Shane v. Albertson's Inc. ( 2007 )


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  •                     FOR PUBLICATION
    UNITED STATES COURT OF APPEALS
    FOR THE NINTH CIRCUIT
    STACEY SHANE,                             
    Plaintiff-Appellee,
    v.
    ALBERTSON’S INC., EMPLOYEES’                     No. 05-56319
    DISABILITY PLAN; ALBERTSON’S INC.,
    EMPLOYEES’ LIFE INSURANCE                         D.C. No.
    CV 04-1087-AHM
    BENEFITS PLAN; ALBERTSON’S INC.,
    OPINION
    EMPLOYEES’ MEDICAL AND DENTAL
    PLAN; and ALBERTSON’S INC.,
    EMPLOYEES’ BENEFIT PENSION PLAN,
    Defendants-Appellants.
    
    Appeal from the United States District Court
    for the Central District of California
    A. Howard Matz, District Judge, Presiding
    Argued and Submitted
    June 7, 2007—Pasadena, California
    Filed October 15, 2007
    Before: Johnnie B. Rawlinson and Stephen S. Trott,
    Circuit Judges, and Mary H. Murguia,* District Judge.
    Opinion by Judge Murguia;
    Dissent by Judge Trott
    *The Honorable Mary H. Murguia, United States District Judge for the
    District of Arizona, sitting by designation.
    13969
    13972             SHANE v. ALBERTSON’S INC.
    COUNSEL
    Lisa S. Kantor, Kantor & Kantor LLP, Northridge, California,
    for the plaintiff-appellee.
    W. Mark Gavre, Parsons Behle & Latimer, Salt Lake City,
    Utah, for the defendants-appellants.
    OPINION
    MURGUIA, District Judge:
    Albertson’s, Inc., Employees’ Disability Plan and several
    other Albertson’s Employee Plans (“Albertson’s”) bring this
    appeal from the district court’s order reversing Albertson’s
    decision to terminate Plaintiff-Appellee Stacey Shane’s (“Ms.
    Shane”) Long Term Disability (“LTD”) benefits received
    under Albertson’s Employees’ Disability Benefits Plan (the
    “Disability Plan”). We have jurisdiction over this appeal pur-
    suant to 28 U.S.C. § 1291, and we affirm.
    I.   BACKGROUND
    Ms. Shane is a former Albertson’s employee and partici-
    pated in Albertson’s Disability Plan. In April of 1999, Ms.
    SHANE v. ALBERTSON’S INC.            13973
    Shane suffered a knee injury and began receiving LTD Bene-
    fits on January 31, 2000. From January 31, 2000, through Jan-
    uary 30, 2002, Ms. Shane received and was continuously re-
    approved for LTD benefits. However, based upon the results
    of a “2 year Recertification” initiated by Albertson’s in April
    of 2002, Albertson’s Medical Review Committee (“MRC”)
    discontinued Ms. Shane’s LTD benefits beyond April 30,
    2003, stating that Ms. Shane no longer met the Disability
    Plan’s definition of “Total Disability.” Ms. Shane’s adminis-
    trative appeal of the decision was denied on September 23,
    2003. On February 16, 2004, Ms. Shane filed the instant suit
    in district court pursuant to 29 U.S.C. § 1132(a) of the
    Employee Retirement Income Security Act of 1974
    (“ERISA”).
    Before the district court, several issues were presented
    including whether the court should refer to Albertson’s Dis-
    ability Plan effective as of August 1, 1993 (the “1993 Disabil-
    ity Plan”) or the Disability Plan effective as of February 1,
    2002 (the “2002 Disability Plan”) and the appropriate stan-
    dard for reviewing the termination of Ms. Shane’s LTD bene-
    fits. The district court set the matter for trial on March 22,
    2005; however, after receiving briefing from the Parties, the
    district court vacated the trial date and took the matter under
    submission. On July 26, 2005, the district court ruled in favor
    of Ms. Shane by finding that the 1993 Disability Plan gov-
    erned Ms. Shane’s LTD claim and, in applying the de novo
    standard of review, that Ms. Shane was entitled to continue
    receiving LTD benefits. The instant appeal by Albertson’s
    followed.
