Letner v. UNUM Life Insurance Co. of America

203 F. Supp. 2d 1291, 2001 U.S. Dist. LEXIS 24637, 2001 WL 1867976
CourtDistrict Court, N.D. Florida
DecidedAugust 3, 2001
Docket5:00CV270-SPM
StatusPublished
Cited by7 cases

This text of 203 F. Supp. 2d 1291 (Letner v. UNUM Life Insurance Co. of America) is published on Counsel Stack Legal Research, covering District Court, N.D. Florida primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Letner v. UNUM Life Insurance Co. of America, 203 F. Supp. 2d 1291, 2001 U.S. Dist. LEXIS 24637, 2001 WL 1867976 (N.D. Fla. 2001).

Opinion

ORDER

MICKLE, District Judge.

This cause comes for consideration upon the magistrate judge’s report and recommendation (doc. 13). The parties have been furnished a copy and afforded an opportunity to file objections. No objections have been filed. Pursuant to 28 U.S.C. § 636(b)(1), I have determined that the report and recommendation should be adopted. Accordingly, it is hereby

ORDERED AND ADJUDGED:

1. The magistrate judge’s report and recommendation (doc. 13) is adopted and incorporated by reference in this order.

2. Plaintiffs Motion for Remand to State Court (doc. 5) is granted. This case is remanded to the Circuit Court, Fourteenth Judicial Circuit, in and for Jackson County, Florida.

3. The Court retains jurisdiction to award attorney’s fees and costs to Plaintiff for Defendant’s improper removal. If Plaintiff wishes to pursue an award for such fees and costs, Plaintiff shall submit to the Court, within ten (10) days of the date of this order, affidavits in support of any costs and actual expenses, including attorney’s fees, so incurred. Any objections to the claimed fees and costs must be filed by Defendant within ten (10) days of the date of service of Plaintiffs supporting affidavits. An order will be entered at that time regarding the amount of fees and costs to be awarded.

4. The clerk shall return this case to the undersigned no later than August 27, 2001.

REPORT AND RECOMMENDATION

WAGNER, United States Magistrate Judge.

I. Procedural Background

On or about October 13, 2000, Plaintiff Lisa R. Letner (“Letner”) filed the instant action in the Circuit Court for Jackson County, Florida. In her complaint, Letner asserts a breach of contract claim and seeks to recover benefits under a long term disability policy issued by Defendant UNUM Life Insurance Company of America (“UNUM”). Letner also requests declaratory relief. On November 10, 2000, UNUM filed a notice of removal pursuant to 28 U.S.C. § 1446. UNUM claims that Letner’s policy is an employee benefit plan that is subject to federal jurisdiction under the pre-emption doctrine pursuant to Employee Retirement Income Security Act (ERISA). On or about November 28, 2000, Letner moved to remand the action to the state court on the grounds that her claim is simply a state law breach of contract claim which is not subject to ERISA.

If Letner’s policy falls within the purview of ERISA, then it was proper for this case to be removed to federal court. If, on the other hand, Letner’s policy is not an ERISA plan, then the federal courts have no jurisdiction of this case; it should not have been removed from the Florida state court where it was filed, and the case must be remanded to that state court.

Due to the lack of necessary information on the record, and although clearly not required, the court provided the parties with the opportunity to submit additional evidence on the jurisdictional issue. (Doc. 10). Both parties presented evidence on the issue of whether Letner’s insurance policy is an. employee welfare benefit plan within the meaning of ERISA’s pre-emption clause that would support the exercise of federal jurisdiction. 1 (Docs. 11 & 12). *1295 After reviewing all the evidence, the court is unable to state as a matter of law that the facts support the exercise of federal subject matter jurisdiction under the ERISA provisions.

Specifically, in the instant case, UNUM has failed to provide any rehable factual basis that would demonstrate (1) that Let-ner’s insurance policy qualified as an employee benefit plan that is subject to ERISA; (2) that Letner’s insurance policy is not excluded from the safe harbor provisions which exempt a “plan” from the confines of ERISA, or (3) that Letner’s employer established or maintained the plan.

II. Findings of Fact

1. Prior to or during 1992, Rodney Rich (“Rich”), an independent insurance broker, established an account with Jackson Hospital (“Jackson”) in Marianna, Florida. A group policy was issued to Jackson which provided long term disability benefits for certain employees. Defendant UNUM was the group insurance carrier. Doc. 6, Exhibit A, Rich affidavit, ¶ 4.

2. The declaration page to the group policy expressly states that the plan was issued to “Jackson Hospital for its employees” and was identified by Number 292674. The group policy expressly states that it is covered by ERISA. Id. ¶ 6.

3. Jackson limited coverage of the group policy to its “regular” (non-management) employees. Id. The group’s policy benefits were fixed and contingent upon the individuals’ employment with Jackson. The group policy was also subject to unilateral cancellation by either UNUM or Jackson. Id. ¶ 10.

4. Letner was excluded from coverage under the terms of the group policy by Jackson because she was a management employee. There came a time when Jackson provided Rich with access- to its management employees. Rich met with Jackson’s management employees, including Letner, and offered them the opportunity to purchase individual, executive-professional policies. Id. ¶ ¶ 7-9.

5. Letner applied'for and purchased a separate and distinct policy from the group plan. Id. Although UNUM was the insurer for Letner’s policy, Jackson did not sponsor the policy. Id. ¶ ¶ 19-10.

6. Letner, as opposed to Jackson, owned the policy and was the named insured. Letner’s policy was not contingent on her employment with Jackson and was not subject to cancellation by Jackson or UNUM. Id. ¶ 10.

7. Jackson did not make any financial contribution toward Letner’s policy. Id. ¶ 11. Jackson simply withheld Letner’s premiums through payroll deduction and forwarded them to UNUM. Id. ¶ 12. Jackson was not compensated by UNUM for this ministerial task. Id.

III. Discussion

A. Removal Jurisdiction.

A civil action brought in a state court of which the district courts of the United States have original jurisdiction may be removed by the defendant to the district court of the United States. 28 U.S.C. § 1441(a). Removal is appropriate only if the district court has original jurisdiction. 28 U.S.C. § 1447. Since removal jurisdiction raises significant federalism concerns, lower courts are directed to construe removal statutes strictly. Shamrock Oil & Gas Corp. v. Sheets, 313 U.S. 100, 108-09, 61 S.Ct. 868, 85 L.Ed.

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Cite This Page — Counsel Stack

Bluebook (online)
203 F. Supp. 2d 1291, 2001 U.S. Dist. LEXIS 24637, 2001 WL 1867976, Counsel Stack Legal Research, https://law.counselstack.com/opinion/letner-v-unum-life-insurance-co-of-america-flnd-2001.