Perroti-Johns v. Wal-Mart et al.

2006 DNH 079
CourtDistrict Court, D. New Hampshire
DecidedJuly 11, 2006
DocketCV-05-243-PB
StatusPublished
Cited by1 cases

This text of 2006 DNH 079 (Perroti-Johns v. Wal-Mart et al.) is published on Counsel Stack Legal Research, covering District Court, D. New Hampshire primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Perroti-Johns v. Wal-Mart et al., 2006 DNH 079 (D.N.H. 2006).

Opinion

Perroti-Johns v . Wal-Mart et a l . CV-05-243-PB 07/11/06 UNITED STATES DISTRICT COURT FOR THE DISTRICT OF NEW HAMPSHIRE

Lori Perrotti-Johns

v. Case No. 05-cv-243-PB Opinion No. 2006 DNH 079 Wal-Mart Stores, Inc. and John Does One through Five

MEMORANDUM AND ORDER

Lori Perrotti-Johns, a former management-level employee of

Wal-Mart Stores, Inc. (“Wal-Mart”) alleges that Wal-Mart

wrongfully allowed her health insurance to be cancelled and

wrongfully terminated her employment. Wal-Mart has filed a

motion to dismiss for failure to state a claim upon which relief

can be granted (Doc. N o . 2 4 ) . For the reasons set forth below, I

grant Wal-Mart’s motion in part and deny it in part.

I. BACKGROUND1

Perrotti-Johns held a management-level position at Wal-Mart.

Am. Compl. ¶ 6. She was eligible for and participated in Wal-

Mart’s Associates’ Health and Welfare Plan (the “Plan”), which

1 I describe the facts in the light most favorable to Perrotti-Johns. provided health and dental insurance. Id. ¶¶ 6, 8-9.

On September 2 7 , 1999, Perrotti-Johns suffered an injury at

work and became disabled. Id. ¶ 1 3 . She stopped working and

commenced a workers’ compensation proceeding. Id. Shortly

thereafter, she testified against Wal-Mart in an employment

discrimination lawsuit. Id. ¶ 3 0 .

Although she was no longer working, Perrotti-Johns remained

eligible to participate in the Plan so long as she paid the

applicable premiums. Id. ¶ 4 . Wal-Mart instructed her to pay

the premiums by sending checks to an address that the company

provided. Id. ¶ 1 6 . Perrotti-Johns mailed all of her premiums

in a timely fashion. Id. ¶¶ 1 6 , 1 9 . Nevertheless, the Plan

notified her that her benefits had been cancelled for nonpayment

of premiums. Id. ¶ 1 8 .

Perrotti-Johns contacted Wal-Mart about the cancellation of

her benefits and the company repeatedly promised that her

coverage would be reinstated. Id. ¶ 2 9 . Perrotti-Johns

eventually received a “refund” from Wal-Mart, although she had

not requested a refund and the amount she received was not equal

to the amount she had paid in premiums. Id. ¶¶ 21-23. Wal-Mart

ultimately informed Perrotti-Johns that it had accidentally

-2- applied her premium payments to the purchase of Wal-Mart stock.

Id. ¶ 2 4 .

On May 2 5 , 2005, Perrotti-Johns sued Wal-Mart in Rockingham

County Superior Court. See State Court Writ of Summons. Wal-

Mart timely removed the action to this court, see Notice of

Removal (Doc. N o . 1 ) , and filed a motion to dismiss (Doc. N o . 6 ) .

On January 1 9 , 2006, I granted the motion to dismiss. I held

that Perrotti-Johns’ negligence, breach of contract, and breach

of fiduciary duty claims were preempted by the Employee

Retirement Income Security Act of 1974 (“ERISA”), 29 U.S.C. §

1001, et seq., and that Perrotti-Johns had failed to state a

claim for wrongful discharge because her complaint did not allege

that Wal-Mart fired her or that she resigned because of

intolerable working conditions. See Order on Wal-Mart’s First

Motion to Dismiss (“First Order”) (Doc. N o . 1 9 ) , 2006 DNH 5 , at

7 , 9. Perrotti subsequently amended her complaint. The amended

complaint (Doc. N o . 22) consists of ERISA claims for benefits due

and breach of fiduciary duty, two state statutory claims, and a

common law claim for wrongful discharge.

