Learn About the Law
Get help with your legal needs
FindLaw’s Learn About the Law features thousands of informational articles to help you understand your options. And if you’re ready to hire an attorney, find one in your area who can help.
CAROL MOLANICK, Plaintiff - Appellant, v. UNITED SERVICES AUTOMOBILE ASSOCIATION, Defendant - Appellee.
MEMORANDUM*
Carol Molanick appeals pro se from the district court's judgment in her action alleging that United Services Automobile Association (“USAA”) violated the Employee Retirement Income Security Act (“ERISA”) by denying her claims for short-term disability benefits. We have jurisdiction under 28 U.S.C. § 1291. Where an ERISA plan grants discretionary authority to determine eligibility for benefits or to construe the terms of the plan, we review for an abuse of discretion the administrator's interpretation of the plan, and de novo the district court's application of this standard. Tapley v. Locals 302 & 612 of the Int'l Union of Operating Eng'rs-Emp'rs Constr. Indus. Ret. Plan, 728 F.3d 1134, 1139 (9th Cir. 2013). We affirm.
Because Molanick failed to establish circumstances that warranted giving any conflict of interest greater weight, the district court properly reviewed USAA's decision for an abuse of discretion. See Harlick v. Blue Shield of Cal., 686 F.3d 699, 707 (9th Cir. 2012) (explaining abuse of discretion review is “tempered by skepticism when the plan administrator has a conflict of interest,” and outlining circumstances when conflict is given more or less weight (citation and internal quotation marks omitted)). Applying this standard, the district court properly concluded that USAA did not abuse its discretion in denying benefits because the medical evidence did not support a finding that Molanick was disabled from performing the material and substantial duties of her job. See Salomaa v. Honda Long Term Disability Plan, 642 F.3d 666, 676 (9th Cir. 2011) (explaining that in reviewing plan administrator's decision, a court may not “substitute [its] view for that of the factfinder;” rather, the court must “consider whether application of a correct legal standard was (1) illogical, (2) implausible, or (3) without support in inferences that may be drawn from the facts in the record” (citations and internal quotation marks omitted)).
We do not consider matters not specifically and distinctly raised and argued in the opening brief, or arguments and allegations raised for the first time on appeal. See Padgett v. Wright, 587 F.3d 983, 985 n.2 (9th Cir. 2009).
AFFIRMED.
A free source of state and federal court opinions, state laws, and the United States Code. For more information about the legal concepts addressed by these cases and statutes visit FindLaw's Learn About the Law.
Docket No: No. 14-16404
Decided: September 19, 2016
Court: United States Court of Appeals, Ninth Circuit.
Search our directory by legal issue
Enter information in one or both fields (Required)
Harness the power of our directory with your own profile. Select the button below to sign up.
Learn more about FindLaw’s newsletters, including our terms of use and privacy policy.
Get help with your legal needs
FindLaw’s Learn About the Law features thousands of informational articles to help you understand your options. And if you’re ready to hire an attorney, find one in your area who can help.
Search our directory by legal issue
Enter information in one or both fields (Required)