    II.   STANDARD OF REVIEW
    “We review de novo a district court’s choice and applica-
    tion of the standard of review to decisions by fiduciaries in
    ERISA cases.” Abatie v. Alta Health & Life Ins. Co., 
    458 F.3d 955
    , 962 (9th Cir. 2006) (en banc) (citation omitted). “Thus,
    we review the matter anew, the same as if it had not been
    13974               SHANE v. ALBERTSON’S INC.
    heard before, and as if no decision previously had been
    entered.” Freeman v. DirecTV, Inc., 
    457 F.3d 1001
    , 1004 (9th
    Cir. 2006) (citing Ness v. Commissioner, 
    954 F.2d 1495
    , 1497
    (9th Cir. 1992)). “We also review de novo the district court’s
    interpretation of an ERISA insurance policy’s language [and]
    . . . the district court’s findings of fact for clear error.” Metro-
    politan Life Ins. Co. v. Parker, 
    436 F.3d 1109
    , 1113 (9th Cir.
    2006) (citations omitted).
    III.   DISCUSSION
    A.    Did the district court err in finding that the 1993 Dis-
    ability Plan governed Ms. Shane’s LTD benefits
    claim?
    Albertson’s contends that the district court erred in finding
    that the 1993 Disability Plan, rather than the 2002 Disability
    Plan, applied to Ms. Shane’s LTD claim. However, Albert-
    son’s contention on this point is not supported by the record.
    Notably, the 1993 Disability Plan, while granting Albertson’s
    the right to amend the provisions of the Disability Plan at any
    time also expressly provides that:
    [a]ny amendment to the Plan shall be effective only
    with respect to Total Disabilities which commence
    on and after the effective date of the amendment.
    Total Disabilities commencing prior to the effective
    date of a Plan amendment are to be provided for
    under the terms of the Plan in effect at the time those
    disabilities commenced.
    [1] Importantly, Ms. Shane began receiving her LTD bene-
    fits on January 31, 2000, thus qualifying her as a “Total Dis-
    ability” under the scope of the 1993 Disability Plan and well
    prior to the effective date of the “Amended and Restated”
    2002 Disability Plan. In addition, based upon Ms. Shane’s
    qualification for LTD benefits prior to the effective date of the
    2002 Disability Plan, the plain language of the 2002 Disabil-
    SHANE v. ALBERTSON’S INC.                      13975
    ity Plan defers to the 1993 Disability Plan by stating that
    “Total Disabilities commencing prior to the effective date of
    a Plan amendment are to be provided for under the terms of
    the Plan in effect at the time those disabilities commenced.”
    Because, Ms. Shane’s “Total Disability” commenced while
    the 1993 Disability Plan was in effect, the subsequent 2002
    Disability Plan, by its own terms, has no application.
    [2] We also find unpersuasive Albertson’s argument that
    the 2002 Disability Plan applies based upon the fact that the
    2002 Disability Plan was in existence prior to the MRC’s
    2003 decision to terminate Ms. Shane’s benefits. Albertson’s,
    citing Grosz-Salmon v. Paul Revere Life Ins. Co., 
    237 F.3d 1154
    , 1160-61 (9th Cir. 2001), argues that “[i]t is well settled
    that the controlling plan is the plan in effect at the time of
    (sic) the final decision is made.” However, Albertson’s argu-
    ment overstates the holding in Grosz-Salmon and ignores the
    plain language of the 1993 and 2002 Disability Plans. In
    Grosz-Salmon the employee’s disability coverage claim was
    governed by the plan in effect at the time the employee’s
    claim accrued because “[n]othing in [the employee’s policy
    with the employer] . . . assured employees that their rights
    were vested.” 
