COURT OF APPEALS FOR THE FIRST CIRCUIT
Smith v. Prudential Insurance Company of America
United States Court of Appeals
For the First Circuit
No. 23-1168
BRIAN SMITH,
Plaintiff, Appellant,
v.
PRUDENTIAL INSURANCE COMPANY OF AMERICA,
Defendant, Appellee.
APPEAL FROM THE UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF RHODE ISLAND
[Hon. Mary S. McElroy, U.S. District Judge]
Before
Rikelman, Lipez, and Thompson,
Circuit Judges.
George E. Lieberman, with whom Gianfrancesco & Friedemann was
on brief, for appellant.
Ian H. Morrison, with whom Seyfarth Shaw LLP was on brief,
for appellee.
December 6, 2023
RIKELMAN, Circuit Judge. Brian Smith sued Prudential
for breach of fiduciary duty after it terminated his long-term
disability benefits under an insurance policy it issued. Although
the policy specified a three-year limitations period to file a
lawsuit, it also, inexplicably, started the limitations clock on
the date Smith was required to submit proof that he was disabled,
not on the date Prudential allegedly breached the policy by
stopping payment. As a result, the clock had already run out by
the time Smith sued.
Smith now appeals from the entry of summary judgment
against him on the ground that his lawsuit was filed too late. He
asks us to reverse based on three arguments litigated by the
parties below but not addressed by the district court, including
a potentially winning argument that enforcing the limitations
scheme in this case would violate Rhode Island public policy.
There are compelling reasons for concluding that the limitations
scheme here may indeed run contrary to Rhode Island public policy,
and holding so would mean a ruling in Smith's favor. But because
we believe that reversing and remanding on that ground arguably
would amount to an expansion of Rhode Island law, we certify the
public policy question to the Rhode Island Supreme Court.
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I. BACKGROUND
A. Relevant Facts1
Brian Smith, a Rhode Islander, was an accountant and
vice president for tax operations of Comverse Technology when he
began experiencing symptoms of cognitive decline in 2015. After
a neuropsychologist diagnosed Smith with mild cognitive
impairment, Smith sought the care of an occupational physician,
who determined that Smith could no longer work as a tax
professional. Smith left his job on October 31, 2015.
Shortly thereafter, Smith filed a timely claim for
benefits under his long-term disability policy with Prudential.
Prudential approved his claim and began paying Smith on January
30, 2016. Smith received a monthly benefit of $3,000 for nearly
two and a half years until Prudential notified him on May 3, 2018,
that his benefits had been terminated effective the next day.
After exhausting his right to internal appeals with Prudential,
Smith received his final denial notice on August 28, 2019.
Smith's insurance policy does not include a single,
stand-alone provision specifying a date by which Smith had to sue
Prudential after a denial or termination of benefits. Instead, it
includes a mystifying six-step calculation ("the limitations
Because Smith appeals from a grant of summary judgment to
1
Prudential, we construe the facts in the light most favorable to
him as the non-moving party. Minturn v. Monrad, 64 F.4th 9, 14
(1st Cir. 2023).
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scheme") requiring Smith and other beneficiaries to
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