Ingram v. American Chambers Life Ins. Co.

643 So. 2d 575, 1994 Ala. LEXIS 297, 1994 WL 195485
CourtSupreme Court of Alabama
DecidedMay 13, 1994
Docket1930194
StatusPublished
Cited by6 cases

This text of 643 So. 2d 575 (Ingram v. American Chambers Life Ins. Co.) is published on Counsel Stack Legal Research, covering Supreme Court of Alabama primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Ingram v. American Chambers Life Ins. Co., 643 So. 2d 575, 1994 Ala. LEXIS 297, 1994 WL 195485 (Ala. 1994).

Opinion

643 So.2d 575 (1994)

Joe INGRAM, et al.
v.
AMERICAN CHAMBERS LIFE INSURANCE COMPANY, et al.

1930194.

Supreme Court of Alabama.

May 13, 1994.
Rehearing Denied June 17, 1994.

Darron C. Hendley, Montgomery.

Forrest S. Latta and James W. Lampkin II of Pierce, Carr & Alford, P.C., Mobile, for American Chamber Life Ins. Co.

J. Allen Schreiber and Daniel S. Wolter of Lloyd, Schreiber & Gray, P.C., Birmingham, for Stevenson Ins. Agency, Inc.

Ted Taylor and Leah O. Taylor of Taylor & Roberson, Prattville, for amicus curiae Alabama Trial Lawyers Ass'n.

Richard S. Manley of Manley, Trager & Perry, Demopolis, and J. Mark Hart of Spain, Gillon, Grooms, Blan & Nettles, Birmingham, for amicus curiae Alabama Defense Lawyers Ass'n.

S. Eason Balch, Jr., Birmingham, and Jaime Ruth Ebenstein and Mark E. Schmidtke, Boca Raton, FL, for amicus curiae Business Council of Alabama.

SHORES, Justice.

The issue in this case is whether a state-law claim of fraud in the inducement is preempted by the Employee Retirement Income Security Act of 1974, 29 U.S.C. § 1001 et seq. ("ERISA").

Joseph J. Ingram, Jr., and Janet Ingram and their minor daughter, Jill Ingram, each own one-third of Ingram Demolition, Inc. The Ingrams took out a group health insurance policy for Ingram Demolition with American Chambers Life Insurance Company. The policy was sold to them by Roger Davidson, an employee of Stevenson Insurance Agency. Ingram Demolition; Joseph; and Jill, by and through her mother (all here referred to as "the Ingrams"), sued Roger Davidson, Stevenson Insurance Agency, and American Chambers Life Insurance Company ("the defendants"). Count I of the Ingrams' complaint alleged bad faith refusal to pay benefits under the policy. Count II alleged fraud in the inducement, specifically that the defendants negligently, wantonly, or intentionally misrepresented that treatment for kidney stones was covered by the policy.

The Ingrams filed their complaint in the Elmore County Circuit Court. The defendants had the case removed to the United States District Court for the Middle District of Alabama, Northern Division, which subsequently remanded the case to Elmore County. The defendants then moved to dismiss *576 the Ingrams' claims on the grounds that their state common law tort and contract claims were preempted by ERISA. The circuit court granted the motion as to both claims. The Ingrams filed a "motion to restate claim and amend final order of dismissal," seeking to restate Count I of their complaint to state a cause of action under ERISA. The circuit court granted the Ingrams' motion. The circuit court ruled that Count I of the Ingrams' complaint had restated a cause of action under ERISA, and it retained jurisdiction over the ERISA claim. The judge issued a "Final Order of Dismissal" in which he dismissed Count II with prejudice, holding that that count was preempted by ERISA. This appeal relates only to the dismissal of the claim alleging fraud in the inducement. We reverse and remand.

The facts of this case are relatively simple. Roger Davidson sought to sell a group health insurance plan to the Ingrams. Janet Ingram, the secretary and treasurer of Ingram Demolition, told Davidson that she, Joseph, and Jill all had a history of kidney stones. Davidson asked when the last occurrence of kidney stones had been, and Janet told him that Jill had had one 13 months before. Davidson assured Janet that because the incident had occurred more than six months before, kidney stones would not be considered a preexisting condition. He instructed Janet to omit reference to the kidney stones on the application. Davidson specifically told Janet that if Jill had any more kidney stones, treatment for the condition would be covered under the policy. Based on this representation, the Ingrams purchased the policy.

The Ingrams paid their monthly premiums on the policy. While the policy was in effect, Jill developed a kidney stone and was hospitalized. American Chambers paid the medical bills for this incident. About one year later, Jill developed another kidney stone; American Chambers refused to pay any more benefits for treatment of kidney stones. American Chambers contends that, if it had known about Jill's prior kidney stone problems, it would not have provided coverage for her kidney stones. The Ingrams contend that the defendants misrepresented material facts and that they were fraudulently induced to purchase the group health plan.

The issue is whether the Ingrams' claim of fraud in the inducement is preempted by ERISA. The Ingrams rely on our opinion in HealthAmerica v. Menton, 551 So.2d 235 (Ala.1989), cert. denied, 493 U.S. 1093, 110 S.Ct. 1166, 107 L.Ed.2d 1069 (1990), to support their position that a claim of fraud in the inducement does not "relate to" an employee benefit plan and that it is, therefore, not preempted by ERISA. The defendants argue that a claim of fraud in the inducement "relates to" an employee benefit plan and that our decision in Menton, supra, holding otherwise, has subsequently been repudiated, not only by this Court, but also by the United States Supreme Court.

ERISA § 514(a), appearing at 29 U.S.C. § 1144(a), addresses the scope of ERISA's preemption. Section 514(a) provides that subchapter I of ERISA "shall supersede any and all State laws insofar as they may now or hereafter relate to any employee benefit plan." 29 U.S.C. 1144(a). The United States Supreme Court has stated, "The [ERISA] preemption clause is conspicuous for its breadth." Ingersoll-Rand Co. v. McClendon, 498 U.S. 133, 138, 111 S.Ct. 478, 482, 112 L.Ed.2d 474, 483 (1990). However, that Court went on to state, "Notwithstanding its breadth, we have recognized limits to ERISA's preemption clause." Id. The Supreme Court has repeatedly admonished that the ERISA preemption clause is not without limit and that a cause of action under a state law that has only a "tenuous, remote or peripheral" connection with employee benefit plans would not be preempted. District of Columbia v. Greater Washington Board of Trade, ___ U.S. ___, ___, n. 1, 113 S.Ct. 580, 583 n. 1, 121 L.Ed.2d 513, 520 n. 1 (1992); Shaw v. Delta Air Lines, Inc., 463 U.S. 85, 100 n. 21, 103 S.Ct. 2890, 2901 n. 21, 77 L.Ed.2d 490, 503 n. 21 (1983); see also, Ingersoll-Rand Co. v. McClendon, supra, 498 U.S. 133, 138, 111 S.Ct. 478, 482, 112 L.Ed.2d 474, 484 (1990); Mackey v. Lanier Collection Agency & Service, Inc., 486 U.S. 825, 108 S.Ct. 2182, 100 L.Ed.2d 836 (1988).

In McClendon, Justice O'Connor, writing for the Court, set out the analysis that the *577 United States Supreme Court would use to determine whether a state law "relates to" an employee benefit plan, and, thus, whether it is preempted by ERISA. In holding that the cause of action in McClendon

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Bluebook (online)
643 So. 2d 575, 1994 Ala. LEXIS 297, 1994 WL 195485, Counsel Stack Legal Research, https://law.counselstack.com/opinion/ingram-v-american-chambers-life-ins-co-ala-1994.