Sharp Electronics Corp. v. Metropolitan Life Insurance

578 F.3d 505, 47 Employee Benefits Cas. (BNA) 1725, 2009 U.S. App. LEXIS 18385, 2009 WL 2501789
CourtCourt of Appeals for the Seventh Circuit
DecidedAugust 18, 2009
Docket08-2959
StatusPublished
Cited by192 cases

This text of 578 F.3d 505 (Sharp Electronics Corp. v. Metropolitan Life Insurance) is published on Counsel Stack Legal Research, covering Court of Appeals for the Seventh Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Sharp Electronics Corp. v. Metropolitan Life Insurance, 578 F.3d 505, 47 Employee Benefits Cas. (BNA) 1725, 2009 U.S. App. LEXIS 18385, 2009 WL 2501789 (7th Cir. 2009).

Opinion

WOOD, Circuit Judge.

From 1997 until April 2, 2002, Sandra Rudzinski worked for Sharp Electronics Corporation. As a full-time employee, she was entitled to participate in a long-term group disability plan (the “Plan”), which was underwritten by Metropolitan Life Insurance Company (“MetLife”). The present controversy arose out of a lawsuit between Rudzinski and MetLife. Briefly, after Rudzinski stopped working for Sharp, she applied for a conversion policy with MetLife to preserve her long-term disability coverage. MetLife denied her application. Rudzinski responded with a suit in federal court asserting that Met-Life had wrongfully denied her benefits. Initially, MetLife was the sole defendant. During a settlement conference, however, MetLife represented to Rudzinski that one reason it had refused to pay her any long-term benefits was that Sharp had failed to make required payments to it on her behalf.

Based on this statement, Rudzinski filed an amended complaint adding Sharp as an additional defendant; she asserted that Sharp had breached its fiduciary duty to her and had interfered with her benefits. On July 19, 2006, following an unsuccessful motion to dismiss, Sharp filed a cross-claim against MetLife asserting that Met-Life had breached a fiduciary duty it allegedly owed to Sharp under the Employment Retirement Income Security Act of 1974 (“ERISA”), 29 U.S.C. § 1132, that MetLife was obliged to indemnify Sharp for certain expenses, and that MetLife was estopped from denying these obligations.

*508 Although Rudzinski and Sharp reached a settlement and the district court entered judgment in favor of Rudzinski in her action against MetLife, Sharp’s claim against MetLife remained pending. After Sharp filed an amended cross-claim, MetLife moved to dismiss for failure to state a claim. See Fed.R.Civ.P. 12(b)(6). The district court granted that motion on July 9, 2008, and Sharp has now appealed from the judgment against it. We affirm.

I

Sharp adopted the MetLife long-term disability plan in 1997 as part of the welfare benefits package it furnished for its employees; the Plan was qualified under ERISA. Sharp was, at all relevant times, the Plan administrator and MetLife the Plan fiduciary. Pursuant to the Plan, Sharp was required to pay short-term disability benefits to eligible employees during a 180-day policy benefits elimination period. Thereafter, MetLife was required to pay long-term disability benefits to employees who met criteria specified in the Plan. Sharp was required under the Plan to pay premiums to MetLife for the benefit of its employees, but it had no responsibility to pay premiums for a person whose employment with Sharp had been terminated, unless the person was disabled and was within an elimination period at the time her employment ended.

On April 2, 2002, as a result of chronic fatigue, joint pain, and headaches, Rudzinski ceased active employment with Sharp. (Later, she was diagnosed with fibromyalgia.) As a participating member in the Plan, Rudzinski was eligible for both short-term and long-term disability benefits. Accordingly, following the cessation of her employment, she began receiving short-term disability benefits from Sharp and the 180-day elimination period began to run. Rudzinski also filed a claim with MetLife in which she requested long-term disability insurance benefits, to commence immediately upon the completion of the 180-day period.

On July 9, 2002, Sharp notified Rudzinski that if she did not return to active employment by July 31, 2002, she would lose her job and Sharp would cease making payments on her behalf to MetLife for long-term disability benefits. Rudzinski did not return to work at Sharp, and, as promised, Sharp ended her employment effective July 31, 2002. Sometime prior to the deadline, Sharp informed Rudzinski that, if she did not return to work, she could preserve her long-term disability coverage with MetLife by obtaining a “conversion policy” and paying premiums on her own behalf as a non-employee. Rudzinski took the advice, applied to Met-Life for a conversion policy, and paid the requisite premiums. After some time had passed, however, MetLife denied Rudzinski long-term disability benefits on the ground that she had a pre-existing disability at the time she applied for the conversion policy. Rudzinski then made a formal demand on MetLife for long-term disability benefits pursuant to the Plan. MetLife considered her demand and denied it, this time on the ground that she had not fulfilled the 180-day period that was supposed to precede long-term benefits.

Rudzinski then filed a claim in the district court pursuant to 29 U.S.C. § 1132(a)(1)(B), alleging that MetLife wrongfully denied her benefits. Approximately two years after Rudzinski filed her lawsuit, and more than two years after MetLife initially denied her claim for benefits, MetLife’s lawyer let slip in a settlement conference that an additional reason why she did not qualify for benefits was that Sharp had discontinued payment of her long-term disability premiums following the termination of her employment. The Plan does not obligate Sharp to make premium payments for any employee once *509 the person is no longer working for it. Based on this representation from Met-Life, Rudzinski amended her complaint to add Sharp as a defendant, alleging that Sharp violated 29 U.S.C. § 1140 by wrongfully interfering with her disability benefit rights under the Plan; violated its fiduciary duties to her; and misled her into believing that by obtaining a conversion policy and paying the necessary premiums, she could protect her rights to longterm disability benefits.

Sharp responded to Rudzinski’s claim in two ways. First, it filed a Rule 12(b)(6) motion to dismiss for failure to state a claim; the district court denied that motion on April 27, 2006. Second, Sharp filed a cross-complaint against MetLife, alleging that (1) MetLife breached its fiduciary duties to Sharp under 29 U.S.C. §§ 1132(a)(2), 1132(a)(3), and 1109(a), when it stated in Rudzinski’s presence that Sharp’s nonpayment of premiums influenced its decision about her benefits; (2) MetLife was equitably estopped from relying on Sharp’s alleged nonpayment as a reason for denying Rudzinski’s benefits; and (3) if Sharp were found liable to Rudzinski on any of her claims, MetLife had to indemnify Sharp.

On January 16, 2007, Rudzinski voluntarily dismissed her claims against Sharp. This action left two claims pending in the district court: Rudzinski’s claim against MetLife, and Sharp’s cross-claim against MetLife. MetLife moved to dismiss Sharp’s cross-claim. It argued with respect to Sharp’s assertion that MetLife had breached a fiduciary duty that it owed to Sharp that it owed no such duty. Met-Life also asserted that Sharp’s indemnification claim was preempted by ERISA.

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578 F.3d 505, 47 Employee Benefits Cas. (BNA) 1725, 2009 U.S. App. LEXIS 18385, 2009 WL 2501789, Counsel Stack Legal Research, https://law.counselstack.com/opinion/sharp-electronics-corp-v-metropolitan-life-insurance-ca7-2009.