Brant v. Principal Life and Disability Ins. Co.

195 F. Supp. 2d 1100, 28 Employee Benefits Cas. (BNA) 1849, 52 Fed. R. Serv. 3d 1157, 2002 U.S. Dist. LEXIS 6172, 2002 WL 533853
CourtDistrict Court, N.D. Iowa
DecidedApril 8, 2002
DocketC 98-3064-MWB
StatusPublished
Cited by3 cases

This text of 195 F. Supp. 2d 1100 (Brant v. Principal Life and Disability Ins. Co.) is published on Counsel Stack Legal Research, covering District Court, N.D. Iowa primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Brant v. Principal Life and Disability Ins. Co., 195 F. Supp. 2d 1100, 28 Employee Benefits Cas. (BNA) 1849, 52 Fed. R. Serv. 3d 1157, 2002 U.S. Dist. LEXIS 6172, 2002 WL 533853 (N.D. Iowa 2002).

Opinion

MEMORANDUM OPINION AND ORDER REGARDING DEFENDANTS’ MOTIONS FOR SUMMARY JUDGMENT

BENNETT, Chief Judge.

TABLE OF CONTENTS

I. INTRODUCTION.1103

A. Procedural Background.1103

B. Factual Background.1103

II. LEGAL ANALYSIS.1105

A. Standards For Summary Judgment.1105

1. Requirements of Rule 56 .1106

2. The 'parties’ burdens.■.1107

B. What Record Can Be Considered?.1108

C. Merits Of The Motions.1108

1. Termination of benefits .1108

a. Standard for judicial review.1109

b. Application of the standard.1110

2. Bars to termination of coverage.1112

a. Promissory estoppel.1112

b. Misrepresentation.1113

i. Equitable estoppel.1113

ii. Breach of fiduciary duty.1118

III. CONCLUSION.1121

*1103 This matter comes before the court pursuant to the December 31, 2001, motion for summary judgment by defendant Armour SwifL-Eckrich (ASE); the January 2, 2002, motion for summary judgment by defendant Principal Life and Disability Insurance Company (Principal Life); and the March 14, 2002, motion by plaintiff Carl Brant to quash ASE’s Exhibit A in support of its summary judgment motion, which is excerpts of Mr. Brant’s deposition. These motions have now been fully briefed and Principal Life’s request for oral arguments on the motions for summary judgment has been withdrawn. Therefore, these motions are now ripe for consideration by the court. This matter is set for trial to begin on April 29, 2002.

I. INTRODUCTION
A. Procedural Background

Plaintiff Carl Brant, who is prosecuting this action pro se, originally filed this action on September 14, 1998, in the Iowa District Court for Cerro Gordo County, against his employer, ASE, and its insurance provider, Principal Life. In his complaint, Mr. Brant alleged the following claims: Count I alleged a claim under the Americans with Disabilities Act (ADA); Count II alleged a claim for life insurance benefits; and Count III alleged a claim for damages for “the pain and anguish of Plaintiffs family when faced with the possibility of Plaintiffs death and costs associated with Plaintiffs demise” as the result of a “brain aneurysm” Brant suffered, but from which he fortunately recovered.

Defendant ASE removed the action to this federal court on October 13, 1998. At various stages in the proceedings, the court either dismissed or granted summary judgment in favor of the defendants on each of Brant’s claims. Upon Brant’s appeal, the Eighth Circuit Court of Appeals affirmed dismissal of Counts I and III, but reinstated and remanded Brant’s claim in Count II as a claim, under the Employee Retirement Income Security Act (ERISA), for reinstatement of his life insurance benefits, holding that Mr. Brant’s employer and its insurance provider were proper defendants in such an action, because their administrative services agreement gave them discretionary authority to determine eligibility for benefits and to construe the terms of the plan. That remaining claim is now before the court on the defendants’ motions for summary judgment.

B. Factual Background

The court will not attempt here an exhaustive dissertation of the undisputed and disputed facts in this case. Rather, the court will present sufficient of the facts, both disputed and undisputed, to put in context the parties’ arguments for and against summary judgment on Brant’s remaining claim for reinstatement of insurance benefits.

Brant worked for ASE as a supervisor in ASE’s processed meat/packaged meat department until his employment was interrupted by health problems, including emphysema and an upper lung blockage, in September 1994. His last day of active employment was September 6, 1994. Brant was a participant in ASE’s employee benefit plan, which provided, among other things, basic and supplemental life insurance and disability insurance. In 1995, Brant applied for long term disability benefits (LTD) under the benefit plan.

On April 17, 1995, ASE’s Manager of Human Resources, Daryl Johnson, sent Brant a letter concerning continuation of his benefits while on LTD. The letter stated, in pertinent part, the following:

When you become approved for LTD, your contributions for LTD and Supplemental Life will cease. These benefits continue at no cost to you.
*1104 You must, however, continue to contribute to the Medical/Dental/Dependent

Life Plans or coverages will terminate. Plaintiff’s Appendix in Support of Resistance to Defendants’ Motions for Summary-Judgment, Exhibit 9. The letter is silent regarding contributions for basic life insurance.

ASE concedes that the April 17, 1995, letter is, perhaps, “inartful,” but does not constitute a misrepresentation, because it conveys that if Brant is “disabled,” his contributions for LTD and Supplemental Life Insurance will cease. Principal Life concedes that the April 17, 1995, letter is inaccurate, to the extent that it suggests that approval for LTD is the prerequisite for continuation of LTD and supplemental life insurance coverage without contributions from Mr. Brant. As Principal Life points out, however, the definition of “disability” permitting continuation of coverage during disability under the terms of the life insurance portion of the benefit plan is different from the definition of “disability” for purposes of the LTD benefits portion of the plan, so that qualification for LTD benefits does not qualify a member for continuation of life insurance coverage without employee contributions.

Specifically, the definition of “disability” for LTD benefits provides that “disability” means “[a] Member’s inability, solely and directly because of sickness, injury, or pregnancy ... to perform the majority of the material duties of his or her normal job.” Defendant Principal Life’s Appendix in Support of Summary Judgment, Exhibit 2 (Group Long Term Disability Insurance Policy), Appendix at 7 (emphasis added). However, a member of the benefit plan is considered “disabled” for purposes of “Coverage During Disability” under the Life Insurance Policy “if, because of sickness or injury, the Member is not able to work at any job that reasonably fits his or her background and training.” Defendant Principal Life’s Appendix, Exhibit 5 (Member Life Insurance, Accidental Death and Dismemberment Insurance, and Dependent Life Insurance Policy), Appendix at 78 (emphasis added).

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195 F. Supp. 2d 1100, 28 Employee Benefits Cas. (BNA) 1849, 52 Fed. R. Serv. 3d 1157, 2002 U.S. Dist. LEXIS 6172, 2002 WL 533853, Counsel Stack Legal Research, https://law.counselstack.com/opinion/brant-v-principal-life-and-disability-ins-co-iand-2002.