Laird v. Aetna Life Insurance Co.

263 F. Supp. 3d 1231
CourtDistrict Court, M.D. Alabama
DecidedApril 19, 2017
DocketCASE NO.: 1:16-cv-539-GMB
StatusPublished
Cited by3 cases

This text of 263 F. Supp. 3d 1231 (Laird v. Aetna Life Insurance Co.) 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
Laird v. Aetna Life Insurance Co., 263 F. Supp. 3d 1231 (M.D. Ala. 2017).

Opinion

MEMORANDUM OPINION AND ORDER

Gray M. Borden, UNITED STATES MAGISTRATE JUDGE

Before the court is the Motion to Dismiss for Plaintiffs Failure to State a Claim (Doc. 34) jointly filed by Defendants AE-COM Global II, LLC (“AECOM”) and Keith Sasser (“Sasser”), and the Motion for Judgment on the Pleadings filed by Defendant Aetna Life Insurance Company (“Aetna”) (Doc. 47). With the parties’ briefing complete, the motions are now ripe for the court’s review. After careful consideration of the parties’ filings and the relevant law, the court concludes that the motion to dismiss . (Doc. 34) and motion for judgment on the pleadings (Doc. 47) are due to be GRANTED in part and DENIED in part, as set forth below. ,

I. JURISDICTION AND VENUE

The court has subject-matter jurisdiction over the claims in this lawsuit pursuant to 28 U.S.C. §1331 and 29 U.S.C. § 1132(e). The defendants do not' contest personal jurisdiction or venue, .and the court finds allegations adequate to support both.

II. FACTUAL AND PROCEDURAL BACKGROUND

Plaintiff Ramona Laird (“Ms. Laird” or “Laird”) brought this action on July 5, 2016. Doc. 1. For the purposes of both a motion to dismiss and motion for judgment on the pleadings, the court must accept Laird’s factual allegations as true and will recite the facts as alleged in her amended complaint (Doc. 32). AECOM employed Laird’s husband, Robert Laird (“Mr. Laird”), as an Assistant Flight Commander stationed at the United States Army post at Fort Rucker, Alabama. Doc. 32 at 2. As of April 3, 2003, Mr. Laird was enrolled in the AECOM Global II Welfare Benefits Plan (the “plan”), which provided life insurance coverage. Doc. 32 at 2-3. On October 6, 2011, at the age of 69, Mr. Laird chose the “basic” coverage option, under the plan, which provided a payout equivalent to his annual base salary, and elected to purchase additional coverage offering a payout equivalent to three times his base salary. Doc. 32 at 4. Mr. Laird designated Ms. Laird as the sole beneficiary. Doc, 32 at 4,

Unbeknownst to the Lairds, any payout under the plan was set to reduce to 65% once Mr. Laird turned 70 years old. Doc. 32 at 4. In 2014, at the age of 72, Mr. Laird “confirmed that his benefit elections were still set at 1 x base salary and 3 x optional to be paid to Ms. Laird at 100%.” Doc. 32 at 5. The Lairds had'determined that this amount of coverage would adequately provide for Ms. Laird’s financial needs after her husband’s death. Doc, 32 at 5. Ms. Laird alleges that a document mailed to the Lairds by AECOM in 2014, entitled “Current Benefits Summary for Robert Laird as of 0I/O 1/2014,” confirmed his coverage as well as the' 100% payout, and did not indicate any reduction. Doc. 32 at 5. Though Mr, Laird had turned 70 in 2012, “the statement did not indicate that Mr. Laird’s benefits had reduced to 65%, nor did it refer Mr. Laird ■ to any Plan document that would inform him of the reduction.” Doc, 32 at 6.

