Rust v. Blue Cross & Blue Shield United of Wisconsin

717 F. Supp. 1409, 1989 U.S. Dist. LEXIS 14827, 1989 WL 95029
CourtDistrict Court, E.D. Wisconsin
DecidedAugust 21, 1989
DocketNo. 87-C-0751
StatusPublished

This text of 717 F. Supp. 1409 (Rust v. Blue Cross & Blue Shield United of Wisconsin) is published on Counsel Stack Legal Research, covering District Court, E.D. Wisconsin primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Rust v. Blue Cross & Blue Shield United of Wisconsin, 717 F. Supp. 1409, 1989 U.S. Dist. LEXIS 14827, 1989 WL 95029 (E.D. Wis. 1989).

Opinion

DECISION AND ORDER

WARREN, Chief Judge.

Presently before the Court are motions by defendant Blue Cross to dismiss pursuant to F.R.Civ.P. 12(b)(6) and to compel discovery.

I. BACKGROUND

Plaintiff Amy Rust brought suit against defendants Blue Cross and Blue Shield United of Wisconsin and Wisconsin Bell, Inc. in May of 1987 for damages allegedly arising out of her failure to receive insur-[1410]*1410anee benefits following her divorce. Ms. Rust, a Milwaukee resident, is the former spouse of Richard Rust, who was an employee of Wisconsin Bell in 1985. Wisconsin Bell and Blue Cross are both Wisconsin corporations. While the Rusts were married, and while Mr. Rust worked at Wisconsin Bell, Amy Rust was covered as a dependent spouse under a group “Medical Expense Plan” sponsored by Wisconsin Bell and administered by Blue Cross. This plan qualifies as an “employee welfare benefit plan” under the Employee Retirement Income Security Act of 1974, (“ERISA”) 29 U.S.C. § 1001 et seq.

In November of 1984, Amy Rust became divorced from her husband. Based on statements made by her husband, Amy Rust believed that her insurance coverage through Wisconsin Bell would end immediately upon her divorce. She did not verify this information with either Wisconsin Bell or Blue Cross. Amy Rust subsequently obtained health insurance coverage with Mid-America Mutual Insurance Company. In December, 1985, she fell and sustained injuries that required hospitalization. She filed claims with Mid-America, but Mid-America rejected her claims. She did not submit any claims to Blue Cross for treatment she received as a result of her injuries.

In May 1987, plaintiff filed her original complaint in state court, suing Blue Cross for bad faith, economic duress, emotional distress, and conspiracy with codefendant Wisconsin Bell. Because the health benefit plan was an employer sponsored ERISA benefit plan, defendant Wisconsin Bell removed the case to federal court, with Blue Cross joining the removal. In March of 1988, the codefendants moved for summary judgment, arguing that plaintiffs claims were all based in state law, and that, pursuant to 29 U.S.C. § 1144(a) and (b)(2)(B) ERISA preempted such claims. This Court in a September 21, 1988 decision granted the codefendants’ summary judgment motion. The Court allowed the plaintiff to file an amended complaint, which she did on November 30, 1988.

In reopened discovery on the case, the defendants served interrogatories on the plaintiff which sought to discover the nature and basis for plaintiffs alleged claim for relief under ERISA. Plaintiff responded to the interrogatories in summary fashion, objecting on the basis of legal conclusion and attorney work product. Blue Cross filed the motion to compel discovery currently pending before the Court. Blue Cross has also moved to dismiss pursuant to F.R.Civ.P. 12(b)(6), arguing that plaintiffs amended complaint fails to articulate any cognizable relief under ERISA, and that the deposition of plaintiff and interrogatories served upon the plaintiff have not revealed any basis in fact or law for plaintiffs claim.

