Jones v. LMR International, Inc.

489 F. Supp. 2d 1296, 40 Employee Benefits Cas. (BNA) 2776, 2007 U.S. Dist. LEXIS 38130
CourtDistrict Court, M.D. Alabama
DecidedMay 24, 2007
DocketCivil Action 2:04cv538-WHA, 2:04cv668-WHA, 2:04cv494-WHA
StatusPublished

This text of 489 F. Supp. 2d 1296 (Jones v. LMR International, Inc.) is published on Counsel Stack Legal Research, covering District Court, M.D. Alabama primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Jones v. LMR International, Inc., 489 F. Supp. 2d 1296, 40 Employee Benefits Cas. (BNA) 2776, 2007 U.S. Dist. LEXIS 38130 (M.D. Ala. 2007).

Opinion

*1297 MEMORANDUM OPINION AND ORDER

ALBRITTON, Senior District Judge.

I. PROCEDURAL HISTORY

This cause is before the court on a Motion for Summary Judgment filed by Defendants Great-West Health Care, Inc. and Greab-West Life & Annuity Insurance Company (“Great-West”) 1 (Doc. # 100), and a Motion for Partial Summary Judgment filed by the Plaintiffs (Doc. # 101).

The Plaintiffs originally filed complaints in three cases in the Circuit Court of Barbour County, Alabama, Eufaula Division, bringing solely state law claims, including claims for fraud and breach of contract, against their employer and Great-West. The Plaintiffs sought damages for then-employer’s failure to fund its benefits account, and for the Defendants’ failure to notify the Plaintiffs that their- benefits plan had terminated.

The cases were removed on the basis of federal question subject matter jurisdiction. This court denied motions to remand which were filed by the Plaintiffs, finding that there was subject matter jurisdiction because the state law claims were completely preempted by the Employee Retirement Income Security Act (“ERISA”) in the three companion cases. Jones v. LMR Int’l. Inc., 351 F.Supp.2d 1308 (M.D.Ala.2005). The court then allowed the Plaintiffs to amend their complaints to assert ERISA claims and whatever state law claims the Plaintiffs felt could be appropriately raised. The court then granted subsequent motions to dismiss the state law claims and to strike the jury demands. Jones v. LMR Int’l, Inc., 367 F.Supp.2d 1346 (M.D.Ala.2005). The court certified the cases for interlocutory appeal, and the Eleventh Circuit affirmed this court’s decisions. Jones v. LMR Int’l, Inc., 457 F.3d 1174, 1176 (11th Cir.2006). The Plaintiffs subsequently filed new amended complaints.

Greab-West moved to dismiss the ERISA claims against it, arguing that it is not a fiduciary under the relevant ERISA plan. The Plaintiffs were given a final opportunity to file amended complaints in the consolidated cases that identifies which section or sections of ERISA they claim have been violated in this case, which Defendant or Defendants violated each section so identified, and how each separate Defendant violated the section. The Plaintiffs filed a Fourth Amended Complaint in the consolidated cases bringing ERISA claims, and Great-West has again raised the issue of its status as a fiduciary in its Motion for Summary Judgment.

II. STANDARD FOR MOTION FOR SUMMARY JUDGMENT

Under Rule 56(c) of the Federal Rules of Civil Procedure, summary judgment is proper “if the pleadings, depositions, answers to interrogatories, and admissions on file, together with the affidavits, if any, show that there is no genuine issue as to any material fact and that the moving party is entitled to a judgment as a matter of law.” Celotex Corp. v. Catrett, 477 U.S. 317, 322, 106 S.Ct. 2548, 91 L.Ed.2d 265 (1986).

The party asking for summary judgment “always bears the initial responsibility of informing the district court of the basis for its motion, and identifying those portions of the ‘pleadings, depositions, answers to interrogatories, and admissions on file, together with the affidavits, if any,’ which it *1298 believes demonstrate the absence of a genuine issue of material fact.” Id. at 323, 106 S.Ct. 2548. The movant can meet this burden by presenting evidence showing there is no dispute of material fact, or by showing the district court that the non-moving party has failed to present evidence in support of some element of its case on which it bears the ultimate burden of proof. Id. at 322-23, 106 S.Ct. 2548.

Once the moving party has met its burden, Rule 56(e) “requires the nonmoving party to go beyond the pleadings and by [its] own affidavits, or by the ‘depositions, answers to interrogatories, and admissions on file,’ designate ‘specific facts showing that there is a genuine issue for trial.’ ” Id. at 324, 106 S.Ct. 2548. To avoid summary judgment, the nonmoving party “must do more than show that there is some metaphysical doubt as to the material facts.” Matsushita Elec. Indus. Co. v. Zenith Radio Corp., 475 U.S. 574, 586, 106 S.Ct. 1348, 89 L.Ed.2d 538 (1986).

In resolving cross-motions for summary judgment the court construes the facts in the light most favorable to the nonmovant when the parties’ factual statements conflict or inferences are required. Barnes v. Southwest Forest Industries, 814 F.2d 607, 609 (11th Cir.1987).

III. FACTS

The Plaintiffs are individuals who were employees of LMR International, Inc. (“LMR”) and were participants in LMR’s employee benefit plan (“the Plan”). There are references to several different benefits in the Plan document provided to the court, but the benefits at issue in this case are for medical, prescription drug, and dental benefits, which are defined as “self-funded benefits.” Exhibit B to Doc. # 102 at page 4. Under the Plan document, the employer, LMR, was “fully responsible for the self-funded benefits.” Id.

Great-West and LMR entered into an Administrative Services Contract (“ASC”) whereby Great-West agreed to perform some services for the self-funded benefits payable under the Plan. Great-West’s role with regard to self-funded benefits is described in the Plan document as being that “Great-West processes claims and provides other services to the Employer related to the self-funded benefits. Great-West does not insure or guarantee the self-funded benefits.” Id.

The ASC between Great-West and LMR states that the services to be provided by GreaG-West are “non-diseretionary and ministerial and shall be performed in accordance with the terms of the ... Plan and (DOL claims regulations).” Exhibit A to Doc. # 102, page 2.

Great-West was not designated as the Plan Administrator or a Plan fiduciary in the ASC. To the contrary, the ASC states that Great-West “is not the Plan Administrator” and “is not the named fiduciary or a fiduciary of the Plan.... ” Exhibit A to Doc. # 102 at page 8. Under the ASC, LMR is designated as the fiduciary of the Plan and the Plan Administrator. 2 The only discretion to be exercised by Great-West with regard to self-funded benefits *1299 was in the context of appeals of denials of claims for self-funded benefits. Exhibit B to Doc. # 102, page 4.

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Bluebook (online)
489 F. Supp. 2d 1296, 40 Employee Benefits Cas. (BNA) 2776, 2007 U.S. Dist. LEXIS 38130, Counsel Stack Legal Research, https://law.counselstack.com/opinion/jones-v-lmr-international-inc-almd-2007.