    Id. at 1160.
    In this case, unlike Grosz-Salmon,
    both the 1993 and 2002 Disability Plans possess clear lan-
    guage establishing that Ms. Shane’s LTD claim “[is] to be
    provided for under the terms of the Plan in effect at the time
    [her] disabilit[y] commenced.” Ms. Shane’s LTD benefits
    based upon her “[t]otal [d]isability” commenced during the
    1993 Disability Plan and prior to the 2002 Disability Plan,
    thus her claim is governed by the 1993 Disability Plan. As
    such, the district court’s determination to apply the 1993 Dis-
    ability Plan is sound.1
    1
    There is dispute between the Parties as to whether the district court’s
    decision to apply the 1993 Disability Plan is subject to a clear error or de
    novo standard of review. Ninth Circuit authority provides that such a
    determination is a factual finding subject to clear error standard of review.
    See 
    Metropolitan, 436 F.3d at 1116
    (remanding to district court “to make
    a factual finding as to which plan governed” employee benefits claim).
    However, under either standard the district court’s finding is sound.
    13976              SHANE v. ALBERTSON’S INC.
    B.    Did the district court err in relying on the doctrine of
    contra proferentem in determining that the 1993 Dis-
    ability Plan governed Ms. Shane’s LTD benefit claim?
    [3] In finding that the 1993 Disability Plan controlled Ms.
    Shane’s LTD claim, the district court cited the doctrine of
    contra proferentem by stating that “[i]f a term is ambiguous
    it will be construed against the drafter and aligned with the
    reasonable expectations of the insured.” As correctly noted by
    Albertson’s, the doctrine of contra proferentem is not applica-
    ble to self-funded ERISA plans, such as the Disability Plan at
    issue in this case. See Winters v. Costco Wholesale Corp., 
    49 F.3d 550
    , 554 (9th Cir. 1995) (“[T]he rule of contra profer-
    entem is not applicable to self-funded ERISA plans that
    bestow explicit discretionary authority upon an administrator
    to determine eligibility for benefits or to construe the terms of
    the plan.”). Therefore, the district court’s citation to the doc-
    trine raises a concern regarding its determination that the
    1993 Disability Plan controls. However, while the district
    court cited the doctrine of contra proferentem, the district
    court’s decision is wholly absent of any indication that it actu-
    ally applied the doctrine in construing the provisions of the
    1993 and 2002 Disability Plans. A plain reading of the district
    court’s decision demonstrates that none of the relevant terms
    or provisions construed were deemed to be ambiguous. As
    such, we find the citation to the doctrine to be immaterial to
    the district court’s ultimate determination applying the 1993
    Disability Plan.
    C.    Did the district court apply the correct standard of
    review regarding Albertson’s decision to discontinue
    LTD benefits to Ms. Shane?
    Albertson’s contends that even if the district court properly
    relied on the 1993 Disability Plan, its decision to apply the de
    novo standard of review rather than the abuse of discretion
    standard to Albertson’s decision to terminate Ms. Shane’s
    LTD benefits constitutes reversible error. Albertson’s takes
    SHANE v. ALBERTSON’S INC.               13977
    issue with the district court’s finding that the MRC, the body
    that terminated Ms. Shane’s LTD benefits, was not properly
    vested with the requisite discretionary authority to review Ms.
    Shane’s LTD claim, which led to the district court’s de novo
    review.
    As an initial matter, there is no issue with the district
    court’s finding that the 1993 Disability Plan provides discre-
    tionary authority to the identified Plan fiduciary, the Trustees,
    to review and evaluate LTD claims such as Ms. Shane’s.
    Notably, the Disability Plan grants the Trustees the authority
    “[t]o determine all questions relating to the eligibility of
    Employees for benefits, as well as the amount and payment
    of benefits.” As such, had the Trustees made the decision to
    discontinue Ms. Shane’s LTD benefits the district court would
    have likely invoked the abuse of discretion standard of
    review. See 
    Abatie, 458 F.3d at 963
    (“[I]f the plan does confer
    discretionary authority as a matter of contractual agreement,
    then the standard of review shifts to abuse of discretion.”)
