Opeta v. Northwest Airlines ( 2007 )


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  •                  FOR PUBLICATION
    UNITED STATES COURT OF APPEALS
    FOR THE NINTH CIRCUIT
    IOANE JOHN OPETA,                     
    Plaintiff-Appellant,         No. 04-56719
    v.
           D.C. No.
    CV-03-05189-WJR
    NORTHWEST AIRLINES PENSION
    PLAN FOR CONTRACT EMPLOYEES,                 OPINION
    Defendant-Appellee.
    
    Appeal from the United States District Court
    for the Central District of California
    William J. Rea, District Judge, Presiding
    Argued and Submitted
    September 12, 2006—Pasadena, California
    Filed May 7, 2007
    Before: J. Clifford Wallace, M. Margaret McKeown, and
    Kim McLane Wardlaw, Circuit Judges.
    Opinion by Judge Wardlaw
    5107
    5110      OPETA v. NORTHWEST AIRLINES PENSION PLAN
    COUNSEL
    Lisa S. Kantor, Glenn R. Kantor, Kantor & Kantor LLP,
    Northridge, California; Russell G. Petti, Law Offices of Rus-
    sell G. Petti, La Canada, California, for the plaintiff-appellant.
    Thomas B. Ackland, Jason Orlandi, Barger & Wolen LLP,
    Los Angeles, California, for the defendant-appellee.
    OPINION
    WARDLAW, Circuit Judge:
    Ioane John Opeta appeals the district court’s judgment that
    he is not “totally and permanently” disabled, and therefore
    ineligible for a disability pension benefit under the Northwest
    OPETA v. NORTHWEST AIRLINES PENSION PLAN         5111
    Airlines Pension Plan for Contract Employees (the “Plan”),
    which is administered by Northwest Airlines (“Northwest”)
    and regulated by the Employee Retirement Income Security
    Act of 1974 (“ERISA”). We must determine whether the dis-
    trict court, in conducting a de novo review of the Plan’s denial
    of benefits, abused its discretion by admitting evidence extrin-
    sic to the administrative record. We hold that because the cir-
    cumstances did not clearly establish that the evidence was
    necessary to the district court’s review, Friedrich v. Intel
    Corp., 
    181 F.3d 1105
    , 1110-11 (9th Cir. 1999), the district
    court abused its discretion by admitting the evidence. There-
    fore, we reverse the district court’s judgment and remand for
    a grant of benefits under the Plan.
    I.
    On October 30, 1996, Ioane John Opeta, a Northwest
    employee, severely injured his back when he grabbed a falling
    300-pound crate while loading cargo onto an aircraft. Opeta
    underwent surgery and received extensive treatment for his
    injury, including physical therapy, and numerous epidurals for
    pain relief. In 1998, Opeta returned to work for Northwest as
    a ramp coordinator on light duty, but was terminated from his
    position as equipment lead supervisor because of his medical
    condition. He proceeded to work at Northwest in various posi-
    tions, including as an accountant, a security coordinator, and
    an inspector of security and pollution processes at several
    Northwest facilities. Opeta remained in constant pain that was
    exacerbated by long periods of sitting or standing.
    In 2001, Opeta’s condition worsened and he began experi-
    encing sharp pain in his lower back. Medical tests revealed
    that he had mild degenerative disc disease in his spine. Dr.
    Mealer, the orthopedic surgeon to whom Opeta had been
    referred by Northwest, and who performed Opeta’s surgery,
    reported that Opeta was temporarily totally disabled, but nev-
    ertheless cleared him for work. In 2002, on Dr. Mealer’s rec-
    5112      OPETA v. NORTHWEST AIRLINES PENSION PLAN
    ommendation, Opeta was placed on leave due to total
    disability.
    On February 5, 2002, Opeta applied for a disability retire-
    ment pension. Under the Plan’s terms, an employee may
    receive a disability retirement pension if the participant’s
    “employment ends due to [his] total and permanent disabili-
    ty.” The Plan defines total and permanent disability as “a
    medically determinable physical or mental condition which
    renders you incapable of any employment with [Northwest].”
