Erickson-Hall Constr. Co. v. Scottsdale Ins. Co.

369 F. Supp. 3d 1022
CourtDistrict Court, S.D. California
DecidedFebruary 20, 2019
DocketCase No.: 18-CV-2462-GPC-MSB
StatusPublished

This text of 369 F. Supp. 3d 1022 (Erickson-Hall Constr. Co. v. Scottsdale Ins. Co.) is published on Counsel Stack Legal Research, covering District Court, S.D. California primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Erickson-Hall Constr. Co. v. Scottsdale Ins. Co., 369 F. Supp. 3d 1022 (S.D. Cal. 2019).

Opinion

(1) GRANTING SCOTTSDALE INSURANCE COMPANY'S MOTION TO DISMISS [ECF No. 14];

(2) GRANTING HARTFORD FIRE INSURANCE COMPANY'S MOTION TO DISMISS [ECF No. 17];

(3) DENYING AS MOOT ERICKSON-HALL CONSTRUCTION COMPANY'S EX PARTE MOTION [ECF No. 18].

Hon. Gonzalo P. Curiel, United States District Judge

Pending before the Court are three motions related to an insurance dispute. The *1026first motion is Defendant Scottsdale Insurance Company's ("Scottsdale's") motion to dismiss Plaintiff Erickson-Hall Construction Company ("EHCC's") first amended complaint ("FAC"). (ECF No. 14.)1 This motion has been fully briefed. (ECF Nos. 2, 24.) The second is Defendant Hartford Fire Insurance Company's ("Hartford's") motion to dismiss EHCC's FAC (ECF No. 17), which has also received the benefit of full briefing. (ECF Nos. 25, 26.) The final motion at issue is EHCC's ex parte motion for an order setting or amending the briefing schedule on the pending Rule 12(b) motions (ECF No. 18), which has been opposed by Scottsdale. (ECF No. 20.)

Pursuant to Civil Local Rule 7.1(d)(1), the Court finds the matter suitable for adjudication without oral argument. For the reasons set forth below, the Court GRANTS both motions to dismiss with leave to amend and DENIES as moot EHCC's ex parte motion.

I. Background

A. Factual Background

1. EHCC

Plaintiff Erickson-Hall Construction Company is a California Corporation with approximately 150 employees. EHCC "competes for highly talented employees by offering its employees certain employment benefits in addition to its compensation packages." (ECF No. 10, at 3.) One of the benefits EHCC offers is company paid Life Insurance, Accidental Death and Dismemberment Insurance and Long Term Disability Insurance (collectively, the "EHCC Benefit Plans"). (Id. ). The EHCC Benefit Plans are purchased by EHCC for its employees from a third-party insurance company.

EHCC employees are also presented with the option to purchase additional coverage under the EHCC Benefit Plans. Employees have been made to understand that the additional coverage would be paid for directly from their paychecks, and that payments would be administered by EHCC. (Id. )

EHCC employed a non-executive level Controller with a background in accounting to oversee the operation of the EHCC Benefit Plans. (Id. at 7.) The Controller was the primary person responsible for informing employees about their eligibility for, and the scope of any of the EHCC Benefit Plans which EHCC offered to purchase on the employees' behalf. The Controller was tasked with enrolling employees (by providing third party insurance companies the information required to enroll and maintain coverage), deducting from employees' paychecks moneys to pay premiums for the additional coverages which employees elected to purchase, as well as paying premiums for the ordinary coverage offered as part of the EHCC Benefit Plans. The financial part of the Controller's responsibilities included receiving and processing premium invoices from the third-party insurance companies and responding to any late payment notifications sent.

*10272. The Scottsdale Policy

To guard against the incidents of its administration of the EHCC Benefits Plans, EHCC purchased a "Business and Management Indemnity Policy" from Scottsdale (the "Scottsdale Policy"), which was effective between August 15, 2016 to August 15, 2017. (Id. at 4.) Scottsdale is organized under the laws of Ohio, and is a subsidiary of Nationwide Mutual Insurance Company ("Nationwide"), also of Ohio.

The Scottsdale Policy included a Fiduciary Coverage Section that ensured that Scottsdale would indemnify EHCC for any "Loss" which EHCC "become[s] legally obligated by reason of a Claim ... for any Wrongful Act." (ECF No. 10-1, at 30, 96.). A "Claim" encompasses any "written demand for damages or other relief against [EHCC]," and a Wrongful Act is defined to include:

• Allegations of a breach of the responsibilities imposed on the fiduciaries of a "Sponsored Plan"2 by the Employee Retirement Income Security Act of 1974 ("ERISA");
• Any matter "claimed against [EHCC] solely because of the service of [EHCC] as a fiduciary of a Sponsored Plan,"; or
• "[A]ny actual or alleged act, error or omission in the Administration of any Sponsored Plan."

(ECF No. 10-1, at 32.) With respect to the third category of Wrongful Act, "Administration" is defined to include:

• "enrolling, terminating or canceling employees under any Plan";
• "providing interpretations with respect to any Plan";
• "counseling employees, beneficiaries or Plan participants" about benefit Plans; or
• "handling records in connection with any Plan."

(Id. at 30.).

3. The Hartford Policy

EHCC also secured a "Special Multi-Flex Business Insurance Policy" with Hartford that was effective between August 15, 2016 and August 15, 2017 (the "Hartford Policy"). Hartford is a company organized under the laws of Connecticut.

The Hartford Policy included an Employee Benefits Liability Coverage Endorsement, pursuant to which Hartford agreed to "pay those sums that [EHCC] shall become legally obligated to pay as damages because of 'employee benefits injury' to which this endorsement applies." (ECF No. 10-2, at 40.) "Employee benefits injury" is further defined as "any injury that arises out of any negligent act, error, or omission in the 'administration' of EHCC's 'employee benefits program.' "3 (Id. at 42.)

"Administration," as defined in relation to an employee benefits program, encompasses both:

• "Giving counsel" to EHCC's employees and beneficiaries with respect to interpreting the scope of EHCC's employee benefits program or the *1028employees' eligibility to participate in such programs, and;
• "Handling records in connection with an 'employee benefits program.' "

(Id. at 42).

4. The Lapse in Premium Payments

Unbeknownst to anyone else at EHCC, the Controller failed to make the premium payments required to maintain and renew the EHCC Benefit Plan and coverage terminated as of January 1, 2016. (ECF No. 10, at 8.) According to EHCC, the lapse in coverage resulted from the Controller's negligent administration of, and mishandling of records related to, the EHCC Benefit Plans-the Controller did not "adequately and timely transfer[ ] and administer[ ]" the "premium payments collected from employees." (Id. at 8.)

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Cite This Page — Counsel Stack

Bluebook (online)
369 F. Supp. 3d 1022, Counsel Stack Legal Research, https://law.counselstack.com/opinion/erickson-hall-constr-co-v-scottsdale-ins-co-casd-2019.