FLEMING v. MINNESOTA LIFE INSURANCE CO.

CourtDistrict Court, E.D. Pennsylvania
DecidedJuly 29, 2025
Docket2:23-cv-02558
StatusUnknown

This text of FLEMING v. MINNESOTA LIFE INSURANCE CO. (FLEMING v. MINNESOTA LIFE INSURANCE CO.) is published on Counsel Stack Legal Research, covering District Court, E.D. Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
FLEMING v. MINNESOTA LIFE INSURANCE CO., (E.D. Pa. 2025).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE EASTERN DISTRICT OF PENNSYLVANIA

KEVIN FLEMING et al. : Plaintiffs : Vv. CIVIL NO. 23-2558 MINNESOTA LIFE INSURANCE CO et al. Defendants :

MEMORANDUM OF LAW Plaintiffs, Kevin Fleming, Rebekah Fleming, Ryan Fleming and Cynthia A. Henry, as personal representative of the Estate of Robert DiNicola (deceased) (collectively “Plaintiffs”), brought several claims against Minnesota Life Insurance Company (“Minnesota Life”), Securian Financial Company, Securian Financial Group, Inc., Securian Life Insurance Company, Vanguard Group, Inc. and Vanguard Group, Inc. Group Benefit Plan under the Employee Retirement Income Security Act of 1974 (“ERISA”), breach of contract, breach of fiduciary duty, equitable estoppel, unfair trade practices and unfair insurance practices, and statutory bad faith. ECF No. | [hereinafter “Compl.”]. For the following reasons, Counts One, Two, Three, and Six are dismissed with prejudice. Counts Four and Five survive a motion to dismiss. Plaintiffs’ motion to amend Counts Seven and Eight 1s granted.

I. FACTUAL BACKGROUND

The disputes in this matter arise out of a life insurance policy. Kim DiNicola was employed at Vanguard for 21 years, and during her employment she maintained a life insurance policy. Compl. 419. She enrolled in $368,000 in group basic life insurance and $1,288,000 in group supplemental life insurance (collectively “Group Policy” in the amount of $1,656,000). Id. § 20. The Group Policy was offered through Kim’s employer, Vanguard, but provided by

Minnesota Life. Jd. § 21. Plaintiffs were named as the beneficiaries under the Group Policy. Id. 22.

In early 2019, Kim became disabled due to colorectal cancer, and she obtained disability status under the policy on July 2, 2019. Jd. §§ 24-25. Asa result of Kim’s disability status, the Group Policy would remain in effect without payment of premiums for the next two years or until Kim’s recovery if prior to that time. /d. On January 7, 2020, Minnesota Life sent Kim a Conversion Application to convert her Group Policy into an Individual Policy, though it is unclear why Minnesota Life issued the Conversion Application.” /d. { 26. Nonetheless, Kim completed the Conversion Application and paid the premium for the Individual Policy providing coverage for $100,000. /d.

On January 22, 2020, Kim resigned from Vanguard due to her medical condition. Jd. □ 19. Under the Group Policy’s terms, coverage is only available to employees “actively at work” or to certain retirement classes. See ECF No. 9-2 at 4 (Group Policy) (“Except as otherwise provided for in this certificate, you are eligible to continue to be insured only while you remain actively at work.”). After Kim’s resignation and a few months after she completed the Conversion Application, Minnesota Life sent Kim a letter on April 27, 2020 confirming issuance of the Individual Policy. /d. 4 27.

However, almost a year later, Minnesota Life had numerous communications with Kim indicating that the Group Policy was in effect. On April 16, 2021, a Minnesota Life agent working on Kim’s case logged a general entry stating, “[t]his is duplicate coverage as Waiver of

' Robert DiNicola, a named beneficiary and now deceased, appeared through Cynthia A. Henry, the personal representative of his estate. Compl. § 22. 2 Minnesota Life claimed it was Kim that “reached out to the company to convert.” ECF No. 44 at 31 [hereinafter “Hearing Transcript’]. At the motion to dismiss stage, though, Plaintiffs’ factual allegations will be taken as true.

