Steigleman v. Symetra Life Insurance Company

District Court, D. Arizona·Decided November 9, 2023·No. 3:19-cv-08060·Unknown

Opinion

WO

Jill M Steigleman, No. CV-19-08060-PCT-ROS

Plaintiffs, ORDER

v.

Symetra Life Insurance Company,

Defendant. The Ninth Circuit concluded there was a dispute of fact whether Plaintiff Jill Steigleman’s “long-term disability policy was part of an ‘employee welfare benefit plan’ under the Employee Retirement Income Security Act (ERISA).” Steigleman v. Symetra Life Ins. Co., 2022 WL 912255, at *1 (9th Cir. 2022). After a bench trial, almost all the facts are undisputed. To the extent there are factual disputes, the Court makes the factual findings set forth below. Based on those factual findings, the Court concludes Steigleman’s disability coverage was part of an employee welfare benefit plan established or maintained by an employer. BACKGROUND1 Steigleman was an insurance agent who sold insurance products issued by Farm Bureau Financial Services. From 2008 to 2018, Steigleman owned and operated the Steigleman Insurance Agency (“Agency”). During that period, the Agency always had one or two employees but, at times, as many as four. (Doc. 216 at 89-91). When she

1 The parties stipulated to much of the relevant background. (Doc. 193). Those stipulations are accepted and, to the extent relevant, incorporated into this Order. established the Agency, and throughout its existence, Steigleman was a member of The Agents Association (“TAA”). TAA is a nonprofit organization formed by Farm Bureau agents to represent their common interests to the management of Farm Bureau. (Doc. 216 at 124). At all times relevant to this suit a company named “mgc Group” was TAA’s insurance broker. In that role, mgc Group offered what both parties identify as “benefits” to TAA members and their staff. (Doc. 222 at 5) (TAA offered “group benefits); (Doc. 223 at 4) (TAA offered “TAA Plan benefits”). Those benefits consisted of various types of insurance coverages, such as long-term disability, short-term disability, and life insurance. The coverages mgc Group offered through TAA were from a variety of insurance companies, including Defendant Symetra Life Insurance Company that offered long-term disability coverage. Some of the coverages were only available to TAA members (i.e., Steigleman) while others were available to TAA members as well as their staff and families (i.e., the Agency’s staff and their families). (Doc. 223 at 4). The TAA coverages had eligibility requirements, such as employment by a TAA member for a minimum amount of time or working a minimum number of hours per week. Steigleman did not have any direct control over TAA’s eligibility requirements, and she did not impose unique eligibility requirements on the Agency’s staff. Based on Steigleman’s membership in TAA, the Agency’s employees were eligible to enroll in TAA’s coverages. (Doc. 216 at 95). The Agency used some of those TAA coverages in offering its employees a “benefits package.”2 Steigleman believed offering a benefits package was important both for recruiting and retaining qualified employees. (Doc. 216 at 100). Steigleman viewed offering the Agency’s employees the coverages handled by TAA “as a way of having less administrative duties so that [she] could just run

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Steigleman v. Symetra Life Insurance Company, (D. Ariz. 2023).

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