Olick v. Kearney

451 F. Supp. 2d 665, 39 Employee Benefits Cas. (BNA) 2693, 2006 U.S. Dist. LEXIS 64580, 2006 WL 2598022
CourtDistrict Court, E.D. Pennsylvania
DecidedSeptember 11, 2006
DocketCivil Action 06-1531
StatusPublished
Cited by3 cases

This text of 451 F. Supp. 2d 665 (Olick v. Kearney) is published on Counsel Stack Legal Research, covering District Court, E.D. Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Olick v. Kearney, 451 F. Supp. 2d 665, 39 Employee Benefits Cas. (BNA) 2693, 2006 U.S. Dist. LEXIS 64580, 2006 WL 2598022 (E.D. Pa. 2006).

Opinion

MEMORANDUM AND ORDER

KATZ, Senior District Judge.

I. Introduction

Before the court are the Motion to Dismiss of Defendants James Kearney, Thomas Jenkins, and the Knights of Columbus, and Defendant Aetna’s Motion to Dismiss Plaintiffs June 26, 2006 Amended Complaint (Plaintiffs Fourth Amendment), and the Plaintiffs response thereto. 1 For the reasons set forth below, both Motions are granted in part and denied in part.

II. Facts

In June 1995, Plaintiff Thomas Olick entered into an employment contract (“the Contract”) with Defendant Knights of Columbus (“Knights”) whereby Knights au *670 thorized Plaintiff to sell its insurance products to members of five Knights of Columbus Councils. 2 See Amended Compl., ¶¶ 10, 14. Shortly after signing the Contract, Plaintiff became eligible for and purchased group health insurance for his wife and children from Defendant Aet-na Life Insurance Company (“Aetna”). Id. ¶ 35. Plaintiff paid all required premiums for this insurance until February 15, 2006. /(¿¶36.

Beginning in February 2005, Plaintiffs relationship with Kúghts, and especially with Defendant James Kearney (“Kear-ney”), Knights’ general agent, began to sour. Plaintiff alleges that, over the next year, Defendants Knights and Kearney reduced Plaintiffs sales territory without reducing his sales quota, id. ¶¶ 120, 126, 128, and acted in numerous other ways to sabotage his sales efforts (e.g., by withholding information regarding Plaintiffs territory, failing to inform Plaintiff of his customers’ overdue premiums, punishing Plaintiff for his opposition to illegal sales practices, and refusing to approve policies written by Plaintiff). Id. ¶¶ 129, 131, 133, 138, 142, 145, 147, 152, 157, 169, 176, 179, 181, 183, 189. Plaintiff further alleges that Knights improperly reduced his commissions on two occasions, id. ¶¶ 292, 294-297, and that Defendant Thomas Jenkins (“Jenkins”), a fellow Field Agent for Knights, unlawfully took over his former sales territory and interfered with his sales efforts. Id. ¶¶ 152, 181, 183.

Despite these clashes with his colleagues and superiors, Plaintiff claims that he was never formally terminated, id. ¶ 90, and thus never became ineligible for his group health insurance. Yet the COBRA Notice (dated February 28, 2006) that Plaintiff received from Knights on March 1, 2006 indicates that Plaintiff was fired on November 1, 2005. Id. ¶ 37, Exhibit 3. In any case, Plaintiff alleges that after March 1, 2006, Defendant Aetna informed Plaintiff that he and his family were no longer covered and refused to pay more than $3,000 in medical bills that should have been covered by his group health insurance plan. Id. ¶¶ 49-51, 81. Soon thereafter, Plaintiff appealed Aetna’s claims decisions orally and in writing, but received no response. Id. ¶¶ 52-57.

