Michael Gordon v. Sun Life Assurance Company of Canada

CourtDistrict Court, E.D. Michigan
DecidedMarch 31, 2026
Docket2:25-cv-11132
StatusUnknown

This text of Michael Gordon v. Sun Life Assurance Company of Canada (Michael Gordon v. Sun Life Assurance Company of Canada) is published on Counsel Stack Legal Research, covering District Court, E.D. Michigan primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Michael Gordon v. Sun Life Assurance Company of Canada, (E.D. Mich. 2026).

Opinion

UNITED STATES DISTRICT COURT EASTERN DISTRICT OF MICHIGAN SOUTHERN DIVISION MICHAEL GORDON, 2:25-CV-11132-TGB-KGA Plaintiff, HON. TERRENCE G. BERG v. ORDER GRANTING DEFENDANT’S MOTION SUN LIFE ASSURANCE CO. OF TO DISMISS CANADA, (ECF NO. 4) Defendant. Before the Court is Defendant Sun Life Assurance Company of Canada (“Sun Life”)’s Motion to Dismiss Plaintiff Michael Gordon (“Gordon”)’s Complaint under Federal Rule of Civil Procedure 12(b)(6). ECF No. 4. The Court granted Plaintiff leave to amend the complaint or respond to the motion, in which case dismissal might be with prejudice. ECF No. 5. Plaintiff did not amend the complaint, and the motion was fully briefed on August 14, 2025. See ECF Nos. 6 & 7. For the foregoing

reasons, Defendant’s Motion to Dismiss (ECF No. 4) will be GRANTED. I. BACKGROUND On March 18, 2025, Plaintiff Michael Gordon filed in Macomb County Circuit Court the above-entitled civil action (Case No. 25-001158) against Defendant Sun Life Assurance Company of Canada, a foreign insurance company. Compl., ECF No. 1, PageID.9, ¶ 2. Plaintiff claims that, due to injuries sustained in a March 21, 2019 traffic accident, he is entitled to long-term disability (“LTD”) benefits. More specifically, in the Complaint, Plaintiff alleges that: 7. On March 21, 2019, Michael Gordon was t-boned and sustained serious accidental bodily injuries. 8. Michael Gordon was transported by ambulance to Garden City Hospital and was diagnosed with Grade 1 retrolisthesis of L5-S1 and was discharged. 9. Subsequently, Michael Gordon was diagnosed with a Closed Head Injury, Temporomandibular Joint Dysfunction, Cephalgia, Back Injury, and Cervicalgia by his treating doctors. 10. As a result of the crash, Plaintiff suffered, and continues to suffer, from significant accidental bodily injuries and symptoms including but not limited to: a. Diffuse traumatic brain injury; b. Headaches; c. Memory Loss; d. Impaired cognitive function; e. Impaired concentration; f. Impaired vision; g. Back injury; h. Temporomandibular Joint Dysfunction; i. Cephalgia; j. Cervicalgia; k. Shoulder injury; and l. Neck injury. Compl., ECF No. 1, PageID.9-10. Following the incident, Gordon “attempted to return to work but was unable to complete his tasks as he had prior to the crash.” Id. at ¶ 11. He alleges that at the time of the incident, “[he] was insured with [Sun Life] under the provisions of the subject insurance policy issued by [Sun Life] that was then in effect and for which applicable premiums were paid.” Id. at ¶ 6. Plaintiff admitted that he claims to be entitled to long-term disability (“LTD”) benefits under an ERISA governed group insurance policy issued by Sun Life to his employer, Prime Healthcare Services (“Group Policy”). Resp., ECF No. 6, PageID.131, ¶ 2. Gordon alleges he made a “claim for all benefits owed under the terms of the insurance policy issued by Defendant,” but Sun Life “unreasonably denied” benefits. Compl., ECF No. 1, at ¶¶ 12-13. Plaintiff alleges three counts against Sun Life: one count for breach of contract under Michigan law, one count for violation of the terms of the Plan in violation of federal ERISA § 502(A)(l)(B), and one count for breach of fiduciary duty in violation of ERISA § 502(A)(3). See id. at ¶ 16 (“Under the terms and conditions of the Defendant’s policy, it became obligated to