    (citation omitted) (emphasis in original). However, the MRC,
    not the Trustees, was the body that made the decision to ter-
    minate Ms. Shane’s LTD benefits. Therefore, the issue is
    whether the MRC properly received and was vested with the
    Trustees’ discretionary authority to review Ms. Shane’s LTD
    claim. If the MRC was not properly vested with such discre-
    tion, its decision to terminate Ms. Shane’s LTD benefits
    would not be subject to the deferential standard of review of
    abuse of discretion. See Jebian v. Hewlett-Packard Co.
    Employee Benefits Organization Income Protection, 
    349 F.3d 1098
    , 1105 (9th Cir. 2003) (“When an unauthorized body that
    does not have fiduciary discretion to determine benefits eligi-
    bility renders such a decision . . . deferential review is not
    warranted.”) (quoting Sanford v. Harvard Indus., 
    262 F.3d 590
    , 597 (6th Cir. 2001)). Importantly, the 1993 Disability
    Plan provides the Trustees with the power “[t]o delegate to
    the Contract Administrator and Employees of the Employer
    such powers and duties as the Trustees shall determine.” Such
    “powers and duties” encompass the discretionary authority to
    13978              SHANE v. ALBERTSON’S INC.
    review LTD claims such as Ms. Shane’s. Moreover, because
    the MRC is made of employees of Albertson’s Benefits
    Review Committee with the assistance of an independent phy-
    sician, the MRC falls within the scope of persons or bodies
    eligible to receive the Trustees’ discretionary authority.
    Despite the existence of the delegation clause and
    employee makeup of the MRC, the district court appears to
    have rejected the notion that the MRC was properly vested
    with discretionary authority to invoke the deferential standard
    of review because of the lack of any express delegation from
    the Trustees to the MRC. Specifically, the district court con-
    cluded in pertinent part:
    While the Trustees did have the power to delegate
    their discretionary authority, nothing presented to the
    Court indicates that such authority was properly del-
    egated. The deposition testimony offered by Mr.
    [Michael] Hodge is insufficient to establish other-
    wise. See Rodriguez-Abreu [v. Chase Manhattan
    Bank, N.A.], 986 F.2d [580,] . . . 584 (1st Cir. 1993)
    (holding that because no plan document granted dis-
    cretion to the plan administrator and because the
    fiduciaries had not expressly delegated their discre-
    tionary authority to the plan administrator, the dis-
    trict court employed the de novo standard of review)
    . . . . Defendants admit that the MRC was the body
    tasked with determining whether Ms. Shane was eli-
    gible for LTD benefits . . . . Because the MRC was
    not expressly granted discretion, I find that the
    proper standard of review is de novo.
    (Emphasis added).
