Medvey v. Oxford Health Plans

313 F. Supp. 2d 94, 15 Am. Disabilities Cas. (BNA) 920, 2004 U.S. Dist. LEXIS 6229, 2004 WL 797618
CourtDistrict Court, D. Connecticut
DecidedMarch 18, 2004
Docket3:93-r-00047
StatusPublished
Cited by7 cases

This text of 313 F. Supp. 2d 94 (Medvey v. Oxford Health Plans) is published on Counsel Stack Legal Research, covering District Court, D. Connecticut primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Medvey v. Oxford Health Plans, 313 F. Supp. 2d 94, 15 Am. Disabilities Cas. (BNA) 920, 2004 U.S. Dist. LEXIS 6229, 2004 WL 797618 (D. Conn. 2004).

Opinion

RULING ON DEFENDANTS’ MOTION TO DISMISS

ELLEN B. BURNS, Senior District Judge.

Introduction

Plaintiff Patricia Ann Medvey (“plaintiff’) brings this action for money damages pursuant to the Employee Retirement Income Security Act of 1974, 29 U.S.C. §§ 1001 et. seq. [“ERISA”], and the Connecticut Fair Employment Practices Act (“CFEPA”), the Americans with Disabilities Act (“ADA”), the Rehabilitation Act of 1973, and the laws of the State of Connecticut, against defendants Oxford Health Plans, Inc. (“OHP”), Oxford Select Benefits Program (“OSBP”), and Metropolitan Life Insurance Company (“Metropolitan”), in a seven-count amended complaint. The defendants now move this court to dismiss Count Three of plaintiffs complaint pursuant to Fed. R. Civ. Proc. 12(b)6 for failure to state a claim upon which relief can be granted. For the reasons stated below, the defendants’ motion to dismiss Count Three of the complaint [Doc. No. 31] is granted.

BACKGROUND

For the purpose of this motion to dismiss, the Court accepts the following alleged facts taken from the plaintiffs complaint as true. From October 27, 1997, to October 23, 1999, the plaintiff was employed by Oxford Health Care in Trumbull, Connecticut. Her employment schedule required her to work a minimum of forty hours per week. At the time, Metropolitan acted in the capacity of welfare benefits claims administrator for Oxford.

Plaintiff alleges that, during her period of employment, she suffered from a disability which was diagnosed by her ophthalmic surgeon and other practitioners as a brain dysfunction frontal lobe injury and visual disturbances. These medical professionals diagnosed the plaintiff as having significant perception, concentration, feeling, emotional, cognition and sleeping deficiencies.

The plaintiff alleges that the defendants acknowledged both her disability and her requests for a reasonable employment ac *97 commodation based upon her disability. The plaintiff was precluded by her disability from operating Oxford’s multi-screen computer program processes. In recognition of the plaintiffs serious health condition, the defendants placed the plaintiff on a period of leave from the workplace on May 21, 1999. The plaintiff was advised that a position with reasonable accommodation for her disability would be made available to her at Oxford, and that her employee welfare benefits would continue without interruption.

On June 28, 1999, the plaintiff was assigned a job position that alleviated the stress of her physical ailments and created a more accommodating work environment for her. Shortly thereafter, Oxford assigned the plaintiff to a position that no longer accommodated her disabilities. Plaintiff took leave under the Family Medical Leave Act, and Oxford granted the leave under the provisions of the employee welfare benefit plan administered by Metropolitan. Prior to and during the time of her leave, the plaintiff provided defendants with various certificates of her health condition and the effects of this condition on her ability to perform her employment duties.

Oxford encouraged the plaintiff to seek temporary employment opportunities outside of Oxford during her long-term disability leave, advising her that such temporary employment would not jeopardize her long term employment prospects with Oxford. The plaintiff alleges that at all times there were available numerous positions at Oxford for which she was qualified. These positions were offered to other individuals but never to her. The plaintiff alleges that the defendants promised her a position in the workplace that provided accommodation for her disability, but, when she provided medical certification that she was fit to return to the workplace on November 3, 1999, she was advised by Metropolitan that her employment with Oxford was terminated effective October 23,1999.

The plaintiff claims that, as a result of the actions and omissions of the defendants, she has suffered a loss of income and earning capacity, a loss of employee welfare benefits, and a loss of workplace opportunity and promotion. As a further result of the defendants’ actions, the plaintiff states that she has incurred and will continue to incur expenses for medical care, physical therapy, and psychotherapy, all to her financial detriment.

Plaintiff initially brought an eleven-count action in the Superior Court of the State of Connecticut, Judicial District of Fairfield at Bridgeport, against Oxford Health Plans, Inc. (“Oxford”), Metropolitan Life Insurance Company (“Metropolitan”), and several individual defendants who were employees of the corporate defendants, which was thereafter removed to the district court on the petition of defendants Oxford and Metropolitan. On May 7, 2002, in a Ruling on Defendants’ Motion to Dismiss, Judge Warren Eginton ordered a dismissal of all counts of plaintiffs original complaint as to the individual defendants, with leave for the plaintiff to file an amended complaint containing allegations against the individual defendants that provide them with fair notice of the claims against them. The ruling also dismissed plaintiffs common law claims, finding they were preempted by ERISA, with leave for the plaintiff to amend her complaint to assert a cognizable ERISA claim.

The plaintiff amended her complaint, asserting new ERISA claims but naming no individual defendants. Defendant subsequently moved to dismiss the first three counts of the Amended Complaint due to plaintiffs failure to exhaust her administrative remedies under ERISA. On February 6, 2003, the court granted the motion in part, dismissing Counts One and *98 Two of the amended complaint, and denied defendants’ motion as to Count Three. The case was subsequently transferred to this judge, and defendants have now moved to dismiss Count Three.

Legal Analysis

I. Standard of Review

Defendants assert that Count Three should be dismissed for failure to state a claim upon which relief can be granted. A motion to dismiss under Fed.R.Civ.P. 12(b)(6) should be granted only if “it is clear that no relief could be granted under any set of facts that could be proved consistent with the allegations.” Hishon v. King & Spalding, 467 U.S. 69, 73, 104 S.Ct. 2229, 81 L.Ed.2d 59 (1984). “The function of a motion to dismiss ‘is merely to assess the legal feasibility of the complaint, not to assay the weight of the evidence which might be offered in support thereof.’ ” Ryder Energy Distrib. Corp. v. Merrill Lynch Commodities, Inc., 748 F.2d 774, 779 (2d Cir.1984)(quoting Geisler v. Petrocelli, 616 F.2d 636, 639 (2d Cir.1980)).

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Cite This Page — Counsel Stack

Bluebook (online)
313 F. Supp. 2d 94, 15 Am. Disabilities Cas. (BNA) 920, 2004 U.S. Dist. LEXIS 6229, 2004 WL 797618, Counsel Stack Legal Research, https://law.counselstack.com/opinion/medvey-v-oxford-health-plans-ctd-2004.