Taylor v. General Motors Corp.

• Decision Date: 17 May 1984
• Docket Number: No. 81-40304.,81-40304.
• Citation: 588 F. Supp. 562
• Parties: Arthur TAYLOR, Plaintiff, v. GENERAL MOTORS CORPORATION, a foreign corporation and Metropolitan Life Insurance Company, a foreign corporation, jointly and severally, Defendants.
• Court: U.S. District Court — Western District of Michigan

588 F. Supp. 562

Arthur TAYLOR, Plaintiff, v. GENERAL MOTORS CORPORATION, a foreign corporation and Metropolitan Life Insurance Company, a foreign corporation, jointly and severally, Defendants.

No. 81-40304.

United States District Court, E.D. Michigan, S.D.

May 17, 1984.

James A. Brescoll, Mount Clemens, Mich., for plaintiff.

David M. Davis, Detroit, Mich., Gilbert Y. Rubenstein, Flint, Mich., for defendants.

MEMORANDUM OPINION AND ORDER

NEWBLATT, District Judge.

This matter comes before the Court on defendant Metropolitan Life Insurance Company's (Metropolitan) renewed motion for a separate trial, Metropolitan's renewed motion for partial summary judgment on the issue of disability benefits for a back condition raised in Count II, Metropolitan's renewed motion for partial summary judgment on the issue of disability benefits for a psychological condition raised in Count II, and defendant General Motors Corporation's (GM) motion for summary judgment on Counts I and III. Because of the disposition of Metropolitan's two motions for partial summary judgment, the Court need not address Metropolitan's motion for a separate trial.

Plaintiff filed this cause of action in Wayne County Circuit Court on March 13, 1981. On March 24, 1981, GM, with the concurrence of Metropolitan, properly removed the case to this court, citing the Employee Retirement Insurance Security Act, 29 U.S.C. § 1132(a), as the basis of jurisdiction. This Court permitted plaintiff to amend his complaint on October 10, 1983, and on October 24, 1983, plaintiff filed his first amended complaint, alleging in Count I that GM failed to promote plaintiff and finally terminated him on November 5, 1980 in retaliation for his filing workers' compensation claims against GM in 1964, and for exercising his rights under the "Open Door" policy, asserting in Count II that Metropolitan had breached its insurance contract with plaintiff by refusing to award him disability benefits for a back injury and psychological problems, and claiming in Count III that plaintiff had been discharged in breach of his employment contract.

FACTS

Plaintiff commenced salaried employment with GM as a 5th level Engineering Analyst in the Fisher Body Division on June 25, 1959. He was promoted to 6th level Quality Control Analyst on September 1, 1959, and on March 1, 1960, plaintiff was promoted to 7th level Senior Engineer and transferred to the Chevrolet Central Office.

On March 31, 1960, plaintiff entered into an employment contract with GM, which provided in pertinent part:

* * * * * *

2. The Employee acknowledges that his employment under this agreement is from month to month only on a calendar month basis.

6. The Employer and the Employe acknowledge that there are no other arrangements, agreements, or understandings, verbal or in writing, regarding same and that any modification or amendment hereof, other than a cancellation and replacement hereof by another written form of agreement, must be endorsed hereon in writing and initialed by both the Employe and the Employer.

The contract also specified that pay would be determined by a Compensation Statement periodically signed by plaintiff. See GM's Ex. A. In April of 1961, plaintiff was given a copy of the employee handbook "Working With General Motors" which mentioned GM's policy of filling vacancies by promoting from within whenever possible and which also outlined GM's "Open Door" policy. See plaintiff's Ex. 2. Plaintiff received a new edition of "Working With General Motors" in September of 1977. See GM's Ex. N.

While visiting a GM facility in Framingham, Massachusetts for GM in August of 1961, plaintiff was involved in an automobile accident in which he suffered a back injury. Plaintiff makes unsubstantiated claims that because of his accident, he was treated badly on the job. Following plaintiff's return to work after the accident, he was given an appraisal of D3. See plaintiff's Ex. 1. Plaintiff's injury became the subject of a worker's compensation claim which was ultimately resolved in November of 1966 through plaintiff's exercise of the "Open Door" policy. See GM's Ex. 1 and 2.

During the period from 1966 through 1974 plaintiff received appraisals of B1 and B2. Plaintiff's Ex. 1. Plaintiff continued employment through May 20, 1980. Between 1966 and 1980, plaintiff exercised his rights under the "Open Door" policy numerous times by writing letters expressing an interest in promotion and transfer to a warmer climate. Plaintiff was neither transferred nor promoted. See GM's Ex. 3-11.

