Camire v. Aetna Life Ins. Co., Inc.

822 F. Supp. 846, 1993 U.S. Dist. LEXIS 7376, 1993 WL 189021
CourtDistrict Court, D. New Hampshire
DecidedMay 27, 1993
DocketCiv. 92-615-JD
StatusPublished
Cited by7 cases

This text of 822 F. Supp. 846 (Camire v. Aetna Life Ins. Co., Inc.) is published on Counsel Stack Legal Research, covering District Court, D. New Hampshire primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Camire v. Aetna Life Ins. Co., Inc., 822 F. Supp. 846, 1993 U.S. Dist. LEXIS 7376, 1993 WL 189021 (D.N.H. 1993).

Opinion

ORDER

DiCLERICO, District Judge.

In the matter before the court, the plaintiff William Camire has sued the defendant, Aetna Life Insurance Company (“Aetna”), alleging breach of contract, negligence and violations of N.H.Rev.Stat.Ann. § 408:10-a (1991) and N.H.Rev.StatAnn. § 358-A:2 (1984 & Supp.1992). The plaintiff originally brought suit in Rockingham County Superior Court on October 27, 1992. On December 5, 1992, Aetna removed the case to the United States District Court for the District of New Hampshire pursuant to 28 U.S.C.A. § 1441 (West 1973 & Supp.1993). On January 14, 1993, *848 Aetna filed a motion to dismiss the lawsuit pursuant to Fed.R.Civ.P. 12(b)(6) for failure to state a claim upon which relief can be granted. On February 1, 1993, the court granted the plaintiffs motion to add a count alleging violations of the Employee Retirement Income Security Act of 1974 (“ERISA”), 29 U.S.C.A. § 1001 et seq. (West 1985 & Supp.1993). For the following reasons, the court grants Aetna’s motion to dismiss the lawsuit for failure to state a claim upon which relief can be granted.

Background

The following facts are undisputed. Mr. Camire was employed by Rockwell International Corporation (“Rockwell”). Rockwell delivered an application for spousal life insurance to him. He completed the application for his wife, Deborah Camire. Mr. Camire disclosed on the application that Ms. Camire had multiple sclerosis. Aetna issued a Group Universal Life Insurance Policy for $29,000 insuring Ms. Camire and accepted premiums on the policy. On December 31, 1989, Ms. Camire died as a result of her illness. In January 1990, Mr. Camire requested the death benefits under the Aetna policy. On February 21, 1990, Aetna denied benefits because Ms. Camire, due to her illness, did not meet the eligibility requirements for the policy specified in the Plan Detail Book. On August 7, 1990, Aetna reversed its decision and issued a check to Mr. Camire in the policy amount plus interest. In this lawsuit, Mr. Camire seeks compensation for consequential damages resulting from Aetna’s delay in paying the proceeds from the policy, including emotional distress, enduring eviction proceedings and bank foreclosure of his home and sustaining damage to his credit and his standing in the community.

Discussion

A motion to dismiss under Fed.R.Civ.P. 12(b)(6) is one of limited inquiry, focusing not on “whether a plaintiff will ultimately prevail but whether the claimant is entitled to offer evidence to support the claims.” Scheuer v. Rhodes, 416 U.S. 232, 236, 94 S.Ct. 1683, 1686, 40 L.Ed.2d 90 (1974). Accordingly, the court must take the factual averments contained in the complaint as true, “indulging every reasonable inference helpful to the plaintiffs cause.” Garita Hotel Ltd. Partnership v. Ponce Fed. Bank, 958 F.2d 15, 17 (1st Cir.1992); see also Dartmouth Review v. Dartmouth College, 889 F.2d 13, 16 (1st Cir. 1989). In the end, the court may grant a motion to dismiss under Rule 12(b)(6) “ ‘only if it clearly appears, according to the facts alleged, that the plaintiff cannot recover on any viable theory.’ ” Garita, 958 F.2d at 17 (quoting Correar-Martinez v. Arrillagar-Belendez, 903 F.2d 49, 52 (1st Cir.1990)).

Aetna contends Mr. Camire’s claims are pre-empted by ERISA. Aetna further asserts the consequential damages Mr. Ca-mire seeks are unavailable under ERISA. Alternatively, Aetna argues the plaintiffs allegations fail to state a claim under state law. 1 Mr. Camire counters ERISA does not govern his claims because he did not understand he was being offered an “employee benefit” when he applied for the policy, and he expected the relationship would be governed exclusively by state law. The plaintiff cites no law for his contention that the law governing the case depends on his subjective belief. The court finds the plain language of ERISA’s definition of an “employee welfare benefit plan” encompasses the policy offered to Mr. Camire. 2 Mr. Camire also asserts N.H.Rev.Stat.Ann. §§ 358-A:2 and 408:10-a are exempt from ERISA pre-emption under the insurance saving clause, 29 U.S.C.A. § 1144(b)(2)(A) (West 1985 & Supp.1993). Finally, Mr. Camire contends ERISA allows him to recover extracontractual damages.

*849 I. ERISA’s Express Pre-emption Clause

The court considers whether Mr. Camire’s claims are pre-empted by ERISA. As early as 1824, the United States Supreme Court, under the rubric of the Supremacy Clause, 3 declared that state laws which “interfere with, or are contrary to, the laws of congress, made in pursuance of the constitution” are pre-empted and therefore invalid. Gibbons v. Ogden, 22 U.S. (9 Wheat.) 1, 211, 6 L.Ed. 23 (1824). The First Circuit has recently noted that “[t]his verity remains firmly embedded in our modern jurisprudence.” Greenwood Trust Co. v. Massachusetts, 971 F.2d 818, 822 (1st Cir.1992) (citing Wisconsin Pub. Intervenor v. Mortier, — U.S. ——, -, 111 S.Ct. 2476, 2481, 115 L.Ed.2d 532 (1991); Hillsborough County v. Automated Medical Lab., Inc., 471 U.S. 707, 712, 105 S.Ct. 2371, 2374, 85 L.Ed.2d 714 (1985), Securities Indus. Ass’n v. Connolly, 883 F.2d 1114, 1117 (1st Cir.1989), cert. denied, 495 U.S. 956, 110 S.Ct. 2559, 109 L.Ed.2d 742 (1990)), cert. denied, — U.S. -, 113 S.Ct. 974, 122 L.Ed.2d 129 (1993). “Express preemption occurs ‘when Congress has “unmistakably ... ordained” that its enactments alone are to regulate a [subject, and] state laws regulating that [subject] must fall.’” Id. (quoting Jones v. Rath Packing Co., 430 U.S. 519, 525, 97 S.Ct. 1305, 1309, 51 L.Ed.2d 604 (1977) (internal citation omitted)).

“ ‘[T]he question whether a certain state action is pre-empted by federal law is one of congressional intent. “The purpose of Congress is the ultimate touchstone.” ’ To discern -Congress’ intent we examine the explicit statutory language and the structure and purpose of the statute.” Ingersoll-Rand v. McClendon, 498 U.S. 133, 137-38, 111 S.Ct. 478, 482, 112 L.Ed.2d 474 (1990) (quoting Allis-Chalmers Corp. v. Lueck, 471 U.S. 202, 208, 105 S.Ct. 1904, 1910, 85 L.Ed.2d 206 (1985)) (internal citations omitted). The express pre-emption provision in § 1144 of ERISA provides, in relevant part:

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822 F. Supp. 846, 1993 U.S. Dist. LEXIS 7376, 1993 WL 189021, Counsel Stack Legal Research, https://law.counselstack.com/opinion/camire-v-aetna-life-ins-co-inc-nhd-1993.