pay disability benefits to Michael Gordon.”), ¶ 20 (“The denial of Plaintiff’s disability benefit payments are in direct violation of the terms of the Plan.”), ¶ 27 (“Defendant’s actions in discontinuing Plaintiff’s benefits, refusing to reinstate them, and failing to provide an accurate accounting violated . . . its fiduciary duties[.]”). Under each count, Plaintiff seeks a “declaratory judgment under ERISA §502(a)(l)(B), 29 USC 1132(a)(l)(B), declaring that Plaintiff is entitled to continuation of the group disability benefits in the proper amounts as set forth in the

Plan in effect at the time benefits became payable and that Company has violated the Plan and its fiduciary duties by discontinuing these benefits.” Id. at ¶¶ 18(a), 24(a), 27(a). Defendant filed a Motion to Dismiss the Complaint on the basis that the claims are time-barred under a three-year contractual limitations provision in the Group Policy. ECF No. 4. The Group Policy is attached to Sun Life’s Motion to Dismiss. See ECF No. 4-1, PageID.53-127. In relevant part, the Group Policy provides that it is “subject to the laws of” California. Id. at PageID.53. It also provides that “[n]o legal action brought to recover on this Policy may start: 1. until 60 days after Proof of Claim has been given; nor 2. more than 3 years after the time Proof of Claim is required.” Id. at PageID.108 (“Contractual Limitation Period”). “Proof of Claim must be given to Sun Life: . . . for Long Term Disability - no later than 90 days after the end of the Elimination Period,” id. at PageID.110, which is a 180-days “period of continuous days of Total or

Partial Disability for which no LTD Benefit is payable” beginning “on the first day of Total or Partial Disability,” id. at PageID.69, 76. Nonetheless, “[i]f it is not possible to give Proof of Claim within these time limits, it must be given as soon as reasonably possible” but no “later than 1 year after the time Proof is otherwise required unless the individual is legally incompetent.” Id. at PageID.110. II. LEGAL STANDARD In ruling on a motion to dismiss under Rule 12(b)(6) of the Federal

Rules of Civil Procedure for “failure to state a claim upon which relief can be granted,” the Court “must construe the complaint in the light most favorable to the plaintiff and accept all allegations as true,” Keys v. Humana, Inc., 684 F.3d 605, 608 (6th Cir. 2012), and determine whether it appears “beyond doubt that the plaintiff can prove no set of facts in support of his claim that would entitle him to relief.” Ready v. Ford Motor Co., 848 F.2d 193 (Table), 1988 WL 41153, at *4 (6th Cir. 1988). Federal Rule of Civil Procedure 8(a) calls for “a short and plain statement of the claim showing that the pleader is entitled to relief.” Though this standard is liberal, it requires a plaintiff to provide “more than labels and conclusions, and a formulaic recitation of the elements of a cause of action” to support their grounds for entitlement to relief. Albrecht v. Treon, 617 F.3d 890, 893 (6th Cir. 2010) (quoting Bell Atl. Corp. v. Twombly, 550 U.S. 544, 555 (2007)). Under Iqbal, a plaintiff must

plead “factual content that allows the court to draw the reasonable inference that the defendant is liable for the misconduct alleged.” Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009) (citation omitted). Moreover, Federal Rule of Civil Procedure 9(f) makes “allegation[s] of time or place [ ] material when testing the sufficiency of a pleading.” A court “considering a Rule 12(b)(6) motion may review exhibits attached to the complaint as well as items appearing in the record of the case and exhibits attached to defendant’s motion to dismiss so long as

they are referred to in the Complaint and are central to the claims contained therein.” Diei v. Boyd, 116 F.4th 637, 643 (6th Cir. 2024).

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Bluebook (online)
Michael Gordon v. Sun Life Assurance Company of Canada, Counsel Stack Legal Research, https://law.counselstack.com/opinion/michael-gordon-v-sun-life-assurance-company-of-canada-mied-2026.