SANCHEZ v. METLIFE, INC.

CourtDistrict Court, D. New Jersey
DecidedSeptember 3, 2024
Docket2:23-cv-23073
StatusUnknown

This text of SANCHEZ v. METLIFE, INC. (SANCHEZ v. METLIFE, INC.) is published on Counsel Stack Legal Research, covering District Court, D. New Jersey primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
SANCHEZ v. METLIFE, INC., (D.N.J. 2024).

Opinion

Not for Publication

UNITED STATES DISTRICT COURT DISTRICT OF NEW JERSEY

ANTHONY SANCHEZ and EDUARDO LUNA for themselves and as representatives, Civil Action No.: 23-23073 (ES) (MAH)

Plaintiffs, OPINION

v.

METLIFE, INC. et al.,

Defendants.

SALAS, DISTRICT JUDGE Plaintiffs Anthony Sanchez and Eduardo Luna (together, “Plaintiffs”) brought this putative class action on behalf of themselves and others similarly situated against Defendants Refresco Beverages U.S., Inc. (“Refresco”), MetLife Inc. (“MetLife”) and Rosa Velazquez, a Refresco employee, (together “Defendants”) asserting (i) a third-party beneficiary contractual claim; (ii) unjust enrichment claim; and (iii) claim under the New Jersey Racketeer Influenced and Corrupt Organizations Act (“N.J. RICO”), N.J.S.A. § 2C:41–1, et seq. (D.E. No. 1-1 (“Complaint” or “Compl.”) ¶¶ 43–59). Before the Court are Plaintiffs’ objections (D.E. No. 48 (“Plaintiffs’ Objections” or “Pl. Obj.”)) to the report and recommendation issued by the Honorable Michael A. Hammer, U.S.M.J., in which Judge Hammer recommends that Plaintiffs’ motion to remand this action to the Superior Court of New Jersey, Law Division, Bergen County be denied. (D.E. No. 47 (“Report and Recommendation” or “R&R”)). Having considered the parties’ submissions, the Court decides this matter without oral argument. See Fed. R. Civ. P. 78(b); L. Civ. R. 78.1(b). For the following reasons, the Court adopts in full Judge Hammer’s Report and Recommendation. Accordingly, Plaintiff’s motion to remand this matter (D.E. No. 40 (“Motion”)) is DENIED. I. BACKGROUND A. Factual Allegations According to the Complaint, Plaintiffs were, at all times relevant to the litigation,

employees of defendant Refresco. (Compl. ¶¶ 5–6). Refresco privately contracts with defendant MetLife to provide its employees with (i) temporary disability benefits; and (ii) short-term disability benefits, which are governed by two distinct benefit plans. (Id. ¶¶ 8 & 30–31). Those two benefit plans include: (i) the Temporary Disability Benefits Plan; and (ii) the Short-Term Disability Plan. Relevant here, only the Short-Term Disability Plan is governed by the Employee Retirement Income Security Act (“ERISA”). (Id. ¶ 21, 30–32 & 35–36; see also D.E. No. 41-1 (“Short-Term Disability Plan”) & D.E. No. 41-3 (“Temporary Disability Plan”)). Plaintiffs also allege that defendant Rosa Velazquez, a Refresco employee, coordinates with MetLife regarding its employees’ temporary disability benefits. (Compl. ¶ 17).

First, Plaintiffs seek relief with respect to their temporary disability benefits. According to the Complaint, “[a]s a corporation operating in New Jersey, Refresco at all relevant times has been and is obliged to provide [temporary disability benefits] to its employees for periods in which they are unable to work.” (Id. ¶ 12). Plaintiffs allege that to meet this publicly-imposed obligation, Refresco had the option of either (i) “paying into the State Plan as administered by the Division of Temporary Disability Benefits and Family Benefits of the New Jersey Department of Labor and Workforce Development” or (ii) applying “to the Division for permission to contract privately to provide the statutorily mandated [temporary disability benefits] to its employees, an option that Defendant Refresco opted for.” (Id. ¶¶ 13–14). As stated above, Refresco contracted with defendant MetLife to meet its statutory obligations to provide temporary disability benefits for its employees pursuant to the Temporary Disability Plan. (Id. ¶ 16). Pursuant to N.J.S.A. § 43:21-32, New Jersey’s Temporary Disability Benefits Law, Plaintiffs allege that the contract between Refresco and MetLife concerning temporary disability benefits—the Temporary Disability Plan—was required to include provisions to assure “the

