Manahan v. Meyer

862 S.W.2d 130, 1993 Tex. App. LEXIS 2326, 1993 WL 311994
Court of Appeals of Texas·Decided August 19, 1993·No. 01-92-00146-CV·Published·Cited by 24 cases

Opinion

OPINION

COHEN, Justice.

Thomas J. Manahan, the father of appellants Scott and Heather Manahan, was employed by Haworth, Inc. (Haworth). Safeco Life Insurance Company (Safeco) issued a group life insurance policy to Haworth covering its employees that insured Manahan’s life for $67,000. While hospitalized two days before his death, Manahan changed the beneficiary of the policy. He removed his two minor children, appellants, as beneficiaries and designated his fiancee, Kimberly Meyer. Safeco paid the policy proceeds to Meyer.

Appellants sued Meyer, Haworth,- and Safeco, alleging the change of beneficiary was invalid because Manahan lacked mental capacity and was unduly influenced by Meyer, and that Haworth acted with Meyer to change the beneficiary, breached its fiduciary duty by failing to investigate the change in beneficiary, and negligently processed the claim and delivered the proceeds to Meyer. Appellants alleged Haworth and Safeco had notice the change of beneficiary was invalid before paying Meyer. Further, appellants alleged Safeco mishandled the claim and that Haworth was Safeco’s agent in processing and paying the claim. Alternatively, appellants alleged a cause of action under ERISA, 1 claiming they were “beneficiaries” seeking recovery of money Haworth and Safeco had wrongfully paid Meyer.

The trial judge granted summary judgment for Haworth and Safeco, concluding that ERISA preempted appellants’ claims. The claims against Meyer were tried, and the jury verdict favored appellants. The trial judge entered a judgment for appellants, but then entered a judgment n.o.v. for Meyer, based solely on ERISA preemption. This appeal followed.

In points of error one through eight, appellants contend their claims against Safeco and Haworth were not preempted by ERISA. 2

*133 Is This an Employee Welfare Benefit Plan under ERISA?

Appellants argue neither Haworth nor Safeco proved this benefit plan was governed by ERISA. We disagree. Appellants’ pleadings judicially admitted the facts necessary to establish ERISA’s application.

ERISA applies to employee benefit plans maintained by employers engaged in activity affecting interstate commerce. 29 U.S.C. § 1003(a) (1988). Appellants pled that Ha-worth, a Michigan corporation with a home office in Michigan, bought insurance from Safeco, whose home office is in Washington, to cover Manahan and other Haworth employees working in Texas. Thus, interstate commerce by Haworth was admitted. An employee welfare benefit plan is “any plan, fund, or program ... established or maintained for the purpose of providing for its participants or their beneficiaries, through the purchase of insurance or otherwise, (A) medical, surgical or hospital care or benefits, or benefits in the event of sickness, accident, disability, death or unemployment....” 29 U.S.C. § 1002(1) (1988). Appellants, in their third amended petition, asserted that: (1) Haworth furnished its employees a group life insurance policy issued by Safeco; (2) that Thomas Manahan was an employee of Ha-worth; (3) that Safeco’s group policy insured his life; and (4) that after Manahan’s death, Haworth processed the claim and the payment through its employees relations administrator. These facts establish an employee welfare benefit plan under ERISA. See 29 U.S.C. § 1002(1); Hansen v. Continental Ins. Co. 940 F.2d 971, 976-78 (5th Cir.1991).

Assertions of fact in live pleadings, not pled in the alternative, are formal judicial admissions. Houston First Am. Sav. v. Musick, 650 S.W.2d 764, 767 (Tex.1983). Summary judgment may be rendered on the pleadings when they contain judicial admissions. Daves v. State Bar of Texas, 691 S.W.2d 784, 790 (Tex.App.—Amarillo 1985, writ refd n.r.e.), appeal dism’d, 474 U.S. 1043, 106 S.Ct. 774, 88 L.Ed.2d 754 (1986).

The judicial admissions here distinguish this case from those relied on by appellants, Burghart v. Connecticut General Life Insurance Co., 806 S.W.2d 324, 325 (Tex.App.—Texarkana 1991, no writ) (finding genuine issue of material fact as to the application of ERISA where plaintiff presented evidence her employer did not purchase or administer the program at issue), and Nelson v. Dallas Independent School District, 774 S.W.2d 380, 384 (Tex.App.—Dallas 1989, writ denied) (reversing summary judgment where no summary judgment proof showed plan was employee benefit plan governed by ERISA or that payment was made pursuant to such a plan). The judicial admissions show this was an employee welfare benefit plan under ERISA. 29 U.S.C. § 1002(1) (1988).

Subject-Matter Jurisdiction of Claims Against Haworth and Safeco

Appellants next argue that even if this was an ERISA plan, summary judgment was improper because state and federal courts have concurrent jurisdiction under 29 U.S.C. § 1132(e)(1) of suits brought to recover ERISA benefits.

Sections 1132(a)(1)(B) and (e) of ERISA grant concurrent jurisdiction of suits by a beneficiary: 1) to recover plan benefits; 2) to enforce plan rights; or 3) to clarify rights to future benefits. Any other ERISA action is within the exclusive jurisdiction of the federal courts. 29 U.S.C. § 1132(e)(1); Gorman v. Life Ins. Co. of North America, 811 S.W.2d 542, 545 (Tex.1991), cert. denied, —U.S.-, 112 S.Ct. 88, 116 L.Ed.2d 60 (1991).

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Manahan v. Meyer, 862 S.W.2d 130, 1993 Tex. App. LEXIS 2326, 1993 WL 311994 (Tex. Ct. App. 1993).

862 S.W.2d 130 (Manahan v. Meyer) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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