Plaintiffs first Complaint was filed on February 15, 2006 in the Court of Common Pleas for Northampton County against Knights and Kearney. On March 13, before Defendants responded, Plaintiff amended the Complaint to add Aetna as a Defendant. On April 3, Plaintiff amended his Complaint again; on April 11, Aetna, with the consent of Knights and Kearney, removed the action to this court. On April 26, Plaintiff filed a new Complaint without leave of court, and that Complaint was stricken on June 5. The Amended Complaint at issue here, which added Jenkins as a Defendant, was filed on June 26.

The Amended Complaint consists of eight counts: (1) violations of ERISA and COBRA, (2) breaches of fiduciary duty under ERISA, (3) breaches of contract, including breaches of the implied covenant of good faith and fair dealing, (4) tortious interference with contract, (5) retaliation and unfair insurance practices, (6) age discrimination and retaliation, (7) “job discrimination,” and (8) conversion and breach of contract.

III. Standard of Review

A motion to dismiss pursuant to Fed. R.Civ.P. 12(b)(6) tests the legal sufficiency *671 of the complaint. See Jodek Charitable Trust, R.A. v. VerticalNet, Inc., 412 F.Supp.2d 469, 474 (E.D.Pa.2006) (citing Kost v. Kozakiewicz, 1 F.3d 176, 183 (3d Cir.1993)). In considering the motion, the court must accept as true all allegations in the complaint and all reasonable inferences that can be drawn from them when viewing them in the light most favorable to the non-movant, see Jordan v. Fox, Rothschild, O’Brien & Frankel, 20 F.3d 1250, 1261 (3d Cir.1994), but the court need not credit bald assertions or legal conclusions. See Morse v. Lower Merion Sch. Dist., 132 F.3d 902, 906 (3d Cir.1997). Moreover, the court should look only to the facts alleged in the complaint and its attachments without reference to other parts of the record. See Jordan, 20 F.3d at 1261. The court should grant the motion only if it “appears beyond doubt that the plaintiff can prove no set of facts in support of his claim which would entitle him to relief.” Conley v. Gibson, 355 U.S. 41, 45-46, 78 S.Ct. 99, 2 L.Ed.2d 80 (1957).

IV. Discussion

A. Count I — ERISA and COBRA Claims

In Count I of the Complaint, Plaintiff sets forth claims against Defendants Knights of Columbus (“Knights”) and Aet-na Life Insurance Company (“Aetna”) under the Employee Retirement Income Security Act of 1974 (“ERISA”), 88 Stat. 829, as amended, 29 U.S.C. § 1001 et seq. (2006), and the Consolidated Omnibus Budget Reconciliation Act of 1985 (“COBRA”), 100 Stat. 227, as amended, 29 U.S.C. § 1161 et seq. (2006).

1. ERISA Claims Against Knights and Aetna

Plaintiff sets forth two ERISA claims against Defendants Knights and Aetna. First, Plaintiff alleges that, under § 502(a)(1)(B) of ERISA, Knights and Aet-na are liable for approximately $3,000 in medical expenses for which coverage was refused between November 1, 2005 and March 1, 2006. See Amended Compl., ¶ 81. Second, Plaintiff alleges that ERISA (presumably § 502(a)(3)(B) thereof) requires that Knights and Aetna return all premiums paid by Plaintiff after November 1, 2005. See id. ¶ 85.

a. The § 502(a)(1)(B) Claims

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Olick v. Kearney (In Re Olick)
498 F. App'x 153 (Third Circuit, 2012)
Haisley v. Sedgwick Claims Management Services, Inc.
776 F. Supp. 2d 33 (W.D. Pennsylvania, 2011)
Olick v. Kearney (In Re Olick)
422 B.R. 507 (E.D. Pennsylvania, 2009)

Cite This Page — Counsel Stack

Bluebook (online)
451 F. Supp. 2d 665, 39 Employee Benefits Cas. (BNA) 2693, 2006 U.S. Dist. LEXIS 64580, 2006 WL 2598022, Counsel Stack Legal Research, https://law.counselstack.com/opinion/olick-v-kearney-paed-2006.