weekly benefits payable under such plan for any week of disability are at least equal to the weekly benefit amount payable by the State plan . . .” as well as to meet other obligations of New Jersey’s Temporary Disability Benefits Law. (Id. ¶ 18). For example, Plaintiffs allege that New Jersey’s Temporary Disability Benefits Law “prescribes a seven-day waiting period, during which an otherwise eligible employee is not entitled to receive [temporary disability benefits]. However, if that employee’s disability lasts beyond the seventh day, then the employer and/or its insurance carrier, is obliged to pay [temporary disability benefits] for the waiting period as well as any subsequent period of disability.” (Id. ¶ 19). Despite this mandate, Plaintiffs allege that Refresco and MetLife did not pay temporary disability benefits “for the seven-day waiting period when an

employee’s disability last[ed] beyond the waiting period.” (Id. ¶ 22). Further, Plaintiffs claim that Defendants improperly excluded overtime hours when computing temporary disability benefits. (Id. ¶¶ 23–26). Specifically, Plaintiffs allege the exclusion of overtime hours violates New Jersey’s Temporary Disability Benefits Law, which defines wages as “all compensation for personal services, including commissions and bonuses and the cash value of all compensation payable in any medium other than cash.” (Id. ¶¶ 23–26 (citing N.J.S.A. 43:21-40(o) and (p)). Plaintiffs also contend that their temporary disability benefits fell below the statutorily mandated 85% percent of their wages. (Id. ¶¶ 33–34). The Complaint alleges that plaintiff Sanchez was disabled from July 26, 2021, through December 6, 2021, and was eligible for temporary disability benefits during that period. (Id. ¶ 35). Plaintiffs allege that during this time plaintiff Sanchez was entitled to $618.80 per week but was instead only paid $456.00 per week. (Id.). In a similar vein, the Complaint alleges that plaintiff Luna was disabled as of May 12, 2023 and eligible for temporary disability benefits starting on

that date. (Id. ¶ 36). Plaintiffs allege that plaintiff Luna was entitled to $930.85 per week but was instead paid at the rate of $578.00 per week. (Id.). Based on the aforementioned allegations, Plaintiffs assert a third-party beneficiary contractual claim against Defendants, contending that they are the intended beneficiaries of the contract between Refresco and Metlife that concerns temporary disability benefits and asserting that Refresco and Metlife have failed to pay Plaintiffs proper temporary disability benefits as required by New Jersey’s Temporary Disability Benefits Law. (Id. ¶¶ 43–46). Plaintiffs further allege that Defendants’ failure to pay Plaintiffs temporary disability benefits as required by New Jersey’s Temporary Disability Benefits Law unjustly enriched Defendants. (Id. ¶¶ 47–48).

Plaintiffs also contend that any underpayment of these temporary disability benefits was not made in error, but rather was a calculated enterprise under N.J. RICO to garner for MetLife and Refresco money “which rightfully belong[ed] to the Individual Plaintiffs and the Class.” (Id. ¶¶ 37 & 49– 59). With respect to their temporary disability benefits, Plaintiffs seek a declaratory judgment that: (i) Defendants improperly failed to pay temporary disability benefits to Plaintiffs and class members at the required 85% rate of their wages; (ii) Defendants failed to include overtime in their calculation of temporary disability benefits; and (iii) Defendants failed to pay temporary disability benefits for the aforementioned seven-day waiting period. (Id. ¶¶ 46(a)(i)–(iii), 48(a)(i)–(iii) & 59(a)(i)–(iii)).

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