James Moyer v. GEICO

114 F.4th 563
CourtCourt of Appeals for the Sixth Circuit
DecidedAugust 26, 2024
Docket23-4015
StatusPublished
Cited by10 cases

This text of 114 F.4th 563 (James Moyer v. GEICO) is published on Counsel Stack Legal Research, covering Court of Appeals for the Sixth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
James Moyer v. GEICO, 114 F.4th 563 (6th Cir. 2024).

Opinion

RECOMMENDED FOR PUBLICATION Pursuant to Sixth Circuit I.O.P. 32.1(b) File Name: 24a0197p.06

UNITED STATES COURT OF APPEALS FOR THE SIXTH CIRCUIT

┐ JAMES MOYER; NATHANIEL MCCRACKEN; BRANDON │ HARRIS; ALYSSA PALERMO; VINCENT HARRIS, │ Plaintiffs-Appellants, │ │ v. > No. 23-4015 │ │ GOVERNMENT EMPLOYEES INSURANCE COMPANY; │ GEICO INSURANCE AGENCY, LLC; GEICO │ CORPORATION, │ Defendants-Appellees. │ ┘

Appeal from the United States District Court for the Southern District of Ohio at Columbus. No. 2:23-cv-00578—Michael H. Watson, District Judge.

Argued: July 24, 2024

Decided and Filed: August 26, 2024

Before: BOGGS, COOK, and NALBANDIAN, Circuit Judges.

_________________

COUNSEL

ARGUED: Tiffany L. Carwile, ARNOLD & CLIFFORD, LLP, Columbus, Ohio, for Appellants. Jennifer A. Riley, DUANE MORRIS LLP, Chicago, Illinois, for Appellees. ON BRIEF: Tiffany L. Carwile, Damion M. Clifford, Stefanie Lynn Coe, Gerhardt A. Gosnell II, ARNOLD & CLIFFORD, LLP, Columbus, Ohio, for Appellants. Jennifer A. Riley, Gerald L. Maatman, Jr., DUANE MORRIS LLP, Chicago, Illinois, for Appellees. No. 23-4015 Moyer, et al. v. GEICO, et al. Page 2

OPINION _________________

NALBANDIAN, Circuit Judge. Cases often depend on the contents of legal instruments, such as trusts or contracts. And under the Federal Rules of Civil Procedure, these documents are part of the pleadings if attached to the complaint. If a plaintiff doesn’t attach them to the complaint, an alert defendant can provide the relevant records at the motion-to-dismiss stage to defeat the plaintiffs’ claims. But defendants must take care. If there are factual questions about whether the defendant has provided a complete set of the controlling documents, discovery is appropriate—not dismissal.

GEICO classified James Moyer and other captive insurance agents1 as independent contractors and did not let them receive the full slate of benefits it provided its corporate employees. The agents sued. They claim that GEICO was violating the Employee Retirement Income Security Act of 1974 (ERISA) by misclassifying them and denying them benefits. The benefits-plan documents are integral to the plaintiffs’ claims but were not attached to the complaint. So the district court ordered the parties to provide the relevant plan documents. GEICO submitted documents that, according to one of its executives, governed the dispute. The agents resisted and argued that the district court could not rely on them in deciding GEICO’s motion to dismiss. The court disagreed, relied on the documents, and dismissed the complaint. Because there are legitimate questions about whether the documents that GEICO provided are a full set of the relevant, governing plan documents, we REVERSE and REMAND.

I.

James Moyer was a captive insurance agent for GEICO. In February 2023, Moyer sued various GEICO entities and the administrators of GEICO’s benefit plans as a member of a proposed class of captive insurance agents. Although GEICO classified agents as independent

1 A captive insurance agent “is an insurance agent who by agreement with a particular insurance company agrees to only sell insurance products issued by and on behalf of that single insurance company.” R. 1, Compl., p. 3 n.1, PageID 3. No. 23-4015 Moyer, et al. v. GEICO, et al. Page 3

contractors, Moyer claimed the agents should be considered employees for the purposes of all of GEICO’s employee-benefits plans.

Moyer filed an amended class-action complaint with four new named plaintiffs in May 2023. The agents sued several GEICO entities and the administrators of GEICO’s ERISA plans, claiming that GEICO misclassified captive insurance agents. According to the amended complaint, GEICO provides several ERISA plans, including a “Roth 401(k) plan, a group health care plan, a group dental plan, a profit-sharing plan, a group life plan, and a long-term disability plan.” R. 29, Am. Compl., p. 28, PageID 447. Captive insurance agents can participate in its health and life-insurance plans, but GEICO excludes them from other plans. The agents claimed they would have participated in GEICO’s “retirement, health, and other benefits” if GEICO had let them. Id. at 18, PageID 437.

The amended complaint sought declaratory and injunctive relief and damages. The requested relief included a declaration that, among other things, they and class members are “eligible for all benefits under the plan or plans Defendants offer to other employees.” Id. at 26, PageID 445. The agents wanted GEICO to reform all its benefit plans to include them, pay restitution in the form of retroactive ERISA benefits, and reimburse them for previous insurance payments. The amended complaint added an ERISA retaliation claim arising from Moyer’s termination. There were no plan documents attached to the amended complaint.

GEICO moved to dismiss. The district court sua sponte ordered the parties to file a copy of the relevant ERISA plans. GEICO provided copies of its welfare plan and two retirement plans. But the insurance agents argued that the district court could not consider the documents without converting the motion to a summary-judgment motion, and if the district court did consider the documents, the agents needed additional discovery. They claimed not to know whether the documents were the full set of relevant plan documents. The district court entered another order stating that it wanted “the parties to jointly file the relevant plans” and asking the agents what extra time or discovery they needed. R. 48, Order. The agents said they needed over five months to conduct discovery, but they reiterated that the court should not consider the plan documents. No. 23-4015 Moyer, et al. v. GEICO, et al. Page 4

The district court did not oblige. Instead, it ordered GEICO to file any other relevant plan documents and a declaration answering “(1) are the Documents all of the relevant plan documents? (2) when were the Documents in effect? (3) are the Documents the ‘actual plan documents?’” R. 53, Order, p. 2, PageID 2765. The court ordered the agents to file either a joint notice with GEICO or a notice explaining why they were still unable to agree about the plan documents.

GEICO filed more documents and an affidavit from GEICO Head of Total Rewards Michael Masiuk. Masiuk claimed that the submitted documents were “all of the relevant plan documents” and that they “were in effect from at least as early as January 1, 2013, and at least as recently as December 31, 2022.” R. 54-1, Masiuk Decl., p. 2, PageID 2771. But the agents still said they needed discovery and could not say that the filings represented “all of the Plan Documents for all of the ERISA plans.” R. 55, Pl. Reply, p. 2, PageID 3311. They pointed out that “many of the documents are dated after January 1, 2013, meaning that the documents could not be in effect on that date,” and that some documents had redlines. Id.

The district court granted GEICO’s motion to dismiss. The court decided that it could consider the plan documents. It rejected the agents’ “unsupported arguments that they do not trust Defendants’ evidence-backed representations to the Court.” R. 56, Op. & Order, p. 6, PageID 3318. On the merits, the district court held that the agents lacked statutory standing because they could only bring claims relating to benefits for which they were eligible under the plan documents. Under the plan documents and the agents’ agreements with GEICO, they were generally not eligible to participate in the benefits plans.

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114 F.4th 563, Counsel Stack Legal Research, https://law.counselstack.com/opinion/james-moyer-v-geico-ca6-2024.