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Walters v. Odyssey Healthcare Mgmt. Long Term Disability Plan

UNITED STATES COURT OF APPEALS FOR THE NINTH CIRCUIT
Nov 22, 2016
No. 14-16930 (9th Cir. Nov. 22, 2016)

Opinion

No. 14-16930

11-22-2016

CANDACE S. WALTERS, Plaintiff-Appellant, v. ODYSSEY HEALTHCARE MANAGEMENT LONG TERM DISABILITY PLAN and ODYSSEY HEALTHCARE MANAGEMENT LONG TERM DISABILITY PLAN ADMINISTRATOR, Defendants-Appellees.


NOT FOR PUBLICATION

D.C. No. 2:11-cv-00150-JAT MEMORANDUM Appeal from the United States District Court for the District of Arizona
James A. Teilborg, District Judge, Presiding Argued and Submitted November 14, 2016 San Francisco, California Before: THOMAS, Chief Judge, and KOZINSKI and FRIEDLAND, Circuit Judges.

This disposition is not appropriate for publication and is not precedent except as provided by Ninth Circuit Rule 36-3. --------

Candace Walters appeals the district court's order granting summary judgment to Odyssey Healthcare Management, denying her cross-motion, and denying her motion to remand the matter to the plan administrator for further factual inquiry. We affirm.

An order granting summary judgment on cross-motions is reviewed de novo. Travelers Prop. Cas. Co. of Am. v. ConocoPhillips Co., 546 F.3d 1142, 1145 (9th Cir. 2008). Summary judgment may be affirmed for any reason supported by the record. Id.

We may assume without deciding that the district court incorrectly disregarded Walters' affidavit, which described her memory of submitting a claim for long-term disability benefits. Had the district court considered that affidavit, Odyssey would nonetheless be entitled to summary judgment. Under the undisputed provisions of the long-term disability plan, a participant who believes her claim was wrongly rejected must pursue an internal administrative appeal within 180 days. Likewise, federal law requires a claimant to "avail himself or herself of a plan's own internal review procedures before bringing suit in federal court." Diaz v. United Agric. Emp. Welfare Benefit Plan & Trust, 50 F.3d 1478, 1483 (9th Cir. 1995) (citing Amato v. Bernard, 618 F.2d 559, 566-68 (9th Cir. 1980)). Walters offered no evidence that she pursued an internal review of Odyssey's decision. She therefore cannot proceed with a federal lawsuit, see id., and there is no need to remand the matter to the plan administrator for further factual development.

AFFIRMED.


Summaries of

Walters v. Odyssey Healthcare Mgmt. Long Term Disability Plan

UNITED STATES COURT OF APPEALS FOR THE NINTH CIRCUIT
Nov 22, 2016
No. 14-16930 (9th Cir. Nov. 22, 2016)
Case details for

Walters v. Odyssey Healthcare Mgmt. Long Term Disability Plan

Case Details

Full title:CANDACE S. WALTERS, Plaintiff-Appellant, v. ODYSSEY HEALTHCARE MANAGEMENT…

Court:UNITED STATES COURT OF APPEALS FOR THE NINTH CIRCUIT

Date published: Nov 22, 2016

Citations

No. 14-16930 (9th Cir. Nov. 22, 2016)