Case 8:18-cv-02098-CEH-JSS Document 60 Filed 11/29/19 Page 1 of 13 PageID 6605 UNITED STATES DISTRICT COURT MIDDLE DISTRICT OF FLORIDA TAMPA DIVISION TYRONE KEYS, Plaintiff/Counter-Defendant, v. BERT BELL/PETE ROZELLE NFL PLAYER RETIREMENT PLAN and the NFL PLAYER DISABILITY & NEUROCOGNITIVE BENEFIT PLAN, Defendants/Counter-Plaintiffs. ) ) ) ) ) ) ) ) ) ) ) ) ) ) Case No. 8:18-cv-02098-CEH-JSS MEMORANDUM IN OPPOSITION TO PLAINTIFF / COUNTER-DEFENDANT TYRONE KEYS’ MOTION FOR SUMMARY JUDGMENT Case 8:18-cv-02098-CEH-JSS Document 60 Filed 11/29/19 Page 2 of 13 PageID 6606 TABLE OF CONTENTS TABLE OF AUTHORITIES ......................................................................................................................... ii INTRODUCTION .......................................................................................................................................... 1 ARGUMENT & AUTHORITIES .................................................................................................................. 2 I. THE COURT SHOULD DISREGARD KEYS’ STRAW MAN ARGUMENTS. .......................... 2 II. KEYS IS NOT ENTITLED TO SUMMARY JUDGMENT ON COUNT I BECAUSE HE CANNOT SHOW THAT THE BOARD’S DECISION WAS UNREASONABLE. ....................... 3 A. The Board Reasonably Determined the Car Accident Was the “But For” Cause of Keys’ Total and Permanent Disability. .............................................................................................. 3 B. The Board Reasonably Determined Keys was Subject to Loss of Benefits Due to a History of False, Incomplete, and Contradictory Statements and Submissions. .................................. 4 C. The March 2003 Report from Howard Hochman Does Not Make the Board’s Decision Unreasonable. .......................................................................................................................... 5 D. Keys Cannot Overturn the Board’s Decision By Blaming Plan Counsel. ............................... 7 III. KEYS HAS ABANDONED COUNT II. ......................................................................................... 8 IV. KEYS RAISES NO AFFIRMATIVE DEFENSES OR OTHER BARS TO THE PLANS’ COUNTERCLAIMS......................................................................................................................... 9 V. EVEN IF THE BOARD’S DECISION WAS UNREASONABLE, KEYS IS NOT ENTITLED TO THE JUDGMENT REQUESTED. ................................................................................................... 9 CONCLUSION .............................................................................................................................................10 i Case 8:18-cv-02098-CEH-JSS Document 60 Filed 11/29/19 Page 3 of 13 PageID 6607 TABLE OF AUTHORITIES Cases Blankenship v. Metro Life Ins. Co., 644 F.3d 1350 (11th Cir. 2011) ............................................................. 7 Boyd v. Bert Bell/Pete Rozelle NFL Player Ret. Plan, 410 F.3d 1173 (9th Cir. 2005) .................................. 6 Courson v. Bert Bell NFL Player Ret. Plan, 75 F. Supp. 2d 424 (W.D. Pa. 1999), aff’d, 214 F.3d 136 (3d Cir. 2000) ............................................................................................................. 7 Evans v. Eaton Corp. Long Term Disability Plan, 514 F.3d 315 (4th Cir. 2008) .......................................... 2 Frame v. Hartford Life & Acc. Ins. Co., 257 F. Supp. 3d 1268 (M.D. Fla. 2017) ..................................... 2, 4 Howard v. Hartford Life & Acc. Ins. Co., 929 F. Supp. 2d 1264 (M.D. Fla. 2013)....................................... 5 Johnson v. Bert Bell/Pete Rozelle NFL Player Ret. Plan, 468 F.3d 1082 (8th Cir. 2006) ............................. 7 Manning v. Johnson & Johnson Pension Comm., 504 F. Supp. 2d 1293 (M.D. Fla. 2007) .......................... 5 Morris v. Nat’l Football League Ret. Bd., 833 F. Supp. 2d 1374 (S.D. Fla. 2011), aff’d, 482 F. App’x 440 (11th Cir. 2012) ................................................................................................... 