Schultz v. Prudential Insurance Co. of America

678 F. Supp. 2d 771, 48 Employee Benefits Cas. (BNA) 1818, 2010 U.S. Dist. LEXIS 3144, 2010 WL 141968
CourtDistrict Court, N.D. Illinois
DecidedJanuary 11, 2010
Docket09 C 2387
StatusPublished
Cited by7 cases

This text of 678 F. Supp. 2d 771 (Schultz v. Prudential Insurance Co. of America) is published on Counsel Stack Legal Research, covering District Court, N.D. Illinois primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Schultz v. Prudential Insurance Co. of America, 678 F. Supp. 2d 771, 48 Employee Benefits Cas. (BNA) 1818, 2010 U.S. Dist. LEXIS 3144, 2010 WL 141968 (N.D. Ill. 2010).

Opinion

MEMORANDUM OPINION AND ORDER

RUBEN CASTILLO, District Judge.

Kathleen G. Schultz (“Schultz”) brings this putative class action under the Employee Retirement Income Security Act of 1974 (“ERISA”), 29 U.S.C. § 1001 et seq. and various state laws. Schultz seeks to recover long-term disability (“LTD”) benefits under the Long Term Disability Plan by Aviall, Inc. (the “Aviall Plan”), which was maintained by her former employer, Aviall, Inc. (“Aviall”) and issued by the Prudential Insurance Company of America (“Prudential”). (R. 27, Am. Compl.) In her complaint, she also seeks recovery on behalf of participants of other plans. (Id.) Presently before the Court is Prudential’s motion to dismiss pursuant to Federal Rules of Civil Procedure 12(b)(6) and 12(b)(7). (R. 13, Defi’s Mot. to Dismiss.) For the reasons stated below, the motion is granted.

RELEVANT FACTS

Schultz was employed by Aviall as a full-time Operations Administrator. (R. 27, Am. Compl. ¶ 11.) On November 30, 2006, she stopped working due to a disability. (Id.) The Social Security Administration (the “SSA”) found Schultz to be disabled as of December 1, 2006 and awarded her monthly social security disability benefits beginning May 2007. (Id. ¶ 13.) Schultz’s four dependents became entitled to monthly social security child benefits (“dependent social security benefits”) beginning May 2007. (Mil 14.)

On April 30, 2007, Schultz was approved for LTD benefits under the Aviall Plan, which is governed by ERISA. (See id. ¶¶ 12, 27-28, 36.) Schultz subsequently informed Prudential that she was to begin receiving monthly social security disability benefits from the SSA. (Id. ¶ 15.) Prudential terminated Schultz’s LTD benefits under the Aviall Plan on December 14, 2007, on the claimed grounds that she was capable of sedentary occupation. (Id. ¶ 16.)

Approximately fifteen months later, on February 15, 2009, Prudential reversed its initial termination decision and determined that Schultz was disabled. (Id. ¶ 18.) As a result, it found that Schultz was entitled to retroactive LTD benefits dating back to December 14, 2007. (Id.) Moreover, on March 2, 2009, Prudential determined that Schultz would be entitled to prospective LTD benefits subject to her continuing satisfaction of the Aviall Plan’s contractual requirements. (Id. ¶ 19.)

*774 In a letter dated March 11, 2009, Prudential informed Schultz that her retrospective and prospective LTD benefits would be reduced by the social security benefits she and her dependents received. (Id. ¶ 20.) Prudential’s decision to deduct these benefits from the LTD benefits she received was based on the following Aviall Plan language defining deductible sources of income: “[t]he amount you, your spouse and children receive or are entitled to receive as loss of time disability payments because of your disability under: (a) the United States Social Security Act.” (See id. ¶ 10.) About a week later, Schultz appealed this decision. (Id. ¶ 21.) In her appeal, Schultz demanded that Prudential stop reducing her LTD benefits by the dependent social security benefits received by her children. (Id.) Additionally, she requested that the retrospective LTD benefits to which she was entitled not be offset by her dependents’ social security benefits. (Id. ¶ 21.)

On March 25, 2009, Prudential requested approximately two weeks to complete a review of Schultz’s appeal. (Id. ¶ 22.) In response, Schultz informed Prudential that she would delay filing a suit challenging Prudential’s decision until April 17, 2009. (Id.) According to Schultz, Prudential failed to provide a timely response to her appeal. (Id.)

PROCEDURAL HISTORY

Schultz originally brought this action on behalf of herself and other similarly situated individuals on April 20, 2009. (R. 1, Compl.) On August 17, 2009, Schultz filed an amended complaint (the “complaint”). (R. 27, Am. Compl.) In Count I of the complaint, Schultz alleges that Prudential’s reduction of her LTD benefits by the amount of dependent social security benefits received is unlawful because “these payments were not received as a loss of time disability payment and therefore are not a deductible source of income.” (Id. ¶¶ 25-26.) She invokes 29 U.S.C. § 1132(a)(1)(B) as the basis for relief in Count I. (Id. ¶ 24.) In Count II, Schultz alleges that Prudential violated 29 U.S.C. § 1106, and therefore breached its fiduciary duty, by “engaging in self-dealing and acting pursuant to a conflict of interest” by “improperly offsetting dependent benefits contrary to the explicit terms of the policies.” (Id. ¶¶ 30-36.) Finally, in Count III, Schultz brings a state law claim on behalf of individuals with ERISA-exempt plans. 1 (Id. ¶¶ 38-40.) Schultz alleges that Prudential’s practice of reducing LTD benefits by the amount of dependent social security benefits received constitutes a breach of these individuals’ respective insurance contracts. (Id. ¶ 40.) In seeking monetary, declaratory, and equitable relief, Schultz relies upon both 29 U.S.C. § 1132(a)(1)(B) and § 1132(a)(3). (See id. ¶¶ 24, 27, 28, 30, 36.)

LEGAL STANDARD

A motion under Rule 12(b)(6) challenges the sufficiency of the complaint. Cler v. Illinois Educ. Ass’n, 423 F.3d 726, 729 (7th Cir.2005). In ruling on a motion to dismiss brought pursuant to Rule 12(b)(6), the court assumes all well-pleaded allegations in the complaint to be true and draws all inferences in the light most favorable to the plaintiff. Killingsworth v. HSBC Bank, 507 F.3d 614, 618 (7th Cir.2007) (citing Bell Atlantic Corp. v. Twombly, 550 U.S. 544, 127 S.Ct. 1955, 167 L.Ed.2d 929 (2007)). To survive a motion to dismiss, the complaint must overcome “two easy-to-clear hurdles”: (1) “the complaint must describe the claim in sufficient detail to *775 give the defendant fair notice of what the claim is and the grounds on which it rests”; and (2) “its allegations must actually suggest that the plaintiff has a right to relief, by providing allegations that raise a right to relief above the ‘speculative level.’ ” Tamayo v. Blagojevich, 526 F.3d 1074, 1084 (7th Cir.2008) (emphasis in original).

A motion under Rule 12(b)(7) seeks dismissal based on the failure to join a necessary party. See Fed.R.Civ.P.

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678 F. Supp. 2d 771, 48 Employee Benefits Cas. (BNA) 1818, 2010 U.S. Dist. LEXIS 3144, 2010 WL 141968, Counsel Stack Legal Research, https://law.counselstack.com/opinion/schultz-v-prudential-insurance-co-of-america-ilnd-2010.