Estate of Jennings v. Delta Air Lines, Inc.

126 F. Supp. 3d 461, 2015 U.S. Dist. LEXIS 113705, 2015 WL 5089458
CourtDistrict Court, D. New Jersey
DecidedAugust 27, 2015
DocketCivil Action No. 15-962 (JBS/AMD)
StatusPublished
Cited by7 cases

This text of 126 F. Supp. 3d 461 (Estate of Jennings v. Delta Air Lines, Inc.) is published on Counsel Stack Legal Research, covering District Court, D. New Jersey primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Estate of Jennings v. Delta Air Lines, Inc., 126 F. Supp. 3d 461, 2015 U.S. Dist. LEXIS 113705, 2015 WL 5089458 (D.N.J. 2015).

Opinion

OPINION

SIMANDLE, Chief Judge:

I. INTRODUCTION

In this action, Emily Jennings, individually and as administratrix of the Estate of Mark Jennings, asserts claims for breach of contract and negligence against Delta Air Lines, Inc. (“Delta”) and Xerox Business Services, LLC (“Xerox”), as successor [463]*463of Affiliated Computer Services, Inc. (“ACS”), for their roles in the allegedly wrongful denial of the Estate’s life insurance claim. Following her husband’s unexpected death, Ms. Jennings filed a claim under his life insurance policy provided by his employer, Delta, as part of a group employee benefits plan. Xerox was the records custodian for the plan, and in this capacity, interacted with Mr. Jennings and made eligibility decisions regarding his life insurance benefits.

This matter comes before the Court on motions to dismiss by Defendants Xerox [Docket Item 17] and Delta [Docket Item 18] under Rule 12(b)(6), Fed.R.Civ.P., for failure to state a claim. Defendants principally argue that the Employment Retirement Income Security Act of 1974 (“ERISA”) preempts Plaintiffs’ claims for breach of contract and negligence because they “relate to” a benefits plan covered by ERISA. The Court finds that Plaintiffs’ claims essentially challenge the propriety of Defendants’ conduct under the terms of an ERISA plan, require interpretation of the plan, and are thus preempted by ERISA.

For the reasons discussed below, the Court will grant Defendants’ motions and dismiss Plaintiffs’ complaint in its entirety against Delta and Xerox without prejudice to refiling an amended complaint curing these deficiencies within 21 days.

II. BACKGROUND

A. Facts

The Court accepts as true for the purposes of the instant motions to dismiss the following facts as alleged in the Complaint. [Docket Item 1.]

Mark Jennings died on or about December 14, 2009 after being struck by a motorist while doing yard work on his property. (Compl.. ¶ 9.) Prior to his death, Mr. Jennings was employed at all relevant times as a pilot by Delta, which offered its employees a Welfare Benefit Plan entitled “Delta Pilot’s Disability and Survivor Trust” (“the Plan”). (Id. ¶ 10.) Metropolitan Life Insurance Company (“Metlife”) was the claims administrator responsible for paying benefits under the Plan while Xerox was the records custodian responsible for maintaining records and corresponding with participants regarding eligibility. (Id. ¶¶ 11-13.) Mr. Jennings was insured under a group life insurance policy as part of the Plan with death benefits totaling $501,725.00. (Id. ¶ 16.)

Plaintiffs allege that Mr. Jennings, a Lieutenant Colonel with the New Jersey Air National Guard, was on active duty at the time of his death, during which he was on Special Conflict Military Leave of Absence from Delta from December 1, 2008 until his death on December 14, 2009. (Id. ¶¶ 14-15.) According to Plaintiffs, due to his Special Conflict Military Leave of Absence status’, Delta was responsible for paying premiums for Mr. Jennings’ coverage, despite the fact that he was notified in March, 2009 that he would be responsible for paying the premiums for his medical, dental, vision and life insurance coverages beginning in May, 2009. (Id. ¶¶ 17-18.) After receiving this notification, Mr. Jennings called the Delta Employee Service Center (“ESC”) on April 17, 2009 and indicated that he wished to “cancel his medical, dental and vision insurance and to temporarily suspend his medical, dental and vision insurance benefits ONLY, as he would be receiving such benefits through his active military service ...” (Id. ¶ 28.) Mr. Jennings then sent a letter to Xerox dated April 20, 2009, which stated the following:

