Framingham Union Hospital, Inc. v. Travelers Insurance

721 F. Supp. 1478, 11 Employee Benefits Cas. (BNA) 1825, 1989 U.S. Dist. LEXIS 11773, 1989 WL 115187
CourtDistrict Court, D. Massachusetts
DecidedSeptember 27, 1989
DocketCiv. A. 89-0209-S
StatusPublished
Cited by26 cases

This text of 721 F. Supp. 1478 (Framingham Union Hospital, Inc. v. Travelers Insurance) is published on Counsel Stack Legal Research, covering District Court, D. Massachusetts primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Framingham Union Hospital, Inc. v. Travelers Insurance, 721 F. Supp. 1478, 11 Employee Benefits Cas. (BNA) 1825, 1989 U.S. Dist. LEXIS 11773, 1989 WL 115187 (D. Mass. 1989).

Opinion

*1481 MEMORANDUM AND ORDER ON DEFENDANTS’ MOTIONS TO DISMISS AND FOR SANCTIONS

SKINNER, District Judge.

The plaintiffs Framingham Union Hospital, Inc., (“the Hospital”), its employee benefit plan (“the Plan”), and the Plan trustees, James Kerrigan, Ross Markello and Roger Peloquin (“the Trustees”), allege that defendant insurers and others violated ERISA prohibitions against self-dealing by fiduciaries, the federal racketeering statute, and various Massachusetts state laws, by virtue of their role in the investment of Plan assets in certain insurance policies. This memorandum addresses the defendants’ joint motion to dismiss; the separate motions to dismiss of defendants Clasby and C.T. Garrahan Insurance Agency (“C.T. Garrahan”), The Travelers Insurance Company (“The Travelers”), Andrew Fantasia and Fantasia & Co., P.C. (collectively, “Fantasia”), David Player and James Walckner; and Clasby and C.T. Garrahan’s motion for sanctions.

Defendants are charged with breach of fiduciary duty and knowing participation in a breach of fiduciary duty under ERISA, 29 U.S.C. § 1001 et seq., racketeering in violation of RICO, 18 U.S.C. § 1961 et seq., violations of M.G.L., ch. 93A, and both federal and Massachusetts common law. 1 Jurisdiction is asserted under § 502(e)(1) of ERISA, 29 U.S.C. § 1132(e)(1), RICO, 18 U.S.C. § 1964(a) and pendent jurisdiction.

This action was filed on January 31, 1989 by two of the current plaintiffs, the Hospital and the Plan. Defendants Clasby and C.T. Garrahan moved to dismiss for lack of subject matter jurisdiction, on the grounds that neither plaintiff is among those authorized to sue for breach of fiduciary duty under § 502(a)(2) of ERISA, 29 U.S.C. § 1132(a)(2). At the same time, these defendants moved for sanctions, under Fed.R. Civ.P. 11, on the grounds that the claims based on RICO and M.G.L. ch. 93A were not based on reasonable inquiry or well grounded in fact or law.

On February 27, 1989, the plaintiffs amended their complaint, adding the Trustees as plaintiffs, and allegations that since October 7, 1988, by an amendment to the Plan, the Hospital has been the Plan’s administrator, and thus a fiduciary under 29 U.S.C. § 1002(21)(A) and entitled to bring an action under § 1132(a)(2).

Defendants have filed a joint motion to dismiss for lack of subject matter jurisdiction and failure to state a claim upon which relief can be granted, pursuant to Fed.R. Civ.P. 12(b)(1) and 12(b)(6). In addition to joining in the arguments made in connection with the joint motion, defendants The Travelers, Fantasia, Player, and Walckner each filed supplemental memoranda advancing separate grounds for dismissal of the claims against them. 2

All of these motions, including the motion for sanctions, are dealt with in this memorandum.

Allegations of the Complaint

For purposes of a motion to dismiss, I must take the allegations of the complaint *1482 as true, allowing dismissal only when it is plain that the plaintiffs can prove no set of facts entitling them to relief. See, e.g., Conley v. Gibson, 355 U.S. 41, 78 S.Ct. 99, 2 L.Ed.2d 80 (1957); Roeder v. Alpha Industries, Inc., 814 F.2d 22, 25 (1st Cir.1987).

The allegations of the Amended Complaint are as follows:

The Plan was established by the Hospital in 1966, for the benefit of Hospital employees. The Plan was administered by its own board of Trustees during the events underlying this suit. On October 7, 1988, the terms of the Plan were amended to confer responsibility for its administration on the Hospital, which then appointed a committee of individuals to control its day-to-day operations.

Clasby, an insurance broker and the principal of C.T. Garrahan, was president of the Hospital’s board of trustees from 1982-1988. From July 15, 1983 through August 31, 1983, Clasby was also a trustee of the Plan.

Walckner was the Hospital’s Executive Vice-President at all relevant times, until his retirement in February of 1987.

In late 1981 and 1982, the Hospital considered funding the Plan through investing in insurance policies on the lives of Hospital employees, with death benefits paid to be used to pay premiums on the policies and to fund Plan benefits. The idea was allegedly originated by “either or both of” defendants Walckner and Clasby.

Clasby contacted Player and Murray, also insurance agents, to assist him in devising an insurance program for presentation to the Hospital and the Plan. Murray was employed by The Travelers, and proposed to the company that it underwrite the program. As had other insurance agencies to whom the idea was presented, The Travelers expressed concern about the suitability of the program for an ERISA plan. Murray assured his employer that the Plan need not be treated as a qualified ERISA plan, and that the proposal need not be evaluated on this basis. The Travelers agreed to underwrite the program.

Murray, Clasby, Player and Fantasia, an accountant who served as the Plan’s auditor from 1982-1987, worked together to prepare the proposed insurance program — a program which the plaintiffs allege violated applicable ERISA requirements. They first described the program to Walckner, and then, on July 15, 1982, presented it to the finance committee for the Hospital’s board of trustees. Also in attendance were certain Hospital management personnel, including Walckner. Clas-by did not attend the meeting. The presenters falsely represented that the program would comply with applicable ERISA requirements, and that it would be “self-funding” within a few years. They failed to disclose high commissions and bonuses to be paid Clasby, Murray and Player, and the fact that several other insurers had refused to underwrite the program because of doubts as to its legitimacy. At this meeting, Fantasia submitted a memorandum on prohibited transactions under ERISA, but failed to disclose that the proposed insurance program would be a prohibited transaction.

The Hospital approved and implemented the program in August of 1982, and 147 life insurance policies on Hospital employees were issued to the Hospital, and then assigned to the Plan in September of 1982. The premiums for the initial year, 1982-83, were paid by the Hospital.

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721 F. Supp. 1478, 11 Employee Benefits Cas. (BNA) 1825, 1989 U.S. Dist. LEXIS 11773, 1989 WL 115187, Counsel Stack Legal Research, https://law.counselstack.com/opinion/framingham-union-hospital-inc-v-travelers-insurance-mad-1989.