    The Plan provides that Northwest will determine whether the
    employee is totally and permanently disabled based on the
    employee’s medical reports. If the employee disagrees with
    Northwest’s decision, a doctor acceptable to both the
    employee and Northwest will make a “final and binding”
    determination following an Independent Medical Examination
    (“IME”). After the Plan’s in-house physician reviewed the
    medical records, he concluded that while Opeta was totally
    disabled, he was not permanently disabled from all employ-
    ment with Northwest. Opeta disagreed with the denial of his
    application, and pursuant to the Plan, exercised his right to an
    IME.
    Northwest and Opeta agreed that Dr. Gold, an orthopedic
    specialist, would perform the IME and make the “final and
    binding” determination. On November 4, 2002, Dr. Gold
    examined Opeta and determined that Opeta was “temporarily
    totally disabled” and “unable to work in any capacity.” Dr.
    Gold reported that while there was “a possibility that [Opeta]
    could be a candidate for extreme sedentary work,” it was
    “very unlikely.”
    Northwest requested that Dr. Gold clarify his determination
    by answering a specific set of written questions about Opeta’s
    condition. Dr. Gold responded as follows:
    Question 1:      Was John Opeta totally disabled
    from all employment with North-
    west Airlines on May 3, 2002?
    OPETA v. NORTHWEST AIRLINES PENSION PLAN           5113
    Answer:        Yes, Mr. Ioane John Opeta was
    totally disabled from all employment
    with Northwest Airlines on 05-03-
    02.
    Question 2:    Was John Opeta permanently dis-
    abled from all employment with
    Northwest Airlines on May 3, 2002?
    Answer:        Yes, Mr. Ioane John Opeta was per-
    manently disabled from all employ-
    ment with Northwest Airlines on 05-
    03-02.
    Question 3:    On what date was John Opeta both
    totally & permanently disabled from
    all employment (including light or
    sedentary work without regard to
    level of pay)? If John Opeta was not
    both totally & permanently disabled
    from all employment, please explain
    your reasons for your opinion.
    Answer:        Mr. Opeta has been totally and per-
    manent [sic] disabled from all
    employment since January 2002 as a
    result of his chronic lumbar condi-
    tion status post a lumbar L4-5
    decompression and chronic bilateral
    radiculopathy and chronic back pain
    syndrome.
    Question 4:    Is there any type of work that John
    Opeta could do? If “yes”, please
    describe.
    Answer:        At this time, there is no type of work
    that Mr. Opeta could participate in
    5114        OPETA v. NORTHWEST AIRLINES PENSION PLAN
    as noted previously. The possibility
    of extreme sedentary type of work
    could be a possibility after further
    time and appropriate treatment.
    Question 5:        Is there any treatment currently
    available that would allow John
    Opeta to return to some kind of
    employment? If yes, please describe
    the type of treatment and the fre-
    quency and duration of care you
    believe is indicated.
    Answer:            With further time and back rehabili-
    tation, there is a remote possibility
    that Mr. Opeta could return to some
    kind of employment and, as
    described above, this would be
    extremely sedentary. The treatment
    that could potentially render Mr.
    Opeta to achieve this position could
    be further back rehabilitation pro-
    gram, epidural steroid injections, or
    a possibility of lumbar fusion.
    On January 16, 2003, Northwest again denied Opeta’s
    claim for benefits, basing its denial on “the evaluation by Dr.
    Gold, and other evidence,” also reiterating that Dr. Gold’s
    decision was “final and binding.”
    Opeta subsequently filed an action in the United States Dis-
    trict Court for the Central District of California, seeking an
    award of benefits under the Plan.1 The district court held a
    1
    Opeta misguidedly contends that the Plan contains an “arbitration
    agreement” which the district court should have enforced. Opeta’s argu-
    ment relies on a distorted reading of the Plan’s terms. The Plan itself con-
    tains no language suggesting that any dispute between a beneficiary and
    OPETA v. NORTHWEST AIRLINES PENSION PLAN                  5115
    bench trial to determine, on de novo review, whether Opeta
    was totally and permanently disabled within the meaning of
    the Plan. During opening statements, over Opeta’s objection,
    the district court allowed Northwest to read a textual descrip-
    tion of a previously undisclosed surveillance videotape of
    Opeta filmed in September 2002—two months before Dr.
