Fafara v. American States Life Insurance

976 F. Supp. 1368, 1997 U.S. Dist. LEXIS 17271, 1997 WL 627055
CourtDistrict Court, D. Oregon
DecidedOctober 7, 1997
DocketCivil No. 97-1016-FR
StatusPublished
Cited by1 cases

This text of 976 F. Supp. 1368 (Fafara v. American States Life Insurance) is published on Counsel Stack Legal Research, covering District Court, D. Oregon primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Fafara v. American States Life Insurance, 976 F. Supp. 1368, 1997 U.S. Dist. LEXIS 17271, 1997 WL 627055 (D. Or. 1997).

Opinion

OPINION

FRYE, District Judge:

This is an action for breach of an insurance contract and negligence which was removed from the Circuit Court of the State of Oregon for the County of Multnomah. Before the court is the motion of the defendant American States Life Insurance Company under Fed.R.Civ.P. 12(b)(6) to dismiss (#5-1) and to strike the jury demand (# 5-2); and the motion of the plaintiff to remand (# 8).

BACKGROUND

The plaintiff, Colleen Fafara, alleges that she and Rodney Fafara, her husband, cosigned a business loan application obtained from CCD Business Development Corporation (CCD). As a condition of receiving the loan, CCD required the Fafaras to obtain a policy of insurance on the life of Rodney Fafara. On September 25, 1995, American States Life Insurance Company (American) issued a policy of insurance on the life of [1370]*1370Rodney Fafara in the amount of $140,000. While Colleen Fafara was the named beneficiary of this policy, she assigned her interest in the policy to CCD on October 4, 1995. A similar policy was later issued on the life of Colleen Fafara.

American was to bill Rodney Fafara at his business address when each premium payment became due and was to notify Rodney Fafara and CCD within the 31-day grace period if a premium payment was not made. Instead, American sent a notice of failure to pay premium to Rodney Fafara at an incorrect address and failed to notify either Rodney Fafara or CCD during the grace period that the premium was overdue. Rodney Fafara died on January 15, 1997. Because the premium payment had not been made, American refused to pay on the policy, leaving Colleen Fafara responsible for the $140,000 loan from CCD. Colleen Fafara has sued American and its agent, the defendant Full-hart Insurance Agency, Inc. (Fullhart), for breach of insurance contract and negligence.

Although American filed its motion as one to dismiss for failure to state a claim, the parties presented materials outside of the pleadings. At the oral argument, the court informed the parties of its intent to treat the motion as one for summary judgment and allowed the parties to file additional materials. The following facts were submitted to the court along with the parties’ memoranda:

Rodney and Colleen Fafara were the owners of an FM radio station, KRBZ, in Reedsport, Oregon. On April 1, 1996, they purchased through Fullhart a group health insurance policy covering both Rodney and Colleen Fafara and the other employees of KRBZ.

As the owners of KRBZ, Rodney and Colleen Fafara have never provided life insurance policies to any of the employees of KRBZ, and the insurance policy on the life of Rodney Fafara was purchased to comply with the requirements of CCD for the business loan. At the time that American issued the insurance policy on the life of Rodney Fafara, KRBZ did not provide any type of insurance to its employees. The decision of the Fafaras to offer group health insurance to the employees of KRBZ more than six months later was made without consideration of American’s insurance policy on the life of Rodney Fafara.

LEGAL STANDARDS

If matters outside the pleading are considered by the court in a motion to dismiss for failure to state a claim, the court must treat the motion as one for summary judgment. The parties must be given a reasonable opportunity to present all pertinent material. Fed.R.Civ.P. 12(b).

Summary judgment is appropriate when 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). The initial burden is on the moving party to point out the absence of any genuine issue of material fact. Once the initial burden is satisfied, the burden shifts to the opponent to demonstrate through the production of probative evidence that there remains an issue of fact to be tried. Celotex Corp. v. Catrett, 477 U.S. 317, 323, 106 S.Ct. 2548, 2552-53, 91 L.Ed.2d 265 (1986). On a motion for summary judgment, all reasonable doubt as to the existence of a genuine issue of fact should be resolved against the moving party. T.W. Elec. Serv. v. Pacific Elec. Contractors Ass’n, 809 F.2d 626, 630-31 (9th Cir.1987).

CONTENTIONS OF THE PARTIES

American contends that the insurance policy on the life of Rodney Fafara, along with the group health insurance policy, forms an employee welfare benefit plan governed by the Employee Retirement Income Security Act of 1974, 29 U.S.C. § 1001, et seq. (ERISA). Consequently, American contends that ERISA preempts Colleen Fafara’s claims and provides the only remedy available. American also contends that there is no right to a jury trial in suits for the recovery of benefits under an ERISA employee benefits plan.

Colleen Fafara contends that the life insurance policy on Rodney Fafara was not part of an employee welfare benefit plan because its purpose was to secure repayment of a business loan. She also contends that the life [1371]*1371insurance policy must be considered separately from the group health insurance policy that was put in place after the fact. Colleen Fafara seeks to remand this action back to the state court.

APPLICABLE LAW

As a rule, federal preemption is “a federal defense to the plaintiffs suit” and “does not authorize removal to federal court.” Metropolitan Life Ins. Co. v. Taylor, 481 U.S. 58, 63, 107 S.Ct. 1542, 1546, 95 L.Ed.2d 55 (1987), quoted in Tingey v. Pixley-Richards West, Inc., 953 F.2d 1124, 1129 (9th Cir.1992). Sometimes, however, federal interests and concerns are so imperative that they create an exception to this rule. Tingey, 953 F.2d at 1130. Federal interests and concerns are imperative as to issues governing employee retirement and benefit plans and therefore constitute such an exception.

In Metropolitan Life, the Supreme Court held that the civil enforcement provision governing benefit claims under ERISA, 29 U.S.C. § 1132(a)(1)(B), was intended to replace similar state common law causes of action to such an extent that the state claims are removable under 28 U.S.C. § 1441(b) as ERISA-based causes of action. Metropolitan Life, 481 U.S. at 64-67, 107 S.Ct. at 1546-48; Tingey, 953 F.2d at 1130. Because ERISA is an area of complete preemption, if the true gravamen of plaintiffs action is the deprivation of ERISA plan benefits, the plaintiff cannot avoid preemption by pleading a purported state claim. Karambelas v. Hughes Aircraft Co., 992 F.2d 971, 973 (9th Cir.1993).

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Bluebook (online)
976 F. Supp. 1368, 1997 U.S. Dist. LEXIS 17271, 1997 WL 627055, Counsel Stack Legal Research, https://law.counselstack.com/opinion/fafara-v-american-states-life-insurance-ord-1997.