    [4] The above language from the district court’s order
    reveals that while it recognized the 1993 Disability Plan’s del-
    egation clause, the district court focused on the absence of
    any documentation of the delegation to the MRC. However,
    SHANE v. ALBERTSON’S INC.                      13979
    the focus should have been on whether the Disability Plan
    contemplated the possibility of a transfer of discretionary
    authority to a third-party and whether there was evidence
    establishing delegation to the MRC. See Hensley v. Northwest
    Permanente P.C. Retirement Plan, 
    258 F.3d 986
    , 998 (9th
    Cir. 2001), overruled on other grounds by 
    Abatie, 458 F.3d at 966
    (holding that delegation of discretionary authority to
    third-party from identified plan fiduciary was sufficient
    because plan contemplated delegation; the plan did not
    require delegation to be in writing; and affidavits were sub-
    mitted stating that delegation of discretionary authority took
    place). Thus, at the very least, the district court was required
    to apply the 1993 Disability Plan’s delegation clause as well
    as evaluate the evidence surrounding the transfer of discre-
    tionary authority from the Trustees to the MRC, such as the
    testimony from Mr. Hodge, the director of Health and Wel-
    fare Programs at Albertson’s, describing the delegation to the
    MRC.2
    [5] However, given this Court’s de novo review of the dis-
    trict court’s choice and application of the standard of review
    governing Albertson’s termination of Ms. Shane’s LTD bene-
    fits, we find no cause to reverse or for a remand. When con-
    sidering and applying the delegation clause in conjunction
    with the relevant evidence regarding the transfer of discretion-
    ary authority to the MRC, it is apparent that the delegation to
    the MRC was not in compliance with the 1993 Disability
    Plan’s stated requirements. Mr. Hodge’s testimony demon-
    strates the existence of an unauthorized delegation to the
    MRC, thus invoking the de novo standard of review used by
    the district court. Specifically, Mr. Hodge’s testimony estab-
    lishes that the Trustees first transferred their discretionary
    2
    The district court’s focus is also evidenced by its statement that “[t]he
    testimony of Mr. Hodge provides the only basis to find that there was any
    delegation of authority (from the Trustees to Mr. Snow and from him to
    the MRC); there is no documentation of it in the record.” (Emphasis
    added).
    13980                 SHANE v. ALBERTSON’S INC.
    authority to Jack Snow, the Vice President of Health and Wel-
    fare Development, who in turn transferred such discretionary
    authority to the MRC. However, the 1993 Disability Plan
    does not contemplate any such procedure for the delegation of
    discretionary authority. Rather, the delegation clause only
    contemplates delegation from the Trustees to the “Contract
    Administrator and Employees of the Employer.” There is
    nothing in the Disability Plan’s delegation clause or in the
    Disability Plan itself that contemplates further delegation
    from an employee, such as Mr. Snow, to any other body of
    employees, such as the MRC.3 Thus, even if the district court
    expressly and properly considered the delegation clause with
    the evidence in the record regarding the actual transfer of dis-
    cretionary authority, the district court would have reached the
    same result of an improper transfer of discretionary authority,
    thus mandating the de novo standard of review.
    Albertson’s asserts that we are precluded from affirming
    the district court on this basis for two reasons: (1) Ms. Shane
    did not raise with the district court this specific argument of
    an improper delegation from the Mr. Snow to the MRC; and
    (2) the district court did not address Ms. Shane’s new argu-
    ment in its decision. However, neither argument is persuasive.
    First, contrary to Albertson’s argument, Ms. Shane did
    raise this argument to the district court. In Ms. Shane’s
    responsive trial brief, she argued that the testimony of Mr.
    Hodge supports a finding of an improper delegation to the
    MRC. For instance, Ms. Shane argued in relevant part:
    Mr. Hodge’s testimony further evidenced that the
    3
    The dissent concludes from Mr. Hodge’s testimony that the delegation
    to the MRC was in compliance with the terms of the Disability Plan. How-
    ever, this conclusion is contrary to Mr. Hodge’s express testimony
    describing that first “the trustees had expressly delegated their discretion-
    ary authority to Jack Snow” and second that “[Mr. Snow] in turn delegated
    that discretionary authority to the Benefit Plan Committee[.]”
    SHANE v. ALBERTSON’S INC.               13981
    Plan Trustees did not delegate this discretionary
    authority to the Medical Review Committee, rather,
    it was Jack Snow who completed this delegation. As
    Jack Snow was not a Trust Plan Trustee, he had no
    authority to delegate discretionary authority to the
    Medical Review Committee . . . . As such, Jack
    Snow’s alleged delegation of discretionary authority
    to the Medical Review Committee, insofar as it was
    not pursuant to the LTD Plan’s specific allowance
    for such a delegation, was not a proper delegation
    and does not support a finding sufficient to support
    the application of the arbitrary and capricious stan-
    dard of review.
