ROBERTS v. LIFE INSURANCE COMPANY OF AMERICA

CourtDistrict Court, M.D. North Carolina
DecidedSeptember 14, 2020
Docket1:19-cv-01012
StatusUnknown

This text of ROBERTS v. LIFE INSURANCE COMPANY OF AMERICA (ROBERTS v. LIFE INSURANCE COMPANY OF AMERICA) is published on Counsel Stack Legal Research, covering District Court, M.D. North Carolina primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
ROBERTS v. LIFE INSURANCE COMPANY OF AMERICA, (M.D.N.C. 2020).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE MIDDLE DISTRICT OF NORTH CAROLINA

DANIEL ENCOH ROBERTS, ) ) Plaintiff, ) ) v. ) 1:19CV1012 ) LIFE INSURANCE COMPANY OF ) OF NORTH AMERICA, ) ) Defendant. )

MEMORANDUM OPINION AND ORDER LORETTA C. BIGGS, District Judge. Plaintiff Daniel Enoch Roberts, proceeding pro se, brings this action against Life Insurance Company of North America (“Defendant”) under the Employee Retirement Income Security Act of 1974 (“ERISA”). (ECF No. 4 at 3.) Plaintiff alleges that Defendant violated ERISA by paying him less than he was owed from a long-term disability policy provided by his employer. (See id. at 5.) Before the Court is Defendant’s Motion to Dismiss Plaintiff’s Amended Complaint. (ECF No. 8.) For the reasons set forth below, the Court will grant Defendant’s motion. Defendant contends that because Plaintiff has already settled and released this claim in a previous federal lawsuit (“the South Carolina suit”), it is entitled to dismissal pursuant to Federal Rule of Civil Procedure 12(b)(1), for lack of jurisdiction based on mootness, and Rule 12(b)(6), for failure to state a claim. (See ECF No. 11 at 1.) Generally, courts resolve the issue of jurisdiction before proceeding to the merits. See, e.g., Action NC v. Strach, 216 F. Supp. 3d 597, 611 (M.D.N.C. 2016). However, recognizing that the Fourth Circuit has cautioned against resolving jurisdictional disputes through Rule 12(b)(1) motions where, as here, jurisdictional allegations and facts are “inextricably intertwined” with the merits of the case, Lutfi v. United States, 527 F. App’x 236, 241 (4th Cir. 2013); Kerns v. United States, 585 F.3d 187,

193 (4th Cir. 2009), the Court will analyze Defendant’s motion only under Rule 12(b)(6). I. STANDARD OF REVIEW A motion to dismiss filed pursuant to Rule 12(b)(6) “challenges the legal sufficiency of a complaint.” Francis v. Giacomelli, 588 F.3d 186, 192 (4th Cir. 2009). To survive dismissal, a complaint “must contain sufficient factual matter, accepted as true, to ‘state a claim to relief that is plausible on its face.’” Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009) (quoting Bell Atl. Corp.

v. Twombly, 550 U.S. 544, 570 (2007)). In assessing a claim’s plausibility, a court must draw all reasonable inferences in the plaintiff’s favor. Vitol, S.A. v. Primerose Shipping Co., 708 F.3d 527, 539 (4th Cir. 2013). However, “mere conclusory and speculative allegations” are insufficient, Painter’s Mill Grille, LLC v. Brown, 716 F.3d 342, 350 (4th Cir. 2013), and a court “need not accept as true unwarranted inferences, unreasonable conclusions, or arguments,” Vitol, 708 F.3d at 548 (quoting Jordan v. Alt. Res. Corp., 458 F.3d 332, 338 (4th Cir. 2006)). Further,

“[w]hile a pro se litigant’s pleadings are liberally construed, a pro se complaint must still contain sufficient facts to raise a right to relief above the speculative level and state a claim to relief that is plausible on its face.” Adams v. Sw. Va. Reg’l Jail Auth., 524 F. App’x 899, 900 (4th Cir. 2013) (internal citation and quotations omitted). II. BACKGROUND Approximately one year prior to the filing of this lawsuit, on September 21, 2018,

Plaintiff sued Defendant in the United States District Court for the District of South Carolina, seeking a declaration pursuant to 29 U.S.C. 1132(a)(1)(B) that he was entitled to long-term disability benefits.1 (See ECF No. 11-1 ¶¶ 3, 9.) In that suit, Plaintiff, who was represented by counsel, alleged that he was employed by Food Lion, LLC until December of 2010, when he

became disabled. (Id. ¶¶ 4–5.) As a Food Lion employee, “Plaintiff was provided with long term disability coverage via a plan which was fully insured by Defendant.” (Id. ¶ 4.) However, when Plaintiff filed a claim for long-term disability benefits, Defendant denied his claim. (Id. ¶¶ 5–6.) On December 12, 2018, the parties in the South Carolina suit entered into a “Confidential Release of all Claims” (“the Release”), in which Defendant paid Plaintiff a sum

of money and, in exchange, Plaintiff released any and all claims he had related to the long- term disability income policy that Defendant issued to Food Lion.2 (See ECF No. 11-2 ¶¶ 3, 5.) The next day, the District of South Carolina entered an Order of Dismissal recognizing that the South Carolina suit had been settled and noted that its dismissal would be “with prejudice” if the parties did not move to reopen the action or enforce the settlement within 60 days.3 (ECF No. 11-3.) Defendant has represented to the Court, and the Court has

independently confirmed, that neither party took such action. (See ECF No. 14 at 2.) Consequently, the South Carolina suit was dismissed with prejudice.