7 Till v. Lincoln Nat’l Life Ins. Co., 182 F. Supp. 3d 1243 (M.D. Ala. 2016), aff'd, 678 F. App’x 805 (11th Cir. 2017).................................................................................................... 9 Townsend v. Delta Family–Care Disability and Survivorship Plan, 295 F. App’x 971 (11th Cir. 2008) ..... 5 Turner v. Delta Family-Care Disab. & Surv. Plan, 291 F.3d 1270 (11th Cir. 2002) .................................... 2 Useden v. Acker, 947 F.2d 1563 (11th Cir. 1991) .......................................................................................... 7 Watkins v. Goodyear Pension Plan, No. 4:17-CV-461-VEH, 2018 WL 1964591 (N.D. Ala. Apr. 26, 2018)........................................................................................................................... 9 ii Case 8:18-cv-02098-CEH-JSS Document 60 Filed 11/29/19 Page 4 of 13 PageID 6608 INTRODUCTION Keys refuses to accept responsibility and continues to blame others for the consequences of his own actions. According to Keys, the Board mistakenly reduced and suspended his benefits because it did not have or did not understand the entire record. According to Keys, Plan Counsel—allegedly driven by a desire to reap attorneys’ fees—“hatched” a plot to accuse him of fraud. The Court should see through it. The Board always had the entire record, a fact that is established by the record itself. And that record included various falsehoods perpetrated by Keys, not Plan Counsel. Keys is the one who, a year after the car accident, represented that nothing contributed to his impairments—although he undeniably sustained injuries during the car accident—but NFL football. Keys is the one who falsely claimed the extensive medical care he received, beginning just three days after the car accident, was to treat NFL football injuries exclusively. Keys is the one who withheld the first three pages of a four-page accidentrelated medical report, concealing the accident and misrepresenting the purpose of the treatment discussed in the report. Keys is the one who repeatedly failed to tell the Plan he received workers’ compensation benefits. Keys is the one who deceived the Social Security Administration. Yet, Keys denies all of this and more. The Court should not let Keys’ denials and his attempts to blame others be a distraction. As Keys concedes, Pl.’s Mot. for Summary Jgmt. (“Keys Mot.,” ECF 57) at 2, 19, the basic legal issue is whether the Board’s decision to suspend and then terminate Keys’ disability benefits was reasonable. To answer this question, the Court must determine, based on the mountain of evidence before the Board, and whether a reasonable person could conclude that (1) the car accident that Keys concealed was the “but for” cause of his total and permanent disability, or (2) Keys failed to provide full and complete information to the Plan. If the answer to either question is “Yes,” then the Board’s decision to reduce Keys’ benefits should be upheld. And if the Board’s decision to reduce Keys’ benefits is upheld, then Keys was overpaid, and the Plans are entitled to recover those overpayments. Keys’ brief does not advance a single affirmative defense or other bar to the Plans’ recovery. 1 Case 8:18-cv-02098-CEH-JSS Document 60 Filed 11/29/19 Page 5 of 13 PageID 6609 ARGUMENT & AUTHORITIES I. THE COURT SHOULD DISREGARD KEYS’ STRAW MAN ARGUMENTS. Much of Keys’ brief argues the Board’s decision was de novo wrong and contrary to the terms of the Plan. See generally Keys Mot. at 11-19. These arguments miss the point, because under the abuse-ofdiscretion standard of review applicable here, the ultimate question is not whether the Board’s decision was de novo wrong, but whether there was a reasonable basis for it. This standard applies because the Board has “full and absolute discretion, authority and power to interpret, control, implement, and manage the Plan,” RPD § 8.2 [AR-35- 36], including the authority to construe the terms of the Plan, adopt procedures and rules for administering the Plan, and decide claims for benefit. RPD § 8.2 (a), (b), (d) [AR-36]; 1 see Frame v. Hartford Life & Acc. Ins. Co., 257 F. Supp. 3d 1268, 1274 (M.D. Fla. 2017) (“It is undisputed that Hartford was vested with discretion. Therefore, even assuming that [Hartford’s] decision was ‘de novo wrong’... the dispositive question is whether [Hartford’s] decision was arbitrary and capricious.”) (internal quotation marks and citations omitted). Application of the abuse-of-discretion standard means that the Court need not agree with the Board’s decision to uphold it. See Evans v. Eaton Corp. Long Term Disability Plan, 514 F.3d 315, 322 (4th Cir. 2008) (“At its immovable core, the abuse of discretion standard requires a reviewing court to show enough deference to a primary decision-maker’s judgment that the court does not reverse merely because it would have come to a different result in the first instance.”); Turner v. Delta Family-Care Disab. & Surv. Plan, 291 F.3d 1270, 1274 (11th Cir. 2002) (upholding plan administrator’s reasonable decision, noting that “[i]t is irrelevant that the court or anyone else might reach a different conclusion”). Put another way, the Board’s decision can be de novo wrong, but the Court must still uphold it if it is reasonable. Therefore, argument regarding whether the Board’s decision is de novo wrong is a meaningless exercise. 1 Cites like “AR-36” refer to specific pages within the Administrative Record (ECF 56). The AR cites omit a bates prefix and any zeros preceding the page number. Unless stated otherwise, “RPD” cites refer to the 2001 Bert Bell/Pete Rozelle NFL Player Retirement Plan in effect when Keys first applied for and was awarded total and permanent disability benefits. 2 Case 8:18-cv-02098-CEH-JSS Document 60 Filed 11/29/19 Page 6 of 13 PageID 6610 Moreover, Keys misunderstands the Plan’s “Recovery of Certain Overpayments” provision when he points to it to argue that the terms of the Plan(s) do not allow the Board to offset his disability benefits. Keys Mot. at 18-19. The “Recovery of Certain Overpayments” provision contemplates cross-plan offsets. It permits the Retirement Plan, for example, to recover overpayments made by the Disability Plan “[i]f false information submitted by or on behalf of a Player causes the Player to receive amounts under the NFL Player Supplemental Disability Plan (‘Disability Plan’) to which such Player is not entitled.” RPD § 11.12 [AR-50]. 2 The Recovery of Certain Overpayments provision does not exclusively define the Plans’ overpayment rights. In fact, a separate provision authorizes the Board to “[r]ecover any overpayment of benefits through reduction or offset of future benefit payments or other method.” RPD § 8.2(n) [AR-37]. 3 II. KEYS IS NOT ENTITLED TO SUMMARY JUDGMENT ON COUNT I BECAUSE HE CANNOT SHOW THAT THE BOARD’S DECISION WAS UNREASONABLE. The second half of Keys’ brief focuses on the dispositive issue, and argues that the Board’s decision had no reasonable basis. Keys Mot. at 19. Keys is incorrect for all of the reasons explained in the Plans’ separate Motion for Summary Judgment (“Plan Mot.,” ECF 58). Because the Plans’ Motion for Summary Judgment anticipated many of the arguments advanced by Keys in his motion, to avoid repetition the Plans incorporate the arguments and authorities set forth in their Motion. 4 A. The Board Reasonably Determined the Car Accident Was the “But For” Cause of Keys’ Total and Permanent Disability. The Board reasonably determined the car accident was the “but for” cause of Keys’ total and permanent disability on the basis of the Janecki Accident Report, once it came to light. See Plan Mot. at 2 The current version of the Retirement Plan contains the same provision. 