Butler v. Fringe Benefits Plan, Inc.

701 F. Supp. 804, 1988 U.S. Dist. LEXIS 14878, 1988 WL 138998
CourtDistrict Court, N.D. Alabama
DecidedDecember 29, 1988
DocketCiv. A. 88-AR-5516-NW
StatusPublished
Cited by2 cases

This text of 701 F. Supp. 804 (Butler v. Fringe Benefits Plan, Inc.) is published on Counsel Stack Legal Research, covering District Court, N.D. Alabama primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Butler v. Fringe Benefits Plan, Inc., 701 F. Supp. 804, 1988 U.S. Dist. LEXIS 14878, 1988 WL 138998 (N.D. Ala. 1988).

Opinion

MEMORANDUM OPINION

ACKER, District Judge.

Glenda Butler and Ira Butler, plaintiffs in the above-entitled cause, as parents and next friends of their minor son, seek a remand of the case to the Circuit Court of Colbert County, Alabama, from which it was removed by two of the four original defendants. The removing defendants, Tom Jones Insurance, Inc., and Samuel T. Taylor, claim that even though plaintiffs nowhere expressly invoked the Employee Retirement Income Security Act, 29 U.S.C. §§ 1001 et seq. (ERISA), they are, in fact, claiming benefits of the other two defendants under an employee benefit plan, thus providing original federal jurisdiction under ERISA as well as thus preempting the allied claims brought against the removing defendants under Alabama state law. Tom Jones Insurance and Taylor have filed a motion to dismiss based on their contention of ERISA preemption. Both pending motions turn on basically undisputed procedural facts.

Pertinent Facts

At a time when Glenda Butler had family medical coverage written by Aetna, a new group medical benefit plan became available through her employer. She was approached by defendant, Taylor, an agent for defendant Tom Jones Insurance. He wanted to sell her on this great new plan. She avers that she made it plain to Taylor that she was quite satisfied with Aetna. She says that Taylor, nevertheless, convinced her to cancel Aetna’s coverage and to switch to the new employer group coverage underwritten by defendant, Southeast Independent Business Association’s Health Benefit Trust, a medical insurance plan managed and administered by defendant, Fringe Benefits Plan, Inc. She further says that Taylor told her that this new coverage would be the same as the coverage she already had, the only difference being that the new plan would cost less.

Not long after obtaining her attractive new coverage, Butler made a claim for substantial medical expenses that she incurred in treating her child. The claim was denied by Fringe Benefits. Ostensibly, if she had kept her coverage with Aetna, the very same claim would have been paid. There is, or may be, a legitimate dispute *806 over the viability of Mrs. Butler’s claim under the express terms of the insuring instrument. This is, however, not the issue here. Here, plaintiffs allege that Taylor, acting within the scope of his employment with Tom Jones Insurance, materially misrepresented facts about the proposed new coverage in violation of Alabama fraud and tort law and violated Alabama Code § 27-12-6, which makes it a statutory tort to induce a person to give up insurance with one company and to switch the person to new coverage by making misleading comparisons between the insurance policies. Mrs. Butler says in an affidavit that Taylor “assured me that I could get the same coverage with a reputable and solvent company while paying less in premiums.”

Neither Fringe Benefits nor Southeastern Independent joined in the petition for removal. There are two good reasons for this conspicuous absence. One is that they were not served with a summons and complaint. The other is that they are in all likelihood defunct. As to both of these defendants, the minutes of the Clerk of the Circuit Court of Colbert County reflect as follows: “No service. Moved, left no address.” These minutes are consistent with the fact that after the claim was denied but before the complaint was filed, Mrs. Butler received in the mail an “Important Notice” from the disappearing defendants, informing her:

[T]he Southeastern Independent Business Association’s Health Benefit Group Trust is discontinuing medical benefit coverage to its participants as of September 30,1987. The plan and trust is being terminated because the cash reserves are inadequate to pay the claims due to participants.

The Butlers’ complaint consists of three counts, each count invoking a principle of Alabama law that the removing defendants claim is ERISA “preempted,” whatever “preempted” means in ERISA. See Amos v. Blue Cross-Blue Shield of Alabama, 681 F.Supp. 1515 (N.D.Ala.1988); Jordan v. Reliable Ins. Co., 694 F.Supp. 822 (N.D.Ala.1988).

Conclusion

If the Butlers were still pursuing Fringe Benefits and Southeastern Independent for a recovery of the benefits they were denied, this might properly be characterized by the removing defendants as an ERISA claim. Plaintiffs now expressly disclaim any intention of pursuing a claim for benefits against any ERISA-defined “administrator,” or “fiduciary,” or “plan.” Rather, plaintiffs maintain that their sole intent is to pursue purely state law claims against Taylor and Tom Jones Insurance, claims that plaintiffs persuasively argue are not preempted by ERISA. The fact that ERISA was never expressly invoked loses any significance it might otherwise have had. Plaintiffs argue that the court, in an exercise of its discretion, should now remand the case to the plaintiffs’ chosen forum. Plaintiffs are wise to give up any theoretical claim they might have had against two belly-up, dead-beat corporations. If ERISA trumps Alabama fraud, then the Bankruptcy Act would trump ERISA as to any claims plaintiffs might have against Fringe Benefits and Southeastern Independent. Without any possible viable federal claim remaining, the case should be remanded, even though initially the removal may have been provident.

Assuming arguendo that the removal-remand question should be viewed as if Fringe Benefits and Southeastern Independent were still parties defendant, there is in ERISA a so-called “preemption” clause and a so-called “savings” clause. The preemption clause, 29 U.S.C. § 1144(a), preempts any state law claim that “relates to employee benefit plans.” Pilot Life Ins. Co. v. Dedeaux, 481 U.S. 41, 107 S.Ct. 1549, 1552, 95 L.Ed.2d 39 (1987). According to the Supreme Court in Dedeaux, the savings clause, 29 U.S.C. § 1144(b)(2)(A), excepts from this preemption “laws that regulate insurance.” Dedeaux, 481 U.S. at 45; 107 S.Ct. at 1552 (emphasis supplied). If the Eleventh Circuit correctly interpreted Dedeaux in Anschultz v. Connecticut General Life Ins. Co., 850 F.2d 1467 (11th Cir.1988), Alabama Code § 27-12-6 would not meet the criteria for an exception from *807 ERISA preemption, especially since this particular Alabama statute does not purport to transfer or spread policyholder risk, the factor elevated to significance by An-schultz. The Alabama statute invoked here by the Butlers reads as follows:

§ 27-12-6. “Twisting.”

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Cite This Page — Counsel Stack

Bluebook (online)
701 F. Supp. 804, 1988 U.S. Dist. LEXIS 14878, 1988 WL 138998, Counsel Stack Legal Research, https://law.counselstack.com/opinion/butler-v-fringe-benefits-plan-inc-alnd-1988.