Craig v. Fed Ex Ground Package System, Inc.

722 F. Supp. 2d 1033, 49 Employee Benefits Cas. (BNA) 2670, 2010 U.S. Dist. LEXIS 65017, 2010 WL 2670651
CourtDistrict Court, N.D. Indiana
DecidedJune 28, 2010
DocketCause No. 3:05-MD-527 RM. MDL No. 1700
StatusPublished
Cited by4 cases

This text of 722 F. Supp. 2d 1033 (Craig v. Fed Ex Ground Package System, Inc.) is published on Counsel Stack Legal Research, covering District Court, N.D. Indiana primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Craig v. Fed Ex Ground Package System, Inc., 722 F. Supp. 2d 1033, 49 Employee Benefits Cas. (BNA) 2670, 2010 U.S. Dist. LEXIS 65017, 2010 WL 2670651 (N.D. Ind. 2010).

Opinion

OPINION and ORDER

ROBERT L. MILLER, JR., District Judge.

This matter is before the court on FedEx’s motion for partial summary judgment seeking dismissal of the plaintiffs’ ERISA claims for failure to exhaust administrative remedies. The plaintiff drivers brought this class action suit against FedEx pursuant to ERISA’s denial of benefit provision, 29 U.S.C. § 1132(a)(1)(B) (ERISA § 502(a)(1)(B)). They claim FedEx violated ERISA by misclassiiying them as independent contractors instead of employees and so wrongfully denied them the right to participate in six different employee benefit plans. It’s undisputed that the plaintiffs didn’t exhaust their administrative remedies under the plan documents, but they assert they are excused from doing so because (1) they were denied meaningful access to administrate review, and (2) it would have been futile to bring their claims before FedEx or FedEx’s designee when FedEx has consistently taken the position that the plaintiffs aren’t entitled to any plan benefits. Because the court disagrees with plaintiffs that they were denied meaningful access to administrative review or that exhausting their administrative remedies would have been futile, the court GRANTS FedEx’s motion for partial summary judgment and dismisses the plaintiffs’ ERISA claims without prejudice.

Background

The plaintiffs have brought their ERISA claim for benefits under the following FedEx plans: 401(k) Plan; Group Life Insurance Benefits Plan; Ground Benefits Plus Short-Term Disability Plan; Ground Benefits Plus Long Term Disability Plan; FedEx Medical, Dental and Vision Care Plan; and Dependent Care Account Plan. FedEx is the Plan Sponsor and named administrator for each plan. For example, in the 401(k) Summary Plan Description, FedEx is defined as the Plan Administrator to “act[ ] on [participants’] behalf to see that the Ground/Freight RSP is administered fairly according to standards outlined in the law and the terms of the Ground/ Freight RSP and Trust Agreement.” 401(k) SPD, p. 36. In the Ground Benefits Plus Plan Administration (FedEx Health Benefits Summary Plan Description) — a collection of the Medical, Short-Term Disability, Long-Term Disability, and Life Plans — FedEx is listed as the Plan Administrator responsible for supervision under the plans. Health Benefits SPD, p. 27.

The plan documents provide participants with the opportunity to file a claim for benefits with FedEx or its designee. The 401(k) Summary Plan Description tells participants that they may file a written claim if they believe they are entitled to benefits. 401(k) SPD, p. 38. The Group Life Insurance Benefits Plan states that to make a claim “[a] completed claim form, a certified copy of the death certificate and Your enrollment form must be sent to the Employer or [Hartford Life and Accident Insurance Company].” Group Life Ins. Plan, p. 13. Hartford approves the required claims papers. Group Life Ins. Plan, p. 13. The Group Benefits Plus Short-Term Disability Plan, the Medical Plan, and the Dependent Care Account Plan each inform participants that if they believe they are entitled to receive a benefit under the plan, they may file a written claim with the claims administrator on appropriate forms furnished by the claims administrator. STD Plan, § 6.1(c); Medical Plan, § 9.1(c); Dependent Care Account Plan, 6.3(c).

