ANDERSON v. RELIANCE STANDARD LIFE INSURANCE COMPANY

CourtDistrict Court, D. New Jersey
DecidedNovember 30, 2023
Docket3:22-cv-04654
StatusUnknown

This text of ANDERSON v. RELIANCE STANDARD LIFE INSURANCE COMPANY (ANDERSON v. RELIANCE STANDARD LIFE INSURANCE COMPANY) is published on Counsel Stack Legal Research, covering District Court, D. New Jersey primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
ANDERSON v. RELIANCE STANDARD LIFE INSURANCE COMPANY, (D.N.J. 2023).

Opinion

NOT FOR PUBLICATION

UNITED STATES DISTRICT COURT DISTRICT OF NEW JERSEY

CATHY ANDERSON, ef al., Plaintiffs, Civil Action No. 22-4654 (RK) (DEA) V. RELIANCE STANDARD LIFE MEMORANDUM OPINION INSURANCE COMPANY, ef al., Defendants.

KIRSCH, District Judge THIS MATTER comes before the Court on Defendant K. Hovnanian Companies, LLC’s (“Hovnanian” or “Defendant”) Motion to Dismiss Count One of Plaintiffs Cathy Anderson and the Estate of John P. Anderson’s (collectively, “Plaintiffs’”) Complaint and to amend its Answer to assert a crossclaim against Reliance Standard Life Insurance Company (“Reliance”). (ECF No. 23.) The Court has considered the parties’ submissions and resolves the matter without oral argument pursuant to Federal Rule of Civil Procedure 78 and Local Civil Rule 78.1. For the reasons set forth below, Defendant’s Motion to Dismiss Count One of Plaintiffs’ Complaint is GRANTED; however, Defendant’s request to amend its Answer to assert a crossclaim is DENIED.

IL BACKGROUND! The underlying facts of this dispute have been thoroughly discussed and set forth in the December 7, 2022 decision of the Honorable Michael A. Shipp, U.S.D.J., “Mem. Op.,” ECF No. 20; “Order,” ECF No. 21), granting Defendants Reliance and Matrix Absence Management, Inc.’s (“Matrix”) Motion to Dismiss. To the extent relevant to the pending motion, the Court adopts and incorporates the factual recitation of the case in that Memorandum Opinion, A. FACTUAL BACKGROUND Plaintiff Cathy Anderson (“Cathy”) is the widow of John P. Anderson (“John’’), who worked for Defendant from 1994 to 2021. ““Compl.,” ECF No. 1 9§ 3, 11.) Defendant participated in the RSL Employer Trust (the “Plan”), an “employee welfare benefit plan” as defined under the Employee Retirement Income Security Act of 1974 (“ERISA”), 29 U.S.C. §§ 1001, et seq. Ud. 12.) Through the Plan, John enrolled in “both Basic Life and Supplement Life insurance policies.” (id. { 15.) Cathy was the sole named beneficiary of these polices. (/d.) These group life insurance policies were issued by Reliance and administered by Matrix. Ud. § 1.) At its heart, this case concerns Plaintiffs’ allegations that neither Reliance, Matrix, nor Hovnanian ever advised John of the lapse of, or any issues regarding, his group life insurance policies. (/d. {§ 42-44.) In the fall of 2020, John was diagnosed with bladder cancer, which regrettably led to his death on December 23, 2021. Ud. § 17.) Due to his prognosis, John applied for short-disability benefits, first in September of 2020, and then again in April 2021. Ud. {J 19, 24.) On September 30, 2020, Matrix outlined “the terms of his short-term disability payments in writing” but failed “to advise John .. . that his group life insurance coverage had lapsed, or that premiums had not

' The factual and procedural histories of this matter are well known to the parties and to the Court. The Court therefore recounts only the details necessary to resolve the motion discussed herein.

