Cooperative Benefit Administrators, Inc. v. Ogden

265 F. Supp. 2d 662, 2003 U.S. Dist. LEXIS 15948, 2003 WL 21262855
CourtDistrict Court, M.D. Louisiana
DecidedApril 28, 2003
Docket00-272-C
StatusPublished
Cited by1 cases

This text of 265 F. Supp. 2d 662 (Cooperative Benefit Administrators, Inc. v. Ogden) is published on Counsel Stack Legal Research, covering District Court, M.D. Louisiana primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Cooperative Benefit Administrators, Inc. v. Ogden, 265 F. Supp. 2d 662, 2003 U.S. Dist. LEXIS 15948, 2003 WL 21262855 (M.D. La. 2003).

Opinion

RULING ON DEFENDANT’S MOTION TO DISMISS AND MOTION FOR PARTIAL SUMMARY JUDGMENT AND ON PLAINTIFF’S MOTION FOR SUMMARY JUDGMENT

TYSON, District Judge.

This matter is before the court on the following motions: (1)Defendant Dale R. Ogden’s Motion to Dismiss pursuant to Rule 12(b)(1) for lack of subject matter jurisdiction under the Employment Retirement Income Security Act (“ERISA”), and pursuant to Rule 12(b)(7) for lack of indispensable parties; (2) Defendant/Plaintiff-in-Counterclaim Dale R. Ogden’s Motion for Partial Summary Judgment pursuant to Rule 56(d); and (3) the Motion for Summary Judgment filed on behalf of Plaintiff/Defendant-in-Counterclaim Cooperative Benefit Administrators. Jurisdiction is allegedly based upon a federal question, 29 U.S.C. § 1132 et seq., as it relates to ERISA and the federal common law claim of unjust enrichment.

Oral arguments in this matter were held before the Court on March 6, 2003, after which the matter was taken under submis *667 sion. Having thoroughly considered the record, the memoranda of law submitted by the parties, and the arguments of counsel for both sides, for the reasons which follow, the Court now finds that Ogden’s Motion to Dismiss should be denied, Ogden’s Motion for Partial Summary Judgment should be denied, and Cooperative Benefit Administrators’ Motion for Summary Judgment should be granted.

Factual Background

Cooperative Benefit Administrators, Inc.(“CBA”) is a wholly-owned subsidiary of the National Rural Electric Cooperative Association (“NRECA”). 1 Among the many services the NRECA provides for its members is a long-term disability plan (“the LTD Plan”). CBA is the claims adjudicator of the NRECA LTD Plan, which is a self-insured plan subject to ERISA. Dale Ogden (“Ogden”) is an employee of Cajun Electric Cooperative, Inc.(“Cajun Electric”), which is a member of the NRECA. Cajun Electric offered the LTD Plan to its employees and Ogden enrolled in the plan. Under this plan, a disabled employee is entitled to receive two-thirds of his or her regular monthly earnings. The LTD Plan allows CBA to estimate the monthly social security benefits that the employee would be entitled to and to deduct that amount from the employee’s monthly disability benefit. Since there is often a substantial delay between the time that an employee becomes disabled and the time that he or she begins to receive social security benefits, the plan gives participants the option of executing a reimbursement agreement which authorizes CBA to pay a monthly disability benefit which does not include an offset for social security benefits if the participant promises to repay CBA any overpayment caused by an award of social security benefits.

On April 11, 1995, Ogden filed a claim for disability benefits due to an injury she sustained on October 14, 1994. On April 28, 1995, CBA approved the claim and agreed to pay Ogden two-thirds of her regular monthly earnings, or $996.77 per month. On June 5, 1995, CBA informed Ogden that she and her two minor daughters had become eligible for social security disability benefits as of April 1, 1995, and that she should apply for those benefits. CBA also informed Ogden that it would continue to pay full benefits to her until she began receiving social security disability payments if Ogden executed a Social Security Reimbursement Agreement (“RA”) and submitted a copy of her application for social security disability benefits.

Ogden executed the requisite RA on June 22, 1995, authorizing CBA to advance her a monthly LTD benefit that did not include an offset for social security disability benefits. Under the terms of the LTD Plan and the RA, Ogden was obligated to repay the benefits that had been advanced without taking the social security offset within 30 days of her receipt of any proceeds from the Social Security Administration (“SSA”). In that regard, the LTD Plan § 7.10 provides:

(a) CBA shall use such information as is available to it to estimate the amount of the benefit that is or may be available to the Participant and shall offset any benefit due to a Participant under the Plan by the estimated amount of the benefit unless the Participant agrees as provided in paragraph (b) to reimburse the Plan when any benefits are paid.
*668 (b) Estimated benefits that would otherwise be offset in accordance with paragraph (a) above will be advanced to the Participant if the Participant.. .agrees in writing, on forms provided by CBA, to pay back the benefits advanced to the extent of any payments received within 30 days of receipt of payment.
(c) In the event the Participant fails to repay benefits advanced by CBA as provided in paragraph (b) above, then, in addition to any other rights or remedies available to it, CBA may recoup the advanced benefits by exercising a right of setoff against any current or future benefits payable to the Participant under this Plan... CBA shall be entitled to setoff the principal amount of the benefits advanced, plus interest at eight percent compounded annually, and any costs and attorneys’ fees associated with recouping the advanced benefits.

The LTD Plan § 7.12 also provides that:

(a) Any payments for, in lieu of, in substitution for or in commutation of, any of the Benefit Offsets provided in this Section VII shall be offset whether the payment is made to, or on behalf of, the Participant, the Participant’s spouse or any dependent of the Participant.
(b) All of the offsets provided in this Section VII shall be applied whether or not payment is made to, or on behalf of, the Participant, the Participant’s spouse or dependents, if in the judgment of CBA such payments would be payable if the Participant made timely application for them.

In the RA that Ogden executed, she unconditionally promised:

% # * * *
3. To repay CBA the amounts advanced to me in accordance with the offset provisions of the [LTD] plan and this Reimbursement Agreement within 30 days of my receipt of the proceeds of any benefits, awards, or payments recovered from Social Security.. .The repayment will not exceed the amount of the benefits, awards, or payments recovered from Social Security, except that it shall include interest, costs, and attorneys’ fees as provided in this RA...
5. In the event I do not repay CBA for the amounts advanced to me in accordance with the terms of the offset provisions of the [LTD] Plan and this RA within 30 days of my receipt of any Social Security proceeds, I shall also be liable for and promise to pay attorneys’ fees and costs incurred in the enforcement of this RA plus eight percent interest... the principal amount of the benefits advanced that are not repaid to CBA within 30 days.
6.... CBA may recoup the advanced benefits by exercising a right of setoff against any current or future benefits payable to me under the LTD Plan...

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

Related

Cooperative Benefit Administrators, Inc. v. Ogden
367 F.3d 323 (Fifth Circuit, 2004)

Cite This Page — Counsel Stack

Bluebook (online)
265 F. Supp. 2d 662, 2003 U.S. Dist. LEXIS 15948, 2003 WL 21262855, Counsel Stack Legal Research, https://law.counselstack.com/opinion/cooperative-benefit-administrators-inc-v-ogden-lamd-2003.