Hutchins, R. L. v. A.O. Smith Retiremen

U.S. Court of Appeals for the Seventh Circuit
Hutchins, R. L. v. A.O. Smith Retiremen, 156 F. App'x 829 (7th Cir. 2005)

Hutchins, R. L. v. A.O. Smith Retiremen

Opinion

Order

Plaintiff applied for disability benefits from his exemployer’s plan, which turned him down. His own treating physician had informed the plan that he is not completely disabled. Discovery that this physician’s ability to practice in Wisconsin had been suspended led us to remand for further proceedings. No. 00-4039 (7th Cir. June 4, 2002) (unpublished order). The plan then obtained the views of an independent consulting specialist, who concluded that, although plaintiff suffers from a 30% reduction in his abilities, he remains capable of gainful employment. The parties agreed that judicial review is deferential, and the district court held the plan’s decision neither arbitrary nor capricious.

*830 On appeal, plaintiff slights the medical evidence that the plan considered. Instead he maintains that, because the Social Security system has awarded him disability benefits, the private plan must do the same. Yet the terms of the plan and those of the Social Security system differ, making it difficult to draw inferences from the grant (or denial) of federal disability benefits. See Cleveland v. Policy Management Systems Corp., 526 U.S. 795, 119 S.Ct. 1597, 143 L.Ed.2d 966 (1999). We have held that the Social Security Administration’s decisions, one way or the other, do not bind private plans and insurers. See Anderson v. Operative Plasters’ Pension and Welfare Plan, 991 F.2d 356, 358 (7th Cir. 1993). Plaintiff did not furnish the plan with the evidence presented to federal officials or the reasoning that underlies the grant of Social Security disability benefits. His appellate brief suggests that the plan should have learned these things on its own, but the burden was on him, as the person requesting benefits. Given federal privacy rules, it is hard to understand how the plan could obtain this information independently.

The plan’s decision, on the evidence that plaintiff submitted (as augmented by the consultant’s evaluation), is supported by the record and cannot be disturbed on deferential review. The judgment of the district court is affirmed.

Reference

Full Case Name
R.L. HUTCHINS, Plaintiff-Appellant, v. A.O. SMITH RETIREMENT PLAN and CTC Illinois Trust Company, Defendants-Appellees
Status
Unpublished