Brown v. California Law Enforcement Ass'n

81 F. Supp. 3d 930, 60 Employee Benefits Cas. (BNA) 1998, 2015 U.S. Dist. LEXIS 26054, 2015 WL 890564
CourtDistrict Court, N.D. California
DecidedMarch 2, 2015
DocketCase No. 14-cv-03559-JCS
StatusPublished
Cited by3 cases

This text of 81 F. Supp. 3d 930 (Brown v. California Law Enforcement Ass'n) is published on Counsel Stack Legal Research, covering District Court, N.D. California primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Brown v. California Law Enforcement Ass'n, 81 F. Supp. 3d 930, 60 Employee Benefits Cas. (BNA) 1998, 2015 U.S. Dist. LEXIS 26054, 2015 WL 890564 (N.D. Cal. 2015).

Opinion

ORDER GRANTING MOTION TO DISMISS THIRD PARTY COMPLAINT

Re: Dkt. No. 35

JOSEPH C.SPERO, Chief Magistrate Judge

I. INTRODUCTION

Presently before the Court is Third Party Defendant’s Motion to Dismiss Third [932]*932Party Complaint (“Motion”). The Court held a hearing on the Motion on February 27, 2014. For the reasons stated below, the Motion is GRANTED.

II. BACKGROUND

In this case, Plaintiff William Brown, who is medically retired from the Oakland Police Department, has filed a putative class action against his long-term disability plan, the plan’s sponsor, and the plan’s administrator under ERISA for denied benefits and breach of fiduciary duty. Defendants are California Law Enforcement Association Group Long Term Disability Plan (“CLEA Plan”); California Law Enforcement Association (“CLEA”); and California Administration Insurance Services, Inc (“CAISI”). The CLEA Plan is offered by CLEA and administered by CAISI. Defendants have in turn filed a Third Party Complaint against Brown’s employee organization, the Oakland Police Officers’ Association (“OPOA”).

A. Complaint

The dispute arises from the following alleged facts: In July 2011, Brown became “totally disabled” within the meaning of the CLEA Plan. Compl. at 6. He went on a leave of absence from Oakland Police Department from July 2011 through June 2012. Id. at 3. During his leave of absence, Brown received pay pursuant to California Labor Code § 4850 (“§ 4850”), and OPOA withheld part of his paycheck to pay the monthly premium contributions for Brown’s CLEA Plan. Id. In November 2011, Brown submitted a written claim for long-term disability benefits under the CLEA Plan.1 Id. at 3-4. Effective May 1, 2012, OPOA switched its members’ long-term disability coverage to another provider and stopped paying premiums to Brown’s CLEA Plan. Id. at 4. In June 2012, Brown medically retired from the Oakland Police Department. Id. at 3.

In June 20122, when Brown informed CAISI of his retirement date, CAISI responded that he was no longer eligible for the benefits “because OPOA had stopped paying premiums for the CLEA Plan.” Compl. at 4. Then in September 2012, CAISI issued a formal, written denial of Brown’s claim, contending that “in order to maintain their eligibility for benefits, CLEA Plan participants are required to continue paying premiums even after becoming totally disabled, during the period that they receive Section 4850 pay,” thus denying Brown’s claim “on the ground that his payment of premiums did not continue from the time he became disabled until his disability retirement.” Id.

Among other claims, Brown alleges that Defendants never informed him that he needed to continue paying premiums in order to remain eligible for benefits: Defendants failed “to inform [Brown and the putative class members] that CLEA and CAISI interpreted the CLEA Plan to condition eligibility for benefits on continued payment of premiums even after a participant incurred a covered disability, even while CLEA and CAISI communicated other informatioñ to CLEA Plan participants about coverage changes.” CompL at 8. Brown alleges that by failing to disclose such important information, Defendants breached their fiduciary duty. Id. at 7. He claims relief under ERISA § 502(a)(3), 29 U.S.C. § 1132(a)(3). Id.

[933]*933B. Third Party Complaint

Defendants in turn filed a Third Party Complaint (“TPC”) against OPOA, asserting a claim of equitable indemnity under 29 U.S.C. § 1132(a)(3). TPC at 2. The TPC alleges that in the event that Defendants are held liable for breach of fiduciary duty, they' should be indemnified by OPOA because Defendants tried to inform Brown of the risk of losing his benefits if he did not enroll in the CLEA Individual Plan after the termination of his CLEA Group Plan but OPOA misinformed Brown and prevented Defendants from giving the correct information. Id. at 6.

Defendants allege that on April 13, 2012, they learned about OPOA’s intent to end its members’ participation in the CLEA Plan effective May 1, 2012. TPC at 4. Then, on April 18, 2012, Defendants wrote a letter to OPOA members who were enrolled in the CLEA Plan, stating among other things that “OPOA members would lose certain benefits by dropping the CLEA Plan, and that the OPOA members could retain uninterrupted CLEA coverage by enrolling in the CLEA Individual LTD Plan.” Id.

The TPC alleges that OPOA told their members, in ■ a response titled “CLEA, Stop Harassing Our Members!” that Defendants’ letter “was harassment, did not apply to them, and should be ignored, and, further, told OPOA members who were out on 4850 pay, including Plaintiff Brown ... that they were covered by CLEA and the CLEA Plan and did not need to enroll in the CLEA Individual LTD Plan.” TPC at 4. Further, OPOA’s counsel sent a letter to Defendants demanding that they “cease and desist from any further communication with OPOA members and cease using OPOA member information, and threatened legal action if CLEA continued to communicate with OPOA members.” Id. at 5.

Finally, Defendants allege that between April 15, 2012 and May 31, 2012, they communicated with OPOA and explained that “by terminating the CLEA Plan, OPOA was placing its members at risk of losing their eligibility for coverage and that OPOA had members who needed to stay in the CLEA Plan (by enrolling in the CLEA Individual LTD Plan) to maintain their eligibility for coverage.” TPC at 5. However, “OPOA failed to inform Plaintiff Brown and other OPOA members that they might need to enroll in the CLEA Individual LTD Plan in order to maintain their eligibility for coverage and benefits.” Id.

Defendants claim equitable indemnity under a theory that OPOA was a fiduciary to OPOA members with respect to the CLEA Plan and breached its fiduciary duties under 29 U.S.C. § 1104 by giving members wrong information about the termination of benefits and preventing Defendants from providing correct information: “by demanding that CLEA cease all communications with OPOA members, OPOA breached its fiduciary duties to OPOA members in that it prevented CLEA from providing further information to OPOA members about the effect that OPOA’s termination of the CLEA Plan might have on them and the benefits that OPOA members might lose if they did not enroll in the CLEA Individual LTD Plan.” Id. at 6.

III. LEGAL STANDARD

Failure to state a claim upon which relief may be granted is a basis for dismissal. Fed. R. Civ. P. 12(b)(6). Dismissal may be based on a lack of a cognizable legal theory or on the absence of facts that would support a valid theory. Balistreri v. Pacifica Police Dep’t, 901 F.2d 696, 699 (9th Cir.1990).

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Cite This Page — Counsel Stack

Bluebook (online)
81 F. Supp. 3d 930, 60 Employee Benefits Cas. (BNA) 1998, 2015 U.S. Dist. LEXIS 26054, 2015 WL 890564, Counsel Stack Legal Research, https://law.counselstack.com/opinion/brown-v-california-law-enforcement-assn-cand-2015.