d 137, 144

(D.R.I. 2010).

Goodwin cites no authority to support her theory that

despite a clear grant of discretionary authority in a plan, a

potential lack of clarity in other plan terms can support

application of the de novo standard. Accordingly, the court will

apply the deferential standard of review.7

7Because Liberty, as the plan administrator and insurer, both makes eligibility determinations and pays benefits, a structural conflict of interest exists. See Met. Life Ins. Co. v. Glenn,

554 U.S. 105, 111

(2008). Goodwin, however, did not raise the issue, much less show that the conflict influenced Liberty's decision. See Cusson v. Liberty Life Assurance Co. of Boston,

592 F.3d 215

, 225 (1st Cir. 2010). Therefore, the court applies the deferential standard without considering the effect, if any, of the structural conflict.

14 B. Termination of LTD Benefits

Under the arbitrary and capricious standard, the court can

overturn a defendant's termination decision only if it finds

"that the insurer's eligibility determination was unreasonable in

light of the information available to it." Cooke v. Liberty Life

Assur. Co. of Boston,

320 F.3d 11, 19

(1st Cir. 2003); see also

Wright,

402 F.3d at 74

(the court must decide "whether the

aggregate evidence . . . could support a rational determination

that the plan administrator acted arbitrarily in denying the

claim for benefits"). The standard is "generous" to the

administrator, but "is not a rubber stamp." Wallace v. Johnson &

Johnson,

585 F.3d 11, 15

(1st Cir. 2005). A decision to deny or

terminate benefits will be upheld so long as it was "reasoned and

supported by substantial evidence." Medina v. Metro. Life Ins.

Co.,

588 F.3d 41, 45

(1st Cir. 2009). "Evidence is substantial

if it is reasonably sufficient to support a conclusion." Stamp

v. Metro. Life Ins. Co.,

531 F.3d 84, 87

(1st Cir. 2008).

"Evidence contrary to an administrator's decision does not make

the decision unreasonable, provided substantial evidence supports

the decision." Wright,

402 F.3d at 74

.

Goodwin faults Liberty for giving minimal weight to the

opinion of her treating physician. Dr. Gilbert, and relying

heavily on the opinions of Dr. Glassman and Dr. Klein. She

argues that Dr. Classman's opinion was not entitled to great

weight because it did not consider any medical evidence prior to

October 21, 2008, and because his opinion was refuted by Dr.

15 Gilbert's April 3, 2009, letter. She also contends that Dr.

Klein's opinion was flawed in that he only appears to have

reviewed Dr. Gilbert's Restrictions Form dated May 4, 2007, and

in that he does not explain why Goodwin had improved since

Liberty found that she was disabled prior to February 13, 2009.

Liberty argues that it properly relied on Dr. Glassman's and Dr.

Klein's opinions, as well as the surveillance investigation

reports, and that its decision is supported by substantial

evidence.

1. Dr. Gilbert

Goodwin argues that Liberty's decision cannot stand because

it "gives minimal weight, if any, to the medical opinions of her

regularly attending physician," Dr. Gilbert, who repeatedly

stated that Goodwin was unable to work in any capacity. "[T]he

opinion of the claimant's treating physician, [however], . . . is

not entitled to special deference." Orndorf,

404 F.3d at 526

(citing Black & Decker Disability Plan v. Nord,

538 U.S. 822, 831

(2003)). Thus, " M a ] plan administrator is not obligated to

accept or even to give particular weight to the opinion of a

claimant's treating physician.'" Medina,

588 F.3d at 46

(guoting

Morales-Alejandro v. Med. Card Sys., Inc.,

486 F.3d 693, 700

(1st

Cir. 2007)). Therefore, Liberty was not reguired to defer to Dr.

Gilbert's opinions, and the fact that Liberty gave the opinions

little weight does not demonstrate that its decision was

arbitrary and capricious.

16 2. Other Evidence

Goodwin also argues that Dr. Glassman's and Dr. Klein's

opinions are flawed in that they fail to explain why Goodwin

improved on or about February 13, 2009, because Liberty had

determined that she was disabled prior to that point. She

argues, therefore, that Liberty improperly relied on Dr.

Glassman's and Dr. Klein's opinions, and that Liberty's decision

to terminate her benefits was not supported by substantial

evidence.

