Kyi v. 4C Food Corp.

CourtDistrict Court, E.D. New York
DecidedJune 17, 2024
Docket1:22-cv-06301
StatusUnknown

This text of Kyi v. 4C Food Corp. (Kyi v. 4C Food Corp.) is published on Counsel Stack Legal Research, covering District Court, E.D. New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Kyi v. 4C Food Corp., (E.D.N.Y. 2024).

Opinion

UNITED STATES DISTRICT COURT EASTERN DISTRICT OF NEW YORK -------------------------------------------------------x KHIN SAN KYI,

Plaintiff, MEMORANDUM & ORDER - against - 22-CV-6301 (PKC) (LB)

4C FOOD CORP.,1 AMALGAMATED LIFE INSURANCE CO., and TEAMSTERS LOCAL 277 WELFARE FUND,

Defendants. -------------------------------------------------------x PAMELA K. CHEN, United States District Judge: This pro se case arises from a tragic series of events. Plaintiff Khin San Kyi (“Plaintiff” or “Kyi”) is a Burmese immigrant. After the illness and death of her husband, Tun Win (“Win”), Kyi sought to recover under Win’s life insurance policy (“the Policy”) through his employer, 4C Foods Corp. (“4C Foods”). As explained below, Kyi was unable to do so. She then brought this action, alleging that Defendants 4C Foods, Amalgamated Life Insurance Company (“Amalgamated Life”), and Teamsters Local 277 Welfare Fund (“the Welfare Fund”) (collectively, “Defendants”) violated federal and state law by refusing to pay out Win’s life insurance policy to her. For the reasons described below, Plaintiff’s case must be dismissed in its entirety.

1 This Defendant’s name is 4C Foods Corp., not 4C Food Corp. BACKGROUND Plaintiff is a Burmese immigrant with limited English proficiency. (11/30/2023 Ltr. from Kyi, Dkt. 33 at ECF 1; Compl., Dkt. 1, at ECF 6.)2 Her husband, Win, worked for 4C Foods beginning in 2008. (Compl., Dkt. 1 at ECF 3.) 4C Foods participated in a welfare fund, the

Teamsters Local 277 Welfare Fund. (Id.) The Welfare Fund provided certain benefits to employees of member companies, including 4C Foods. (Id.) Among other benefits, the Welfare Fund provided “life insurance benefits” to plan participants. (Id.) Amalgamated Life provided a group life insurance policy that covered the Welfare Fund’s members. (Id.) The Welfare Fund provided a Summary Plan Description (“SPD”) describing “the most important features of the [benefit] Plan.” (Id. at ECF 16.) The SPD explained that “[i]f you are actively working in covered employment with a year or more of service, your life is insured for $10,000.” (Id. at ECF 3 (internal quotation marks omitted).) In 2019, when Win was 51 years old, he was diagnosed with “early onset dementia with behavioral disturbances, major neurocognitive disorder, and severe memory loss.” (Id. at ECF 4.) As a result, Win was totally disabled. (Id.)3 When he first became disabled, Win requested leave

under the Family and Medical Leave Act (“FMLA”). (Id.) His FMLA leave was retroactively approved beginning February 11, 2019. (Id.) Despite Win being on FMLA leave, on April 19, a 4C Foods employee sent an email to the Welfare Fund manager, Frank Asprea (“Asprea”), advising Asprea that Win “has been on FMLA and recently resigned.” (Id.) Win, however, had not resigned and was still on FMLA leave at that time. (Id. at ECF 5.)

2 Citations to “ECF” refer to the pagination generated by the Court’s CM/ECF docketing system and not the document’s internal pagination. 3 In May 2019, Win executed a Power of Attorney, naming Plaintiff as his agent. (Compl., Dkt. 1 at ECF 5.) On April 24, 2019, the Welfare Fund sent a letter to Win, advising him that his employee benefits were being cancelled effective May 1, 2019 because he had not met the work requirements to be covered by the benefit plan. (Id.) The letter also stated that Win “had 60 days to covert his life insurance policy from a group policy to an individual policy.” (Id.) Unfortunately, the Welfare

Fund sent the letter to an address where Win and his family no longer lived, and so Win and Kyi never received it. (Id. at ECF 5, 6.) In early May 2019, Win was notified that his FMLA leave period would conclude on May 6, 2019. (Id. at ECF 5.) A few weeks later, Win was notified that though his FMLA leave had expired, 4C Foods had approved his request for an extended leave of absence. (Id. at ECF 55.) In June 2019, the Welfare Fund ceased providing benefits, including its group life insurance policy through Amalgamated Life, due to “serious cashflow problems.” (Id. at ECF 68.) Because of this, at that time, members of the group plan were eligible to convert to an individual policy for a limited period. (Id. at ECF 6, 68.) Win never received notice of the Welfare Fund’s discontinuation of the group life insurance policy. (Id. at ECF 6.)

