Morrison v. Marsh & McLennan Companies, Inc.

326 F. Supp. 2d 833, 33 Employee Benefits Cas. (BNA) 2531, 2004 U.S. Dist. LEXIS 14096, 2004 WL 1646941
CourtDistrict Court, E.D. Michigan
DecidedJuly 20, 2004
Docket03-71683
StatusPublished
Cited by3 cases

This text of 326 F. Supp. 2d 833 (Morrison v. Marsh & McLennan Companies, Inc.) 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
Morrison v. Marsh & McLennan Companies, Inc., 326 F. Supp. 2d 833, 33 Employee Benefits Cas. (BNA) 2531, 2004 U.S. Dist. LEXIS 14096, 2004 WL 1646941 (E.D. Mich. 2004).

Opinion

OPINION AND ORDER

FEIKENS, District Judge.

I. INTRODUCTION

Plaintiff, Christine Morrison, filed a Complaint for life insurance benefits in the amount of $1,000,000, plus statutory penalties, pursuant to the Employee Retirement Income Security Act (“ERISA”), 29 U.S.C. § 1001 et seq., against Defendants Marsh & McLennan Companies, Inc. (“M & M”), the Plan Administrator, J & H Marsh & McLennan, Inc. (”J & H), a subsidiary of M & M, Marsh & McLennan Companies, Inc. Employee Welfare Plan (“M & M Plan”), and Metropolitan Life Insurance Company, Inc. (“MetLife”), the insurer of the Plan.

Defendants bring the instant Motion to Dismiss Plaintiffs Complaint, pursuant to Fed.R.Civ.P. 12(b)(6). Plaintiff opposes Defendants’ Motion to Dismiss and brings a Cross-Motion for Summary Judgment. For the reasons that follow, Defendants’ Motion to Dismiss is GRANTED, and Plaintiffs Cross-Motion for Summary Judgment is DENIED.

II. FACTUAL BACKGROUND

A. Plaintiffs Decedent’s Application for Portable Life Insurance

Bruce Morrison, Plaintiffs deceased husband (“Morrison”), was employed by M & M and/or one of its subsidiaries from approximately August of 1970 until January 5, 1999. (PLComp^ 14, 17.) In 1998, he worked for J & H, a subsidiary of M & M. (Pl.Comp.f 15.) While an employee of J & H, he had coverage for $1,050,000 of Optional Life Insurance, as reflected by his 1999 Health and Welfare Benefits Confirmation Statement, issued on November 22, 1998. (PI. Comp. ¶ 16; Ex. 3.) Under his Optional Life Insurance plan, $115.50 was deducted from his paycheck each week as a contribution toward the cost of coverage. (PI. Comp. ¶ 16; Ex. 3.)

On January 5, 1999, Morrison resigned from J & H. (Pl.CompJ 17.) In a letter dated the following day, on January 6, 1999, Gina Kowalski, J & H’s Human Resources Manager, advised him that his coverage ended on January 5, 1999. She further explained:

“You may convert your Optional Life Insurance to (1) an individual policy within 31 days of your termination date without submitting evidence of your in-surability, or (2) on a group basis, provided you continue to make the required contributions directly to the plan insurer. For more information regarding conversion of your Optional Life Insurance plan... contact MetLife at (800) 523-2894. The forms for conversion are available from your human resources representative.”

*836 (PI. Comp. ¶ 19; Ex. 4, Letter of Jan. 6, 1999.) On January 18, 1999, Morrison completed his part of an application for “Election of Portability Coverage.” (PI. Comp.Ex. 5.) He designated his wife, Plaintiff Morrison, as the beneficiary, and requested $1,000,000 in portability coverage. (Pl.Comp.Ex. 5.)

On February 10, 1999, MetLife notified Morrison that his application for portable life insurance had been denied. (PLComp. Ex. 6.) MetLife denied Morrison’s application because MetLife had “not received approval” from Michigan’s insurance department. (Pl.Comp.Ex. 6.) MetLife issued a premium refund check to Morrison in the amount of $707.65. (Pl.Comp.Ex. 6.). According to Defendant MetLife, it received “[n]o further communication from .Morrison” subsequent to the denial of Morrison’s application for portable life insurance. (PI. Comp. Ex. 14, MetLife Letter of Mar. 18, 2003.) Plaintiff does not dispute that Morrison failed to contest the denial of his application for portable life insurance.

B. Relevant Provisions of Plan Documents

Two plan documents referred to in the record of this case, the Plan Certifícate and the Benefits Overview Handbook (the “Handbook”), set out the relevant benefits and obligations of employees, participants, and beneficiaries under the M & M Plan.

The Plan Certificate for M & M’s Optional Life Benefits Plan, entitled “Your Employee Benefit Plan,” specifically states that it relates to “Group Life Benefits issued to each Employee, who, at the time such employee makes a request to continue Life Benefits, resides in a state which has approved such continuation... ” (PI. Comp.Ex. 15, v) (emphasis added). The Plan Certificate provides that the continuation of Life Benefits is subject to several conditions — one condition being that an employee “must make a written request to us to continue such Life Benefits,” and that the “request and the first payment for the cost of your continued Life Benefits must be received by us during the Enrollment Period.” (Pl.Comp.Ex. 15, v-vi.) The “Enrollment Period is the 31 day period after the date your Life Benefits end.” (Pl.Comp.Ex. 15, v-vi.)

The Handbook, issued by M & M in April of 1998 during Morrison’s term of employment, explains that “[m]ost of the plan descriptions in this Handbook... constitute ‘summary plan descriptions’ as required by the Employee Retirement Income Security Act of 1974 (ERISA).” (PI. Comp-¶ 39, Ex. 1, Handbook, 2.) The Handbook further explains that “[s]um-mary plan descriptions are intended to provide [employees] with easy-to-understand general explanations of the more significant provisions of [their] benefit plans.” (Handbook, 2.)

According to the Handbook, during their term of employment eligible employees “are automatically covered by a Basic Life Insurance benefit” in the amount of one times their salary, with the cost of coverage paid by M & M. (Handbook, E-l.) In addition, eligible employees “may buy additional portable, group term life insurance coverage of one to six times the amount of [their] annual base salary.” (Handbook, E-l.) The Handbook explains that both “Basic Life Insurance” and “Optional Life Insurance” are “term insurance plans” that provide coverage for the period of an employee’s “active Company employment.” (Handbook, E-2).

An employee seeking to maintain a life insurance policy after the end of his or her employment may do so in one of two possible ways, as set out in the Handbook:

“Within 31 days after employment ends, you may: [1] Convert your Basic Life, *837 Optional Life, Spouse Life and Dependent Children Life coverage to an individual policy without providing evidence of insurability. [2] Continue all or a portion of your Optional Life coverage by paying contributions for coverage directly to the insurer under the Plan’s portability provision.”

(Handbook, E-2.) “Portability” is defined as a feature of the Optional Life Insurance Plan that allows an employee “to take a life insurance policy with you even if you leave the Company and begin to work elsewhere, provided you continue to make the required contributions.” (Handbook, E-2.)

The Plan Certificate states that “if you have a claim for benefits which is denied or ignored, in whole or in part, you may file suit in a state or Federal court.” (PI. Comp.Ex. 15, 35.) The Plan Certificate does not specify the time during which a suit must be filed.

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326 F. Supp. 2d 833, 33 Employee Benefits Cas. (BNA) 2531, 2004 U.S. Dist. LEXIS 14096, 2004 WL 1646941, Counsel Stack Legal Research, https://law.counselstack.com/opinion/morrison-v-marsh-mclennan-companies-inc-mied-2004.