Harris v. Swan, Inc.

459 F. Supp. 2d 857, 37 Employee Benefits Cas. (BNA) 1409, 2005 U.S. Dist. LEXIS 28384, 2005 WL 3967988
CourtDistrict Court, E.D. Missouri
DecidedNovember 17, 2005
Docket4:04CV512 RWS
StatusPublished
Cited by7 cases

This text of 459 F. Supp. 2d 857 (Harris v. Swan, Inc.) is published on Counsel Stack Legal Research, covering District Court, E.D. Missouri primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Harris v. Swan, Inc., 459 F. Supp. 2d 857, 37 Employee Benefits Cas. (BNA) 1409, 2005 U.S. Dist. LEXIS 28384, 2005 WL 3967988 (E.D. Mo. 2005).

Opinion

459 F.Supp.2d 857 (2005)

Patricia HARRIS, Plaintiff,
v.
SWAN, INC., Defendant.

No. 4:04CV512 RWS.

United States District Court, E.D. Missouri, Eastern Division.

November 17, 2005.

*858 *859 *860 Larry D. Coleman, Raytown, MO, for Plaintiff.

Gregg M. Lemley, Heidi Kuns Durr, Bryan Cave LLP, St. Louis, MO, for Defendant.

MEMORANDUM AND ORDER

RODNEY W. SIPPEL, District Judge.

Defendant SWAN, Inc. is the plan administrator for the employee benefits program of Gateway Hotel Holdings, Inc. ("Gateway"). Gateway operated the Regal Riverfront Hotel where Plaintiff Patricia Harris' husband was employed as a painter. Harris alleges that SWAN violated her rights under the Employment Retirement Income Security Act ("ERISA"), 29 U.S.C. § 1001, et seq. She asserts various claims against SWAN including a claim for a denial of benefits and a breach of fiduciary duty. SWAN has moved for summary judgment and Harris has moved for leave to file an Amended Complaint. Because Harris has failed to establish any of these claims as a matter of law, I will grant summary judgment to SWAN. I will deny Harris' motion for leave to file an Amended Complaint as untimely and prejudicial.

Background

Plaintiff Harris is the surviving spouse of Decator "Greg" Harris, who was employed as a painter by Gateway Hotel Holdings, Inc. at the Regal Riverfront Hotel in St. Louis, Missouri (now called the Millennium Hotel, St. Louis). Mr. Harris worked for Gateway from 1984 until an illness forced him to stop working on November 10, 2000. On November 16, 2000, while on his unpaid leave of absence, Mr. Harris completed a "Benefit Enrollment/Change Form," wherein he indicated his preference for medical, dental, vision, and life insurance coverage for year 2001. In January of 2001, Mr. Harris was either terminated or resigned from his employment with Gateway.[1] After Mr. Harris left the employment of Gateway in January, he and his family received a letter, notifying them of the right to continue health care coverage under the Consolidated Omnibus Budget Reconciliation Act of *861 1985 ("COBRA"), 29 U.S.C. §§ 1161-1169 (as amended). On April 30, 2001, Mr. Harris passed away.

In 2001, SWAN was the contracted third-party administrator for Gateway's employee benefits program. Effective January 1, 2001, AIG Life Insurance Company ("AIG") contracted to provide insurance coverage for employees of Gateway under the Millennium Hotels & Resorts Employee Health Benefit Plan. Under the Plan, SWAN was the overall plan administrator, but SWAN delegated to MG, the "discretionary authority to interpret and apply plan terms and to make factual determinations in connection with its review of claims under the plan." MG had the discretionary authority to interpret and apply plan terms and to make factual determinations in connection with its review of claims under the plan. AIG also had discretionary authority to determine whether a person is entitled to benefits under the plan.

Following Mr. Harris' death, Plaintiff Harris had a telephone conversation with Ms. Kristen Palagano, Gateway's Director of Human Resources at the Regal Riverfront Hotel. During the course of this conversation, Harris asked Ms. Palagano about collecting life insurance benefits as a result of her husband's death. Ms. Palagano informed her that Mr. Harris was not eligible for life insurance benefits at that time. Ms. Palagano gave Harris the telephone number of Bill Clifford, a SWAN employee, and told Harris that she could contact Clifford about whether any life insurance benefits were available. Harris never contacted Clifford or anyone else employed by SWAN. Harris never made any written request for a copy of a Summary Plan Description or a "Proof of Loss" form.

On April 1, 2002, Harris filed a lawsuit in state court against Gateway seeking to recover life insurance benefits for the death of Mr. Harris. The case was removed to this Court because of a preemption of Harris' claim under ERISA. On February 11, 2004, I dismissed Harris' claims against Gateway without prejudice for failure to assert her claims under ERISA. At some unspecified point, a Death Claim Form was submitted to MG requesting that AIG pay Harris $34,000 in group life insurance benefits and $45,000 in supplemental life insurance benefits. On or about May 1, 2003, AIG paid plaintiff the group life insurance benefits in the amount of $34,000, but denied the request for supplemental life insurance benefits, stating that Mr. Harris "was not actively at work, as required by the policy, on or after 1/1/01, the effective date of the Supplemental Life Benefit."

Legal Standards for Summary Judgment

In considering whether to grant summary judgment, a district court examines the "pleadings, depositions, answers to interrogatories, and admissions on file, together with the affidavits, if any. . . ." Fed. R.Civ.P. 56(c). Summary Judgment is appropriate if the evidence, viewed in the light most favorable to the nonmoving party, demonstrates that there is no genuine issue as to any material fact and that the moving party is entitled to judgment as a matter of law. Lynn v. Deaconess Medical Center, 160 F.3d 484, 486 (8th Cir.1998) (citing Fed.R.Civ.P. 56(c)). The party seeking summary judgment bears the initial responsibility of informing the court of the basis of its motion and identifying those portions of the affidavits, pleadings, depositions, answers to interrogatories, and admissions on file which it believes demonstrates the absence of a genuine issue of material fact. Celotex Corp. v. Catrett, 477 U.S. 317, 323, 106 S.Ct. 2548, 91 L.Ed.2d 265 (1986).

*862 When such a motion is made and supported by the movant, the nonmoving party may not rest on his pleadings but must produce sufficient evidence to support the existence of the essential elements of his case on which he bears the burden of proof. Id. at 324, 106 S.Ct. 2548. In resisting a properly supported motion for summary judgment, the plaintiff has an affirmative burden to designate specific facts creating a triable controversy. Crossley v. Georgia-Pacific Corp., 355 F.3d 1112, 1113 (8th Cir.2004).

If there is no genuine issue about any material fact, summary judgment is proper because it avoids needless and costly litigation and promotes judicial efficiency. See Roberts v. Browning, 610 F.2d 528, 531 (8th Cir.1979). The summary judgment procedure is not a "disfavored procedural shortcut." Rather, it is an "integral part of the Federal Rules as a whole." Celotex, 477 U.S. at 326, 106 S.Ct. 2548; City of Mt. Pleasant v. Assoc. Electric. Cooperative, Inc., 838 F.2d 268, 273 (8th Cir.1988). Under these standards, I review the facts in this case.

Analysis

Denial of Benefits Claim

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Cite This Page — Counsel Stack

Bluebook (online)
459 F. Supp. 2d 857, 37 Employee Benefits Cas. (BNA) 1409, 2005 U.S. Dist. LEXIS 28384, 2005 WL 3967988, Counsel Stack Legal Research, https://law.counselstack.com/opinion/harris-v-swan-inc-moed-2005.