James Brooks v. Pactiv Corporation

729 F.3d 758, 56 Employee Benefits Cas. (BNA) 2573, 2013 WL 4774519, 2013 U.S. App. LEXIS 18651
CourtCourt of Appeals for the Seventh Circuit
DecidedSeptember 6, 2013
Docket12-1155
StatusPublished
Cited by46 cases

This text of 729 F.3d 758 (James Brooks v. Pactiv Corporation) is published on Counsel Stack Legal Research, covering Court of Appeals for the Seventh Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
James Brooks v. Pactiv Corporation, 729 F.3d 758, 56 Employee Benefits Cas. (BNA) 2573, 2013 WL 4774519, 2013 U.S. App. LEXIS 18651 (7th Cir. 2013).

Opinion

SYKES, Circuit Judge.

In 1999 James Brooks, an assembly-line operator for Prairie Packaging, Inc., was seriously injured in an on-the-job accident and lost his left hand, wrist, and forearm. He filed a workers’ compensation claim that same year seeking recovery for a permanent and total disability. That claim remains pending. Following Brooks’s injury, Prairie Packaging kept him in its employ despite his inability to work, treating him as a disabled employee on a company-approved leave of absence. This allowed Brooks to continue to receive healthcare coverage under the company’s employee-benefits plan. His significant ongoing medical costs were paid by his employer-based health insurance, supplemented by payments through the workers’ compensation proceeding.

Pactiv Corporation acquired Prairie Packaging in 2007 and for a few years continued this arrangement. Early in 2010 Pactiv sent Brooks a letter instructing him to submit documentation verifying his ability to return to work; failure to submit the required verification would mean the termination of his employment. Because his injury was totally disabling, Brooks did not submit the required verification and Pactiv fired him. As a consequence, he lost his healthcare coverage under the company’s employee-benefits plan.

Brooks responded by filing this action against Pactiv and Prairie Packaging asserting claims under ERISA 1 for benefits due and breach of fiduciary duty. He also asserted a claim for retaliatory discharge under Illinois law. The district court dismissed the complaint for failure to state a claim and Brooks appealed.

We affirm in part and reverse in part. The district court correctly dismissed the ERISA claim for benefits because Brooks has not alleged that the company’s employee-benefits plan promised him postemployment benefits. The ERISA fiduciary-duty claim also fails because Pactiv acted in its capacity as an employer, not as a fiduciary, when it terminated Brooks’s employment and canceled his health insurance.

Although the complaint fails to state a valid ERISA claim, it does allege facts sufficient to state a claim for common-law retaliatory discharge. Illinois recognizes a limited cause of action for discharges committed in retaliation for an employee’s pursuit of a workers’ compensation claim. Brooks’s allegations, taken as true, are sufficient to state á claim that Pactiv retaliated against him by requiring him to certify, on pain of termination, that he was able to return to work. The parties were at an impasse in Brooks’s long-running workers’ compensation claim, and one plausible interpretation of Pactiv’s ultima- *762 turn was that it was retaliatory. So this claim must be reinstated; because it sounds in state law, however, the district court may wish to consider relinquishing supplemental jurisdiction over it. See 28 U.S.C. § 1367(c)(3) (2012).

I. Background

Brooks was employed as a foam-line operator at Prairie Packaging’s plant in Bed-ford Park, Illinois, working on an assembly line manufacturing Styrofoam plates. In 1999 while he was working on the line, his left hand and arm were pulled into a grinder machine, causing grave injuries. In a series of surgeries that followed, doctors amputated his left hand, wrist, and forearm. Health complications, both physical and mental, continue to plague him.

Within six months of the accident, Brooks filed a claim with the Illinois Workers’ Compensation Commission seeking compensation for his ongoing expenses and a monetary award for permanent and total disability based on the loss of his left arm. That claim is as yet unresolved; efforts to settle on an amount for the total disability have been unsuccessful. In the meantime, the workers’ compensation proceeding has covered some of Brooks’s medical expenses and provided more than $100,000 in wage compensation.

After the accident Prairie Packaging continued to retain Brooks in its employ, treating him as a disabled employee on a company-approved leave of absence. Under this arrangement Brooks, like other employees, continued to be eligible for benefits under the Prairie Packaging Inc. Benefits Program (“the Plan”), the company’s employee-benefits plan. The Plan offered employees access to various benefits, including health insurance, dental insurance, short-term and long-term disability insurance, and life insurance. Employees received “Annual Enrollment Guides” summarizing the benefits available under the Plan. The Guides specified that disabled employees could continue receiving benefits under the Plan and further explained that electing long-term disability insurance would allow employees with long-term disabilities to continue receiving benefits until they reached the age of 65 or were able to return to work, whichever was earlier. Brooks opted for health and dental insurance for himself and his children. During the years following his accident, he continued to receive these benefits as a disabled employee on a leave of absence. Nothing in the second amended complaint indicates that Brooks elected any of the other benefits available under the Plan.

Pactiv acquired Prairie Packaging in 2007 and also took over as administrator of the Plan. For the next three years, Pactiv continued Prairie Packaging’s arrangement with Brooks. From January 2007 to May 2010, BlueCross BlueShield of Illinois provided health insurance under the Plan and covered many of Brooks’s medical bills, although as we said, some of his medical expenses were paid through the workers’ compensation proceeding.

Early 2010 saw an increase in Brooks’s medical costs. In two days alone—on January 15 and 19—-he incurred $7,407 in medical charges, all but $18 of which were submitted to BlueCross BlueShield. The insurer paid $6,521 of these charges. At this point Pactiv reevaluated Brooks’s employment status. On March 1, 2010, the company sent Brooks a letter informing him that it had been reviewing all open workers’ compensation cases since it purchased Prairie Packaging. The letter instructed Brooks to submit documentation verifying that he was able to return to work in a safe and effective manner. Failure to do so by March 31, Pactiv warned, would result in the termination of his em *763 ployment. Finally, the letter informed Brooks that the termination of his employment would end his health and welfare benefits but would not affect his workers’ compensation benefits.

Brooks found himself in a quandary. He was unable to return to work and thus could not provide the verification necessary to remain in Paetiv’s employ. And certifying that he was able to work would undercut his workers’ compensation case, in which he claimed a permanent and total disability. Yet his failure to submit the required verification would mean the end of his employment and the loss of his health insurance through the Plan.

Brooks did not submit the required verification. On May 3, 2010, Pactiv terminated his employment. As a consequence, Brooks was no longer eligible for health and dental insurance under the Plan, and his insurance coverage was canceled.

Brooks then filed this action against Prairie Packaging and Pactiv asserting claims under ERISA and the Illinois common-law doctrine of retaliatory discharge.

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Bluebook (online)
729 F.3d 758, 56 Employee Benefits Cas. (BNA) 2573, 2013 WL 4774519, 2013 U.S. App. LEXIS 18651, Counsel Stack Legal Research, https://law.counselstack.com/opinion/james-brooks-v-pactiv-corporation-ca7-2013.