The First Circuit has held "that substantial evidence must

support a plan fiduciary's decision to terminate benefits in

light of its initial finding of disability." Fifield v. HM Life

Ins. Co.,

900 F. Supp. 2d 110, 118

(D.N.H. 2012) (discussing the

holding of Cook,

320 F.3d at 119

); see also Keough v. Liberty

Life Assur. Co. of Boston,

2005 WL 428581

, at *13 (D.N.H. Feb.

24, 2005). Thus, in order to find a claimant no longer disabled

after granting benefits, an insurer must cite "contradictory

medical evidence in the record to support its decision to reject

[existing] evidence." Keough,

2005 WL 428581

, at *13; see also

McOsker v. Paul Revere Life Ins. Co.,

279 F.3d 586, 589

(8th Cir.

2002) ("We are not suggesting that paying benefits operates

forever as an estoppel so that an insurer can never change its

mind; but unless information available to an insurer alters in

some significant way, the previous payment of benefits is a

circumstance that must weigh against the propriety of an

insurer's decision to discontinue those payments."); Walker v.

17 Grp. Long Term Disability Ins.,

256 F.3d 835, 840

(8th Cir. 2001) ("Nothing in the claims record justified [the administrator's] decision that a change of circumstances warranted termination of the benefits it initially granted.").

Liberty points to several pieces of information which justified its decision to terminate benefits. Liberty relied in part on the surveillance videos and accompanying reports it obtained in July and September of 2008, which suggested that Goodwin's limitations are less severe than she and Dr. Gilbert had stated. See Gross v. Sun Life Assur. Co. of Canada,

734 F.3d 1, 25

(1st Cir. 2013) ("We have long recognized that even limited surveillance is a useful way to check the credibility of individuals who claim disability based on symptoms that are difficult to evaluate through objective tests."); Cusson, 529 F.3d at 229; Tsoulas v. Liberty Life Assur. Co.,

454 F.3d 69, 80

(1st Cir. 2006).

Liberty also relied on the opinions of Dr. Glassman and Dr. Klein, both of whom stated that Goodwin had at least full-time, sedentary work capacity. Although Goodwin argues that both doctors were reguired to explain how her condition improved as of February 13, 2009, that argument is without merit. The burden is on Liberty to point to evidence in the record to justify a decision to terminate benefits after granting them. That burden

18 does not fall on Dr. Glassman or Dr. Klein, physicians who had

never before offered an opinion as to Goodwin's disability.8 In short, in reaching the decision to terminate Goodwin's benefits in February of 2009, Liberty relied on evidence that contradicted the evidence it had relied upon in initially granting Goodwin LTD benefits under the Plan.9 Therefore, Liberty's decision to terminate Goodwin's LTD benefits was not arbitrary or capricious. See Gannon v. Metro. Life Ins. Co.,

360 F.3d 211, 216

(1st Cir. 2004) ("[I]n the presence of conflicting evidence, it is entirely appropriate for a reviewing court to uphold the decision of the entity entitled to exercise its discretion.").

Conclusion

For the foregoing reasons, the defendant's motion for

judgment on the administrative record (document no. 17) is

8Indeed, Dr. Klein was specifically tasked with determining Goodwin's limitations from February 14, 2009, onward. Dr. Glassman based his opinion largely on his examination of Goodwin in January of 2009 and her recent medical record.

9Coodwin also points to the SSA's determination of disability on October 31, 2008. Although the SSA's determination may weigh in favor of a finding of disability under the Plan, "'benefits eligibility determinations by the Social Security Administration are not binding on disability insurers.'" Morales-Alejandro,

486 F.3d at 699

(guoting Pari-Fasano v. ITT Hartford Life & Accident Ins. Co.,

230 F.3d 415, 420

(1st Cir. 2000)). Thus, Liberty permissibly provided Goodwin with benefits throughout 2007 and 2008 despite the SSA's denial of benefits to Goodwin on April 23, 2007, and December 16, 2007, and terminated benefits in February of 2009 despite the SSA decision that Goodwin was disabled in October of 2008.

19 granted. The plaintiff's motion for judgment on the administrative record (document no. 14) is denied. The clerk of court is directed to enter judgment accordingly and to close the case. SO ORDERED.

^ Q ^ h ^ DiCl^icV^ ' ^ ' United States District Judge

March 4, 2014

cc: William D. Pandolph, Esq. Shawn J. Sullivan, Esq.

20

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