Justin Trout v. Meijer, Inc.

CourtDistrict Court, W.D. Michigan
DecidedApril 23, 2026
Docket1:25-cv-01378
StatusUnknown

This text of Justin Trout v. Meijer, Inc. (Justin Trout v. Meijer, Inc.) is published on Counsel Stack Legal Research, covering District Court, W.D. Michigan primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Justin Trout v. Meijer, Inc., (W.D. Mich. 2026).

Opinion

UNITED STATES DISTRICT COURT WESTERN DISTRICT OF MICHIGAN SOUTHERN DIVISION

JUSTIN TROUT,

Plaintiff, Case No. 1:25-cv-1378 v. Hon. Hala Y. Jarbou MEIJER, INC.,

Defendant. ___________________________________/ OPINION The Public Health Service Act (PHSA) prohibits employers who operate health care plans for their employees from discriminating against participants based on their health conditions. An exception exists for “wellness programs” that incentivize healthy choices, though such programs must meet strict statutory requirements. Defendant Meijer, Inc., administers a health care plan containing a wellness program that rewards people for refraining from tobacco use. In this putative class action brought under the Employee Retirement Income Security Act (ERISA), Plaintiff Justin Trout argues that Meijer’s plan violates several of the PHSA’s requirements. Meijer now moves to dismiss for failure to state a claim (ECF No. 11). The Court will grant the motion to dismiss in part and deny it in part. Specifically, the Court finds that (1) Trout has not stated a claim that Meijer violated the requirement that it provide the “full reward” to all similarly situated employees; (2) Trout has stated a claim that Meijer violated the requirement that it make certain disclosures in plan documents; (3) Trout has not stated a claim that Meijer breached its fiduciary duties or engaged in prohibited transactions, nor has he established standing to bring such claims; (4) claims that accrued before November 5, 2021, are barred by the statute of limitations; and (5) Trout may seek remedies of equitable restitution and disgorgement, but not seek surcharge. I. BACKGROUND A. Statutory Framework Employer health care plans must comply with ERISA, 29 U.S.C. §§ 1001–1461. Under a PHSA provision incorporated by ERISA, a health insurance plan generally “may not require any

individual . . . to pay a premium or contribution which is greater than such premium or contribution for a similarly situated individual enrolled in the plan on the basis of any health status-related factor.” 42 U.S.C. § 300gg-4(b)(1); 29 U.S.C. § 1185d (incorporating § 300gg-4). However, a plan may charge different premiums based on employees’ participation in “programs of health promotion and disease prevention.” 42 U.S.C. § 300gg-4(b)(2)(B). If such a program “is based on an individual satisfying a standard that is related to a health status factor,” the program must comply with certain specified requirements. Id. § 300gg-4(j)(3). Relevant here, the plan must “give individuals eligible for the program the opportunity to qualify for the reward under the program at least once each year.” Id. § 300gg-4(j)(3)(C). Furthermore, “[t]he full reward under the wellness program shall be made available to all similarly situated individuals.” Id. § 300gg-

4(j)(3)(D). This means, among other things, that the program must allow for a “reasonable alternative standard” that accommodates people with medical conditions that make it “inadvisable” or “unreasonably difficult” to complete the wellness program. Id. § 300gg-4(j)(3)(D)(i)(I), (II). Finally, every plan document that “describe[s] the terms of the wellness program” must also disclose “the availability of a reasonable alternative standard,” although such a disclosure is unnecessary if a plan document only “disclose[s] that such a program is available, without describing its terms.” Id. § 300gg-4(j)(3)(E). B. Relevant Facts Meijer is a grocery store chain that operates throughout the Midwest; Trout is a Meijer employee living in Illinois. (Compl. ¶¶ 14, 16, ECF No. 1.) Meijer offers a health insurance plan to its employees that is subject to ERISA. (Id. ¶ 17.) This plan includes a wellness program in the form of a tobacco surcharge. Insured employees who use tobacco products must pay an extra $20

per week in premiums. (Id. ¶ 14.) If an employee signs a pledge at the start of the year stating that they do not and will not use tobacco products, they are rewarded by not having to pay the $20 surcharge. (See id. ¶ 33.) Trout has not certified that he is tobacco-free, so he has been required to pay the surcharge. (Id. ¶ 14) Meijer collects the surcharges directly from its employees’ paychecks along with their normal health care premiums. (See id. ¶ 34.) The surcharges are used to offset Meijer’s own contributions to the plan; in other words, Meijer has promised to contribute a certain amount to the plan, but pays a portion of that contribution with the surcharges. (Id. ¶ 42.) For employees who do use tobacco, Meijer offers an alternative standard in the form of a “tobacco cessation program.” (Id. ¶ 33.) If an employee registers for the cessation program during the open enrollment period—that is, the first two months of coverage—and completes it within

the first six months of coverage, their entire year of tobacco surcharges is eliminated, including surcharges they paid in prior months. If an employee completes the plan in the second half of the year, their premiums will only be reduced prospectively. (Id.) Moreover, if an employee does not make an election during the open enrollment program and defaults into a plan, they are automatically assumed to be a tobacco user and may only prospectively (not retrospectively) avoid the surcharge. (Id. ¶ 36.) Meijer provides a benefits guide to its employees that contains the following information: Tobacco Surcharge: $1,040 - $2,080 per year for tobacco users If you (and your spouse/domestic partner) enroll in a Meijer medical plan and use tobacco, the $20 per week surcharge will apply per tobacco user. If you are not a tobacco user, recertification is required every year on the Meijer Rewards site. Meijer also offers a tobacco cessation program – at no cost to enrolled team members (and their spouse/domestic partner). If you complete the program requirements by the deadlines, your tobacco surcharge may be refunded. (Id. ¶ 34.) II. LEGAL STANDARD Under Rule 12(b)(6) of the Federal Rules of Civil Procedure, a complaint may be dismissed for failure to state a claim if it does not “give the defendant fair notice of what the . . . claim is and the grounds upon which it rests.” Bell Atl. Corp. v. Twombly, 550 U.S. 544, 555 (2007) (omission in original) (quoting Conley v. Gibson, 355 U.S. 41, 47 (1957)). While a complaint need not contain detailed factual allegations, a plaintiff’s allegations must include more than labels and conclusions. Id. at 555; Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009) (“Threadbare recitals of the elements of a cause of action, supported by mere conclusory statements, do not suffice.”). The Court must determine whether the complaint contains “enough facts to state a claim to relief that is plausible on its face.” Twombly, 550 U.S. at 570. “A claim has facial plausibility when the plaintiff pleads factual content that allows the court to draw the reasonable inference that the defendant is liable for the misconduct alleged.” Iqbal, 556 U.S. at 679. When considering a motion to dismiss under Rule 12(b)(6), courts “construe the complaint in the light most favorable to the plaintiff, accepting all well-pleaded factual allegations as true.” Parrino v.

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Bluebook (online)
Justin Trout v. Meijer, Inc., Counsel Stack Legal Research, https://law.counselstack.com/opinion/justin-trout-v-meijer-inc-miwd-2026.