    In view of Ms. Shane’s argument in the district court,
    Albertson’s contention that had this issue of an improper dele-
    gation from Mr. Snow to the MRC been raised to the district
    court, Albertson’s would have supplemented Mr. Hodge’s tes-
    timony “to elaborate on the delegation and its mechanics” is
    misplaced. Notably, Albertson’s opening brief cites to a por-
    tion of Mr. Hodge’s testimony that describes the delegation as
    being first received by Mr. Snow from the Trustees and then
    subsequently conveyed to the MRC. Thus, the “mechanics” of
    the delegation to the MRC have been sufficiently established.
    Second, we do not deem it significant that the district court,
    in its decision, did not expressly address or accept Ms.
    Shane’s argument of an improper delegation from Mr. Snow
    to the MRC. The district court did cite Mr. Hodge’s testimony
    describing the transfer from the Trustees to Mr. Snow and
    then to the MRC. In addition, because we review this matter
    anew under the de novo standard of review, we are not limited
    by the district court’s determination. 
    Freeman, 457 F.3d at 1004
    .
    IV.   CONCLUSION
    [6] The district court properly applied the 1993 Disability
    Plan in reviewing Albertson’s decision to terminate Ms.
    13982                SHANE v. ALBERTSON’S INC.
    Shane’s LTD benefits. While the district court may not have
    properly applied and expressly considered the 1993 Disability
    Plan’s delegation clause and relevant evidence, we affirm
    based upon our de novo review, because the record estab-
    lishes that Albertson’s decision-making body, the MRC, was
    not properly vested with the requisite discretionary authority
    so as to invoke a deferential standard of review by the district
    court.
    AFFIRMED.
    TROTT, Circuit Judge, dissenting:
    Even if we assume arguendo that the 1993 Plan controls,
    I respectfully disagree with my colleagues’ analysis of the
    standard of review applicable to this controversy, because I
    believe their approach to be at odds with Hensley v. North-
    west Permanente Retirement Plan & Trust, 
    258 F.3d 986
    (9th
    Cir. 2001).1 There, we held that the district court properly
    applied an abuse of discretion standard of review where the
    administrators that denied plaintiffs’ claims received their
    authority via a verbal delegation. In doing so, we said:
    [T]he Plan provides that “each Committee estab-
    lishes procedures for carrying its duties and powers
    and keeps records of its proceedings, acts, and other
    data necessary to administer the Plan.” Although the
    defendants did not produce documentary evidence
    showing the delegation of authority from the Physi-
    cians Plan administrator to Canter, affidavits from
    her and Kirk E. Miller, a Physicians Plan committee
    member, state that the committee for several years
    1
    I am unconvinced that the 1993 Plan governs this dispute. The 2002
    Plan was not an amendment to the 1993 Plan, but an entirely new Plan that
    applied to all cases as of its effective date: February 1, 2002.
    SHANE v. ALBERTSON’S INC.              13983
    had delegated to Canter the authority to make initial
    claim determinations. Finally, nothing in the Physi-
    cians Plan requires that the delegation be in writing.
    
    Id. at 998
    (emphasis added).
    Here, the 1993 Plan grants the Trustees discretionary
    decision-making authority to make decisions and gives it
    power to “delegate to the Contract Administrator and
    Employees of the Employer such powers and duties as the
    Trustees shall determine.” As Article IX, § 9.04 of the Plan
    demonstrates, the Plan does not require that any delegation be
    in writing; and their authority to delegate is plenary, giving
    them the power to delegate “such powers and duties as the
    Trustees shall determine.” Michael Hodge indicated that the
    Trustees verbally invested the Medical Review Committee
    (“MRC”) with authority to review claims, and that MRC exer-
    cised the authority for years:
    Q. And how is it that the Medical Review Commit-
    tee had fiduciary authority?
    A. It was delegated from the trustees down through
    Jack Snow to me, and Jack actually was the one who
    would have delegated the authority to the committee
    before I was here, and I just carried that on.