    Gold examined Opeta. Although the videotape itself never
    became a part of the administrative record, Northwest pos-
    sessed a textual description of the video’s contents and still
    shots for over a month before Dr. Gold’s examination. North-
    west did not, however, submit this evidence to Dr. Gold to be
    considered in his independent evaluation of Opeta’s condi-
    tion.
    The videotape depicted Opeta doing yard work for approxi-
    mately two hours and thirty minutes in front of his house,
    including using an electric hedge trimmer to cut the bushes,
    a gas-powered weed trimmer to edge the lawn, and a lawn
    mower to cut the grass. It also showed Opeta using a broom
    and dust pan with an extended handle to sweep, as well as a
    hose to water the lawn. While he was performing these activi-
    ties, Opeta used back support, which he wore strapped around
    his waist and over his shoulders.
    After the first day of proceedings, the district judge ordered
    Dr. Gold and Opeta into court to testify. Dr. Gold testified
    that it was “very unlikely” that Opeta could return to work
    and that he was “totally disabled from any employment at
    Northwest Airlines.” Dr. Gold also stated that “based on the
    information that I had then and based on what I still have right
    Northwest must be arbitrated. Opeta, however, suggests that the Plan’s
    language providing for an independent medical opinion, with respect to
    the determination of total and permanent disability, is in essence an agree-
    ment to arbitrate. We disagree and focus instead on the crux of Opeta’s
    argument, which is that the district court should have excluded new evi-
    dence and enforced Dr. Gold’s “final and binding” determination accord-
    ing to the terms of the Plan.
    5116      OPETA v. NORTHWEST AIRLINES PENSION PLAN
    now, I would stick to that conclusion.” However, on cross-
    examination Northwest surprised Dr. Gold by playing the vid-
    eotape. Dr. Gold then testified that if he had been provided
    with the videotape at the time of his November 2002 evalua-
    tion, he would not have concluded that Opeta was totally and
    permanently disabled.
    The district court also allowed Dr. Mealer to testify regard-
    ing Opeta’s medical condition and treatment, as well as his
    impressions of the videotape surveillance which he had previ-
    ously viewed as part of his review of Opeta’s claim. Addition-
    ally, the district court ordered the videographer to testify as to
    what he observed while conducting the video surveillance of
    Opeta.
    The district court’s judgment found that Opeta was not
    totally and permanently disabled within the meaning of the
    Plan and thus, not eligible for disability retirement benefits.
    II.
    In ERISA cases, we review de novo the district court’s
    choice and application of the appropriate standard of review.
    Abatie v. Alta Health & Life Ins. Co., 
    458 F.3d 955
    , 962 (9th
    Cir. 2006) (en banc). We review the district court’s decision
    to admit or exclude evidence that was not before the plan
    administrator for an abuse of discretion. See Dishman v.
    UNUM Life Ins. Co. of Am., 
    269 F.3d 974
    , 985 (9th Cir.
    2001); 
    Friedrich, 181 F.3d at 1110-11
    . We review for clear
    error underlying findings of fact. 
    Friedrich, 181 F.3d at 1109
    .
    III.
    The district court correctly ruled that the appropriate stan-
    dard for review of the Plan’s denial of benefits is de novo.
    The district court reviews a challenge to an ERISA plan’s
    denial of benefits de novo “unless the benefit plan gives the
    administrator or fiduciary discretionary authority to determine
    OPETA v. NORTHWEST AIRLINES PENSION PLAN           5117
    eligibility for benefits or to construe the terms of the plan.”
