Cole v. Aetna Life & Casualty

70 F. Supp. 2d 106, 1999 U.S. Dist. LEXIS 20536
CourtDistrict Court, D. Connecticut
DecidedAugust 5, 1999
DocketCivil 3:97CV2272(AVC)
StatusPublished
Cited by27 cases

This text of 70 F. Supp. 2d 106 (Cole v. Aetna Life & Casualty) is published on Counsel Stack Legal Research, covering District Court, D. Connecticut primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Cole v. Aetna Life & Casualty, 70 F. Supp. 2d 106, 1999 U.S. Dist. LEXIS 20536 (D. Conn. 1999).

Opinion

RULING ON THE DEFENDANTS’ MOTIONS TO DISMISS

COVELLO, Chief Judge.

This is an action for damages in which the plaintiff, Richard Cole, alleges that the defendants failed to reimburse him for medical services he rendered to patients the defendants either insured or covered under an employee benefit plan. Specifically, Cole alleges that he “has not received reimbursement from [the defendants] because of bad faith and fraud in denying [his] claims.” The complaint purports to state a cause of action for breach of contract, unjust enrichment, fraud, and violations of the Connecticut Unfair Insurance Practices Act (CUIPA), Conn. Gen. Stat. §§ 38a-815, et seq., the Connecticut Unfair Trade Practices Act (CUTPA), Conn.Gen.Stat. §§ 42-110a, et seq., and the Employee Retirement Income Security Act of 1974 (ERISA), 29 U.S.C. §§ 1001, et seq.

The defendants have filed the within motions to dismiss, pursuant to Rules 12(b)(1), (5), and (6) of the Federal Rules of Civil Procedure, based upon: 1) improper service of process; 2) lack of subject matter jurisdiction; 3) ERISA preemption; 4) failure to state a cause of action upon which relief can be granted; 5) improper ERISA defendants; 6) improper joinder; and 7) lack of standing. The issues before the court are: 1) whether Cole’s service of process was proper; 2) whether the court lacks subject matter jurisdiction over the non-ERISA claims; 3) whether the state law causes of action are preempted by ERISA; 4) whether the complaint states a valid cause of action against Travelers; 5) whether the defendants who are not employee welfare benefit plans can be defendants to an ERISA suit; 6) whether Cole has properly joined the defendants; and 7) whether Cole has standing to sue under ERISA. The court will not consider the defendants’ arguments with respect to the statutes of limitations because the factual record is insufficient to determine whether the plaintiffs claims are time-barred. For the reasons set forth below, the court grants the motions to dismiss in part.

FACTS

The third amended complaint alleges the following: the plaintiff, Richard A. Cole, now a resident of Massachusetts, formerly practiced medicine in Erie, Pennsylvania. Cole rendered medical services *109 to individuals employed by, or whose spouses or parents were employed by United Parcel Service, Inc., Welehs, Sun Oil Co., Inland Container Co., Ethan Allen, PET/Van de Kamp, The Electric Materials Co., Frito Lay, Inc., Moorco International, Inc., and Frost Builders Supplies, Inc. As part of their own or their spouses’ or parents’ employment contract with these employers, Aetna, or one of its corporate entities, provided individuals heath care benefits. Cole also provided medical services to one Debra Bischoff and one Pearl Sarnowski. Bischoff purchased an auto insurance policy from Aetna and Sarnow-ski purchased an unspecified insurance policy from Aetna. Travelers subsequently purchased both the Bischoff and Sar-nowski policies from Aetna. 1

On October 24,1997, Cole filed the original complaint. On January 29, 1998, Cole filed the First Amended Complaint. On August 13, 1998, Cole filed the Second Amended Complaint. On February 1, 1999, Cole filed the within Third Amended Complaint.

On February 24, 1999, Travelers and Citigroup filed their within motion to dismiss, and on April 2, 1999, the remaining defendants filed their within motion to dismiss.

STANDARD

A motion to dismiss pursuant to Fed. R.Civ.P. 12(b)(1) must be granted if the plaintiff has failed to establish jurisdiction. “Federal courts are empowered to hear only those cases that (1) are within the judicial power of the United States, as defined by the Constitution, and (2) that have been entrusted to them by a jurisdictional grant by Congress.” 13 Charles A. Wright, Arthur R. Miller & Edward H. Cooper, Federal Practice and Procedure § 3522 (1984); see also Owen Equip. & Erection Co. v. Kroger, 437 U.S. 365, 98 S.Ct. 2396, 57 L.Ed.2d 274 (1978). If the district court concludes that it does not have subject matter jurisdiction, it must dismiss the case. See Golden Hill Paugussett Tribe of Indians v. Weicker, 839 F.Supp. 130, 136 (D.Conn.1993).

In deciding a Rule 12(b)(1) motion, the court construes the complaint broadly and liberally in conformity with the principle set out in Fed.R.Civ.P. 8(f). 2 “However, argumentative inferences favorable to the party asserting jurisdiction should not be drawn.” Atlantic Mut. v. Balfour Maclaine International, 968 F.2d 196, 198 (2nd Cir.1992). The district court may look outside the pleadings to affidavits and other materials that either support or challenge the court’s subject matter jurisdiction. See Antares Aircraft v. Federal Republic of Nigeria, 948 F.2d 90 (2d Cir.1991); Kamen v. American Tel. and Tel. Co., 791 F.2d 1006, 1011 (2d Cir.1986); Exchange Nat’l Bank of Chicago v. Touche Ross & Co., 544 F.2d 1126, 1130 (2d Cir.1976), ce rt. denied sub nom., 469 U.S. 884, 105 S.Ct. 253, 83 L.Ed.2d 190 (1984).

A motion to dismiss pursuant to Federal Rule of Civil Procedure 12(b)(5) must be granted if the plaintiff fails to serve a copy of the summons and complaint on the defendants pursuant to Rule 4 of the Federal Rules of Civil Procedure. Rule 4(h), which deals specifically with the service of summons on corporations, provides, in pertinent part:

[ujnless otherwise provided by federal law, service upon a domestic of foreign corporation ... and from whom a waiver of service has not been obtained and filed, shall be effected: (1) in a judicial district of the United States ... by delivering a copy of the summons and of the complaint to an officer, a managing *110

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Bluebook (online)
70 F. Supp. 2d 106, 1999 U.S. Dist. LEXIS 20536, Counsel Stack Legal Research, https://law.counselstack.com/opinion/cole-v-aetna-life-casualty-ctd-1999.