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.

2 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

3 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

4 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

5 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

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