    Firestone Tire & Rubber Co. v. Bruch, 
    489 U.S. 101
    , 115
    (1989). We have held that the default standard of review in
    ERISA cases is de novo and that discretion exists only if it is
    “ ‘unambiguously retained.’ ” Kearney v. Standard Ins. Co.,
    
    175 F.3d 1084
    , 1090 (9th Cir. 1999) (en banc) (quoting Bogue
    v. Ampex Corp., 
    976 F.2d 1319
    , 1325 (9th Cir. 1992)).
    [1] “We have held that ERISA plans are insufficient to con-
    fer discretionary authority on the administrator when they do
    not grant any power to construe the terms of the plan.” 
    Abatie, 458 F.3d at 964
    . In Ingram v. Martin Marietta Long Term
    Disability Income Plan, 
    244 F.3d 1109
    , 1112-13 (9th Cir.
    2001), we concluded that even though the plan identified the
    carrier as “solely . . . responsible” for providing benefits,
    deciding all claims, and controlling the operation and admin-
    istration of the plan, “those provisions merely identified the
    plan administrator’s tasks, but bestowed no power to interpret
    the plan,” 
    Abatie, 458 F.3d at 964
    , and therefore de novo
    review was appropriate.
    [2] Here, the Plan nowhere states that the plan administra-
    tor, Northwest, has the full or sole discretion to interpret the
    terms of the plan. By its terms, the final decision as to eligibil-
    ity is made not by Northwest, but by an independent mutually
    acceptable physician. Cf. 
    Abatie, 458 F.3d at 965
    (concluding
    that a plan conferred discretion because plan administrator
    had exclusive “responsibility to interpret the terms of the plan
    and to determine eligibility of benefits”); Bergt v. Ret. Plan
    for Pilots Employed by MarkAir, Inc., 
    293 F.3d 1139
    , 1142
    (9th Cir. 2002) (concluding that a plan conferred discretion
    because its terms granted the administrator the “power” and
    “duty” to “interpret the plan” and to “decide on questions con-
    cerning the plan and the eligibility of any Employee” (internal
    quotation marks and citations omitted)); McDaniel v. Chevron
    Corp., 
    203 F.3d 1099
    , 1107 (9th Cir. 2000) (holding that a
    plan conferred sufficient discretion because “the Plan Admin-
    istrator has the sole discretion to interpret the terms of the
    5118       OPETA v. NORTHWEST AIRLINES PENSION PLAN
    Plan”) (internal quotation marks omitted); 
    Friedrich, 181 F.3d at 1110
    n.5 (finding that administrator had discretionary
    authority because plan stated that insurer “shall have the sole
    discretion to interpret the terms of the Plan and to determine
    eligibility for benefits”) (internal quotation marks omitted).
    Therefore, because the Plan did not unambiguously confer
    discretion on Northwest to interpret the terms of the Plan and
    determine eligibility benefits, the district court correctly deter-
    mined that it should apply a de novo standard of review. See
    
    Abatie, 458 F.3d at 964
    .
    IV.
    [3] While de novo is the correct standard of review in this
    case, the district court abused its discretion by failing to con-
    duct the proper analysis before admitting extrinsic evidence.
    If de novo review applies, “[t]he court simply proceeds to
    evaluate whether the plan administrator correctly or incor-
    rectly denied benefits.” 
    Abatie, 458 F.3d at 963
    . Under de
    novo review, the district court should have determined
    whether Opeta was entitled to benefits based on the evidence
    in the administrative record and “other evidence as might be
    admissible under the restrictive rule of Mongeluzo.” 
    Kearney, 175 F.3d at 1094
    .
    [4] In Mongeluzo v. Baxter Travenol Long Term Disability
    Benefit Plan, we resolved the question of the scope of review
    that a district court may employ upon de novo review of a
    plan administrator’s decision. 
    46 F.3d 938
    , 943-44 (9th Cir.
    1995). Agreeing with the Third, Fourth, Seventh, Eighth, and
    Eleventh Circuits, we held that extrinsic evidence could be
    considered only under certain limited circumstances. 
