Edwards v. Prudential Insurance Co. of America

213 F. Supp. 2d 1376, 2002 U.S. Dist. LEXIS 13152, 2002 WL 1802578
CourtDistrict Court, S.D. Florida
DecidedJuly 16, 2002
Docket02-80359-CIV
StatusPublished
Cited by6 cases

This text of 213 F. Supp. 2d 1376 (Edwards v. Prudential Insurance Co. of America) is published on Counsel Stack Legal Research, covering District Court, S.D. Florida primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Edwards v. Prudential Insurance Co. of America, 213 F. Supp. 2d 1376, 2002 U.S. Dist. LEXIS 13152, 2002 WL 1802578 (S.D. Fla. 2002).

Opinion

ORDER GRANTING MOTION TO REMAND

MIDDLEBROOKS, District Judge.

THIS CAUSE comes before the Court upon several pending motions, the most significant being defendant Prudential Insurance Company of America (“Prudential”) Motion to Dismiss, filed April 22, 2002 (DE# 2); and plaintiff Pamela Edwards’s (“Edwards”) Motion to Remand, *1378 filed May 14, 2002 (DE# 7). 1 The Court has reviewed the record, the submissions of counsel, the relevant statutory and case-law, and is otherwise fully advised in the premises. The complaint, consisting of one count for breach of contract, was originally filed in state court, after which Prudential removed it to this Court. The removal was predicated solely on complete federal preemption—federal question jurisdiction. See Metropolitan Life Ins. Co. v. Taylor, 481 U.S. 58, 64-67, 107 S.Ct. 1542, 95 L.Ed.2d 55 (1987). Because the Court finds that the statutory safe harbor provision of the Employee Retirement Income Security Act of 1974 (“ERISA”), 29 U.S.C. §§ 1001-1461, is applicable to the disability plan involved here, there is no federal subject matter jurisdiction over this action and the case must be remanded to the state forum from which it was removed.

I. Facts

The facts of this controversy are relatively scant, which works to the detriment of the removing party, Prudential, as Prudential bears the burden of establishing legitimate federal jurisdiction. These facts are culled from the disability plan itself, copies of which both parties have submitted in connection with the relevant motions, as well as from affidavits from Jason Hall, Prudential’s Account Executive for the Florida Education Association, Inc.’s (“FEA”) group insurance policy, and Pamela Edwards, the plaintiff. Additionally, Prudential has filed a Supplemental Affidavit of Jason Hall, further explaining the situation now before the Court.

Edwards, a resident of Palm Beach County, was employed for many years as a teacher with the Dade County School Board. Edwards then allegedly became disabled so as to qualify for benefits under the relevant short-term disability plan (“the Plan”) issued by Prudential. It is undisputed that enrollment in the Plan was completely voluntary.

Hall, whose affidavit and supplemental affidavit Prudential filed in support of its motion to dismiss and in opposition to Edwards’s motion to remand, is Prudential’s Account Executive assigned to the FEA account. According to Hall, FEA is “a private organization of employees from the Florida public school system” whose “business purpose is to serve as an advocate for K-12 public educators and the public education system in the State of Florida.” The FEA is made up of several local affiliates, one of which being the United Teachers of Dade (“UTD”). Edwards was a member of the UTD. Membership in the FEA allows a participant to access certain insurance benefits at a discounted group rate.

Further, effective May 1, 1999, “FEA procured the ... [Plan] from Prudential to secure Short Term Disability benefits for its membership.” The premiums for the Plan are paid by FEA member contributions. FEA also notifies Prudential of who qualifies for participation in the Plan. According to the language of the Plan itself, “Covered Classes” are “[a]ll members of the FEA/UNITED as reported to Prudential,” which meant that an enrollee “must be working for an Included Employer at least 20 hours per week.” 2 FEA utilizes *1379 the services of an insurance agency named Public Employee Services Company, Inc. (“PESCO”) in presenting insurance-package presentations to its members. According to Hall’s supplemental affidavit, FEA uses PESCO’s services “for the purpose of making on-site presentations to public school teachers and enrolling them in certain insurance plans procured by FEA for the benefit of its members.” (emphasis added). 3 PESCO also engages in the administrative aspect of arranging the payment of participants’ premiums through payroll deductions.

Hall’s supplemental affidavit also states that the presentation given by PESCO includes a statement that “6,000 FEA Members have already enrolled.” 4 The Plan itself has a cover page with “Prudential” and the “Rock” symbol in the upper right-hand corner and “Florida Education Assoeiation/United” printed in the lower right-hand corner. It lists the Contract Holder as “FLORIDA EDUCATION ASSOCIATION/UNITED,” and states that “[t]he Contract Holder has delegated certain administrative functions regarding the plan to the Plan Administrator.” In the Certificate of Coverage section, the Plan states that “[t]he Prudential Insurance Company of America (referred to as Prudential) welcomes you to the plan” and that “Prudential will assist you in any way to help you understand your benefits.” The Plan notifies participants of the possibility of continuing coverage: “You may continue your coverage when your coverage would otherwise have ended because you are no longer a member of the Florida Education Association/United due to the end of your employment.” As for the payment of premiums, the Plan does not beat around the bush: “Your coverage is paid for by you.” There is no mention whatsoever of any contributions by the FEA or by any other entity. Prudential submits no evidence that anyone but Pamela Edwards ever contributed to the premiums for her coverage under the Plan. The Plan states that “Prudential will make payments to you.” Finally, the Plan contains some discussion of how the provisions of the federal Family and Medical Leave Act of 1993 may impact upon Plan benefits. At no point, however, does the Plan reference ERISA or describe any of its provisions.

Edwards, too, has submitted an affidavit. ■ The affidavit is replete with statements that “to the best of [her] knowl *1380 edge” FEA did not participate in the management of the Plan and that FEA did not endorse the Plan. To the extent that Edwards is postulating on the interrelationship between Prudential and FEA, the Court credits the affidavit of Hall (Prudential’s Account Executive for FEA) over that of Edwards. However, the affidavit is significant for what it lends to the determination of how a reasonable employee in Edwards’s shoes would view the Plan and its endorsement — or lack thereof — by the FEA. Edwards states that she learned about possible enrollment in the Plan when told during a morning school announcement that a Prudential representative would come to the school to discuss disability insurance.

II. Law

Although many issues are addressed in the parties’ various submissions, including the governmental plan exception to ERISA application, whether the disability plan involved qualifies under ERISA’s definition of “plan, fund, or program,” and what evidence a removing defendant must and may submit in support of the Notice of Removal (and when

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

Related

Gimeno v. NCHMD, Inc.
S.D. Florida, 2021
Tidwell v. Coldwater Covers, Inc.
393 F. Supp. 2d 1257 (N.D. Alabama, 2005)
Stern v. Provident Life and Accident Ins. Co.
295 F. Supp. 2d 1321 (M.D. Florida, 2003)
Ervast v. Flexible Products Co.
346 F.3d 1007 (Eleventh Circuit, 2003)
Allstate Insurance v. Quick
254 F. Supp. 2d 706 (S.D. Ohio, 2002)
Anderson v. UnumProvident Corp.
322 F. Supp. 2d 1272 (M.D. Alabama, 2002)

Cite This Page — Counsel Stack

Bluebook (online)
213 F. Supp. 2d 1376, 2002 U.S. Dist. LEXIS 13152, 2002 WL 1802578, Counsel Stack Legal Research, https://law.counselstack.com/opinion/edwards-v-prudential-insurance-co-of-america-flsd-2002.