Harry J. Perkins, Jr. And Blyonda Ann Perkins v. Time Insurance Company and Randall Davis

898 F.2d 470, 16 Fed. R. Serv. 3d 327, 12 Employee Benefits Cas. (BNA) 1281, 1990 U.S. App. LEXIS 5776, 1990 WL 36220
CourtCourt of Appeals for the Fifth Circuit
DecidedApril 18, 1990
Docket89-4250
StatusPublished
Cited by109 cases

This text of 898 F.2d 470 (Harry J. Perkins, Jr. And Blyonda Ann Perkins v. Time Insurance Company and Randall Davis) is published on Counsel Stack Legal Research, covering Court of Appeals for the Fifth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Harry J. Perkins, Jr. And Blyonda Ann Perkins v. Time Insurance Company and Randall Davis, 898 F.2d 470, 16 Fed. R. Serv. 3d 327, 12 Employee Benefits Cas. (BNA) 1281, 1990 U.S. App. LEXIS 5776, 1990 WL 36220 (5th Cir. 1990).

Opinion

POLITZ, Circuit Judge:

Harry J. Perkins, Jr. and Blyonda Ann Perkins appeal an adverse summary judgment dismissing their claims against Time Insurance Company (Time) and its agent, Randall Davis, on the grounds that their state law claims were preempted by the Employee Retirement Income Security Act (ERISA), 29 U.S.C. § 1001 et seq. We affirm the dismissal as to Time, but vacate and remand as to Davis.

Background

Harry Perkins was the general office manager and part owner of Modern Petroleum Technology (MPT) which, upon its formation in 1982, sought to provide medical and death benefits to its employees and, at their option and expense, their dependents. Davis, an independent agent, solicited MPT’s participation in a group insurance plan offered by Time. Perkins, whose minor daughter had esotropia and mystag-mus, cogenital eye defects that cause crossing and quick, jerky movements of the eyes, informed Davis that his daughter would be requiring corrective surgery and inquired whether such would be covered under the terms of the proposed Time policy. Perkins asserts that Davis assured him in the presence of other MPT employees that his daughter’s condition would be covered under the Time policy because it would be considered a congenital defect rather than an excluded preexisting condition. On the basis of these representations Perkins claims that he terminated his existing insurance coverage, which had provided protection for his daughter’s condition, and elected to participate in the Time policy, which MPT then adopted as its employee welfare benefits plan. Perkins proceeded with his daughter’s eye surgery. His claim for benefits, however, was denied by Time on the grounds that the eye problem was a preexisting condition excluded from the plan’s coverage.

Perkins sued Time and Davis in Mississippi state court for tortious breach of contract, seeking compensatory and punitive damages. The ease was removed to federal court with defendants claiming that the MPT employee benefit plan was regulated by ERISA. Time and Davis then sought summary judgment or, alternatively, a Fed. R.Civ.P. 12(b)(6) dismissal. Both sides submitted affidavits in support of their position. In his opposition to the motions for summary judgment or dismissal Perkins sought leave to amend his complaint to plead fraud in the inducement.

The district court granted Time’s motion for summary judgment, holding that ERISA preempted Perkins’ state law claim for tortious breach of contract. While noting that the Mississippi Supreme Court has held agents personally liable for fraudulent solicitation, the district court granted Davis’s motion for summary judgment because Perkins’ complaint did not raise fraud as a basis for recovery. Finally, the court granted Davis’s motion to dismiss on the grounds that even if Time had breached its contract with Perkins, Davis, as the agent for a disclosed principal, could not be held liable for that breach. Perkins timely appealed.

Analysis

While conceding at oral argument that the MPT plan was governed by ERISA, Perkins contends that the district court erred in holding that ERISA preempts his state law claims against Time and Davis. Although his complaint alleged a claim for tortious breach of contract, on appeal Perkins seeks to shift the focus of his complaint to Mississippi statutes regulating the sale and solicitation of insurance. In particular, Perkins points to Mississippi’s “twisting statute,” legislation which deems *473 it an unfair and deceptive insurance practice to misrepresent the terms of an insurance policy “for the purpose of inducing or tending to induce [a] policyholder to lapse, forfeit, or surrender his insurance.” Miss. Code Ann. § 83-5-35(a). Perkins contends that as a state law regulating the business of insurance, this provision is saved from preemption by ERISA’s “insurance savings” clause and may provide the basis for his cause of action against both Davis, the agent, and Time, his disclosed principal.

