Fairmont Insurance Brokers Ltd. v. HR Service Group d/b/a Infiniti HR

CourtDistrict Court, E.D. New York
DecidedNovember 22, 2024
Docket1:23-cv-08654
StatusUnknown

This text of Fairmont Insurance Brokers Ltd. v. HR Service Group d/b/a Infiniti HR (Fairmont Insurance Brokers Ltd. v. HR Service Group d/b/a Infiniti HR) is published on Counsel Stack Legal Research, covering District Court, E.D. New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Fairmont Insurance Brokers Ltd. v. HR Service Group d/b/a Infiniti HR, (E.D.N.Y. 2024).

Opinion

UNITED STATES DISTRICT COURT EASTERN DISTRICT OF NEW YORK FAIRMONT INSURANCE BROKERS LTD., MEMORANDUM & ORDER Plaintiff, 23-CV-8654 (NGG) (LB) -against- HR SERVICE GROUP D/B/A INFINITI HR, Defendant.

NICHOLAS G. GARAUFIS, United States District Judge. Plaintiff Fairmont Insurance Brokers Ltd. (“Fairmont’) sued De- fendant HR Service Group d/b/a Infiniti HR (“Infiniti”) in the Supreme Court of the State of New York, Kings County, alleging breach of contract and other common law claims arising out of Infiniti’s alleged breach of its agreement to “manage and admin- ister” the health insurance benefits for Fairmont’s employees. (Complaint (“Compl.”) (Dkt. 1-1) § 12.) Infiniti timely removed the action to the United States District Court for the Eastern Dis- trict of New York, invoking the court’s federal question jurisdiction. (Notice of Removal (Dkt. 1) at § 4.) Infiniti now moves to dismiss the Complaint pursuant to Federal Rule of Civil Procedure 12(b)(6), on the ground that Fairmont’s claims are completely preempted by the Employee Retirement Income Se- curity Act of 1974 (“ERISA”). (Defendant’s Motion to Dismiss (“Def’s Mot.”) (Dkt. 12-2) at 1-2.) Fairmont opposes the motion. (Plaintiffs Memorandum of Law in Opposition (“Pl.’s Opp.”) (Dkt. 13).) For the reasons that follow, Infiniti’s motion is DE- NIED, Fairmont’s request for oral argument is DENIED as moot, and this case is REMANDED to state court.

I. BACKGROUND! On November 30, 2021, Fairmont and Infiniti entered into a “Cli- ent Service Agreement” (the “Contract”) pursuant to which Infiniti agreed “to provide professional employment services and to enter into a co-employment or shared employment relation- ship with regard to [Fairmont’s employees].” (Contract (Dkt. 12- 1) at ECF 4.) As defined by the Contract, “co-employment is a relationship where Infiniti HR and [Fairmont] simultaneously employ and share certain responsibilities for managing assigned employees.” (d.) One of those responsibilities includes an agreement by Infiniti to “manage and administer” health insurance benefits for Fair- mont’s employees. (Compl. { 6, 8, 11-12.) Specifically, Section 1(D) of the Contract provides, in pertinent part: Infiniti HR will manage and administer group supple- mental benefit plans covering Assigned Employees, including all benefit claims, record keeping and compli- ance. [Fairmont] hereby authorizes Infiniti HR to collect insurance premiums for benefit plans from the Employ- ees and remit them to the applicable insurance carrier(s). Infiniti HR shall make timely payments for all of its obligations under such benefit programs. In accordance with its obligations under the Contract, Infiniti contracted with NuAxess 2, Inc. (“NuAxess”) to provide a health insurance plan (the “Plan”) for Fairmont’s employees. (Compl. 4 8: Insurance Plan (Dkt. 12-1) at ECF 14-91.)

1 The following facts are drawn from the Complaint and, for purposes of this motion to dismiss, are assumed to be true. See Ark, Pub. Emps. Ret. Sys. v. Bristol-Myers Squibb Co., 28 F.4th 343, 349 (2d Cir. 2022).