-3- II. STANDARD OF REVIEW

In considering a motion to dismiss under Federal Rule of

Civil Procedure 12(b)(6), 2 I “accept as true the well-pleaded

factual allegations of the complaint, draw all reasonable

inferences therefrom in the plaintiff’s favor and determine

whether the complaint, so read, sets forth facts sufficient to

justify recovery on any cognizable theory.” Martin v . Applied

Cellular Tech., 284 F.3d 1 , 6 (1st Cir. 2002). An action should

be dismissed “only if the plaintiff’s factual averments hold out

no hope of recovery on any theory adumbrated in its complaint.”

In re Colonial Mortgage Bankers Corp., 324 F.3d 1 2 , 15 (1st Cir.

2003).

III. ANALYSIS

A. ERISA Claim to Recover Benefits Due

In Count I , Perrotti-Johns seeks to recover Plan benefits

that she alleges have been wrongfully withheld. A claim to

recover benefits due arises under 29 U.S.C. § 1132(a)(1)(B),

2 Wal-Mart states that its motion is pursuant to Rule 12(b)(6) and Rule 12(b)(1). Rule 12(b)(1) authorizes dismissal for lack of subject matter jurisdiction. I cannot discern a subject matter jurisdiction argument in Wal-Mart’s briefs. Thus, I analyze Wal-Mart’s motion under Rule 12(b)(6).

-4- which provides that a participant in an employee benefit plan may

bring a civil action “to recover benefits due to him under the

terms of his plan, to enforce his rights under the terms of the

plan, or to clarify his rights to future benefits under the terms

of the plan.” Wal-Mart argues that Perrotti-Johns has failed to

state a claim to recover benefits due because (1) Wal-Mart is not

a proper defendant in an action to recover benefits due; and (2)

Perrotti-Johns has failed to exhaust the Plan’s internal

administrative remedies.

Ordinarily, the proper defendants in an action for benefits

due under 29 U.S.C. § 1132(a)(1)(B) are the employee benefit plan

itself and the named plan administrator. Thiffault v . Butler

Home Prods., Inc., N o . 05-4001 1-FDS, 2006 U.S. Dist. LEXIS 6236,

at *4 (D. Mass. Jan. 5 , 2006); see also Terry v . Bayer Corp., 145

F.3d 2 8 , 36 (1st Cir. 1998). Wal-Mart has submitted a portion of

the applicable summary plan description, the authenticity of

which Perrotti-Johns does not contest, demonstrating that it

appointed a plan administrator. If an employer has appointed a

plan administrator, the employer is not a proper defendant unless

it “controlled or somehow influenced the administration of the

plan.” Id. There is very little in Perrotti-Johns’ amended

-5- complaint to support an argument that Wal-Mart controlled or

otherwise influenced plan administration. However, even if I

assume that Perrotti-Johns’ factual allegations are sufficient to

support a claim that Wal-Mart can be named as a defendant in a

claim for benefits due because it influenced the administration

of the plan, her claim is premature because she has failed to

exhaust the internal administrative remedies available to her.

Exhaustion of internal administrative remedies is a

necessary prerequisite to judicial review under § 1132(a)(1)(B).

Terry, 145 F.3d at 3 6 . Perrotti-Johns concedes that she did not

avail herself of the Plan’s internal administrative remedies,

which required her to file an appeal within 60 days of receiving

a written notice denying her benefits claim. Pl.’s O b j . at 3 .

Instead, she argues that her failure to exhaust should be excused

by the equitable estoppel exception to the exhaustion

requirement.3

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