4/1/17 RPD § 12.12 [AR-221]. The current version of the Disability Plan contains a corresponding provision that calls for the reduction of future benefits payable under the Disability Plan to recover overpayments from the Retirement Plan. 4/1/17 Disability Plan Doc (“DPD”) § 13.11 [AR-364]. 3 The current versions of the Retirement Plan and Disability Plan contain the same provision. 4/1/17 RPD § 8.2(o) [AR-205]; 4/1/17 DPD § 9.2(o) [AR-353]. 4 Capitalized terms not defined herein have the meaning ascribed to them in the Plans’ Motion for Summary Judgment. 3 Case 8:18-cv-02098-CEH-JSS Document 60 Filed 11/29/19 Page 7 of 13 PageID 6611 15-17 (addressing the import of the Janecki Accident Report). 5 This determination stands irrespective of whether Keys intended to defraud the Plan, a concept that Keys fails to grasp and his brief does not address. In other words, if a reasonable person could conclude the car accident was the “but for” cause of his inability to work, then judgment should be entered in favor of the Plans. Because Keys was found able to work prior to the car accident, and received extensive medical care beginning just three days after the car accident for injuries identified in Keys’ 2003 disability benefits application, the Board’s decision is clearly reasonable. Again, the dispositive question is not whether the Board’s decision was right, but whether it was reasonable. See Frame, 257 F. Supp. 3d at 1274. B. The Board Reasonably Determined Keys was Subject to Loss of Benefits Due to a History of False, Incomplete, and Contradictory Statements and Submissions. The Board reasonably determined that Keys’ history of false, incomplete, and contradictory statements subjected him to a loss of benefits. See Plan Mot. at 17-20 (highlighting some of Keys’ misconduct); 9/13/03 Appl. at 6 [AR-744] (Keys certified he provided “true, correct and complete” information, and acknowledged he may be subject to a loss of benefits if he “made any false or misleading statements or omissions.”). The Board found that Keys intentionally concealed his receipt of workers’ compensation benefits when he applied for and received LOD benefits. The Board also found that Keys (and his wife) provided false and contradictory information to the Social Security Administration on a range of issues, including his residence, who his physicians were, his employment status, and his employment capabilities. Keys’ brief does not mention, much less rebut the reasonableness of, any of these findings. Keys focuses exclusively on the misstatements in his 2003 application, and tries to explain away his failure to disclose the car accident, his concealment of the full Janecki Accident Report, and his misrepresentations concerning the various records he submitted in connection with his 2003 application for T&P benefits. However, all of these arguments and the evidence allegedly supporting them were before the Board as it 5 As the Plans explained in their motion, Keys’ conduct justifies this aspect of the Board’s decision. He concealed the accident and withheld the full Janecki Accident Report because he knew that if they came to light a reasonable person could conclude that the accident was the true, “but for” cause of his total and permanent disability. 4 Case 8:18-cv-02098-CEH-JSS Document 60 Filed 11/29/19 Page 8 of 13 PageID 6612 considered Keys’ situation throughout 2017 and 2018. See, e.g., (undated) Ltr. fr. G. Culverhouse to Retirement Board [AR-4249- 379]; 8/30/17 Ltr. fr. M. Miller to T. Keys [AR-4045- 67]; 2/26/18 Ltr. fr. M. Miller to T. Keys [AR-5277- 87] (explaining the Board’s decision). The Board reasonably rejected Keys’ excuses and explanations for the reasons outlined in its decision letters. Keys has no credibility. C. The March 2003 Report from Howard Hochman Does Not Make the Board’s Decision Unreasonable. Keys’ brief emphasizes the March 2003 chiropractic report from Dr. Howard Hochman [AR-400610], which Keys says proves “that Keys had no objective residual signs of injury related to the car accident.” Keys Mot. at 20; id. at 17 (same). The Hochman report does not render the Board’s decision unreasonable. The Board reasonably concluded the car accident was the “but for” cause of Keys’ total and permanent disability notwithstanding the Hochman report. Dr. Hochman, a chiropractor, evaluated Keys once on March 21, 2003, in the context of an independent medical examination, and remarked that “Today’s examination… revealed no objective residual signs of injury related specifically to the 5/7/02 [motor vehicle accident].” 