Groves v. Kaiser Foundation Health Plan Inc.

32 F. Supp. 3d 1074, 58 Employee Benefits Cas. (BNA) 1669, 2014 U.S. Dist. LEXIS 38755, 2014 WL 1285112
CourtDistrict Court, N.D. California
DecidedMarch 24, 2014
DocketCase No.: 13-CV-2259 YGR
StatusPublished
Cited by5 cases

This text of 32 F. Supp. 3d 1074 (Groves v. Kaiser Foundation Health Plan Inc.) is published on Counsel Stack Legal Research, covering District Court, N.D. California primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

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Groves v. Kaiser Foundation Health Plan Inc., 32 F. Supp. 3d 1074, 58 Employee Benefits Cas. (BNA) 1669, 2014 U.S. Dist. LEXIS 38755, 2014 WL 1285112 (N.D. Cal. 2014).

Opinion

Order Granting Motion to Dismiss and Dismissing First Amended Complaint without Prejudice

YVONNE GONZALEZ ROGERS, United States District Court Judge

I. INTRODUCTION

Before the Court is a motion to dismiss the First Amended Complaint of Plaintiff [1077]*1077Ramona Groves. As alleged therein: In November 2009, Plaintiff accepted an offer of early retirement from her employer, Defendant Kaiser Foundation Health Plan, Inc. (“Kaiser”). Plaintiff was then 55 years old and making $140,000 per year, plus benefits. Plaintiff opted for a lump-sum payout of her pension benefit. Before her official retirement date, Plaintiff repeatedly inquired into the amount of her payout. The Kaiser Permanente Salaried Retirement Plan (“Plan”) repeatedly responded, orally and in writing, through statements delivered by Defendant Hewitt,1 that Plaintiff was eligible for a lump sum payout of roughly $750,000, with the final amount calculated to be $766,889.54. The Plan paid that amount to Plaintiff in January 2010. Not surprisingly, Plaintiff comingled the funds with her personal accounts and paid taxes on the monies received.

Twenty-two months later, in November 2011, a representative of the Kaiser Per-manente Retirement Center notified Plaintiff that she had been overpaid by more than $240,000 and that she was obligated to repay the overage, with interest. The overpayment resulted solely from Hewitt’s apparent data entry error.

Plaintiff has exhausted her administrative remedies and instituted this civil action. The FAC asserts three separate claims: as against Kaiser, (1) equitable estoppel, as provided under the Employee Retirement Income Security Act (“ERISA”) at 29 U.S.C. § 1132(a)(3), and, as against Hewitt, (2) negligence and (3) negligent misrepresentation. Defendants have filed a motion to dismiss the FAC pursuant to Federal Rule of Civil Procedure 12(b)(6) on the grounds that federal law precludes.Plaintiffs negligence claims and equitable principles provide no basis for relief.2

Having carefully considered the parties’ papers and argument in light of the applicable law of the Ninth Circuit, and for the reasons set forth below, the Court Grants Defendants’ motion and Dismisses Plaintiffs FAC. The dismissal is without prejudice to further amendment.

II. BACKGROUND

Given the procedural posture of this case, the Court accepts as true the well-pleaded factual allegations of Plaintiff s FAC and construes them in the light most favorable to Plaintiff. The parties do not dispute that ERISA governs the subject Plan.

A. Kaiser Offers an Early Retirement Package in 2009

Plaintiff Ramona Groves began her permanent employment with Kaiser in May 1976. (FAC ¶ 7.) Kaiser provided its employees with the opportunity to participate in the Kaiser Permanente Salaried Retirement Plan, a defined benefit plan. (FAC ¶ 8.) Plaintiff participated in the Plan. (Id.)

In or about March of 2009, Kaiser sent a letter to its employees regarding changes to the calculation used to determine the [1078]*1078single sum amount pension benefit payments in accordance with the Pension Protection Act of 2006 (“PPA”). (FAC ¶ 10.) The letter stated that the resulting changes could potentially affect retirees’ decisions regarding when to retire and which' method of payment to choose. (Id.) Kaiser, in sending the above-mentioned letter, urged its recipients to read the enclosed materials carefully in order to make “informed decisions” about retirement. (FAC ¶ 11.) The materials specifically advised recipients that it might be in the “best interest” of participants who planned on retiring in 2010 to retire instead in 2009, “before the changes become effective.” (Id.) The materials also admonished:

Before you make a retirement or a pension distribution decision, review all your payment options carefully. Contact the Kaiser Permanente Retirement Center to talk to a Retirement Specialist who can advise you about your particular options. You may also want to talk to a professional financial planner. If you DO want to retire before the PPA changes take effect, keep in mind that you must retire (and initiate your retirement paperwork) no later than October 1, 2009 ... with the distribution date of December 1, 2009.

(FAC ¶ 12.) The booklet stated that an estimate of a pension benefit could be received over the phone by contacting the Kaiser Permanente Retirement Center. (Id.).

B. Plaintiff Decides to Take Early Retirement in 2009

Plaintiff, who was 55 years old at the time, was eligible for early retirement in 2009. (FAC ¶ 13.) In reliance on materials provided by Kaiser, and particularly on the statement that “it may be in her best interest” to retire early, Plaintiff contacted Kaiser Permanente Retirement Center by phone on or about July 7, 2009 to discuss the possibility of early retirement. (FAC ¶¶ 13-14.) Plaintiff spoke with “Christopher,” who represented himself as a Retirement Specialist. (FAC ¶ 14.) Christopher stated that the date of “early” retirement, prior to the implementation of retirement changes pursuant to the PPA would be November 30, 2009. (Id.) Christopher quoted Plaintiff an early retirement lump sum payout of $729,677.05. (Id.) In response to Plaintiffs inquiry about the amount she would receive if she chose to retire after January 1, 2010, Plaintiff was given a quote of $619,697.11. (Id.) Concerned about such a large difference in the quotes, Plaintiff sought assurances from Christopher about the correctness of figures given. (Id.) Christopher repeatedly stated that the quotes provided were correct. (Id.)

Plaintiff requested that Kaiser Perma-nente Retirement Center provide her with a written statement of pension benefit estimates for both options — early retirement effective November 30, 2009, and retirement effective January 1, 2010. (FÁC ¶ 15.) Kaiser, through statements “delivered by Hewitt,” provided Plaintiff with the requested information. The figures in the written statements matched the verbal information provided by Kaiser Perma-nente Retirement Center during the telephone conversation on July 7, 2009. (Id.)

After obtaining the written quotes from Kaiser, Plaintiff, as suggested by Kaiser’s materials received in March 2009, sought the services of a professional financial adviser. (FAC ¶ 17.) Plaintiff provided the adviser with all relevant documents sent by Kaiser and/or Hewitt reflecting the final figures of pension benefit payouts for the years of 2009 ($729,677.05) and 2010 ($619,697.11) and all relevant information concerning Plaintiffs personal financial situation. (FAC ¶ 18.) Plaintiff explained [1079]*1079that she needed to know whether it would be feasible to retire based on the payout amounts considering: (1) her family’s living expenses and monthly financial obligations; (2) her husband’s health and inability to work full-time3; (3) the need to maintain Plaintiff’s residence properly; and (4) Plaintiffs then-existing financial situation. (Id.)

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32 F. Supp. 3d 1074, 58 Employee Benefits Cas. (BNA) 1669, 2014 U.S. Dist. LEXIS 38755, 2014 WL 1285112, Counsel Stack Legal Research, https://law.counselstack.com/opinion/groves-v-kaiser-foundation-health-plan-inc-cand-2014.