Eventually, Fairmont’s employees informed Fairmont that their healthcare providers were declining treatment, citing non-pay- ment by NuAxess as the reason for their refusal. (id. at | 9.) Fairmont discovered that NuAxess had stopped paying healthcare professionals, causing the medical bills of employees to remain unpaid and accruing interest. Ud. at { 10.) Fairmont filed the instant Complaint against Infiniti in Kings County Supreme Court on October 23, 2023, alleging: (Count I) breach of contract; (Count ID breach of fiduciary duties; (Count II) negligence; and seeking (Count IV) a declaratory judgment. (id. 20-38.) Specifically, Count I alleges that Infiniti breached the Contract when it failed to “manage and administer health in- surance benefits” for Fairmont’s employees; Count II alleges that Infiniti breached its fiduciary duty “as clearly articulated in the Contract” when it “fail[ed] to ensure that the [e]mployees re- ceived the healthcare services they were entitled to under the Contract”; Count III alleges that Infiniti acted negligently when it “fail[ed] to provide the necessary oversight and management . .. Land] ensure the timely processing and payment of medical claims”; and Count IV seeks a declaratory judgment that: [Infiniti] must cover, indemnify, and provide compen- sation to [Fairmont’s employees] for all costs and losses resulting from [Infiniti’s] breach of the Contract, breach. of fiduciary duty, and/or negligence, including but not limited to medical bills, interest accrued on unpaid med- ical bills, and any other related financial and non- financial losses incurred by the [e]mployees as a direct result of [Infiniti’s} negligence and breaches. [The court] affirm the rights of the [e]mployees to re- ceive the healthcare benefits and services that they were contractually entitled to under the Contract. Ud. at {4 20-21, 25-26, 30-31, 35-36.)

According to the Complaint, the Contract requires Infiniti to “maintain and administer’ health insurance benefits for Fair- mont’s employees, and “once NuAxess stopped paying the medical professionals, [Infiniti] had a duty to provide additional coverage offerings.” (Id. 411.) In other words, “it was incumbent upon [Infiniti], under the Contract, to ensure that health care services for the [e]mployees were provided without interruption, and to promptly address any issues that arose in the course of fulfilling these obligations.” (id. § 15.) This included rectifying “any financial burdens, expenses, or losses incurred by the [e]mployees due to the disruption of their medical benefits.” (7d. { 16.) Infiniti timely removed the action to this court on the basis of federal question jurisdiction, asserting that Fairmont’s “action arises under and is preempted by § 502(a) of [ERISAJ].” (Notice of Removal at { 4.) Specifically, Infiniti argued that Fairmont “was a participating employer in, and, thus, a fiduciary of,” an ERISA-governed multiemployer plan, and, as a matter of law, “TFairmont’s| claims in Counts I, II, and IV arise under [and are] completely preempted by” ERISA Section 502(a). Ud. at 14 5-6.) However, Infiniti stated that the court “should exercise supple- mental jurisdiction over [Fairmont’s] claim in Count I of the Verified Complaint, which does not arise under the laws of the United States.” Ud. 4 11.) Before the Court is Infinit’’s March 15, 2024 motion to dismiss the Complaint in its entirety? pursuant to Federal Rule of Civil Procedure 12(b)(6), on the ground that “ERISA preempt[s] all of Fairmont’s state law claims.” (Def.’s Mot. at 4.)

2 Infiniti has apparently retreated from its initial argument, raised in its Notice of Removal, that ERISA completely preempts only Counts IL, III, and IV of the Complaint. (Notice of Removal at 4 6, 11.) Infiniti now asserts that all four counts of the Complaint are completely preempted by ERISA. (Def.’s Mot. at 1-2.)

Ii, LEGAL STANDARD To survive a motion to dismiss under Rule 12(b) (6), “a complaint must contain sufficient factual matter, accepted as true, to ‘state a claim to relief that is plausible on its face.” Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009) (quoting Bell Atl. Corp. v. Twombly, 550 U.S. 544

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Fairmont Insurance Brokers Ltd. v. HR Service Group d/b/a Infiniti HR, Counsel Stack Legal Research, https://law.counselstack.com/opinion/fairmont-insurance-brokers-ltd-v-hr-service-group-dba-infiniti-hr-nyed-2024.