    Id. We cited
    with approval the rule of the Fourth Circuit that the dis-
    trict court should exercise its discretion to consider evidence
    outside of the administrative record “ ‘only when circum-
    stances clearly establish that additional evidence is necessary
    to conduct an adequate de novo review of the benefit deci-
    sion.’ ” 
    Id. at 944
    (quoting Quesinberry v. Life Ins. Co. of N.
    OPETA v. NORTHWEST AIRLINES PENSION PLAN            5119
    Am., 
    987 F.2d 1017
    , 1025 (4th Cir. 1993) (en banc)) (empha-
    sis added). We emphasized that “a district court should not
    take additional evidence merely because someone at a later
    time comes up with new evidence” and that “[i]n most cases”
    only the evidence that was before the plan administrator at the
    time of determination should be considered. 
    Id. In Quesinberry,
    the Fourth Circuit provided a non-
    exhaustive list of exceptional circumstances where introduc-
    tion of evidence beyond the administrative record could be
    considered necessary:
    claims that require consideration of complex medical
    questions or issues regarding the credibility of medi-
    cal experts; the availability of very limited adminis-
    trative review procedures with little or no
    evidentiary record; the necessity of evidence regard-
    ing interpretation of the terms of the plan rather than
    specific historical facts; instances where the payor
    and the administrator are the same entity and the
    court is concerned about impartiality; claims which
    would have been insurance contract claims prior to
    ERISA; and circumstances in which there is addi-
    tional evidence that the claimant could not have
    presented in the administrative 
    process. 987 F.2d at 1027
    (holding that the district court’s admission
    of additional evidence was not an abuse of discretion because
    the extrinsic evidence was necessary to assist in the under-
    standing of complex medical issues).
    In Friedrich, we applied the Mongeluzo standard and held
    that the district court’s admission of additional evidence was
    not an abuse of 
    discretion. 181 F.3d at 1111
    . There, the dis-
    trict court correctly determined that the plan administrator had
    prevented the plaintiff from providing medical records to sup-
    port his claim during its review and the administrative record
    included only incomplete, illegible, and disorganized medical
    5120         OPETA v. NORTHWEST AIRLINES PENSION PLAN
    records. 
    Id. We concluded
    that the district court did not abuse
    its discretion because “[w]ith the addition of [the plaintiff’s]
    trial evidence to [the defendant’s] evidence already in the
    administrative record, the district court had a complete record
    that allowed the court to make an adequate, independent de
    novo review of the benefits decision.” 
    Id. Moreover, we
    found
    that the district court properly excluded additional evidence
    presented by the plan administrator, because detailed, written
    reports from the plan’s experts already in the administrative
    record, “made it unnecessary for the district court to hear
    additional testimony from [the defendant’s] consultants.” 
    Id. Here, the
    district court admitted several pieces of extrinsic
    evidence, including the videotape, and testimony from Dr.
    Gold, Dr. Mealer, Opeta, and the videographer, without con-
    ducting the proper analysis. Under Mongeluzo, we must deter-
    mine whether each piece of extrinsic evidence was necessary
    for the district court to conduct an adequate de novo review.
    Because we conclude that none of the extrinsic evidence was
    necessary to conduct an adequate de novo review, we hold
    that the district court abused its discretion in admitting the evi-
    dence.2
    2
    Northwest argues that Opeta waived his right to challenge the admissi-
    bility of the evidence. The record demonstrates otherwise. Opeta repeat-
    edly objected to the introduction of evidence outside of the administrative
    record, and never waived this objection. On the first day of proceedings,
    Opeta’s counsel objected to the district court’s decision to bring Dr. Gold
    into court. Opeta’s counsel attempted to explain to the district court the
    correct analysis it should apply in ERISA cases to determine whether to
    admit extrinsic evidence given a de novo standard of review:
    Counsel:   I said you could order it . . . . I don’t think you should
    do it either. I think you should apply the answers to
    the questions as the plan says. Theoretically, in this
    case I have no objection to bringing in Dr. Gold. I
    firmly believe he will support our position; however,
    to do that turns Ninth Circuit law, actually Supreme
    Court rulings on its head with regard to ERISA, that
    the Court is supposed to take the administrative record
    and rule.