3/21/03 Hochman IME at 4 [AR-4009]. Putting aside Dr. Hochman’s potential bias, 6 the Board could disregard Dr. Hochman’s conclusion given his credentials and the timing of his evaluation. See Howard v. Hartford Life & Acc. Ins. Co., 929 F. Supp. 2d 1264, 1288 (M.D. Fla. 2013) (“[A] plan administrator is entitled to weigh the evidence and resolve conflicting evidence about the claimant’s disability.”) (quoting Townsend v. Delta Family–Care Disability and Survivorship Plan, 295 F. App’x 971, 977 (11th Cir. 2008)); Manning v. Johnson & Johnson Pension Comm., 504 F. Supp. 2d 1293, 1301 (M.D. Fla. 2007) (“[A]n administrator’s decision that rejects certain evidence and credits conflicting proof may nevertheless be reasonable.”). Dr. Janecki, an orthopedic surgeon, treated Keys more extensively, and later reported in August 2003 that Keys’ neck, back, and knee injuries still existed, and 6 Dr. Hochman likely performed the independent medical examination on behalf of Keys’ insurer. His finding that Keys had no residual injuries from the car accident would clearly benefit the insurer. 5 Case 8:18-cv-02098-CEH-JSS Document 60 Filed 11/29/19 Page 9 of 13 PageID 6613 were “the direct result of injuries” sustained in the car accident. Janecki Accident Report at 3 [AR-3588] (emphasis in original). According to Dr. Janecki: • Keys “continue[d] to have symptoms without remission during the course of the last year and 3 months since his accident;” • Keys had “permanent impairment with permanent loss of important bodily functions and permanent restrictions in terms of his activities of daily living and his occupation;” • Keys had “not been restored to his pre-injury state and continue[d] to have substantial symptoms in his cervical and lumbar spine as well as his left knee;” and • Keys’ “symptoms ha[d] worsened during the course of the last year” following the accident. Janecki Accident Report at 1, 3 [AR-3586, 3588] (emphasis in original). These findings undercut the Hochman report and provide substantial support for the Board’s decision. See Boyd v. Bert Bell/Pete Rozelle NFL Player Ret. Plan, 410 F.3d 1173, 1179 (9th Cir. 2005) (upholding the Board’s determination and noting that “a single persuasive medical opinion may constitute substantial evidence upon which a plan administrator may rely in adjudicating a claim”). The Hochman report also bolstered the Board’s determination that Keys submitted false and incomplete information. The Hochman report was first provided to the Board in June 2017, when Keys’ representative submitted it in response to the Board’s requests for information. 6/7/17 Ltr. fr. G. Culverhouse to Benefits Cmte. [AR-3820]. It is reasonable to conclude that Keys withheld it from the Plan given the report’s discussion of the car accident, turning it over after the chips had fallen, when he thought it might help him regain his benefits. On its face, the report does not support any claim of disability by Keys, and it supports the reasonable conclusion that Keys misrepresented the nature of the treatment records he submitted to the Plan in 2003. See 8/9/17 Memo fr. J. Wilson to D. Ell at 2 [AR-4003] (The IME “documents claims of pain that started ‘within hours of the accident’ and refers to the records of ensuing medical treatment throughout 2002 for that pain. Significantly, the claims of pain and medical records referenced in the car accident IME appear to be the very same claims of pain and medical records used for Mr. Keys’ disability claim filed under the Plan in late 2003.”). 