Cowart v. Metropolitan Life Insurance

444 F. Supp. 2d 1282, 2006 U.S. Dist. LEXIS 58956, 2006 WL 2338033
CourtDistrict Court, M.D. Georgia
DecidedAugust 8, 2006
Docket5:04 CV 312 CAR
StatusPublished
Cited by5 cases

This text of 444 F. Supp. 2d 1282 (Cowart v. Metropolitan Life Insurance) is published on Counsel Stack Legal Research, covering District Court, M.D. Georgia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Cowart v. Metropolitan Life Insurance, 444 F. Supp. 2d 1282, 2006 U.S. Dist. LEXIS 58956, 2006 WL 2338033 (M.D. Ga. 2006).

Opinion

ORDER ON DEFENDANT’S MOTION FOR SUMMARY JUDGMENT

ROYAL, District Judge.

Before the Court is Defendant Metropolitan Life Insurance Company’s Motion for Summary Judgment [Doc. 35]. Plaintiffs have filed a Response [Doc. 40] and Defendant has filed a Reply [Doc. 47]. For the reasons discussed below, Defendant’s Motion for Summary Judgment is GRANTED. Furthermore, as discussed below, Plaintiffs’ request to amend their complaint is also GRANTED. Plaintiffs shall have fifteen (15) days from the date of this Order to amend their Complaint.

BACKGROUND

This case involves a coverage dispute between Plaintiffs and their disability insurance provider, Metropolitan Life Insurance Company (“Defendant” or “Met-Life”). Plaintiff Phillip Cowart is the named insured under the policy, and Plaintiff Annemie Cowart, Phillip’s wife, is the owner of the policy. Plaintiffs’ complaint alleges claims for breach of contract and bad faith arising under Georgia law. Through the present motion for summary judgment, Defendant argues that these claims are preempted by the Employee Retirement Income Security Act (“ERISA”). At the center of this dispute is whether Plaintiffs’ disability insurance policy is part of an “employee welfare benefit plan” as defined in Title I of ERISA, 29 U.S.C. § 1002(1) (1999).

Plaintiff Phillip Cowart (“Cowart”) is the former President and sole shareholder of Phil Cowart Construction, Inc. (“PCC”). PCC operated as a subchapter-S corporation, meaning that the income or loss of the company passed through to Cowart. During its operation — from ap *1287 proximately 1976 until 1996 — PCC performed residential home construction. In addition to Cowart, PCC employed two superintendents — Henry Jones and John Garrett, together with a bookkeeper and various laborers. (Cowart Depo. [Doc. 39] p. 40-41, 43-44).

In April 1986, Cowart, Jones, and Garrett purchased disability insurance policies from Defendant. 1 On April 10, 1986, PCC submitted applications for the policies through the DeBorde-Howard Agency. (Verroi Aff. [Doc. 35, Exh. 1] ¶¶ 4(a), 4(f)). At least two of the applications identify PCC as the applicant and intended owner of the policies. (Jones Application [Doc. 35, Exh. 2]; Cowart Application [Doc. 35, Exh. 7] ). 2 On both applications, Cowart signed the name “Phil Cowart Construction, Phil Cowart, Pres.” on the signature line for the “applicant, if other than the proposed insured.” Id. In addition, Co-wart’s application indicates that the premiums were to “be paid with the employer’s funds with no part of the premiums paid with funds taxable to Proposed Insured as income.” (Cowart Application [Doc. 35, Exh. 7]). In addition, prepayment receipts signed by Cowart (in his capacity as President of PCC) and an agent of Defendant indicate that PCC paid the initial premiums for both policies. (Jones Application [Doc. 35, Exh. 4]; Cowart Application [Doc. 35, Exh. 9]).

The premiums for the three policies were billed to PCC. Because PCC received one bill for the three policies, the premiums were subject to a 10% “list bill” discount. (Verroi Aff. [Doc. 35, Exh. 1] ¶ 5; Jones Application [Doc. 35, Exh. 2]; Co-wart Application [Doc. 35, Exh. 7]). While Plaintiffs admit that PCC paid the premiums for the three policies, they allege that Cowart, Jones, and Garrett ultimately were responsible for the premium payments because PCC took the payments into account when calculating their salaries. Plaintiffs have produced no documentary evidence of any such agreement, however. Plaintiffs further argue that Co-wart was ultimately responsible for his own premium payment because, as the sole shareholder of PCC, his year-end profit allocation directly accounted for the premium payment. Cowart, however, did not report the premium payments as income on his W-2 forms, and therefore was not required to pay taxes on them.- (Cowart W-2 [Doc. 35, Exhs. 14,15]).

The three policies remained in effect even after Cowart, Jones, and Garrett left PCC’s employ. Garrett left PCC in 1988 and kept his policy in place when he left the company. Jones left PCC in 1994 and also kept his policy in place. Upon Jones’s departure from PCC, Cowart executed a Beneficiary Owner Designation on behalf of PCC transferring ownership of the policy from PCC to Milton Jones Homes, Inc., Jones’s new employer. (Beneficiary Owner Designation [Doc. 47, Exh. 3]). Similarly, after PCC ceased operations in 1996, PCC assigned ownership of Cowart’s policy to Annemie Cowart. Cowart executed the assignment on behalf of PCC. (Cowart Depo. [Doc. 39] Exh. D-6).

*1288 On March 14, 1997, Cowart submitted a claim for disability benefits based on a diagnosis of depression and generalized anxiety disorder. For nearly five years, Defendant paid disability benefits to Co-wart; however, on January 14, 2002, Defendant notified Cowart by letter that his benefits were being terminated. Cowart then appealed the termination decision, and Defendant denied his appeal in a letter dated October 8, 2003.

Plaintiffs then filed the present lawsuit in the State Court of Houston County, alleging breach of contract and bad faith. Defendant removed the case to this Court on the grounds of diversity jurisdiction, or alternatively, federal question jurisdiction based on its assertion that Plaintiffs’ claims were governed by ERISA. Following removal, Plaintiffs did not amend their complaint to assert a cause of action under ERISA. At the close of discovery, Defendant filed the present motion for summary judgment. Through its motion, Defendant argues that Plaintiffs’ state-law claims should be dismissed because they are preempted by ERISA. In their Response, Plaintiffs argue that even if their state-law claims are preempted by ERISA, they should be granted leave to amend their complaint to state a claim under ERISA. This Order will address these two motions.

DISCUSSION

I. Defendant’s Motion for Summary Judgment

A. Summary Judgment Standard

Summary judgment must be granted if “the pleadings, depositions, answers to interrogatories, and admissions on file, together with the affidavits, if any, show that there is no genuine issue as to any material fact and ... the moving party is entitled to a judgment as a matter of law.” Fed. R.Civ.P. 56(c); see also Celotex Corp. v. Catrett, 477 U.S. 317, 322, 106 S.Ct. 2548, 91 L.Ed.2d 265 (1986); Johnson v. Clifton, 74 F.3d 1087, 1090 (11th Cir.1996). Not all factual disputes render summary judgment inappropriate; only a genuine issue of material fact will defeat a properly supported motion for summary judgment. See Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 247-48,106 S.Ct. 2505, 91 L.Ed.2d 202 (1986). This means that summary judgment may be granted if there is insufficient evidence for a reasonable jury to return a verdict for the nonmoving party or, in other words, if reasonable minds could not differ as to the verdict.

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Bluebook (online)
444 F. Supp. 2d 1282, 2006 U.S. Dist. LEXIS 58956, 2006 WL 2338033, Counsel Stack Legal Research, https://law.counselstack.com/opinion/cowart-v-metropolitan-life-insurance-gamd-2006.