Premium disapproved, so sent email requesting converted coverage to be rescinded.” ECF No. 14-1 at 42; Compl. § 29. A few days later on April 23, 2021, Minnesota Life sent Kim a letter stating that her Individual Policy was rescinded, the total premium payments were refunded, and coverage under the Group Policy would continue. /d. § 28. About a week later, on April 29, 2021, Kim called Minnesota Life to make a premium payment for the Group Policy, but the agent advised her that she had a Waiver of Premium in effect. /d. 430; ECF No. 14-1 at 50. That same day, Minnesota Life issued a written letter to Kim advising her of the same. Compl. { 31.

Minnesota Life’s communications indicating continued Group Policy coverage persisted. On June 1, 2021, Minnesota Life sent Kim a letter requesting proof of continuous disability and a physician statement. Kim complied, and Minnesota Life confirmed continued coverage under the Group Policy. /d. J§ 32-33. On July 2, 2021, a Minnesota Life agent called Kim and, once again, communicated that the insurer had made a mistake previously and the Group Policy remained in effect. /d. § 34; ECF No. 14-1 at 61.

Kim later died of colorectal cancer on October 18, 2021. Compl. § 36. Roughly a month after Kim’s death, Minnesota Life denied Plaintiffs’ claim for the Group Policy’s death benefit, claiming that she only had coverage under the Individual Policy. /d. 46. Minnesota Life denied coverage on the basis that Kim lost eligibility to participate in the Group Policy when she resigned on January 22, 2020. ECF No. 9 at 6-10 [hereinafter “Minnesota Life Mot.”]. Minnesota Life characterized its communications with Kim regarding the Group Policy as “clerical errors,” which cannot result in the continuance of coverage under the Group Policy’s terms. /d. at 10-11. Due to an error in Kim’s file, her record failed to show that she no longer worked with Vanguard. Hearing Transcript at 29.

In the time leading up to her death, Plaintiffs alleged in their Complaint that Kim told her family that the Group Policy was still in effect. /d. 935. In reliance on that information, Plaintiffs made certain financial decisions, such as moving to Florida and selling Kim’s house. Id. 99 36-45. Consequently, Plaintiffs sued Defendants.

Counts One through Five of the Complaint are against Minnesota Life and the Securian Defendants: Count One seeks declaratory relief; Count Two seeks recovery of insurance benefits; Count Three alleges breach of contract; Count Four alleges breach of fiduciary duties under ERISA; and Count Five alleges equitable estoppel under ERISA. Compl. 9 59-96. Counts Six through Eight are against the Vanguard Defendants: Count Six alleges breach of plan; Count Seven alleges breach of fiduciary duties under ERISA; and Count Eight alleges equitable estoppel under ERISA. /d. §§ 97-126. Counts Nine and Ten—alleging violations of the Pennsylvania Unfair Trade Practice and Consumer Law and the Unfair Insurance Practices, and bad faith under 42 Pa. C.S.A. Section 8371, respectively—are against all Defendants. Jd. □□ 127-48.

Defendants Minnesota Life, Securian Financial Company, Securian Financial Group, Inc., and Securian Life Insurance Company filed a motion to dismiss against Plaintiffs. ECF No. 9. After the motion was fied, Plaintiffs stipulated to the dismissal of Securian Financial Company, Securian Financial Group, Inc., and Securian Life Insurance Company from this case. ECF No. 26. In addition, Defendants Vanguard Group, Inc. and Vanguard Group, Inc. Group Benefit Plan (together “Vanguard”) filed a motion to dismiss against Plaintiffs. ECF No. 11 [hereinafter “Vanguard Mot.”]. This opinion resolves these motions.

Il. LEGAL STANDARDS a. Rule 12(b)(6) Motion to Dismiss.

A defendant may move to dismiss a lawsuit for “failure to state a claim upon which relief can be granted.” Feb. R. Civ. P. 12(b)(6). “To survive a motion to dismiss, a [plaintiffs] 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.

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