I am requesting that my health care benefits be retroactively rescinded beginning 1 December 2008. Since that [464]*464time, I have been on extended military leave of absence. The USAF has been providing full medical and dental coverage through the Tri-Care program.... I plan to continue utilizing this coverage until the time I am able to return to Delta Air Lines. Thank you for your assistance to this matter.

(Id. ¶ 29.) Based on this letter, Xerox cancelled all of Mr. Jennings’ coverages, including his life insurance, and did not send any further billing invoices. (Id. ¶ 30.) Delta did not submit any premiums for any of Mr. Jennings’ coverages. (Id. ¶ 31.) On June 9, 2009, Mr. Jennings called the ESC and was informed that his letter had been received. (Id. ¶ 32.) However, he was not advised that all coverages, including his life insurance, had been cancelled. (Id.)

In October, 2011, Mr. Jennings’ wife, Emily Jennings, filed a claim with Metlife as beneficiary for the basic life insurance benefits under the Plan. (Id. ¶ 19.) After consulting Xerox, Metlife denied Ms. Jennings’ claim and explained that Mr. Jennings’ life insurance was cancelled effective May 31, 2009 and therefore not in effect at the time of his death. (Id. ¶ 20.) Metlife also stated that Mr. Jennings’ employment with Delta had terminated on May 15, 2009. (Id. ¶ 21.) Ms. Jennings appealed the denial, asserting that her husband’s employment had not been terminated and that Delta was responsible for paying the premiums for his coverage while he was on Special Conflict Military Leave of Absence as explained in Delta’s “Pilot’s Life Insur-anee and Survivor Benefits Handbook.”1 (Id. ¶¶ 23-24.) Metlife upheld the denial on February 20, 2012 and again on September 10, 2013 for reasons consistent with those initially stated. (Id. ¶¶ 25-26.)

B. Procedural background

Plaintiffs filed this action on February 6, 2015 against Delta and Xerox asserting claims for breach of contract and negligence. Plaintiffs assert that Xerox failed “to accurately interpret and carry out the instructions in the plaintiffs unambiguous correspondence” and “[n]egligently, carelessly and wrongfully determin[ed] that plaintiff was not continually eligible for life insurance benefits.” (Id. ¶ 38.) Plaintiffs also assert that Xerox’s negligence “constituted a Material Breach of Contract and resulted in the wrongful cancellation of ... eligibility for life insurance benefits.... ” (Id. ¶ 40.) Plaintiffs claim that Delta was “negligent by failing to pay premiums for basic life insurance coverage.... ” (id. ¶ 13-5376(JBS)). See Estate of Jennings ex rel. Jennings v. Metropolitan Life Ins. Co., Civ. 13-5376(JBS), 2014 WL 4723147, at *3 n. 3 (D.N.J. Sept. 22, 2014). Accordingly, the Handbook is publicly available from Plaintiffs’ prior suit arising out of the same subject matter and the Court may take notice of it in resolving the pending motion. See City of Pittsburgh v. West Penn Power Co., 147 F.3d 256, 259 (3d Cir.1998) (“When deciding 43”) and this negligence caused “a Material Breach of Contract....” (Id. ¶44.)

[465]*465Prior to this action, on September 10, 2013, the Estate filed suit against Metlife pursuant to ERISA claiming benefits due under the Plan. (Id. ¶33.) This Court granted Metlife’s motion for summary judgment on September 22, 2014. See Estate of Jennings ex rel. Jennings v. Metropolitan Life Ins.

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126 F. Supp. 3d 461, 2015 U.S. Dist. LEXIS 113705, 2015 WL 5089458, Counsel Stack Legal Research, https://law.counselstack.com/opinion/estate-of-jennings-v-delta-air-lines-inc-njd-2015.