Morse v. Life Insurance Company of North America

CourtDistrict Court, N.D. Alabama
DecidedJuly 2, 2019
Docket2:18-cv-01681
StatusUnknown

This text of Morse v. Life Insurance Company of North America (Morse v. Life Insurance Company of North America) is published on Counsel Stack Legal Research, covering District Court, N.D. Alabama primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Morse v. Life Insurance Company of North America, (N.D. Ala. 2019).

Opinion

UNITED STATES DISTRICT COURT FOR THE NORTHERN DISTRICT OF ALABAMA SOUTHERN DIVISION

BRIAN MORSE, ) ) Plaintiff, ) v. ) ) Civil Action Number LIFE INSURANCE COMPANY OF ) 2:18-cv-01681-AKK NORTH AMERICA, ) ) Defendant. ) )

MEMORANDUM OPINION AND ORDER

Brian Morse brings this action against Life Insurance Company of North America (“LINA”) for breach of contract and bad faith, alleging that LINA wrongfully refused to pay him long term disability benefits. Doc. 1. LINA has moved to dismiss pursuant to Federal Rule of Civil Procedure 12(b)(6), arguing that Morse’s breach of contract claim is time barred by the limitations period included in the insurance policy and that Michigan law does not recognize bad faith as a separate and independent tort. See doc. 10. In light of the ambiguity of the contractual provision LINA cites in support for its limitations argument, the motion to dismiss the breach of contract claim is due to be denied. However, because LINA is correct that Michigan does not recognize bad faith as a separate tort, that claim is due to be dismissed. I. STANDARD OF REVIEW Under Federal Rule of Civil Procedure 8(a)(2), a pleading must contain “a

short and plain statement of the claim showing that the pleader is entitled to relief.” “[T]he pleading standard Rule 8 announces does not require ‘detailed factual allegations,’ but it demands more than an unadorned, the-defendant-unlawfully-

harmed-me accusation.” Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009) (citing Bell Atl. Corp. v. Twombly, 550 U.S. 544, 555 (2007)). Mere “labels and conclusions” or “a formulaic recitation of the elements of a cause of action” are insufficient. Id. (citations and internal quotation marks omitted). By contrast with Rule 8(a)’s fairly

liberal pleading standard, Federal Rule of Civil Procedure 9(b) requires a party to “state with particularity the circumstances constituting fraud or mistake.” Federal Rule of Civil Procedure 12(b)(6) permits dismissal when a complaint

fails to state a claim upon which relief can be granted. “To survive a motion to dismiss, a complaint must contain sufficient factual matter, accepted as true, to state a claim to relief that is plausible on its face.” Id. (citations and internal quotation marks omitted). A complaint states a facially plausible claim for relief “when the

plaintiff pleads factual content that allows the court to draw the reasonable inference that the defendant is liable for the misconduct alleged.” Id. (citation omitted). Ultimately, this inquiry is a “context-specific task that requires the reviewing court

to draw on its judicial experience and common sense.” Id. at 679. However, a district court “must convert a motion to dismiss into a motion for summary judgment if it considers materials outside the complaint.” Day v. Taylor,

400 F.3d 1272, 1275-76 (11th Cir. 2005) (citation omitted); see Fed. R. Civ. P. 12(d). “[T]he district court may always consider exhibits attached to the complaint on a 12(b)(6) motion, because exhibits are part of the pleadings.” Basson v. Mortgage

Electronic Registration Sys., Inc., 741 F. App’x 770, 771-72 (11th Cir. 2018) (citing Fed. R. Civ. P. 10(c) and Thaeter v. Palm Beach Cty. Sherriff’s Office, 449 F.3d 1242, 1352 (11th Cir. 2006)). Furthermore, “the court may consider a document attached to a motion to dismiss without converting the motion into one for summary

judgment if the attached document is (1) central to the plaintiff’s claim and (2) undisputed,” meaning “the authenticity of the document is not challenged.” Day, 400 F.3d at 1276 (citation omitted). In determining whether a document is “central to the

plaintiff’s claim,” the court may consider “whether the plaintiff would have to offer the document to prove his case.” Lockwood v. Beasley, 221 F. App’x 873, 877 (11th Cir. 2006). Here, LINA has attached six exhibits to its motion to dismiss, including a copy

of the long-term disability policy at issue, Policy No. LK-980083, and six letters from LINA addressed to Morse and Morse’s attorneys. See docs. 10-1, 10-2, 10-3, 10-4, 10-5, 10-6.1 The policy document and the letters dated September 4, 2013, October 7, 2014, August 3, 2015, September 23, 2015, and September 21, 2017 were

also attached to and referenced in the Complaint and are, therefore, undisputed and central to Morse’s claims. See docs. 1 at 2, 4-6, 9; 1-1; 1-5; 1-9; 1-12; 1-14; 1-22. In ruling on this motion, the court did not consider LINA’s October 25, 2012 letter

informing Morse that it was terminating his benefits effective October 24, 2012. See doc. 10-1 at 2. Although its authenticity is uncontested, this letter was not attached to or referenced in the Complaint, and the court finds that Morse would not have to offer it to prove his claims. See docs. 1; Lockwood, 221 F. App’x at 877.

Accordingly, the court has not converted the motion into a motion for summary judgment. See Miranda v. Ocwen Loan Servicing, LLC, 148 F. Supp. 3d 1349, 1353 (S.D. Fla. 2015) (declining to convert a motion to dismiss where the court did not

consider a disputed document that was not central to the plaintiff’s claims). II. BACKGROUND This action arises from a group insurance policy for long-term disability benefits issued by LINA to Morse’s former employer, Michigan State University

(MSU). See doc. 1 at 2. Under this policy (“the Policy”), eligible employees of MSU can receive long-term disability benefits if they satisfy the Policy’s criteria for

1 Exhibit D to the motion to dismiss contains two letters from LINA, dated August 3, 2015 and September 23, 2015. See doc. 10-4. having a disability. See doc. 1-1 at 7-8. However, a policyholder’s disability benefits terminate if and when LINA “determines he or she is not Disabled.” Id. at 23. The

Policy also provides for payment of additional benefits for Cost of Living Adjustment (COLA) and the MSU 403b Retirement Plan. Id. at 8. Finally, the Policy has a “Legal Action” provision which states:

No action at law or in equity may be brought to recover benefits under the Policy less than 60 days after written proof of loss, or proof by any other electronic/telephonic means authorized by the Insurance Company, has been furnished as required by the Policy. No such action shall be brought more than 3 years after the time satisfactory proof of loss is required to be furnished.

Id. at 25.

While insured under the Policy, Morse was diagnosed with multiple impairments that prevented him from continuing to work. Doc. 1 at 2-3. The Social Security Administration subsequently determined that he qualified for Social Security disability benefits with a disability onset date of October 27, 2010. Doc. 1 at 3. On April 25, 2011, Morse began receiving long-term disability benefits under the Policy, which he continued to receive until October 24, 2012. Id. Following the termination of his benefits, Morse submitted four different appeals with updated medical information to LINA seeking to overturn its determination. Id. at 3-5.

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