Perry v. Unum Life Insurance Co. of America

353 F. Supp. 2d 1237, 2005 U.S. Dist. LEXIS 4623, 2005 WL 181851
CourtDistrict Court, N.D. Georgia
DecidedJanuary 11, 2005
DocketCIV.A. 104CV1954BBM
StatusPublished
Cited by6 cases

This text of 353 F. Supp. 2d 1237 (Perry v. Unum Life Insurance Co. of America) is published on Counsel Stack Legal Research, covering District Court, N.D. Georgia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

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Perry v. Unum Life Insurance Co. of America, 353 F. Supp. 2d 1237, 2005 U.S. Dist. LEXIS 4623, 2005 WL 181851 (N.D. Ga. 2005).

Opinion

ORDER

MARTIN, District Judge.

This matter is before the court on the Motion to Dismiss [Doc. No. 4] filed by defendant UnumProvident Corporation (“UnumProvident”).

I. Factual and Procedural Background 1

Plaintiff Toni Perry (“Perry”) has sued UnumProvident and its subsidiary, Unum Life Insurance Company (“Unum Life”), for claims arising out of the alleged wrongful denial of Perry’s disability benefits. Specifically, Perry’s claims relate to Unum Life disability policy No. 546511 001 (the “Policy”), issued to the Atlanta Board of Education. As a teacher employed by the Atlanta Board of Education, Perry was covered under the Policy.

According to the Complaint, Perry suffered from multiple sclerosis and diabetes prior to August 10, 2000; however, on or about August 10, 2000, Perry’s treating physicians determined that Perry’s condition had worsened so that, among other things, she needed frequent rest periods; she could not walk for long periods of time; and she was advised to perform only sedentary activity. The treating physicians also determined that Perry’s condition was not likely to improve in any area due to the nature of multiple sclerosis. Perry thus submitted a claim for long-term disability benefits pursuant to the Policy, and according to the Complaint, the “Defendants” approved Perry’s long-term disability claim from February 6, 2001 to October 18, 2001. However, on or about October 18, 2001, Unum Life denied Perry’s continuation of benefits, allegedly stating that Unum Life’s “medical staff ha[d] reviewed the additional medical [sic] and concluded that there is no objective medical evidence to support total disability.” Perry alleges that the failure to continue long-term disability payments was “wrong and without substantial evidentiary support.”

The Complaint is comprised of five counts. Count I is for breach of contract under O.C.G.A. § 9-2-20, and seeks to hold Unum Life and UnumProvident liable for breaching the Policy by discontinuing Perry’s long-term disability benefits while she continued to meet the Policy’s definition of disability. Count II is for tortious interference with contractual relations, for UnumProvident having allegedly wrongfully caused Unum Life to breach the Policy. Count III is for punitive damages under O.C.G.A. § 51-12-5.1 for UnumProvident’s alleged wrongful interference with the Policy. Count IV alleges that “UnumProvi- *1239 dent engaged in a Joint Venture with Unum Life and UnumProvident is the Alter Ego of Unum Life.” 2 Finally, Count V seeks to recover attorney’s fees and litigation expenses pursuant to O.C.G.A. §§ 9-15-14 and 13-6-11.

UnumProvident asks the court to dismiss each courit of the Complaint against it. As for Count I, UnumProvident argues that the general rule is that a breach of contract claim may only be brought against a party to the contract, and additionally, as a matter of law, Perry has failed to allege facts upon which the court can pierce the corporate veil and hold Un-umProvident responsible for Unum Life’s alleged breach of the Policy. UnumProvi-dent argues that Count II fails to state a claim upon which relief can be granted because as a matter of law, UnumProvi-dent is not a “stranger” to the contracts of Unum Life (its subsidiary), and 1 UnumPro-vident must be a “stranger” to a contract before it can tortiously interfere with that contract. UnumProvident further argues that Count III fails to state a claim because of the well-established rule that punitive damages are not available for contract claims, and because Count II, the only tort claim in the Complaint, itself fails as a matter of law. Count IV, as discussed supra at note 2, fails to state an independent claim upon which relief can be granted and is accordingly DISMISSED as to both UnumProvident and Unum Life. Finally, UnumProvident argues that Count V fails to state a claim because the exclusive remedy under Georgia law for failure to pay insurance benefits is O.C.G.A. § 33-4-6, and further, because all of Perry’s other (underlying) claims fail as a matter of law against UnumProvident. The court addresses each count of the Complaint in turn.

II. Legal Standard

In considering a motion to dismiss under Fed.R.Civ.P. 12(b)(6), the court takes “the facts alleged in the complaint as true and constru[es] them in the light most favorable to the plaintiff.” Jackson v. Birmingham Bd. of Educ., 309 F.3d 1333, 1335 (11th Cir.2002). In order to prevail on a motion to dismiss, the movant must demonstrate “ ‘beyond doubt that the plaintiff can prove no set of facts in support of his claim which would entitle him to relief.’ ” Harper v. Blockbuster Entm’t Corp., 139 F.3d 1385, 1387 (11th Cir.1998) (citation omitted).

III. Analysis

A. Breach of Contract

It is undisputed that UnumProvi-dent is “not a party to the Policy” and Perry does not allege that there is privity of contract between UnumProvident, Unum Life, and/or Perry. Under Georgia law, the “cardinal rule ... is that a corporation possesses a legal existence separate and apart from that of its officers and shareholders.” Amason v. Whitehead, 186 Ga.App. 320, 322, 367 S.E.2d 107, 108 (1988). Moreover, as a general matter, a breach of contract claim may only be maintained against a party to the contract. “An insurance contract is no exception to this general rule.” Equitable Fire Ins. Co. v. Jefferson Standard Life Ins. Co., 26 Ga.App. 241, 243, 105 S.E. 818, 819 (1921). *1240 Nevertheless, Perry seeks to “pierce the corporate veil” and hold UnumProvident liable for breach of the Policy. It is true that “ ‘upon equitable principles the legal entity of a corporation may be disregarded.’ ” Amason, 186 Ga.App. at 321, 367 S.E.2d at 108 (citation omitted). However, “ ‘great caution should be exercised by the court in doing so,’ ” and “[t]here must be evidence of abuse of the corporate form.” Id. at 321-22, 367 S.E.2d at 108 (citation omitted).

In Johnson v. Lipton, 254 Ga. 326, 328 S.E.2d 533 (1985), the Georgia Supreme Court reconciled two separate lines of eases on the issue of corporate veil-piercing, and stated that

both of these lines of cases require, as a precondition

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353 F. Supp. 2d 1237, 2005 U.S. Dist. LEXIS 4623, 2005 WL 181851, Counsel Stack Legal Research, https://law.counselstack.com/opinion/perry-v-unum-life-insurance-co-of-america-gand-2005.