Reid v. Gruntal & Co., Inc.

760 F. Supp. 945, 1991 U.S. Dist. LEXIS 5124, 1991 WL 57891
CourtDistrict Court, D. Maine
DecidedApril 9, 1991
Docket90-0062
StatusPublished
Cited by5 cases

This text of 760 F. Supp. 945 (Reid v. Gruntal & Co., Inc.) is published on Counsel Stack Legal Research, covering District Court, D. Maine primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Reid v. Gruntal & Co., Inc., 760 F. Supp. 945, 1991 U.S. Dist. LEXIS 5124, 1991 WL 57891 (D. Me. 1991).

Opinion

MEMORANDUM OF DECISION AND ORDER ON DEFENDANT GRUNTAL’S MOTION TO DISMISS

GENE CARTER, Chief Judge.

This matter comes before the Court on Defendant Gruntal & Co., Inc.’s Motion to Dismiss pursuant to Federal Rule of Civil Procedure 12(b)(6). For the reasons discussed below, the Motion will be granted in part and denied in part.

I. FACTS AND PROCEDURAL HISTORY

Plaintiff Rosemary Reid, a Maine resident, entered into a five-year employment contract with Defendant Gruntal & Co., Inc. (hereinafter Gruntal), a Delaware corporation, on August 21, 1987. As one component of her compensation, Defendant Gruntal offered to Plaintiff a benefits package which included group long-term disability insurance, to be paid for by Gruntal, and supplemental long-term disability insurance, to be paid for by Plaintiff. The premium for the supplemental disability benefits was forty-four cents for each one hundred dollars of Plaintiff’s “basic monthly earnings.” The maximum benefit available under this supplemental plan was to be two-thirds of Plaintiff’s “basic monthly earnings,” not to exceed $10,000. Defendant First UNUM Life Insurance Company (hereinafter UNUM) was the underwriter for the long-term and supplemental disability insurance policies, while Defendant Gruntal bore the responsibility for determining employees’ eligibility and the amount of premiums due from covered employees.

With Plaintiff’s consent, Defendant Gruntal withheld forty-four dollars from her pay each month, up to and including January 1989, which was applied to the premium for supplemental disability insurance. Plaintiff suffered a major depressive episode on June 29, 1988 which rendered her disabled. She filed a claim for benefits under the disability insurance policy on or about November 27, 1988. Defendant UNUM received the claim on January 26, 1989 and agreed to pay Plaintiff supplemental disability benefits in the amount of $775.39 per month. Each of these facts is undisputed.

Plaintiff claims that Defendant UNUM’s monthly payments of $775.39 are substantially less than the benefits to which she is allegedly entitled under the supplemental disability insurance policy as it was represented to her by Defendant Gruntal. *947 Plaintiff’s disagreement with Defendant UNUM over the amount of the benefits turns on differing interpretations of the phrase “basic monthly earnings” which is used in the insurance policy to determine the amounts of both benefits and premiums. The policy defines “basic monthly earnings” for employees receiving commissions, including Plaintiff, as follows:

“Basic monthly earnings” means the insured’s monthly rate of earnings from the employer for the fiscal period of July in effect just prior to the date disability begins. It includes commissions but not bonuses and other compensation or pay for more than 40 hours in a week.

Affidavit of Donald A. Russell, Exhibit A at Lr-PS-2 (2/1/88 Rev.) (Docket No. 4).

Defendant UNUM arrived at the $775.39 monthly benefit it paid to Plaintiff by calculating Plaintiff’s basic monthly earnings using only those earnings paid by Defendant Gruntal. Excluded from this calculation were any earnings paid by Plaintiff’s previous employer. Plaintiff alleges that Defendant Gruntal represented to her that Plaintiff’s disability benefits would equal two-thirds of her total earnings for the calendar year immediately preceding the onset of disability, including any earnings Plaintiff received from previous employers during that time. Defendant Gruntal essentially agrees with Plaintiff’s interpretation of the policy, and alleges that it has determined coverage under the supplementary disability insurance policy by projecting an “employee’s expected average monthly earnings from Gruntal, based on the employee’s W-2 from his previous employer.” Answer and Cross-Claim of Defendant Gruntal at 14 (Docket No. 6) (emphasis added).

Plaintiff filed a Complaint in this Court on March 6, 1990, which she subsequently amended, 1 seeking declaratory relief, reformation of the disability insurance policy, and damages. Specifically, Plaintiff makes six state common law claims against Defendant Gruntal: (1) Gruntal made fraudulent misrepresentations about her disability benefits; (2) Gruntal made negligent misrepresentations about her disability benefits; (3) Gruntal breached Plaintiff’s employment contract; (4) Gruntal is estopped from refusing to perform its promise to pay the greater amount of benefits; (5) Gruntal was negligent; and (6) Gruntal breached its common law fiduciary duty to Plaintiff.

Plaintiff also alleges that Defendant Gruntal infringed her rights under the Employee Retirement Income Security Act (hereinafter ERISA or Act), 29 U.S.C. § 1001 et seq., and breached its fiduciary duty under ERISA. In addition, Plaintiff claimed that Defendant UNUM breached its fiduciary duty under the Act, and was estopped under ERISA from denying Plaintiff the greater amount of disability benefits. 2

Plaintiff has settled and released her claims against Defendant UNUM and, by order of this Court on December 4, 1990, all of Plaintiff’s claims against Defendant UNUM were dismissed pursuant to Federal Rule of Civil Procedure 41. Defendant Gruntal made appropriate and timely cross-claims against Defendant UNUM prior to that dismissal, seeking indemnity and contribution from Defendant UNUM for Plaintiff’s claims in addition to claims for breach of contract, negligence, promissory estop-pel, and unjust enrichment. Thus, Defendant UNUM remains in the case as a third-party defendant.

Defendant Gruntal now seeks dismissal of Plaintiff’s state common law claims on the grounds that these claims are preempted by ERISA and, as a result, fail to state *948 a claim upon which relief may be granted. In addition, Defendant Gruntal seeks dismissal of Plaintiffs ERISA claims. 3

II. MOTION TO DISMISS AND PREEMPTION OF STATE LAW CLAIMS

Rule 12(b)(6) permits motions to dismiss which allow defendants to test the formal sufficiency of a plaintiffs pleadings. The sufficiency of a pleading must, however, be considered in light of the liberal notice pleading requirements of the Federal Rules of Civil Procedure. Mladen v. Gunty, 655 F.Supp. 455, 457 (D.Me.1987) (citing 5 C. Wright & A. Miller, Federal Practice and Procedure § 1356, at 590 (1969)). “[A] complaint should not be dismissed for failure to state a claim unless 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

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Cite This Page — Counsel Stack

Bluebook (online)
760 F. Supp. 945, 1991 U.S. Dist. LEXIS 5124, 1991 WL 57891, Counsel Stack Legal Research, https://law.counselstack.com/opinion/reid-v-gruntal-co-inc-med-1991.