Lewis v. Kratos Defense & Security Solutions, Inc.

950 F. Supp. 2d 851, 57 Employee Benefits Cas. (BNA) 2639, 2013 WL 2896852, 2013 U.S. Dist. LEXIS 82794
CourtDistrict Court, E.D. Virginia
DecidedJune 11, 2013
DocketCase No. 1:12cv1012
StatusPublished
Cited by1 cases

This text of 950 F. Supp. 2d 851 (Lewis v. Kratos Defense & Security Solutions, Inc.) is published on Counsel Stack Legal Research, covering District Court, E.D. Virginia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Lewis v. Kratos Defense & Security Solutions, Inc., 950 F. Supp. 2d 851, 57 Employee Benefits Cas. (BNA) 2639, 2013 WL 2896852, 2013 U.S. Dist. LEXIS 82794 (E.D. Va. 2013).

Opinion

MEMORANDUM OPINION

T.S. ELLIS, III, District Judge.

Plaintiff is a widow who seeks to recover life insurance benefits she claims she is due under her late husband’s employer-sponsored life insurance plan. Specifically, in three separate counts, plaintiff sues (1) her late husband’s employer for breach of fiduciary duty under the Employee Retirement Income Security Act (“ERISA”), [853]*85329 U.S.C. §§ 1001 et seq.; (2) the insurer that issued the life insurance plan and adjudicated claims under the plan for breach of fiduciary duty under ERISA; and (3) the insurer’s parent company for breach of fiduciary duty under ERISA. Additionally, plaintiff, hedging her , bets, asserts in separate counts three state law claims (1) against the employer for breach of the employment contract: (2). against the insurer for breach of the insurance contract; and (3) against all three defendants for promissory estoppel.

At issue on cross-motions for summary judgment are the following questions:

(1) Whether ERISA governs plaintiffs claims so as to preempt the state law claims and thereby require their dismissal;
(2) Whether the employer violated its fiduciary duty under ERISA where the employer, knowing that plaintiffs husband did not meet the eligibility requirements for enrollment under the plan, nonetheless did not advise plaintiff or her husband of this, but instead enrolled plaintiffs husband in the plan, deducted the premium payments from the husband’s paycheck, and forwarded those payments to the insurer; and
(3) Whether the insurer, which was responsible for claim determinations under the plan, violated a fiduciary duty under ERISA or abused its discretion in determining that plaintiffs husband did not qualify for life insurance benefits under the plan.

I.1

Plaintiff Hsieh Lewis is á resident of Virginia and the widow of the late Jimmy Lewis, who was employed by defendant Kratos Defense & Security Solutions, Inc. (“Kratos”) at the time of his death. Plaintiff is the named beneficiary of Mr. Lewis’s employer-sponsored life insurance plan.

Defendant Kratos is a national security technology company incorporated under the laws of Delaware. Its principal place of business is San Diego, California. Defendant Life Insurance Company of North America (“LINA”) is an insurance company incorporated under the laws of Delaware and with its principal place of business in Philadelphia, Pennsylvania. LINA is owned by, and does business as, CIGNA Corporation. LINA issued the life insurance policy at issue here. The policy includes both group term life insurance and voluntary term life, insurance, and is referred to here as “the plan.” Defendant CIGNA Corporation (“CIGNA”) is a health services company incorporated under the laws of Delaware and with its principal place of business in Bloomfield, Connecticut.

Plaintiffs husband, Jimmy Lewis, began working for Ai Metrix, a technology company, in 1999. In 2006, Ai Metrix merged with SYS Technologies, Inc. (“SYS”), and Mr. Lewis became an employee of SYS. While Mr. Lewis was employed at SYS, he was enrolled in life and disability insurance policies offered by SYS and issued by Principal Financial Group. Under the Principal Financial' Group life insurance policy. Mr. Lewis had group life insurance coverage in an amount equal to twice his salary.

On February 20, 2008, SYS entered into a merger agreement with Kratos. In April 2008, before the merger was consummated, Mr. Lewis was diagnosed with a brain tumor. Despite this diagnosis, Mr. Lewis continued to work full-time. The SYS-Kratos merger closed on June 28, [854]*8542008. Following the merger, legacy SYS employees, including Mr. Lewis, remained on the Principal Financial Group life insurance policy that SYS had provided for them, but these employees were advised that they would likely be switched to Kratos’s insurance plan sometime in the future.

In December 2008, Mr. Lewis ceased working full-time and began working 16 hours per week and receiving short-term disability benefits. Mr. Lewis received his first short-term disability payment from Principal Financial Group on December 29, 2008. In March 2009, Mr. Lewis began receiving long-term disability payments, while continuing to work 16 hours per week.

In May 2009, Kratos announced that it would transfer legacy SYS employees from their old benefits plan to the benefits plan that Kratos offered its other employees. To this end, legacy SYS employees were permitted to enroll in the Kratos plan during the open enrollment period, which ran from June 1 through June 30, 2009. Coverage under the new Kratos benefits plan began on July 1, 2009.

Kratos offered two types of life insurance, both of which were provided by LINA. Under the benefits plan, Kratos offered a group life insurance plan paid for by Kratos. Kratos also offered voluntary term life insurance that employees could elect to purchase and pay for themselves.2 If an employee enrolled in voluntary term life insurance, Kratos deducted the premiums for the insurance from the employee’s paycheck and forwarded the premiums to LINA. Under the plan, employees who enrolled in voluntary term life insurance during the initial enrollment period in June 2009 did not have to undergo a medical screening and therefore could enroll even if they had a pre-existing condition. However, the plan explicitly stated that to be eligible to enroll, an employee was required to be an “active, Full-time SYS Employee!] of the Employer regularly working a minimum of 30 hours per week.”

Plaintiff testified that Kratos never provided Mr. Lewis with a copy of the plan. During the open enrollment period, benefits information was presented to employees through an Open Enrollment Guide, on-site meetings, webinars, PowerPoint presentations, and brochures. There is a dispute concerning whether eligibility requirements were discussed in these on-site presentations and whether plan documents were provided to Kratos employees. It is clear, however, that Mr. Lewis and plaintiff received a copy of The Voluntary Term Life Insurance Brochure prior to enrolling in the plan. That brochure discussed eligibility to participate in the plan, stating “Who is Eligible for Coverage: You — if you are an active, full time employee of Kratos Defense & Security Solutions, Inc. and work at least 30 hours per week for your employer.” Plaintiff testified that she and Mr. Lewis received this brochure before he enrolled in the plan. She also testified that she saw this information on the number of hours employees were required to work and that she underlined the statement that employees were required to work 30 hours per week. Plaintiff testified that she did not believe this requirement presented a coverage problem because she believed the combination of Mr. Lewis’s part-time work and disability benefits was equivalent to full-time status. Plaintiff testified that she and Mr. Lewis spoke with Jennifer Jung, Kratos’s Benefits Manager, about the 30-hour requirement found in the brochure, but plaintiff testified that she could not remember Ms. Jung’s response.

[855]*855On June 1, 2009, the first day of the open enrollment period, Mr.

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950 F. Supp. 2d 851, 57 Employee Benefits Cas. (BNA) 2639, 2013 WL 2896852, 2013 U.S. Dist. LEXIS 82794, Counsel Stack Legal Research, https://law.counselstack.com/opinion/lewis-v-kratos-defense-security-solutions-inc-vaed-2013.