Hopper v. Standard Ins. C o .

2007 DNH 017
District Court, D. New Hampshire·Decided February 7, 2007·No. 06-CV-010-SM·Published

Opinion

Hopper v . Standard Ins. C o . 06-CV-010-SM 02/07/07 UNITED STATES DISTRICT COURT

DISTRICT OF NEW HAMPSHIRE

Wayne E . Hopper, Plaintiff

v. Civil N o . 06-cv-10-SM Opinion N o . 2007 DNH 017 Standard Insurance Company; William Gallagher Associates; and Cubic Wafer, Inc., Defendants

O R D E R

Wayne Hopper brings this suit against Standard Insurance Company (“Standard”), William Gallagher Associates (“WGA”), and Cubic Wafer, Inc. (“Cubic Wafer” or “the Company”), formerly known as Xanoptix, Inc., claiming that he relied, to his detriment, upon incorrect representations made by the defendants regarding Cubic Wafer’s group disability insurance plan. Hopper also alleges that Cubic Wafer violated his rights under the Americans with Disabilities Act (“ADA”).

Specifically, Hopper asserts claims of negligent misrepresentation (Count I ) , breach of contract (Count I I ) , breach of the implied covenant of good faith and fair dealing (Count I I I ) , deceptive practices in violation of N.H. Rev. Stat. Ann. (“RSA”) § 358-A:2 (Count I V ) , breach of fiduciary duty (Count V ) , respondeat superior (Count V I ) , negligent hiring,

training, and supervision (Count V I I ) , and fraudulent misrepresentation (Count V I I I ) against all three defendants. Against Cubic Wafer alone, Hopper further alleges wrongful termination in violation of 42 U . S . C . § 12101 et seq. (Count I X ) and R S A c h . 354-A (Count X ) , refusal to rehire (Count X I ) , failure to accommodate (Count X I I ) , and unlawful employment discrimination under R S A c h . 354-A (Count X I I I ) .

Defendants Standard and W G A move to dismiss Counts I through VIII. For the reasons set forth below, Standard’s motion is granted, and WGA’s motion is granted in part and denied in part.

STANDARD OF REVIEW

F E D . R . C I V . P . 12(b)(6) permits a court to dismiss a claim when the plaintiff “fail[s] to state a claim upon which relief can be granted.” Under this rule, the court must conduct a limited inquiry, focused not on “whether a plaintiff will ultimately prevail but whether the claimant is entitled to offer evidence to support the claims.” Scheuer v . Rhodes, 416 U . S . 232, 236 (1974). When reviewing a motion to dismiss, the court must accept all facts pleaded in the complaint as true and any inferences must be drawn in the light most favorable to the plaintiff. See, e.g., Citibank v . Grupo Cupey, Inc., 382 F.3d 2 9 , 31 (1st Cir. 2004) (quoting T A G / I C I B Servs., Inc. v . Pan Am.

Grain Co., 215 F.3d 1 7 2 , 175 (1st Cir. 2000)). The court may, however, “reject claims that are made in the complaint if they are ‘bald assertions’ or ‘unsupportable conclusions.’” United States ex rel. Karvelas v . Melrose-Wakefield Hosp., 360 F.3d 2 2 0 , 224 (1st Cir. 2004) (quoting Arruda v . Sears, Roebuck & Co., 310 F.3d 1 3 , 18 (1st Cir. 2002)). “A district court may grant a 12(b)(6) motion to dismiss for failure to state a claim upon which relief can be granted only if ‘it clearly appears, according to the facts alleged, that the plaintiff cannot recover on any viable theory.’” Pomerleau v . W . Springfield Pub. Sch., 362 F.3d 143, 145 (1st Cir. 2004) (quoting Correa-Martinez v . Arrillaga-Belendez, 903 F.2d 4 9 , 52 (1st Cir. 1990)).