*1039 Under the Ground Benefits Plus Long Term Disability Plan, notice of a claim should be given to Hartford within thirty days after a disability starts or as soon as possible, and if the claim is denied, the participant “may appeal to [Hartford] for a full and fair review.” LTD Plan, p. 23. The Plan states that if a claim for benefits is “denied or ignored, in whole or in part, [the participant] may file suit in a state or federal court.” LTD Plan, p. 40. The Health Benefits Summary Plan Description states that “[i]f you, a covered dependent, or a beneficiary believe that you (or they) are entitled to receive a particular benefit under Ground Benefits Plus, you (or they) may file a claim, if applicable.” Health Benefits SPD, p. 25.

FedEx has delegated review of initial claims, and under some plans first-level appeals, to outside entities. For the 401(k) Plan, initial claims are handled by a third-party administrator, not FedEx. An appeal under the 401(k) Plan is made to the FedEx Corp.’s Benefits Review Committee. Outside parties administer the initial claim or first-level appeal of claims under either the Short-Term Disability Plan or the Long Term Disability Plan, and FedEx would only be involved in a second-level appeal of a denial under these plans. For benefits under the Group Life Insurance Plan, claims are submitted to Hartford, not FedEx, and there is one level of appeal, which is to Hartford. Under the Medical Plan, outside parties process healthcare claims, dental benefits, and vision benefits. To make a claim for medical, dental, or vision benefits under the Medical Plan, a claimant doesn’t address that claim to FedEx, but rather to one of the claims administrators. For any denied claim under the Medical Plan, the initial appeal goes to the respective outside administrator, with FedEx getting involved at the second appeal level.

Under the plans, FedEx or its designee has been given the authority to construe and interpret the plan documents. Section 15.4(a) of the 401(k) Plan states that “[t]he Committee shall have all ... power and authority to: (a) Solely, exclusively and conclusively construe any ambiguity in and interpret any provision of the Plan and supply any omission or reconcile any inconsistency therein in such manner as it deems appropriate in accordance with the purpose and intent of the Plan[.]” In the Group Life Insurance Plan, the document states that Hartford has “full discretion and authority to determine eligibility for benefits and to construe and interpret all terms and provisions of the Policy.” Group Life Ins. Plan, p. 22. Hartford is the plan fiduciary and has discretion over the Plan.

Section 5.1 of the Group Benefits Plus Short-Term Disability Plan states that “[e]xcept as otherwise provided in the STD Plan, the administration of the STD Plan shall be under the supervision of [FedEx].” FedEx is authorized to appoint a committee, which “[t]o the extent necessary to carry out the claim and review responsibilities set forth in this Section ... shall have the sole and absolute authority and responsibility for construing and interpreting the provisions of the Plan, and such authority and responsibility shall override the authority and responsibly under the Plan given to [FedEx] pursuant to Section 5.1.” STD Plan, § 6.1. The Medical, Dental, and Vision Care Plan and the Dependent Care Account Plan contain similar language. Medical Plan, §§ 8.1 and 9.1; Dependent Care Account Plan, §§ 5.1 and 6.3. Under the Ground Benefits Plus Long Term Disability Plan, “[flinal interpretation of all provisions and coverages will be governed by the Group Insurance Policy on file with Hartford Life at its home office.” LTD Plan, p. 3.

*1040 Each plan also contains a definition of who qualifies as an “eligible employee” to receive benefits. Under the 401(k) Plan, only “eligible employees” may participate in the plan.

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Bluebook (online)
722 F. Supp. 2d 1033, 49 Employee Benefits Cas. (BNA) 2670, 2010 U.S. Dist. LEXIS 65017, 2010 WL 2670651, Counsel Stack Legal Research, https://law.counselstack.com/opinion/craig-v-fed-ex-ground-package-system-inc-innd-2010.