Collins v. Fluid Routing Solutions, LLC

371 F. Supp. 3d 1076
CourtDistrict Court, M.D. Florida
DecidedApril 23, 2018
DocketCase No: 5:18-cv-99-Oc-30PRL
StatusPublished

This text of 371 F. Supp. 3d 1076 (Collins v. Fluid Routing Solutions, LLC) is published on Counsel Stack Legal Research, covering District Court, M.D. Florida primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Collins v. Fluid Routing Solutions, LLC, 371 F. Supp. 3d 1076 (M.D. Fla. 2018).

Opinion

JAMES S. MOODY, JR., UNITED STATES DISTRICT JUDGE

Herman Collins and his wife purchased group life insurance and optional spousal coverage from Life Insurance Company of North America ("LINA") through their employer, Fluid Routing Solutions, LLC

*1078("FRS"). When LINA did not pay benefits owed, Collins sued LINA and FRS in state court. FRS removed, alleging Collins is seeking to recover benefits from a plan governed by the Employee Retirement Income Security Act of 1974 ("ERISA"). Collins argues the case should be remanded because the group life insurance plan falls within an ERISA safe harbor exception. Because the safe harbor exception is inapplicable, the Court concludes the Motion should be denied.

BACKGROUND

FRS offered a comprehensive welfare benefit plan to its employees, under which FRS was the plan sponsor and administrator. (Doc. 23-1). In addition to offering health, vision, disability, and other insurance, FRS also offered optional life insurance coverage that was funded by payroll deductions from employees who elected to take the coverage. (Doc. 23-1). The life insurance benefit was insured by a group insurance policy issued by LINA. (Doc. 23-1). FRS chose the coverage options, levels of benefits, and determined the eligibility waiting period for qualified employees. (Doc. 23-1). The policy specified that FRS was the plan sponsor and administrator, which meant FRS had the authority to control and manage the operation and administration of the plan. (Doc. 23-1).

The group life insurance policy, attached to the Complaint, contained a Supplemental Information form required by ERISA. (Doc. 2-1, pp. 21-24). This form provided ERISA disclosures and told participants that they were entitled to certain rights and protections under ERISA. The form also explained how to make a claim under the policy, noting that, if a claim was denied, LINA was required to provide the claimant with

A statement informing you of your right to appeal the decision, and an explanation of the appeal procedure, including a statement of your right to bring a civil action under Section 502(a) of ERISA if your appeal is denied.

(Doc. 2-1, p. 22).

In addition to the Supplemental Information form, the group life insurance policy also contained an Amendatory Rider that described "CLAIM PROCEDURES APPLICABLE TO PLANS SUBJECT TO THE EMPLOYEE RETIREMENT INCOME SECURITY ACT" (the "ERISA Rider"). (Doc. 2-1, pp. 47-48). The ERISA Rider explained,

This Policy has been issued in conjunction with an employee welfare benefit plan subject to the Employee Retirement Income Security Act of 1974 ("ERISA"). This Policy is a Plan document within the meaning of ERISA. As respects the Insurance Company, it is the sole contract under which benefits are payable by the Insurance Company. Except for this, it shall not be deemed to affect or supersede other Plan documents.
The Plan Administrator has appointed the Insurance Company as the named fiduciary for deciding claims for benefits under the Plan, and for deciding any appeals of denied claims.

(Doc. 2-1, p. 47) (emphasis added).

On January 1, 2008, Collins and his wife enrolled in the group life insurance benefits plan offered by their employer, FRS. (Doc. 2, ¶¶ 10, 11, 21). Collins alleges that in addition to the life insurance coverage, he and his wife paid extra for spousal life insurance coverage. (Doc. 2, ¶ 11). Collins wife died on December 27, 2012. (Doc. 2, ¶ 15). LINA paid benefits to Collins under his wife's life insurance coverage, but allegedly failed to pay benefits under his spousal coverage.

*1079Nearly five years after making his claim for spousal death benefits, Collins sued FRS and LINA in Florida state court. (Doc. 2). The Complaint brings claims for breach of contract, breach of fiduciary duty, and unjust enrichment against FRS and LINA. FRS timely removed the action to this Court, alleging that Collins's claims are governed by ERISA.

MOTION TO REMAND STANDARD

"Federal courts are courts of limited jurisdiction." U.S. v. Rojas, 429 F.3d 1317, 1320 (11th Cir. 2005). The removing party bears the burden of demonstrating that removal is proper. Williams v. Best Buy Co., 269 F.3d 1316, 1319 (11th Cir. 2001). A district court is required to " 'strictly construe the right to remove' and apply a general 'presumption against the exercise of federal jurisdiction, such that all uncertainties as to removal jurisdiction are to be resolved in favor of remand.' " Scimone v. Carnival Corp. , 720 F.3d 876, 882 (11th Cir. 2013) (internal punctuation marks omitted) (quoting Russell Corp. v. Am. Home Assur. Co. , 264 F.3d 1040, 1050 (11th Cir. 2001) ).

Under the removal statute, "any civil action brought in a State court of which the district courts of the United States have original jurisdiction, may be removed by the defendant" to federal court." 28 U.S.C. § 1441(a). This includes cases involving a federal question, meaning cases "arising under the Constitution, laws, or treaties of the United States." 28 U.S.C. § 1331. Whether a case involves a federal question typically turns on the "well-pleaded complaint" rule, which requires courts to determine whether a federal question is involved by looking solely to the plaintiff's complaint. Aetna Health Inc. v. Davila , 542 U.S. 200, 207, 124 S.Ct. 2488, 2494, 159 L.Ed.2d 312 (2004). So "a defendant may not [generally] remove a case to federal court unless the plaintiff's complaint establishes that the case 'arises under' federal law." Id.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Butero v. Royal Maccabees Life Ins.
174 F.3d 1207 (Eleventh Circuit, 1999)
Russell Corp. v. American Home Assurance Co.
264 F.3d 1040 (Eleventh Circuit, 2001)
Miriam W. Williams v. Best Buy Co., Inc.
269 F.3d 1316 (Eleventh Circuit, 2001)
United States v. Jorge Rojas
429 F.3d 1317 (Eleventh Circuit, 2005)
Ross Glenn Moorman, Jr. v. UnumProvident
464 F.3d 1260 (Eleventh Circuit, 2006)
Aetna Health Inc. v. Davila
542 U.S. 200 (Supreme Court, 2004)
Geoffrey Scimone v. Carnival Corporation
720 F.3d 876 (Eleventh Circuit, 2013)
Belknap v. Hartford Life and Accident Ins. Co.
389 F. Supp. 2d 1320 (M.D. Florida, 2005)
Donovan v. Dillingham
688 F.2d 1367 (Eleventh Circuit, 1982)

Cite This Page — Counsel Stack

Bluebook (online)
371 F. Supp. 3d 1076, Counsel Stack Legal Research, https://law.counselstack.com/opinion/collins-v-fluid-routing-solutions-llc-flmd-2018.