    ....
    Q. And what did Jack Snow specifically state to
    you that led you to believe that the trustees had dele-
    gated discretionary authority to the committee to
    make benefit determinations?
    A. The — over the course of five years or so we
    discussed that fairly often about delegation of
    authority and who was responsible for making deter-
    mination and final determinations.
    13984              SHANE v. ALBERTSON’S INC.
    ER 650 (emphasis added). True, Albertson’s did not submit
    documentary evidence to support Hodge’s testimony. How-
    ever, neither Hensley nor the 1993 Plan require such docu-
    mentation, to the contrary: an oral delegation will suffice. In
    addition, it appears circumstantially that effective delegation
    did occur because at the time the MRC ultimately denied
    Shane’s claimed benefits, the decision-maker under the 1993
    Plan — the Plan Trustees — no longer existed! The MRC had
    taken their place. Furthermore, the district court relied on
    First Circuit authority to ignore Hodge’s uncontradicted testi-
    mony, not authority from our Circuit. Hensley controls, not
    Rodriguez-Abreu v. Chase Manhattan Bank, N.A., 
    986 F.2d 580
    , 584 (1st Cir. 1993).
    We seem to have become distracted by the absence of any
    express authority in the 1993 Plan permitting the person to
    whom the Trustees might delegate discretionary authority to
    set up a competent committee such as the MRC to make these
    decisions. In the scheme of things, I see this factor as utterly
    inconsequential. First, it is not surprising that Albertson’s set
    up a committee to make complex decisions on medical mat-
    ters such as disability, complete with an independent physi-
    cian. Such a committee is certainly superior to one executive.
    Moreover, the MRC was well established and regularly func-
    tioning by the time the disputed decision was made in this
    case. Finally, and most importantly, Hodge’s uncontradicted
    testimony demonstrates that the trustees had delegated discre-
    tionary authority to the committee to make benefit determina-
    tions. Hodge said “we discussed that [the Trustees delegation
    to the committee] fairly often about delegation of authority
    and who was responsible for making determinations and final
    determinations.” I read this testimony in context to indicate
    that the MRC was created by the Trustees by way of delega-
    tion to Jack Snow.
    Under these circumstances, I believe it was not appropriate
    for the district court wholly to ignore the Plan’s delegation
    clause and Hodge’s testimony. My colleagues don’t either,
    SHANE v. ALBERTSON’S INC.               13985
    saying that the district court “may not have properly applied
    and expressly considered” the relevant evidence, but then
    with all respect, my colleague’s conclusion replicates the dis-
    trict court’s mistake and exalts form over substance. I reiter-
    ate, the MRC was in place and functioning, the Plan Trustees
    were long gone. Thus, from this record, I conclude that the
    MRC was properly vested with the requisite discretionary
    authority to review Ms. Shane’s LTD claim. It follows as day
    the night that our standard of review is for an abuse of discre-
    tion.
    Moreover, I find it hard to believe that the district court’s
    inappropriate reference to the contra proferentem insurance
    case doctrine is of no moment. Why did the court refer to it
    if it was irrelevant? My colleagues appear to believe that the
    district court referenced this doctrine and then ignored it. This
    is hard for me to accept, especially in the light of the district
    court’s findings and conclusions, all of which disfavored the
    party that the doctrine puts at a disadvantage: Albertson’s. At
    the very least, I would not guess at what the district court did
    with this inapplicable doctrine; I would send the case back for
    clarification.
    With all respect to the district court, its analysis was off
    track. Its analysis relied upon an inapplicable doctrine which
    inappropriately disfavored Albertson’s, used the wrong prece-
    dent, and ignored without reason relevant and material testi-
    mony and evidence. I would remand with instruction to start
    over without using the doctrine of contra proferentem, to use
    Hensley as precedent, and to apply the proper standard of
    review.
    Thus, I respectfully dissent.