Knickerbocker Dialysis, Inc. v. Trueblue, Inc.

582 F. Supp. 2d 364, 2008 U.S. Dist. LEXIS 93058, 2008 WL 4587572
District Court, E.D. New York·Decided October 11, 2008·No. 1:08-mj-00329·Published·Cited by 1 cases

Opinion

MEMORANDUM OF DECISION AND ORDER

SPATT, District Judge.

On January 23, 2008, Knickerbocker Dialysis, Inc. (“the Plaintiff’) filed this action against TrueBlue, Inc., formerly known as Labor Ready, Inc. (“Labor Ready”), and First Health Group Corporation (“First Health” or “Defendant”), alleging breach of contract. On March 24, 2008, First Health moved to dismiss the complaint under Fed.R.Civ.P. 12(b)(6), on the ground that the Plaintiffs common law contract claim is preempted by the Employee Retirement Income Security Act (“ERISA”).

I. BACKGROUND

The following facts are taken from the Plaintiffs complaint. Labor Ready, a Washington State agency that places temporary employees in a number of fields, retained First Health, a Delaware corporation, to serve as the third-party administrator of Labor Ready’s employee group health plan (“the plan”). Davita, Inc. (“Davita”) is a corporation that provides, among other things, billing services to various dialysis centers throughout the country. The Plaintiff is the owner of a dialysis center in Garden City, New York.

On or about May 27, 2005, First Health and Davita entered into a Single Patient Agreement (“the agreement”), a contract that established the payment rate for dialysis services the Plaintiff provided to one unnamed beneficiary under the plan. Pursuant to the agreement, this patient was to receive dialysis services at a discounted rate provided that the claim was paid within a specified time. The agreement further provided that if the claim was not paid within the specified time, payments were to be paid at the Plaintiffs full customary rate. From September, 2004 through July, 2006, the Plaintiff provided dialysis services to the patient and Labor Ready was billed for those services through its agent First Health.

However, the Plaintiff alleges that Labor Ready failed to make payments on $486,189.28 owed under the terms of the agreement. On January 23, 2008, the Plaintiff filed suit against Labor Ready and First Health alleging that both parties had breached the agreement. On March 24, 2008, First Health moved to dismiss the complaint, arguing that the Plaintiffs common law cause of action for breach of contract is preempted by ERISA because the Plaintiff is seeking to recover benefits payable under an employee benefits health plan.

II. DISCUSSION

A. The Motion to Dismiss Standard

In considering a 12(b)(6) motion to dismiss, “ ‘[t]he issue is not whether a plaintiff will ultimately prevail but whether the claimant is entitled to offer evidence to support the claims.’ ” Todd v. Exxon Corp., 275 F.3d 191, 198 (2d Cir.2001) (quoting Scheuer v. Rhodes, 416 U.S. 232, 236, 94 S.Ct. 1683, 40 L.Ed.2d 90 (1974)). In this regard, the Court must “accept all of the plaintiffs factual allegations in the complaint as true and draw inferences from those allegations in the light most favorable to the plaintiff.” Starr v. Georgeson S’holder, Inc., 412 F.3d 103, 109 (2d Cir.2005); Desiderio v. Nat’l Ass’n of Sec. Dealers, Inc., 191 F.3d 198, 202 (2d Cir.1999).

A complaint should be dismissed only if it does not contain enough allegations of fact to state a claim for relief that is “plausible on its face.” Bell Atl. Corp. v. *366 Twombly, 550 U.S. 544, 127 S.Ct. 1955, 1974, 167 L.Ed.2d 929 (2007). The Second Circuit has interpreted Twombly to require that a complaint “allege facts that are not merely consistent with the conclusion that the defendant violated the law, but which actively and plausibly suggest that conclusion.” Port Dock & Stone Corp. v. Oldcastle Northeast, Inc., 507 F.3d 117, 121 (2d Cir.2007).

B. ERISA Preemption

Congress enacted ERISA to protect the interests of beneficiaries of private retirement plans by reducing the risk of loss of pension benefits. Getter v. County Line Auto Sales, Inc., 86 F.3d 18, 22 (2d Cir.1996). To that end, “ERISA established a comprehensive federal statutory program intended to control abuses associated with pension benefit plans.” Id. In order to achieve national uniformity in the regulation of such plans, ERISA expressly preempts “any and all State laws insofar as they ... relate to any employee benefit plan” covered by the statute. 29 U.S.C. § 1144(a).

Accordingly, common law actions that “relate to” employee benefit plans are preempted by ERISA. See Ingersoll-Rand Co. v. McClendon, 498 U.S. 133, 139, 111 S.Ct. 478, 112 L.Ed.2d 474 (1990) (quoting Shaw v. Delta Air Lines, Inc., 463 U.S. 85, 96-97, 103 S.Ct. 2890, 77 L.Ed.2d 490 (1983)) (stating that a law “relates to” an employee benefit plan “if it has a connection with or reference to such a plan”). However, the “presumption against preemption is considerable” and “state laws of general application that merely impose some burdens on the administration of ERISA plans” should not be preempted. Plumbing Indus. Bd., Plumbing Local Union No. 1 v. Howell Co., Inc., 126 F.3d 61, 67 (2d Cir.1997). As the Second Circuit has explained, the preemption provision “does not require the creation of a fully insulated legal world that excludes these plans from regulation of any purely local transaction.” Hattem v. Schwarzenegger, 449 F.3d 423, 430 (2d Cir.2006) (citing Aetna Life Ins. Co. v. Borges, 869 F.2d 142, 145 (2d Cir.1989)). To insulate plans subject to ERISA in such a way would create for those plans “a charmed existence that never was contemplated by Congress.” Id.

C. As to Whether the Plaintiffs Claim is Preempted

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Knickerbocker Dialysis, Inc. v. Trueblue, Inc., 582 F. Supp. 2d 364, 2008 U.S. Dist. LEXIS 93058, 2008 WL 4587572 (E.D.N.Y. 2008).

582 F. Supp. 2d 364 (Knickerbocker Dialysis, Inc. v. Trueblue, Inc.) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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