Little v. UNUMProvident Corp.

196 F. Supp. 2d 659, 2002 U.S. Dist. LEXIS 8449, 2002 WL 857325
CourtDistrict Court, S.D. Ohio
DecidedMay 1, 2002
DocketC-2-01-1269
StatusPublished
Cited by25 cases

This text of 196 F. Supp. 2d 659 (Little v. UNUMProvident Corp.) is published on Counsel Stack Legal Research, covering District Court, S.D. Ohio primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Little v. UNUMProvident Corp., 196 F. Supp. 2d 659, 2002 U.S. Dist. LEXIS 8449, 2002 WL 857325 (S.D. Ohio 2002).

Opinion

OPINION AND ORDER

GRAHAM, District Judge.

This is an action filed by plaintiff Joyce Little against defendants UNUMProvident Corporation and UNUM Life Insurance Company of America. This matter is now before the court on defendants’ motion to dismiss for failure to state a claim pursuant to Fed.R.Civ.P. 12(b)(6) and to strike plaintiffs jury demand.

A complaint may be dismissed for failure to state a claim only where it appears beyond doubt that the plaintiff can prove no set of facts in support of her claim which would entitle her to relief. Conley v. Gibson, 355 U.S. 41, 45-46, 78 S.Ct. 99, 2 L.Ed.2d 80 (1957). The court must construe the complaint in a light most favorable to the plaintiff and accept all well-pleaded allegations in the complaint as true. Scheuer v. Rhodes, 416 U.S. 232, 94 S.Ct. 1683, 40 L.Ed.2d 90 (1974). A motion to dismiss under Rule 12(b)(6) will be granted if the complaint is without merit due to an absence of law to support a claim of the type made or of facts sufficient to make a valid claim, or where the face of the complaint reveals that there is an insurmountable bar to relief. Rauch v. Day & Night Mfg. Corp., 576 F.2d 697 (6th Cir.1978). The court is not required to *663 accept as true unwarranted legal conclusions or factual inferences. Morgan v. Church’s Fried Chicken, 829 F.2d 10 (6th Cir.1987).

I. History of the Case

This action was originally filed in the Court of Common Pleas of Belmont County, Ohio on November 19, 2001. In her complaint, plaintiff alleged that she was a covered insured under a long term disability policy and a group life and accidental death and dismemberment benefit policy issued to the Twin City Hospital Corporation in Dennison, Ohio. Plaintiff further alleged that in the summer of 1994, she developed cardiomyopathy and congestive heart failure which rendered her totally disabled and unable to perform the material duties of her regular occupation or any occupation for which she was reasonably fitted by training, education or experience. It is further alleged that defendants paid total disability benefits from 1994 to 2000. However, by letters dated January 25, 2001, and January 26, 2001, defendants advised plaintiff that her disability benefits would be discontinued, and that as a result, her life insurance coverage would also be terminated. Plaintiff contended that the decision to discontinue her benefits was without reasonable justification, and alleged that defendants misled plaintiffs physician in an effort to place his reports about plaintiffs condition in a false light.

In Count I of her complaint, plaintiff asserted a claim for benefits due under the policies. In Count II, she asserted a claim for intentional infliction of emotional distress resulting from the handling of her claims and the discontinuance of her disability benefits and coverage under the life insurance policies. In Counts III and IV, plaintiff asserted claims for breach of the actual and implied covenants of good faith and fair dealing inherent in insurance contracts due to the termination of her disability benefits and life insurance coverage, misrepresentations allegedly made to plaintiffs physician, and the arbitrary, capricious or malicious refusal to continue her benefits. She also alleged that defendants put their own interests ahead of plaintiffs interests.

On December 20, 2001, defendants filed a notice of removal of the action to this court. The removal was based on the existence of diversity jurisdiction, and on federal question jurisdiction resulting from the alleged complete pre-emption of plaintiffs state law claims by the Employee Retirement Income Security Act of 1974 (“ERISA”), 29 U.S.C. § 1001, et seq. In support of the latter ground for removal, defendants asserted that the insurance policies in question were issued to plaintiffs employer, Twin City Hospital Corporation, and were employee benefit plans as defined in ERISA, 29 U.S.C. § 1002(1), and further, that plaintiff was a “participant” of these ERISA plans as defined in 29 U.S.C. § 1002(7). 1

II. ERISA Pre-emption

A. Standards

Defendants argue that plaintiffs state law claims of bad faith, intentional infliction of emotional distress, and fraud are pre-empted by ERISA. Defendants also contend that plaintiffs prayer for punitive damages is pre-empted.

*664 ERISA is a comprehensive act designed to regulate employee welfare and pension benefits plans. New York State Conf. of Blue Cross & Blue Shield Plans v. Travelers Ins. Co., 514 U.S. 645, 650-51, 115 S.Ct. 1671, 131 L.Ed.2d 695 (1995). ERISA was enacted to replace a patchwork scheme of state regulation of employee benefit plans with a uniform set of federal regulations. See FMC Corp. v. Holliday, 498 U.S. 52, 56-60, 111 S.Ct. 403, 112 L.Ed.2d 356 (1990).

Pursuant to 29 U.S.C. § 1144(a), ERISA pre-empts all state laws that “relate to” employee benefit plans, whether or not the state laws are designed to affect employee benefit plans. Id. at 58, 111 S.Ct. 403. The label placed on the state law claim does not determine whether it is pre-empted; rather, pre-emption occurs where the essence of the claim is for the recovery of an ERISA plan benefit. Cromwell v. Equicor-Equitable HCA Corp., 944 F.2d 1272, 1276 (6th Cir.1991).

In discussing this pre-emption provision, the Supreme Court has noted its extreme breadth, terming it “clearly expansive,” “broad [in] scope,” “broadly worded,” “deliberately expansive,” and “conspicuous for its breadth.” California Div. of Labor Standards Enforcement v. Dillingham Constr., N.A., Inc., 519 U.S. 316, 324, 117 S.Ct. 832, 136 L.Ed.2d 791 (1997)(internal citations omitted). The Supreme Court has found that in enacting § 1144(a), it was Congress’ intent:

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Cite This Page — Counsel Stack

Bluebook (online)
196 F. Supp. 2d 659, 2002 U.S. Dist. LEXIS 8449, 2002 WL 857325, Counsel Stack Legal Research, https://law.counselstack.com/opinion/little-v-unumprovident-corp-ohsd-2002.