6 Case 8:18-cv-02098-CEH-JSS Document 60 Filed 11/29/19 Page 10 of 13 PageID 6614 D. Keys Cannot Overturn the Board’s Decision By Blaming Plan Counsel. Keys’ portrayal of Plan Counsel as the author of his misfortune is scurrilous. See Keys Mot. at 2023 (citing Plan Counsel’s pre-meeting Overview and Board minutes, and accusing Plan Counsel of not providing or highlight aspects of certain documents at the August 2017 Board meeting). Plan Counsel’s motivations are irrelevant to whether the Board’s decision should be upheld. The relevant question is whether the fiduciary has a structural conflict. See, e.g., Blankenship v. Metro Life Ins. Co., 644 F.3d 1350, 1354 (11th Cir. 2011) (explaining Eleventh Circuit’s six-step framework for reviewing ERISA benefits decisions, and noting that the court should “determine if the claims administrator operated under a conflict of interest”). Keys has never alleged the Board operated under a conflict of interest, and every court to consider the question has held that the Board has no conflict as a matter of law. See Johnson v. Bert Bell/Pete Rozelle NFL Player Ret. Plan, 468 F.3d 1082, 1086 (8th Cir. 2006) (Board has no conflict of interest); Courson v. Bert Bell NFL Player Ret. Plan, 75 F. Supp. 2d 424, 431 (W.D. Pa. 1999), aff’d, 214 F.3d 136 (3d Cir. 2000) (no conflict of interest requiring a more stringent standard of review); Morris v. Nat’l Football League Ret. Bd., 833 F. Supp. 2d 1374, 1386 (S.D. Fla. 2011), aff’d, 482 F. App’x 440 (11th Cir. 2012) (same). An ERISA fiduciary can (and most do) engage and rely on consultants and advisors. See, e.g., Useden v. Acker, 947 F.2d 1563, 1577-78 (11th Cir. 1991) (discussing role that advisors, such as attorneys, permissibly have with ERISA plans). The Retirement Plan explicitly authorizes the Board to retain advisors. 4/1/17 RPD § 8.2(f) [AR-205]. Groom Law Group is one such advisor, and advises the Board and acts as directed by the Board, not the other way around. The Board had the entire record. The August 2017 meeting that Keys highlights was one of a series of meetings where the Board reviewed Keys’ eligibility for T&P benefits. All along, the Board had access to Keys’ entire file—Plan Counsel did not need to attach anything to a pre-meeting Overview or memorandum—and the Board therefore had ample opportunity to review the entire record before (and after) the August 2017 meeting. See, e.g., 8/30/17 Ltr. fr. M. Miller to T. Keys at 1 [AR-4045] (“At its 7 Case 8:18-cv-02098-CEH-JSS Document 60 Filed 11/29/19 Page 11 of 13 PageID 6615 August 16, 2017 meeting, the Retirement Board reviewed your entire file, including materials recently submitted and statements made in connection with you claims for benefits.”). Regardless of what was mentioned in or attached to Plan Counsel’s memoranda, Keys’ own submissions to the Board raised every issue he accuses Plan Counsel of concealing or misrepresenting in August 2017. See, e.g., (undated) Ltr. fr. G. Culverhouse to Retirement Board [AR-4249- 379] (appealing the Board’s decision to reduce and suspend Keys’ benefits and raising arguments laid out in Keys’ motion for summary judgment). Keys’ claim that Plan Counsel “failed to provide Dr. Hochman’s IME report with their Chicago Overview,” Keys Mot. at 23, is false. The August 2017 Overview “contain[ed] a memo describing recent developments relating to Tyrone Keys, and recently received documents.” Plan Counsel “Overview” at 4 [AR-3996]. That memo attached Dr. Hochman’s March 21, 2003 IME report specifically. See 8/9/17 Memo fr. J. Wilson to D. Ell at 2 [AR-4003] (“Dr. Culverhouse’s response [to the Board’s request for information from Keys] include an IME report dated March 21, 2003. The IME is attached.”). 