II. MOTION TO DISMISS

A motion to dismiss for failure to state a claim upon which relief can be granted can serve the useful purpose of disposing of legal issues with a minimum of time and expense to the parties. Hiland Dairy, Inc. v. Kroger Company, 402 F.2d 968, 973 (8th Cir.1968), cert. denied, 395 U.S. 961, 89 S.Ct. 2096, 23 L.Ed.2d 748 (1969). The purpose of such a motion is to test the sufficiency of the pleading and the law of the claims therein — not to test the factual basis for the action which will be tested at trial. Davis H. Elliot Co. v. Caribbean Utilities Co., Ltd., 513 F.2d 1176, 1182 (6th Cir.1975); Niece v. Sears, 293 F.Supp. 792, 794 (N.D.Okla.1968). Rule 12(b)(6) motions are, however, viewed with disfavor and should not be granted unless it appears beyond doubt that the complaining party can prove no set of facts in support of his allegations which would entitle him to relief. St. Marie & Son, Inc. v. Hartz Mountain Corp., 414 F.Supp. 71, 74 (D.Minn.1976); Harbert v. Rapp, 415 F.Supp. 83, 86 (W.D.Okla.1976). Thus, a complaint should not be dismissed for mere vagueness or because it does not state with precision all the elements that may give rise to a legal basis for recovery. Bramlet v. Wilson, 495 F.2d 714, 716 (8th Cir.1974); Josephson v. Joslin, 38 F.R.D. 344, 346 (D.N.J.1965).

[1411]*1411To withstand a motion to dismiss under Rule 12(b)(6), all that is required is specificity sufficient to give fair notice of the nature of the action. Bennett v. Berg, 685 F.2d 1053, 1058 (8th Cir.1982), on rehearing, 710 F.2d 1361 (8th Cir.1983), cert. denied, 464 U.S. 1008, 104 S.Ct. 527, 78 L.Ed.2d 710 (1983); United States v. Crown Zellerbach Corp., 141 F.Supp. 118, 125 (N.D.Ill.1956). In considering a motion to dismiss, the factual allegations of the plaintiffs complaint must be accepted as true, and the court must draw all reasonable inferences in favor of the plaintiff. Scheuer v. Rhodes, 416 U.S. 232, 236, 94 S.Ct. 1683, 1686, 40 L.Ed.2d 90 (1974); Sladek v. Bell System Management Pension Plan, 880 F.2d 972, 975 (7th Cir.1989) (citing Morgan v. Bank of Waukegan, 804 F.2d 970, 973 (7th Cir.1986)). 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 her claim which would entitle her to relief. Conley v. Gibson, 355 U.S. 41, 45-46, 78 S.Ct. 99, 101-102, 2 L.Ed.2d 80 (1957). This Court must determine whether plaintiff is entitled to offer evidence to support her claim. Scheuer, 416 U.S. at 236, 94 S.Ct. at 1686.

Plaintiffs amended complaint is substantially the same as her original, on which this Court granted summary judgment on September 21,1988. The only claim unique to plaintiffs amended complaint is paragraph 16, which states:

[I]n the alternative to the above listed claims for relief and as a direct and proximate result of the defendants actions, the plaintiff is entitled to benefits of the Employee Retirement Insurance [sic] Security Act of 1974 (ERISA) as amended 29 U.S.C. Sec. 1001 et seq.

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Related

Conley v. Gibson
355 U.S. 41 (Supreme Court, 1957)
Scheuer v. Rhodes
416 U.S. 232 (Supreme Court, 1974)
Brian Dale Bramlet v. James A. Wilson
495 F.2d 714 (Eighth Circuit, 1974)
Gloria Sladek v. Bell System Management Pension Plan
880 F.2d 972 (Seventh Circuit, 1989)
St. Marie & Son, Inc. v. Hartz Mountain Corp.
414 F. Supp. 71 (D. Minnesota, 1976)
United States v. Crown Zellerbach Corporation
141 F. Supp. 118 (N.D. Illinois, 1956)
Niece v. Sears, Roebuck & Co.
293 F. Supp. 792 (N.D. Oklahoma, 1968)
Harbert v. Rapp
415 F. Supp. 83 (W.D. Oklahoma, 1976)
General Split Corp. v. Mitchell
523 F. Supp. 427 (E.D. Wisconsin, 1981)
Josephson v. Joslin
38 F.R.D. 344 (D. New Jersey, 1965)
Western Mining Council v. Watt
643 F.2d 618 (Ninth Circuit, 1981)
Thal v. Commonwealth Financial Corp.
395 U.S. 961 (Supreme Court, 1969)

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Bluebook (online)
717 F. Supp. 1409, 1989 U.S. Dist. LEXIS 14827, 1989 WL 95029, Counsel Stack Legal Research, https://law.counselstack.com/opinion/rust-v-blue-cross-blue-shield-united-of-wisconsin-wied-1989.