. ry

been or were not being paid, or that his life insurance coverage was impaired or reduced in any way.” Ud. {J 21, 23.) Following John’s April 2021 request, Matrix provided John with the terms of his benefits, but again did not advise him of any lapse in his coverage. (/d. {§ 26, 28.) On April 29, 2021, Hovnanian terminated John, and the parties signed a termination agreement. (/d. J 25.) Hovnanian attached to the termination agreement a “Benefits Information Sheet,” which, inter alia, advised John that his group life insurance policies would terminate within thirty-one days but could be converted to an individual policy by contacting Hovnanian’s benefits department. (ECF No. 1-2, Ex. B at *10.) Plaintiffs allege that Hovnanian failed to provide John with “any forms or literature regarding his right to convert his group life insurance policy to an individual policy.” (Compl. 29.) In the Fall of 2021, Matrix wrote to John, explaining that his short-term disability would expire in October, but, if he demonstrated a total disability, he may qualify for long-term benefits, which eventually he did. Ud J 30, 34.) However, this correspondence again failed to advise John regarding any lapse in his group life insurance coverage. Ud. {J 30, 35.) On November 8, 2021, Reliance sent John a letter, which informed him “that as a result of his total disability, he was eligible for a waiver of premium under the group life insurance plan.” (Ud. 36.) However, Reliance failed to explain that “his group life insurance coverage had lapsed, or that premiums had not been or were not being paid, or that his insurance coverage was impaired or reduced in any way.” Ud. § 38.)

* In ruling on the subject motion, the Court may consider exhibits attached to the Complaint. See Pension Ben. Guar. Corp. v. White Consol. Indus., Inc., 998 F.2d 1192, 1196 (3d Cir. 1993) (a court may review “exhibits attached to the complaint and matters of public record,” as well as “undisputedly authentic document(s] that a defendant attaches as an exhibit to a motion to dismiss if the plaintiff's claims are based on the document”). In addition, the Court refers to page numbers in the exhibits by ECF header and denotes such references with an asterisk.

Following John’s death, Cathy “submitted a claim for the life insurance policies.” Ud. { 46.) However, Reliance rejected the claim on February 2, 2022 on the basis that coverage for both the Basic and Supplemental Life Insurance policies were terminated because no premium payments occurred after April 16, 2021. Ud. 4 47.) Cathy appealed, arguing that neither she nor John had been advised of the lapse in premium payments or the risk of cancellation of the policies. (id. | 49.) However, her appeal was denied. 4 53.) B. PROCEDURAL HISTORY On July 20, 2022, Plaintiffs filed suit against Defendants Reliance, Matrix, and Hovnanian. (See ECF No. 1.) The Complaint alleged two counts: breach of fiduciary duty under Section 502(a)(2) and 502(a)(3) of ERISA against all defendants (Count One); and estoppel and discrimination under Section 510 of ERISA against Matrix and Hovnanian (Count Two). Matrix and Reliance moved to dismiss the claims against them. (See ECF Nos. 6 and 7.) In his December 7, 2022 Opinion and Order, Judge Shipp granted Matrix and Reliance’s Motion. First, the Court held that Plaintiffs failed to state a claim under Section 502(a)(2). The Court explained that: Section 502(a)(2) of ERISA permits a claim by a participant, beneficiary or fiduciary for appropriate relief for violations of 29 U.S.C. § 1109. The law makes clear that claims under § 1109 via § 1132(a)(2) inure to the benefit of the plan, not individual participants. . .. Here, Plaintiffs do not assert any claims on behalf of the Plan, and thus, fail to state a claim under 29 U.S.C. § 1132(a)(2). (Mem. Op. at 5.) Second, the Court dismissed Plaintiffs’ breach of fiduciary duty claims under Section 502(a)(3). The Court held that this section “permits a plan participant or beneficiary to obtain individual relief, generally limited to equitable relief in circumstances where § 502 provides no other remedy.” (Ud. at 9.) This section, the Court held, does not permit action seeking

“reimbursement and compensatory damages for an alleged breach of fiduciary duty.” (/d. (quoting Salvucci v. Glenmede Corp., No. 22-1891, 2022 WL 4692438, at *4 (E.D. Pa. Sept. 30, 2022)); see id.

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ANDERSON v. RELIANCE STANDARD LIFE INSURANCE COMPANY, Counsel Stack Legal Research, https://law.counselstack.com/opinion/anderson-v-reliance-standard-life-insurance-company-njd-2023.