7 III. KEYS HAS ABANDONED COUNT II. In Count II of his Amended Complaint, Keys sought a retroactive award of Football Degenerative/Inactive A benefits for December 2011 through November 2013. Am. Compl. ¶ 37. Keys was receiving Inactive/Inactive B benefits during this timeframe, as the Board reviewed the facts and circumstances surrounding his applications. In July 2015, the Board provisionally reinstated Keys’ Football Degenerative/Inactive A benefits, retroactive to December 2013. 7/23/15 Ltr. fr. M. Miller to C. Deem [AR-2511- 13]. Keys alleges the Board was wrong at that time, and the Plan should have paid him Football Degenerative/Inactive A benefits retroactive to December 2011, given the date of his renewed, 2012 application and his Social Security award. Am. Compl. ¶ 38. Keys bears the burden of proof on this issue. Yet his brief does not address Count II in any detail, or explain why Keys would be entitled to a retroactive award of benefits during the relevant timeframe. 7 See also 8/30/17 Ltr. fr. M. Miller to T. Keys at Ex. 1, p. 1 [AR-4055] (discussing the March 21, 2003 IME); id. at Ex. 1, p. 3 [AR-4057] (same); 2/22/18 Appeal Summary at 1 [AR-4386] (summarizing Keys’ appeal, and noting Dr. Hochman’s March 2003 report). 8 Case 8:18-cv-02098-CEH-JSS Document 60 Filed 11/29/19 Page 12 of 13 PageID 6616 Keys has thus waived any argument for a retroactive award of Football Degenerative/Inactive A benefits from December 2011 through November 2013. See Watkins v. Goodyear Pension Plan, No. 4:17-CV-461VEH, 2018 WL 1964591, at *6 (N.D. Ala. Apr. 26, 2018) (noting that a court should not address perfunctory or underdeveloped arguments). IV. KEYS RAISES NO AFFIRMATIVE DEFENSES OR OTHER BARS TO THE PLANS’ COUNTERCLAIMS. In his answer to the Plans’ counterclaims, Keys raised a number of affirmative defenses, including waiver, limitations, failure-to-exhaust, and an argument that the Plan Documents do not authorize the Plans’ counterclaims. Keys’ brief is silent on these defenses, and he has therefore waived them. Watkins, 2018 WL 1964591, at *6. V. EVEN IF THE BOARD’S DECISION WAS UNREASONABLE, KEYS IS NOT ENTITLED TO THE JUDGMENT REQUESTED. If Keys prevails on the theory that the Board failed to conduct a full and fair review, the appropriate remedy for this type of procedural defect is remand, not an award of benefits. See Till v. Lincoln Nat’l Life Ins. Co., 182 F. Supp. 3d 1243, 1261 (M.D. Ala. 2016), aff’d, 678 F. App’x 805 (11th Cir. 2017) (“When a court determines that an administrator has violated ERISA procedures, the usual remedy is to remand the case for a full and fair review.”). Even if the Court believes an award of benefits is appropriate, the benefit amounts presented in Keys’ motion (Keys Mot. at 24 (noting disability payments of $6,000 per month and $10,250 per month)), are incorrect, primarily because they do not account for (1) Keys’ age, and (2) a mandatory reduction in disability benefits due to Keys’ prior receipt of an “Early Payment Benefit” pension. See, e.g., 4/1/17 RPD § 4.5(c) [AR-175] (mandating reduction of future total and permanent disability benefits for any Player who elected an Early Payment Benefit); 4/1/17 RPD § 5.5(d) [AR-190] (mandating reduction of total and permanent disability payments effective as of the Player’s Normal Retirement Date, i.e., the date the Player reaches age 55). 9 Case 8:18-cv-02098-CEH-JSS Document 60 Filed 11/29/19 Page 13 of 13 PageID 6617 CONCLUSION The Court should deny Keys’ motion for summary judgment and enter judgment in favor of the Plans on both Keys’ claims and the Plans’ counterclaims. Dated: November 29, 2019 By: _________________________________ Michael L. Junk, pro hac vice Katherine B. Kohn, pro hac vice GROOM LAW GROUP, CHARTERED 1701 Pennsylvania Ave. NW Washington, DC 20006 T: (202) 857-0620 F: (202) 659-4503 E: mjunk@groom.com E: kkohn@groom.com Brian D. Equi (Florida Bar ID No. 143936) GOLDBERG SEGALLA 800 North Magnolia Avenue, Suite 1201 Orlando, Florida 32803 T: (407) 458-5605 F: (407) 458-5699 E: bequi@goldbergsegalla.com Counsel for Defendants / Counter-Plaintiffs Bert Bell/Pete Rozelle NFL Player Retirement Plan and NFL Player Disability & Neurocognitive Benefit Plan 10