    OPETA v. NORTHWEST AIRLINES PENSION PLAN                 5121
    A.
    The Plan states that “[i]f you disagree with the decision of
    the Employer, a doctor acceptable to you and to the Employer
    The Court:   Don’t I have any right to witnesses?
    Counsel:     Your Honor, under your discretion, if you determine
    you need to hear a witness in order to rule —
    The Court:   I think there is a big question here about what Dr.
    Gold said, what he meant by what he said. I would
    like him here.
    Counsel:     If that is what the Court wants, we have no objec-
    tion.
    ...
    Counsel:     We are then turning what the Courts have said is
    supposed to be an expeditious, expedited, efficient
    ERISA trial into a federal case.
    The Court:   I’ve never heard of a trial that had no witnesses,
    have you?
    Counsel:     Yes, your Honor. I have been doing them for years
    under ERISA. The Kearny case is very specific
    about — well, I guess its not very specific, but it’s
    instructive that the Court is supposed to look at the
    administrative record to make a ruling.
    The Court:   Well, I would feel much better if Dr. Gold was here.
    Counsel:     Okay.
    ...
    Counsel:     Your Honor, all I can tell you is if the Court deter-
    mines that there is a de novo review and the Court
    wishes additional evidence, the Court can order it.
    The Court:   I’m going to order Dr. Gold and Mr. Opeta into
    court.
    Counsel:     Fine.
    Opeta then filed a set of written objections to Dr. Gold’s testimony and
    the introduction of the videotape and, on the second day of trial, before
    any witnesses were called, Opeta’s counsel again objected to the admis-
    sion of new evidence.
    5122      OPETA v. NORTHWEST AIRLINES PENSION PLAN
    will make a determination. This determination will be final
    and binding on you and on the Employer.” Both parties agree
    that Dr. Gold’s determination was final and binding. How-
    ever, Northwest asserts that Dr. Gold found Opeta to be
    totally, but not permanently disabled. Conversely, Opeta
    claims that Dr. Gold unambiguously found that Opeta was
    both totally and permanently disabled.
    [5] De novo review requires the district court to evaluate
    whether Northwest correctly denied Opeta benefits under the
    terms of the Plan. 
    Abatie, 458 F.3d at 963
    . The videotape of
    Opeta doing light yard work almost two months before Dr.
    Gold’s evaluation was not part of the administrative record,
    and is not relevant to the district court’s review of North-
    west’s interpretation of Dr. Gold’s assessment. The videotape
    itself was never part of Dr. Gold’s evaluation. The administra-
    tive record contained still frames from the videotape and tex-
    tual descriptions of the surveillance, but Northwest never
    submitted any of these materials to Dr. Gold in connection
    with his “final and binding” determination, electing instead to
    surprise him at trial. Dr. Gold’s initial determination was
    based entirely on Opeta’s medical records supplied by both
    parties, as well as Dr. Gold’s own personal examination.
    Northwest failed to place all of the records and evidence in its
    possession before Dr. Gold. Moreover, none of the excep-
    tional circumstances outlined in Quesinberry apply here. 
    See 987 F.2d at 1027
    . Therefore, allowing the videotape into evi-
    dence was an abuse of discretion.
    B.
    [6] The district court also abused its discretion by admitting
    the testimony of Dr. Gold, Dr. Mealer, Opeta, and the video-
    grapher because the circumstances did not establish that the
    additional evidence was necessary for the court to conduct an
    adequate de novo review. Even if there was confusion sur-
    rounding Dr. Gold’s initial assessment, Northwest took the
    appropriate steps to clarify that determination by requesting
    OPETA v. NORTHWEST AIRLINES PENSION PLAN         5123
    that Dr. Gold answer a set of written questions that specifi-
    cally asked whether Opeta was totally and permanently dis-
    abled. Dr. Gold’s answers unequivocally state that he found
    Opeta both totally and permanently disabled at the time of the
    assessment. Dr. Gold’s testimony was not necessary to under-
    stand or clarify his conclusions that were plainly stated in
    response to Northwest’s follow-up questions.