1 The Court takes judicial notice of Plaintiff’s complaint in the South Carolina suit and therefore considers it on this Motion to Dismiss. See Philips v. Pitt Cty. Mem’l Hosp., 572 F.3d 176, 180 (4th Cir. 2009).

2 The Court considers the Release as it is central to Plaintiff’s claim and its authenticity is not in dispute. Witthohn v. Fed. Ins. Co., 164 F. App’x 395, 396–97 (4th Cir. 2006); Stewart v. Johnson, 125 F. Supp. 3d 554, 558 (M.D.N.C. 2015).

3 The Court also takes judicial notice of the Order of Dismissal. See Philips, 572 F.3d at 180. Plaintiff then filed the instant lawsuit on September 27, 2019, approximately ten months after the dismissal of the South Carolina suit. (ECF No. 1.) A few days later, Plaintiff filed an Amended Complaint, which is the operative complaint here. (ECF No. 4.) In

response to Plaintiff’s Amended Complaint, Defendant filed the Motion to Dismiss now before the Court. (ECF No. 8.) III. DISCUSSION Defendant moves to dismiss Plaintiff’s Amended Complaint pursuant to Fed. R. Civ. P. 12(b)(6), arguing that Plaintiff has “already litigated, settled and released the very same claims he brings” in his Amended Complaint. (See ECF No. 11 at 7–9.) Plaintiff appears to

oppose this motion on the grounds that the Release was fraudulently obtained, though this argument is only alluded to in his brief opposing Defendant’s motion and is not raised in his Amended Complaint. (See ECF Nos. 4; 13 at 1.) Plaintiff filed this lawsuit pro se using a pre-printed form complaint. (ECF No. 4.) When asked on his form to list the basis for federal jurisdiction, Plaintiff listed three federal statutes, only one of which, 29 U.S.C. 1132(a)(1)(b), is squarely at issue in this case.4 (Id. at 3.)

Plaintiff then alleged the following: [Defendant] underpayed the plaintiff backpayments and monthly check payments from a long term disability policy pursuant to ERISA 29 U.S. Code § 1132(a)(1)(b) [Defendant] dating back to 2010 after paying the full $700 per week salary on his short term disability policy.

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Related

Bell Atlantic Corp. v. Twombly
550 U.S. 544 (Supreme Court, 2007)
Ashcroft v. Iqbal
556 U.S. 662 (Supreme Court, 2009)
Skilling v. United States
561 U.S. 358 (Supreme Court, 2010)
Vitol, S.A. v. Primerose Shipping Co.
708 F.3d 527 (Fourth Circuit, 2013)
Bruce Bereano v. United States
706 F.3d 568 (Fourth Circuit, 2013)
George Lutfi v. United States
527 F. App'x 236 (Fourth Circuit, 2013)
Adams v. Southwest Virginia Regional Jail Authority
524 F. App'x 899 (Fourth Circuit, 2013)
Painter's Mill Grille, LLC v. Howard Brown
716 F.3d 342 (Fourth Circuit, 2013)
Witthohn v. Federal Insurance
164 F. App'x 395 (Fourth Circuit, 2006)
Philips v. Pitt County Memorial Hospital
572 F.3d 176 (Fourth Circuit, 2009)
Kerns v. United States
585 F.3d 187 (Fourth Circuit, 2009)
Francis v. Giacomelli
588 F.3d 186 (Fourth Circuit, 2009)
Farris v. Garden City, Kansas
634 F. App'x 674 (Tenth Circuit, 2016)
Gobeille v. Liberty Mut. Ins. Co.
577 U.S. 312 (Supreme Court, 2016)
Kelly v. United States
590 U.S. 391 (Supreme Court, 2020)
Stewart v. Johnson
125 F. Supp. 3d 554 (M.D. North Carolina, 2015)
Action NC v. Strach
216 F. Supp. 3d 597 (M.D. North Carolina, 2016)

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ROBERTS v. LIFE INSURANCE COMPANY OF AMERICA, Counsel Stack Legal Research, https://law.counselstack.com/opinion/roberts-v-life-insurance-company-of-america-ncmd-2020.