It cannot be gainsaid that Perkins’ claims against Time “relate to” an employee benefits plan and thus fall within the scope of ERISA’s preemption clause. 29 U.S.C. § 1144(a). The only issue requiring resolution is whether Perkins’ claim against Time is based on a law “which regulates insurance,” and is thereby excused from preemption. 29 U.S.C. § 1144(b)(2)(A).

In Pilot Life Insurance Co. v. Dedeaux, 481 U.S. 41, 107 S.Ct. 1549, 95 L.Ed.2d 39 (1987), the Supreme Court held that Mississippi’s common law bad faith cause of action was not saved from preemption because, “even if associated with the insurance industry, [it] has developed from general principles of tort and contract law available in any Mississippi breach of contract case.” Pilot Life, 481 U.S. at 51, 107 S.Ct. at 1555. Perkins’ complaint, which alleged tortious breach of contract as its sole cause of action, clearly mirrors that which Pilot Life has held to be preempted under ERISA.

Were we to accept Perkins’ attempt to recharacterize his cause of action on appeal to one based on the Mississippi “twisting statute,” that still would not provide Perkins with surcease as to his claim against Time. Addressing the nature of Mississippi’s laws regulating unfair competition in the insurance industry, the Mississippi Supreme Court has held that the twisting statute does not create a cause of action for damages caused by the activity it proscribes; rather, any such cause of action arises only under the common law. Protective Service Life Ins. Co. v. Carter, 445 So.2d 215 (Miss.1983). Any claim Perkins may assert against Time on the basis of Davis’s representations, therefore, arises out of concepts not uniquely addressed to the business of insurance and thus is preempted by ERISA. Pilot Life. Cf. Ramirez v. Inter-Continental Hotels, 890 F.2d 760 (5th Cir.1989) (ERISA preempts state statutes that provide a private right of action for improper handling of insurance claims under an employee benefits plan). Accordingly, we affirm the district court’s decision to dismiss with prejudice Perkins’ claims against Time.

While ERISA clearly preempts Perkins’ claims as they relate to Time, the same cannot necessarily be said, however, as regards Davis’s solicitation of Perkins, which allegedly induced him to forfeit an insurance policy that covered his daughter’s condition for one that did not. While ERISA clearly preempts claims of bad faith as against insurance companies for improper processing of a claim for benefits under an employee benefit plan, Pilot Life, and while ERISA plans cannot be modified by oral representations, Degan v. Ford Motor Co.,

Related

Berry v. Indianapolis Life Insurance
608 F. Supp. 2d 785 (N.D. Texas, 2009)
Tigner v. Lea C. Paslay Ins., Inc.
575 F. Supp. 2d 766 (N.D. Mississippi, 2008)
Bank of Louisiana v. Aetna US Healthcare Inc.
459 F.3d 610 (Fifth Circuit, 2006)
Vig v. Indianapolis Life Insurance
336 B.R. 279 (S.D. Mississippi, 2005)
James P. Cotton, Jr. v. Massachusetts Mutual Life
402 F.3d 1267 (Eleventh Circuit, 2005)
Moore v. Yellow Book USA, Inc.
343 F. Supp. 2d 539 (N.D. Mississippi, 2004)
Baylor University Medical Center v. Epoch Group, L.C.
340 F. Supp. 2d 749 (N.D. Texas, 2004)
Hollaway v. UNUM Life Insurance Co. of America
2003 OK 90 (Supreme Court of Oklahoma, 2003)
Hobson v. Robinson
75 F. App'x 949 (Fifth Circuit, 2003)
Morris v. Highmark Life Insurance
255 F. Supp. 2d 16 (D. Rhode Island, 2003)
Krooth & Altman v. North American Life Assurance Co.
134 F. Supp. 2d 96 (District of Columbia, 2001)
Korman v. Mamsi Life & Health Insurance
121 F. Supp. 2d 843 (D. Maryland, 2000)
Biondo v. Life Insurance Co. of North America
116 F. Supp. 2d 872 (E.D. Michigan, 2000)
Matassarin v. Lynch
174 F.3d 549 (Fifth Circuit, 1999)
Mahon v. Cyganiak Planning, Inc.
41 F. Supp. 2d 910 (E.D. Wisconsin, 1999)
Carroll v. QHG of Alabama, Inc.
9 F. Supp. 2d 1303 (M.D. Alabama, 1998)

Cite This Page — Counsel Stack

Bluebook (online)
898 F.2d 470, 16 Fed. R. Serv. 3d 327, 12 Employee Benefits Cas. (BNA) 1281, 1990 U.S. App. LEXIS 5776, 1990 WL 36220, Counsel Stack Legal Research, https://law.counselstack.com/opinion/harry-j-perkins-jr-and-blyonda-ann-perkins-v-time-insurance-company-and-ca5-1990.