Lippard v. Unumprovident Corp.

261 F. Supp. 2d 368, 30 Employee Benefits Cas. (BNA) 2560, 2003 U.S. Dist. LEXIS 7348, 2003 WL 21005329
CourtDistrict Court, M.D. North Carolina
DecidedMay 1, 2003
Docket1:01 CV 00943
StatusPublished
Cited by6 cases

This text of 261 F. Supp. 2d 368 (Lippard v. Unumprovident Corp.) is published on Counsel Stack Legal Research, covering District Court, M.D. North Carolina primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Lippard v. Unumprovident Corp., 261 F. Supp. 2d 368, 30 Employee Benefits Cas. (BNA) 2560, 2003 U.S. Dist. LEXIS 7348, 2003 WL 21005329 (M.D.N.C. 2003).

Opinion

MEMORANDUM OPINION

BEATY, District Judge.

Currently before the Court is Defendant Unumprovident Corporation’s (“UnumPro-vident”), formerly known as Provident Companies, Inc., Motion to Dismiss [Document # 3], pursuant to which Defendant seeks to have the claims asserted against it dismissed for Plaintiff’s failure to state a claim upon which relief may be granted. For the reasons stated below, Unumprovi-dent’s Motion to Dismiss is DENIED.

I. FACTUAL AND PROCEDURAL BACKGROUND

The documents available to the Court indicate that Plaintiff Gail Lippard, an employee of Burlington Industries, became a participant in Burlington Industries’ disability plan before October 7, 1997, pursuant to an insurance contract for the provision of disability insurance coverage (the “Policy”). (ComplV 7.) On or about October 7, 1997, Plaintiff became totally disabled and was released from her employment with Burlington Industries. (ComplV 8.) Plaintiff then received a letter dated April 27, 1998, denying her disability benefits under the plan. Specifically, the letter noted “the medical documentation received does not substantiate [that Plaintiff was] disabled from [her] occupation during the entire six month Elimination Period and, in fact, although the diagnosis of epilepsy was confirmed, this is a condition for which medication is available for control of seizures.” (Pl.’s Resp. to Def.’s Mot. to Dismiss, Exh. 2 at 3.) Accordingly, Defendant denied Plaintiffs claim for disability benefits. (Pl.’s Resp. to Def.’s Mot. to Dismiss, Exh. 2 at 3.) The letter also notified Plaintiff that if she disagreed with Defendant’s determination, then she could submit a written request for reconsideration, accompanied by documentation to Ms. Tammi Burton, the Benefits Administrator at Burlington Industries, Inc. (PL’s Resp. to Def.’s Mot. to Dismiss, Exh. 2 at 3.)

In response, Plaintiff, through counsel, notified Defendant of her intent to appeal the denial of her benefits in a letter dated June 19, 1998. (Br. in Supp. of Def.’s Mot. to Dismiss, Exh. A.) Plaintiff provided additional medical records under separate cover. On September 16, 1998, Plaintiff received a letter from a Senior Disability Claim Specialist in which Defendant rejected Plaintiffs appeal and again denied long term disability benefits to Plaintiff. (ComplV 11.)

Plaintiff filed the instant action on September 7, 2001, in the North Carolina General Court of Justice, Superior Court Division, against Burlington Industries, Inc., Burlington Industries I, LLC., Burlington Industries II, LLC., Burlington Industries III, LLC., (collectively “the Burlington Defendants”) 1 and Defendant Unumprovi- *372 dent, formerly known as Provident Companies, Inc. (Notice of Removal ¶ 1.) Plaintiff alleges that Defendant knowingly and misleadingly wrote a policy of insurance so as to make payment of disability benefits thereunder extremely unlikely. (Compl.lffl 23-25.) Specifically, Plaintiff alleges that Defendant has willfully refused to pay her benefits due under its disability plan in violation of its contractual obligations, and that the Burlington Defendants miscategorized her termination as “voluntary or for cause.” (Compl.1if 36-41.) Plaintiff also makes claims for estop-pel and detrimental reliance, and unfair and deceptive trade practices resulting from the denial of disability benefits to Plaintiff. (Comphlffl 14-15.) Specifically, Plaintiff requests compensatory damages, treble damages pursuant to N.C. GemStat. § 75-16 for unfair and deceptive trade practices, costs and attorneys’ fees.

On October 12, 2001, Defendant, along with the Burlington Defendants, removed the action to this Court based solely on assertions of federal question jurisdiction under 28 U.S.C. § 1331, on the grounds that Plaintiffs claims arise under the provisions of the Employee Retirement Income Security Act (“ERISA”), 29 U.S.C. §§ 1001 et seq., specifically 29 U.S.C. § 1132(e)(1). (Notice of Removal ¶ 3.) Defendant, on October 19, 2001, filed a Motion to Dismiss [Document #3] pursuant to Federal Rule of Civil Procedure 12(b)(6) on the grounds that Plaintiff failed to state a claim upon which relief could be granted, and that Plaintiffs claims are both preempted by ERISA and untimely. The Court will address these arguments in turn.

II. DISCUSSION

A. Motion to Dismiss Standard

As previously noted, Defendant has asserted a Motion to Dismiss for failure to state a claim upon which relief may be granted under Rule 12(b)(6) of the Federal Rules of Civil Procedure. With respect to such motions, dismissals áre allowed only in very limited circumstances. Rogers v. Jefferson-Pilot Life Ins. Co., 883 F.2d 324, 325 (4th Cir.1989). A court should not dismiss a complaint, or any particular allegation contained therein, “unless it appears certain that the plaintiff can prove no set of facts which would support [his] claim and would entitle [him] to relief.” Mylan Labs., Inc. v. Matkari, 7 F.3d 1130, 1134 (4th Cir.1993). In making this determination, a court must view the complaint in the light most favorable to the plaintiff, accepting as true all well-pleaded factual allegations. Randall v. United States, 30 F.3d 518, 522 (4th Cir.1994).

B. Defendant’s Motion to Dismiss

With respect to its Motion to Dismiss, Defendant argues that all of Plaintiffs claims against it should be dismissed. Defendant bases its Motion on three arguments: (1) Plaintiff failed to state a breach of contract claim against the Burlington Defendants 2 ; (2) ERISA preempts all of *373 Plaintiffs state law claims; and, (3) Plaintiffs ERISA and breach of contract claims are barred by the statute of limitations. In response, Plaintiff contends that her breach of contract claim is simply recast as an ERISA claim for benefits, and that the statute of limitations does not bar her breach of contract or ERISA claims. The Court will examine these two arguments in turn.

(1) ERISA Preemption of Plaintiffs State Law Claims

Defendant contends that Plaintiffs Complaint should be dismissed because Plaintiffs state law claims are preempted by the Employee Retirement Income Security Act (“ERISA”), 29 U.S.C. §§ 1001 et seq., and Plaintiff does not state a cause of action based on ERISA in her Complaint.

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Bluebook (online)
261 F. Supp. 2d 368, 30 Employee Benefits Cas. (BNA) 2560, 2003 U.S. Dist. LEXIS 7348, 2003 WL 21005329, Counsel Stack Legal Research, https://law.counselstack.com/opinion/lippard-v-unumprovident-corp-ncmd-2003.