Defendant Keith Sasser was AE COM’s human resources manager at Fort Rucker during the time period at issue, Doc. 32 at 4. Sasser conducted an Open Enrollment session each fall, during which AECOM [1235]*1235employees would meet with him to make benefit selections for the upcoming year. Doc. 32 at-4. Sasser served in an advisory capacity, providing the employees with information regarding the plans and operating as the “primary point of contact” for AECOM employees at Fort Rucker between 2005 and 2014.. Doc, 32 at 4. During Open Enrollment in October of 2011, Sas-ser allegedly failed to inform Mr. Laird that his benefits would reduce to 65%. once he turned 70 despite the fact that Mr. Laird was 69 at the time. Doc. 32 at 4-5. Sasser also affirmatively represented that benefits would be paid at 100% even after Mr. Laird had turned 70. Doc. 32 at 14-15.

On November 11, 2014, Mr. Laird passed away at the age of 72. Doc. 32 at 13. Two days later, Sasser and Bob Price, AE COM’s director at Fort Rucker, traveled to Mr. Laird’s funeral and informed Ms. Laird that “they had just realized that Mr. Laird’s life insurance reduced at the age of 70.” Doc. 32 at 6. Sasser stated that he sent a memorandum that day informing the other employees of the reduction. Doc. 32 at 6. Sasser then submitted the claim to Aetna, which administered claims submitted under the plan.1 Doc. 32 at 6. Aetna paid out 65% of the policy, or $266,047.35, which was $141,466.25 less than what Ms. Laird expected to' receive. Doc. 32 at 6. Aetna processed the claim based on the terms of the plan and informed Ms. Laird that' its decision was final. Doc. 32 'at 7.-

The Lairds never received the alleged' Summary Plan Description (“SPD”) that Aetna produced for AECOM employees. Doc. 32 at 7-8. Ms. Laird maintains that had the Lairds received the SPD indicating the reduction in benefits at age 70, they would have chosen additional 'coverage. Doc. 32 at 8. However, “Defendants failed to furnish Mr. Laird with a copy of the Summary Plan Description or any other Plan document that would have informed him of the benefit reduction.” Doc. 32 at 8..

Laird asserts that all of the defendants — Aetna, AECOM, and Sasser— breached their fiduciary duties by “failing to furnish current, accurate, and complete Plan information that would have guided the Lairds’ benefit elections.” Doc. 32 at 9. Sasser, who “assumed a plan administrator role,” admitted to knowledge of the defendants’ failure to furnish plan information that would have informed the Lairds of the reduction, but he submitted the claim to Aetna anyway. Doc. 32 at 9-10. Additionally, Laird contends that the defendants “unlawfully failed to correct each others’ [sic] breaches of fiduciary duty with regard to. Mr. Laird.” Doc. 32 at 10, As a.result of the defendants’ “misrepresentations-, omissions,. and breaches of fiduciary and co-fiduciary, duties,” .Laird claims that she suffered damages in the amount ■ of $141,466.25. Doc. 32 at 18. Moreover, Laird requests equitable relief, “including, but not limited to, surcharge, restitution, constructive trust, reformation, disgorgement, estoppel, injunctive relief, costs, interest, and attorneys’ fees pursuant to 29 U.S.C. § 1132(g)(2).” Doc. 32 at 18.

On November 17, 2016, Laird filed an amended complaint (Doc. 32) naming Aet-na, AECOM and Sasser as defendants. Following the filing of the amended complaint, AECOM and Sasser filed the instant motion to dismiss, while Aetna filed an answer. Docs. 34 & 40. Aetna later filed [1236]*1236the pending motion for judgment on the pleadings. Doe. 47.

III. STANDARDS OF REVIEW

A. Motion to Dismiss

In considering a motion to dismiss pursuant to Rule 12(b)(6) of the Federal Rules of Civil. Procedure, the court must “take the factual allegations in the complaint as true and' construe them in the light most favorable to the plaintiff.” Pielage v. McConnell, 516 F.3d 1282, 1284 (11th Cir. 2008). To survive a motion to dismiss, a complaint must include' “enough facts to state a claim to relief that is plausible on its face.” Bell Atl. Corp. v. Twombly,

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263 F. Supp. 3d 1231, Counsel Stack Legal Research, https://law.counselstack.com/opinion/laird-v-aetna-life-insurance-co-almd-2017.