    Under Mongeluzo, that the district judge “would feel much
    better” if Dr. Gold testified and that he “had never heard of
    a trial [without] witnesses” is insufficient to warrant addi-
    tional evidence. There was no “big question” or ambiguity as
    to what Dr. Gold meant by what he said—the administrative
    record contained his explanation of what he meant, as well as
    his conclusion that there was a remote possibility at some
    point in the future that Opeta could return to extremely seden-
    tary work. Dr. Gold was clear and emphatic in those
    responses that Opeta was “totally and permanent [sic] dis-
    abled from all employment since January 2002” and that “[a]t
    this time, there is no type of work that Mr. Opeta could partic-
    ipate in . . .” Moreover, Northwest’s insistence that Dr. Gold
    be called to testify seems to have been entirely for the purpose
    of sandbagging him with the secret videotape surveillance, as
    all of his testimony on direct examination was cumulative of
    the detailed answers he had previously supplied to Northwest.
    [7] The additional testimony by Dr. Mealer, Opeta, and the
    videographer was irrelevant to determining whether the Plan
    correctly or incorrectly denied benefits based on Dr. Gold’s
    evaluation, which was the only question properly before the
    district court.
    C.
    Northwest further argues that Dr. Gold determined that
    Opeta was not permanently disabled because he stated that
    there was a possibility that Opeta’s condition might improve
    one day to the point where he could return to “extremely sed-
    5124      OPETA v. NORTHWEST AIRLINES PENSION PLAN
    entary” work, even though that possibility was “remote” and
    “very unlikely.” Northwest contends that this “remote” possi-
    bility renders Opeta not permanently disabled, justifying its
    denial of Opeta’s claim.
    We do not interpret the terms of the Plan to require Opeta
    to prove that there is absolutely no chance of any type of
    recovery. Instead, we construe the Plan, consistent with its
    plain language, as requiring Opeta to be totally and perma-
    nently disabled as determined by an independent doctor at the
    time of his medical evaluation. The Plan states that “Total and
    Permanent Disability is a medically determinable physical or
    mental condition which renders you incapable of any employ-
    ment with the Employer.” Black’s Law Dictionary defines
    “permanent disability” as “[a] disability that will indefinitely
    prevent a worker from performing some or all of the duties
    that he or she could do before an accident.” Black’s Law Dic-
    tionary 474 (7th ed. 1999). Dr. Gold stated in his second letter
    to Northwest that Opeta is “unable to work in any capacity,
    whatsoever, with Northwest Airlines” and that “[w]ith further
    time and back rehabilitation, there is a remote possibility that
    Mr. Opeta could return to some kind of employment, and
    [that] this would be extremely sedentary.” Construing the
    term “permanent” to require the claimant to establish with
    certainty that he would never recover is unreasonable, and we
    will not read into the Plan an unreasonable term.
    [8] Northwest also argues that after Dr. Gold submitted his
    evaluation, “the Plan exercised its discretion to review these
    reports and interpreted them to conclude that Opeta did not
    satisfy the definition as set forth in the Plan language.” We
    reject this argument. According to the plain language of the
    Plan, Northwest no longer had discretion to interpret Dr.
    Gold’s reports because the decision of the independent doctor
    was “final and binding” on both Northwest and Opeta.
    OPETA v. NORTHWEST AIRLINES PENSION PLAN                  5125
    V.
    [9] We hold that admitting the videotape and additional tes-
    timony was an abuse of discretion and that, based on the plain
    terms of the Plan and binding nature of Dr. Gold’s pretrial
    opinion, the district court erred as a matter of law by awarding
    a judgment in Northwest’s favor. We therefore reverse the
    district court’s judgment and remand for an award of benefits
    under the Plan consistent with this opinion.3
    REVERSED and REMANDED.
    3
    Opeta asks us to take judicial notice of the fact that the same district
    court judge in a separate subsequent case for Opeta’s long term disability
    benefits, found that Opeta was totally disabled, and therefore, could not
    have possibly found that he was not totally disabled in this case. We deny
    this motion as moot.