Morales v. Pan American Life Insurance

718 F. Supp. 1297, 11 Employee Benefits Cas. (BNA) 2669, 1989 U.S. Dist. LEXIS 8965, 1989 WL 98072
CourtDistrict Court, E.D. Louisiana
DecidedJuly 31, 1989
DocketCiv. A. 85-3323
StatusPublished
Cited by22 cases

This text of 718 F. Supp. 1297 (Morales v. Pan American Life Insurance) is published on Counsel Stack Legal Research, covering District Court, E.D. Louisiana primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Morales v. Pan American Life Insurance, 718 F. Supp. 1297, 11 Employee Benefits Cas. (BNA) 2669, 1989 U.S. Dist. LEXIS 8965, 1989 WL 98072 (E.D. La. 1989).

Opinion

ORDER AND REASONS

MENTZ, District Judge.

BACKGROUND

Plaintiffs filed this suit against Pan-American Life Insurance Company (PAL-IC) and the PALIC Employee Retirement Benefit Plan (the Plan) as a class action 1 for penalties and damages for violation of the Employee Retirement Income Security Act (ERISA), 29 U.S.C. § 1001, et seq. Plaintiffs also allege unjust enrichment and third-party beneficiary claims. Plaintiffs have exhausted all administrative remedies pursuant to Article VII, § 7.02 of the Plan.

Plaintiffs are former PALIC employees who worked in PALIC’s Medicare Division. All PALIC employees, including plaintiffs, are participants in the Plan. The named fiduciaries of the Plan are PALIC and the Pension Committee, which consists of five appointed members. The Pension Committee is also the administrator of the Plan. Since January 2, 1957, PALIC has made all contributions to the Plan on behalf of all its employees. 2 Prior to that time, the Plan was also funded by employee contributions.

PALIC’s Medicare Division was responsible for administering the Medicare Program in Louisiana pursuant to an agreement entered into in July, 1966 between the Secretary of Health and Human Services (SHHS) and PALIC. The contract provided *1299 that there shall be no profit or loss to the contractor. Accordingly, the SHHS reimbursed PALIC for costs it incurred in the administration of the Medicare Program, including pension contributions. 3 On December 31, 1984, the SHHS terminated its Medicare contract with PALIC, and PALIC closed its Medicare Division and either retired or laid-off the employees in that Division. 4

Pursuant to the terms of the Plan, the non-vested participants did not receive any benefits upon termination. 5 Vested participants were entitled to a paid-up deferred annuity contract payable at age 65 6 or, if their accrued benefits had a present value of $5,000.00 or less, they had the option of receiving their benefits in a lump-sum. In April, 1985, the PALIC Pension Committee unanimously voted to offer a lump-sum benefit to vested participants whose accrued benefits had a present value of $20,-000.00 or less. This option was made retroactive to January 1, 1976.

There are sixty-two non-vested plaintiffs and six vested plaintiffs. The non-vested plaintiffs claim that the termination of the Medicare Division constitutes a “partial termination” of the Plan entitling them under ERISA, 29 U.S.C. § 1344, to a full vesting and allocation of the Plan assets among the participants and beneficiaries. The six vested plaintiffs are those who were eligible only for the deferred annuity because their accrued benefits were greater than $20,000.00. 7 They claim that the Pension Committee’s decision to limit the lump-sum option to participants whose accrued benefits were $20,000.00 or less was arbitrary and capricious, entitling them to remedies provided by ERISA, 29 U.S.C. § 1132(a).

Plaintiffs, both vested and non-vested, also claim that PALIC and the Plan have been unjustly enriched by virtue of the termination of the Medicare Division and that, as third-party beneficiaries of the contract between PALIC and the SHHS, they are entitled to the profit. In essence, plaintiffs claim entitlement to excess pension fund contributions PALIC allegedly charged to the SHHS, which together with accrued interest, amounts to more than six times the amount PALIC calculates that it owes to the vested employees. Plaintiffs *1300 also allege that PALIC diverted funds from the pension plan after it terminated the plaintiffs’ jobs and comingled the funds with the general corporate assets of the company. 8

Defendants moved to dismiss, or in the alternative for partial summary judgment, on the ground that plaintiffs’ unjust enrichment and third-party beneficiary claims are quasi-contractual state-law claims which are preempted by ERISA. Defendants subsequently moved for summary judgment for the reasons that (1) there was no partial termination of the Plan and (2) the decision of the Plan administrator in the disbursement of pension benefits with respect to the Medicare Division participants was not arbitrary and capricious. Having reviewed the record and the law, the Court now decides both motions in favor of the defendants.

PREEMPTION

Plaintiffs do not argue that they have a cause of action under Louisiana law for their unjust enrichment and third-party beneficiary claims. Clearly, if these claims were based on Louisiana law, they would be preempted because they “relate to” an employee benefit plan and they do not regulate insurance. 9 See Pilot Life Insurance Company v. Dedeaux, 481 U.S. 41, 107 S.Ct. 1549, 95 L.Ed.2d 39 (1987); Mayeske v. International Association of Firefighters, 1989 WL 37154 at p. 33-34 (D.D.C. March 30, 1989). Instead, plaintiffs contend that these claims are federal common law claims.

FEDERAL COMMON LAW

The drafters of ERISA intended that federal courts would develop a federal common law to supplement the statutory scheme. See 120 Cong.Rec. 29, 942 (remarks of Sen. Javits). However,

[t]he claim that Congress intended for the federal courts to create a body of federal common law to govern ERISA cases does not [as plaintiffs suggest] give a federal court carte blanche authority to apply any prevailing state common law doctrine it chooses to ERISA cases. A federal court may create federal common law based on a federal statute’s preemption of an area only where the federal statute does not expressly address the issue before the court.... Furthermore, when it is appropriate for a federal court to create federal common law, it may use state common law as the basis of the federal common law only if the state law is consistent with the policies underlying the federal statute in question; ... federal courts may not use state common law to re-write a federal statute.

Nachwalter v. Christie, 805 F.2d 956, 959-60 (11th Cir.1986) (citing C. Wright, Law of Federal Courts § 60, at 283-84 (3d ed. 1976); Textile Workers Union of America v. Lincoln Mills of Alabama, 353 U.S. 448, 456-57, 77 S.Ct. 912, 918, 1 L.Ed.2d 972 (1957); Scott v. Gulf Oil Corporation, 754 F.2d 1499, 1502 (9th Cir.1985)).

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Bluebook (online)
718 F. Supp. 1297, 11 Employee Benefits Cas. (BNA) 2669, 1989 U.S. Dist. LEXIS 8965, 1989 WL 98072, Counsel Stack Legal Research, https://law.counselstack.com/opinion/morales-v-pan-american-life-insurance-laed-1989.