In July 2019, Plaintiff learned that her husband’s condition was terminal. (Id.) Given the seriousness of Win’s condition, Plaintiff called the Welfare Fund to inquire about Win’s benefits. (Id.) She reached the fund manager, Asprea, and requested a Burmese interpreter due to her limited English proficiency. (Id.) Asprea told Plaintiff that the Welfare Fund could not provide an interpreter. (Id.) Still, Plaintiff was able to communicate to Asprea that her husband was very ill and asked about her husband’s “union benefits.” (Id. at ECF 7.) Asprea informed Plaintiff that her husband was not yet eligible for a pension but did not give any information about his Welfare Fund benefits, including his life insurance. (Id.) Plaintiff called Asprea a second time in July 2019, and Asprea once again told her that no interpreter could be provided. (Id.) In October 2019, Plaintiff and a hospital social worker traveled to the Welfare Fund’s office and met with Asprea. (Id.) Only then did Plaintiff learn that Win’s Welfare Fund benefits had already been terminated in June 2019. (Id.) In March 2020, an attorney wrote to Asprea on Plaintiff’s behalf in an attempt to retain

Win’s life insurance coverage through the Welfare Fund in accordance with an SPD provision that required a waiver of the Policy premium and extension of coverage in the event that a plan participant became totally disabled. (Id. at ECF 8, 9.) Tun Win died in April 2020. (Id.) Some months later, in August 2020, the Welfare Fund sent a letter in response to Plaintiff’s then-attorney. (Id. at ECF 8–9.) In its response, the Welfare Fund stated that it denied Plaintiff’s claim for the life insurance benefit under the Policy, explaining that Win had not been eligible for a waiver of the Policy’s premium because, under the terms of the Policy, such a waiver was only available if a participant was totally disabled for a period of nine continuous months while they were insured. (Id. at ECF 9, 71.) Because Win’s coverage had been cancelled before he had been totally disabled for nine months, he was not eligible for the

premium waiver or continued coverage. (Id. at ECF 71–72.) Moreover, the Welfare Fund explained that the time period for Win to convert his group life insurance to an individual policy had expired in 2019, 60 days after his coverage lapsed. (Id. at ECF 68–69.) In March 2021, Plaintiff’s then-attorney appealed the denial of coverage. (Id. at ECF 9.) The Welfare Fund denied the appeal. (Id.) On October 14, 2022, Plaintiff initiated the instant action, alleging several causes of action, including (1) wrongful denial of benefits in violation of the Employee Retirement Income Security Act of 1974 (“ERISA”); (2) breach of fiduciary duty in violation of ERISA; (3) promissory estoppel; (4) interference with FMLA rights; and (5) breach of contract. (Id. at ECF 10–13.) All three Defendants have moved to dismiss the claims against them, variously arguing lack of standing, failure to state a claim, and absence of causation. (See 4C Foods Corp. Mem. of Law in Supp. of Mot. to Dismiss, Dkt. 35-1 at 1, 7–12; Amalgamated Life Mem. of Law in Supp. of Mot. to Dismiss, Dkt. 36-1 at 1, 8–13; Welfare Fund Mem. in Supp. of Mot. to Dismiss (“Welfare Fund

Br.”), Dkt. 37-1 at 1–2, 11–22.) LEGAL STANDARD To survive a motion to dismiss, a complaint must plead sufficient facts to “state a claim to relief that is plausible on its face.” Bell Atl. Corp. v. Twombly, 550 U.S. 544, 570 (2007).

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Kyi v. 4C Food Corp., Counsel Stack Legal Research, https://law.counselstack.com/opinion/kyi-v-4c-food-corp-nyed-2024.