Lloyd Brown, III v. United of Omaha Life Ins.

661 F. App'x 852
CourtCourt of Appeals for the Sixth Circuit
DecidedSeptember 14, 2016
Docket15-4293
StatusUnpublished
Cited by6 cases

This text of 661 F. App'x 852 (Lloyd Brown, III v. United of Omaha Life Ins.) is published on Counsel Stack Legal Research, covering Court of Appeals for the Sixth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Lloyd Brown, III v. United of Omaha Life Ins., 661 F. App'x 852 (6th Cir. 2016).

Opinions

OPINION

STRANCH, Circuit Judge.

Lloyd Brown III alleged, originally in state court, that Defendant-Appellant United of Omaha Life Insurance Company and Defendant West Side Transport, Inc. wrongfully denied him life insurance benefits. Following United’s removal of the case to federal court, Brown III asserted contractual and equitable state law claims and, in the alternative, causes of action under the Employee Retirement Income Security Act of 1974 (ERISA). The district court concluded that Brown Ill’s state law claims against United and West Side were preempted by ERISA granted summary judgment to Brown III on the merits of his ERISA § 502(a)(1) claim against United, and found that Brown III was “not entitled to relief under” ERISA § 502(a)(3) “because § 502(a)(1)(B) fully provides a means for the relief sought.” The district court then awarded Brown III $181,666.67 in damages for benefits due him under United’s life insurance policy, prejudgment interest, and $27,040.00 in attorneys’ fees. United appeals the judgment and remedies awarded.

For the reasons below, we AFFIRM the district court’s grant of summary judgment to Brown III on the merits of his § 502(a)(1) claim, as well as its awards of prejudgment interest and attorneys’ fees; REVERSE the district court’s summary judgment to United on Brown Ill’s § 502(a)(3) claim; and REMAND with instructions to determine the amount of [854]*854Brown Ill’s award under 502(a)(1) and to determine whether Brown III is entitled to other appropriate equitable relief under § 502(a)(3) for a separate and distinct injury.

I. BACKGROUND

Lloyd Brown II,- Plaintiff-Appellee’s father, worked as a truck driver for West Side from January 2011 until his death on November 27, 2012. West Side offered employees an optional term life insurance policy through Hartford Insurance Company. On December 16, 2011, Brown II submitted a “Benefit Election Authorization” for $30,000 of life insurance, naming Brown III as his beneficiary, through Hartford’s automated call-in system. Hartford approved the life insurance policy with an effective date of February 1,2012.

West Side subsequently terminated its relationship with Hartford, also effective February 1, after which it instead offered optional term life insurance through United. Despite the switch in providers, on February 1 West Side began deducting $4.68 per week in life insurance premiums, labeled as “OPT LIFE INSUR,” from Brown II’s paychecks. Pursuant to the terms of United’s policy, this amount corresponds to $30,000 of life insurance coverage—the amount applied for by Brown II in December 2011. From at least March 21 until Brown II’s death on November 27, however, West Side withheld $28.34 per week, which corresponds to $181,666.67 of coverage. Brown III alleges that this increase in the amount of deductions evidences a request by Brown II to increase the value of his policy.

Following Brown IPs death on November 27, 2012, Brown III filed a claim with United for the benefits allegedly due him. On February 20, 2013, United refused Brown Ill’s request because Brown II had failed to submit “evidence of insurability.” Employees insured by Hartford prior to United’s takeover became insured by United without submitting evidence of insura-bility on February 1. But United explained that Brown II, despite “verbally enrolling],” “did not have voluntary life insurance coverage” with Hartford because Wést Side cancelled its agreement with Hartford effective February 1, the date Brown IPs coverage was to take effect. Brown III filed an administrative appeal, which United rejected for the same reasons on May 9, 2013, concluding that the premiums West Side had “collected ... in error” should be refunded. Brown III then filed the present action.

II. STANDARD OF REVIEW

United challenges the district court’s grant of summary judgment to Brown III on his § 502(a)(1) ERISA claim. We review grants of summary judgment de novo. See V & M Star Steel v, Centimark Corp., 678 F.3d 459, 465 (6th Cir. 2012). Summary judgment is proper only when the evidence—taken with all reasonable inferences drawn in favor of the nonmov-ing party—“establishes that there is no genuine issue as to any material fact,” such that the movant is entitled to judgment as a matter of law. Id. (citing Fed. R. Civ. P. 56(c); Matsushita Elec. Indus. Co. v. Zenith Radio Corp., 475 U.S. 574, 587, 106 S.Ct. 1348, 89 L.Ed.2d 538 (1986)). There exist genuine issues of material fact when there are “disputes over facts that might affect the outcome of the suit under the governing law.” Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248, 106 S.Ct. 2505, 91 L.Ed.2d 202 (1986).

United also appeals the district court’s award of prejudgment interest and attorney’s fees to Brown III. We review such awards under an abuse of discretion standard. Ford v. Uniroyal Pension Plan, 154 F.3d 613, 619-20 (6th Cir. 1998) (citations [855]*855omitted). “An abuse of discretion occurs when the district court relies on erroneous findings of fact, applies the wrong legal standard, misapplies the correct legal standard when reaching a conclusion, or makes a clear error of judgment.” Schumacher v. AK Steel Corp. Ret. Accumulation Pension Plan, 711 F.3d 675, 681 (6th Cir. 2013) (quoting Pipefitters Local 636 Ins. Fund v. Blue Cross Blue Shield of Mich., 654 F.3d 618, 629 (6th Cir. 2011)).

III. ANALYSIS

“ERISA comprehensively regulates, among other things, employee welfare benefit plans that, ‘through the purchase of insurance or otherwise,’ provide medical, surgical, or hospital care, or benefits in the event of sickness, accident, disability, or death.” Pilot Life Ins. Co. v. Dedeaux, 481 U.S. 41, 44, 107 S.Ct. 1549, 95 L.Ed.2d 39 (1987) (quoting 29 U.S.C. § 1002(1)). The district court determined that the optional term life insurance policy offered by United is an employee benefit plan regulated by ERISA—a decision unchallenged on appeal. ERISA § 502(a)(1) allows plan beneficiaries to bring a civil action to, among other things, “recover benefits due to him under the terms of [a] plan....” 29 U.S.C. § 1132(a)(1)(B). Section 502(a)(3) provides for “other appropriate equitable relief.” Id. § 1132(a)(3). Brown III seeks recovery under § 502(a)(1) and, to the extent he is unsuccessful, alternatively under § 502(a)(3), as well as prejudgment interest and attorneys’ fees. We address each of these issues in turn.

A. Recovery of Benefits under . ERISA § 502(a)(1).

1. Legal Standard.

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