Plaintiff submitted a Statement of Claim for Sickness and Accident benefits to Metropolitan on June 2, 1980. The Claim was signed by Andrew T. Yang, Ph.D., who stated that plaintiff was suffering from situational anxiety reaction. Aff. of Richard J. Prunty, Ex. A. In a letter from Dr. Yang to Stephen A. Evanoff, D.O., plaintiff's physician for back problems, Dr. Yang suggested that plaintiff might also be suffering disc problems. On the very day the claim was received, Metropolitan clerk C. Newton notified the Administrator of the Employee Benefit Plan that Dr. Yang held a Ph.D. degree and was not a licensed physician. Ms. Newton then scheduled a psychiatric examination for plaintiff on June 11, 1980 at 1:30 p.m. Aff. of Prunty, Ex. B. On June 5, 1980, Norb Leonard of Metropolitan told Ms. Newton that benefits could be awarded under the certification of a Ph.D. holder only if a psychiatrist concurred in the Ph.D's findings of disability. Furthermore, benefits could not be awarded for a back problem without proof that plaintiff was being seen and treated by a physician for the back problem. Aff. of Prunty, Ex. C.

Plaintiff was examined by Metropolitan's psychiatrist, Dr. Forrer, who found plaintiff unable to work. However, six weeks later, Dr. Forrer stated that plaintiff could return to work. Aff. of Prunty, Ex. F. Plaintiff then filed a Supplementary Claim Form seeking disability benefits for orthopedic reasons. Aff. of Prunty, Ex. G. Plaintiff was placed on Special Leave of Absence Without Pay pending a determination of his alleged disability. Aff. of Prunty, Ex. H. Finally, on September 25, 1980, Metropolitan's doctor found that plaintiff was not disabled for orthopedic reasons. Aff. of Prunty, Ex. J. On November 5, 1980, a GM plant doctor found plaintiff able to return to work. Aff. of Prunty Ex. L. Plaintiff did not return to work. Thus, his absence was treated as a voluntary quit and plaintiff's employment, and consequently his insurance coverage, was terminated as of November 5, 1980. GM's Ex. 1; Aff. of Prunty.

Now that Metropolitan has provided the Court with a copy of the insurance policy, its two motions for partial summary judgment are quite easily resolved. It is clear from Section 10 of the insurance policy that benefits will be awarded only if a claimant is treating with a legally licensed physician. Metropolitan's Reply Brief, Ex. A. Furthermore, it is equally evident from the affidavit of Richard J. Prunty, a Senior Consultant in Metropolitan's Litigation and Appeals Department, and exhibits attached thereto, that payments for plaintiff's psychological disability were not made on the basis of Dr. Yang's recommendation, but upon the certification of Dr. Forrer, a psychiatrist. Therefore, plaintiff's theory that Metropolitan is estopped from denying him benefits under the signature of a Ph.D. degree holder because he relied to his detriment on an earlier award based on Dr. Yang's report simply does not fit the facts. Plaintiff has stated no factual basis for his contention that this so-called contract of adhesion should not be enforced. Plaintiff having offered no facts to contradict that which Metropolitan has established, Metropolitan's motion for partial summary judgment on the issue of disability benefits for a psychological condition is GRANTED.

Granted also is Metropolitan's motion for partial summary judgment on the issue of disability benefits for a back condition. Section 10 of the insurance contract provides that an impairment will be treated as a disability when it renders an employee "wholly and continuously disabled" from performing "any and every" job duty. Once again, plaintiff has failed to state a factual basis for his assertion that the contractual definition of disability is intolerably restrictive. Four doctors evaluated plaintiff's back problem. Both Metropolitan's doctor and GM's plant physician opined that plaintiff was able to work. Aff. of Prunty, Ex. J. and L. Dr. Stephen A. Evanoff treated plaintiff for his back problem, beginning in 1978. However, Dr. Evanoff, as a treating physician, never considered it necessary to advise plaintiff to quit working, even during the period that plaintiff was seeking disability benefits. In fact, Dr. Evanoff believed that plaintiff was able to work. Dep. of Stephen A. Evanoff, D.O. at 31-38. Only Dr. Max Karl Newman, who examined plaintiff only once in July of 1980, concluded that plaintiff had been disabled since May 20, 1980. In fact, Dr. Newman stated that plaintiff may have been disabled years previous to May 20, 1980, during which time he was employed full-time by GM. Dep. of Max Karl Newman, M.D. at 54. Dr. Newman further declared that plaintiff was disabled from "bending, lifting, twisting, and turning." Dep. of Newman at 50. However, plaintiff's November 11, 1983 deposition reveals that the strenuous activity from which Dr. Newman disabled him was not a part of plaintiff's job. Dep. of plaintiff at 8-17 (Nov. 11, 1983). Whether or not plaintiff can bend and twist is irrelevant when the job from which he claims to be disabled has no bending and/or twisting requirements.

The Court will address the issues in GM's motion for summary judgment in the order addressed by GM. GM first argues that plaintiff cannot maintain his Count III claim that his termination of employment on November 5, 1980 was in breach of his contractual employment agreement...