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Andre Lesgras v. Aetna Life Insurance
786 F.3d 1233
9th Cir.
2015
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Background

  • LeGras sustained a serious back injury while employed at FedEx and began LTD benefits in May 2009.
  • AETNA administers FedEx's LTD Plan benefits and issued an April 18, 2011 denial letter denying total disability benefits.
  • The denial advised that LeGras could appeal within 180 days of receipt.
  • The 180-day period expired on Saturday October 15, 2011; LeGras mailed his appeal on Monday October 17, 2011.
  • AETNA denied the appeal as untimely and the district court dismissed the suit for failure to exhaust administrative remedies.
  • The majority adopts a federal common-law mailbox rule for ERISA time computation; the dissent objects to rewriting contract terms.

Issues

Issue Plaintiff's Argument Defendant's Argument Held
Whether the 180-day appeal period excludes weekends. LeGras: deadline extends to next business day. AETNA: contract terms set the 180 days; no extension rule. Yes; period extends to next business day; timely.
Whether ERISA federal common law permits rewriting private plan terms to apply Rule 6(a) timing. LeGras argues Rule 6(a) applies to compute time. AETNA argues plan terms govern; no common-law rewrite. Yes; ERISA common law allows time-computation extension for weekends/holidays.

Key Cases Cited

  • Street v. United States, 133 U.S. 299 (1890) (deadline on weekend may be extended to next day)
  • Armstrong v. Tisch, 835 F.2d 1139 (5th Cir. 1988) (next-business-day extension adopted in some contexts)
  • Jones v. Georgia-Pacific Corp., 90 F.3d 114 (5th Cir. 1996) (private contract with unambiguous terms not rewritten by Rule 6)
  • Schikore v. BankAmerica Supplemental Ret. Plan, 269 F.3d 956 (9th Cir. 2001) (mailbox rule in ERISA litigation; evidentiary question context)
  • Saltarelli v. Bob Baker Group Medical Trust, 35 F.3d 382 (9th Cir. 1994) (reasonable expectations doctrine applied to ERISA insurance coverage)
  • Security Life Ins. Co. of Am. v. Meyling, 146 F.3d 1184 (9th Cir. 1998) (recognizing reeisson remedy; limits on applying common law to plans)
Read the full case

Case Details

Case Name: Andre Lesgras v. Aetna Life Insurance
Court Name: Court of Appeals for the Ninth Circuit
Date Published: May 28, 2015
Citation: 786 F.3d 1233
Docket Number: 12-56541
Court Abbreviation: 9th Cir.