BACKGROUND

The relevant facts, as alleged in the complaint (document n o . 1 ) and accepted as true for purposes of this motion, are as follows.

Hopper, a resident of Nashua, New Hampshire, suffers from multiple sclerosis. He was diagnosed in 1995. On February 1 3 , 2003, Hopper was offered a Materials Manager position at Cubic Wafer’s facility in Merrimack, New Hampshire. At the time, WGA served as Cubic Wafer’s insurance broker, acting as a liaison between Standard Insurance Company (which underwrote the benefits

provided) and Cubic Wafer’s employees. WGA’s primary duties involved assisting in identifying coverage limitations and identifying and recommending new coverage options that might be of interest to the Company. Through WGA, Cubic Wafer selected Standard as the insurance carrier to provide underwritten life, health, and disability benefits for Cubic Wafer’s employees.

Given his medical condition, maintaining continuous health and disability insurance coverage was of critical importance to Hopper. Accordingly, before giving up his in-place coverage and accepting the position as Cubic Wafer’s Materials Manager, he made a point of discussing insurance coverage issues with the appropriate human resources personnel. After first speaking with representatives from WGA, Cubic Wafer’s staff assured Hopper that were he to accept the offered position, his health and disability insurance coverage and benefits would continue uninterrupted, and that he would not be subjected to a waiting period, because he had been covered under “a current, similar disability policy, and had held uninterrupted coverage for many years preceding his diagnosis.” (Compl. ¶ 30.)

Hopper, relying upon Cubic Wafer’s express representations, accepted the Materials Manager position and, believing that his health and disability insurance coverage would transition

seamlessly, allowed his existing disability policy to lapse in May of 2003. A little more than a year later, in August or September of 2004, Hopper’s multiple sclerosis worsened. He underwent intensive chemotherapy and other treatment that necessitated a leave of absence. When discussing short term disability leave with Cubic Wafer’s human resources department, Hopper was again assured that, following short-term disability, he was eligible for long-term disability benefits and that those long-term benefits would become available automatically if Hopper was still unable to work when his short-term disability insurance benefits were exhausted.

Although Hopper initially planned to return to Cubic Wafer following disability leave, he was also told by Cubic Wafer personnel that “he would be able to retire on long term disability and receive a ‘severance payment.’” (Compl. ¶ 52.) Relying upon Cubic’s repeated assurances that his long term disability benefits would become effective immediately upon exhaustion of short term disability benefits, Hopper accepted a severance package offered by Cubic Wafer and began short term disability leave on September 1 7 , 2004.

In November of 2004, Standard and WGA notified Cubic Wafer that the long-term disability policy providing plan benefits

included a 24 month waiting period provision, and that Standard was unwilling to retroactively amend the policy to alter or remove that requirement. Consequently, in December of 2004, Hopper was denied long-term disability benefits on grounds that he had not yet satisfied the 24 month waiting period prerequisite for long-term benefits under the insurance policy that provided those benefits.

Hopper discussed the issue with Cubic Wafer’s human resources personnel, who again assured him that he was, in fact, entitled to long-term disability benefits, and that the 24-month waiting period provision upon which Standard relied in denying benefits was inapplicable to him. As a result of those discussions, and relying on the statements made by Cubic Wafer regarding the disability insurance coverage available to him, Hopper elected not to seek re-employment with Cubic Wafer, but instead pursued an administrative appeal of Standard’s benefits denial.

On February 1 6 , 2005, Hopper’s administrative appeal was denied. The issue was later reviewed by an independent quality assurance unit, which upheld the denial on February 2 5 , 2005. On April 1 1 , 2005, Hopper filed a charge of discrimination with both the New Hampshire Human Rights Commission and the federal

Equal Employment Opportunity Commission (“EEOC”), alleging that Cubic Wafer had encouraged him to leave the company and “retire” on his long-term disability benefits due to his medical condition. The EEOC issued a Notice of Right to Sue on October 2 6 , 2005, and this suit followed.

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