Stewart Ex Rel. Stewart v. National Education Ass'n

404 F. Supp. 2d 122, 2005 U.S. Dist. LEXIS 38731, 2005 WL 3276315
District Court, District of Columbia·Decided September 16, 2005·No. Civ.A. 02-2014 CKK·Published·Cited by 16 cases

Opinion

MEMORANDUM OPINION

KOLLAR-KOTELLY, District Judge.

The present dispute involves proceeds derived from the privatization of Prudential Life Insurance Company (“Prudential”). Currently before the Court is a Motion to Dismiss by Defendants National Education Association (“NEA”) and National Education Members Insurance Trust (“NEA Trust”) for failure to state a claim under Rule 12(b)(6) of the Federal Rules of Civil Procedure. Defendants administer a group life insurance contract (“Group Contract”) through its Members’ NEA Insurance Plan (“Plan”). The Plan is underwritten by Prudential. Plaintiffs Michael Stewart and Irene Bergenfeld are trustees of the Philip A. Stewart Irrevocable Trust, which is the owner of a Group Life Insurance Contract (“Group Contract”) administered through the Plan. 1 Plaintiffs contend that they were denied money they were entitled to from the privatization of Prudential.

The Group Contract is an “employee welfare benefit plan” under the Employee Retirement Income Security Act (“ERISA”), 29 U.S.C. § 1001 et. seq. Plaintiffs filed an eleven count amended complaint seeking damages and/or restitution against Defendants for the loss of conversion privileges and demutualization consideration received by the NEA Trust after Prudential converted from a participating mutual insurance company to a nonparticipating stock company in December 2001. Defendants maintain that Plaintiffs’ rights under the contract were not violated and that no special rights were created when the conversion took place.

*125 After reviewing Defendants’ Motion (“Defs.’ Mot.”), Plaintiffs Opposition (“Pis.’ Opp’n”), Defendant’s Reply (“Defs.’ Reply”), 2 and the applicable law, the Court finds that Defendant’s Motion to Dismiss must be granted.

I. Statutory Framework

The Employee Retirement Income Security Act (“ERISA”), 29 U.S.C. § 1001 et. seq., was enacted as a comprehensive regulation of private employee benefit plans for the purpose of protecting their participants and beneficiaries. See Aetna Health Inc. v. Davila, 542 U.S. 200, 124 S.Ct. 2488, 159 L.Ed.2d 312 (2004); Pilot Life Ins. Co. v. Dedeaux, 481 U.S. 41, 107 S.Ct. 1549, 95 L.Ed.2d 39 (1987). ERISA regulates employee welfare benefit plans (“welfare plans”) that “through purchase of insurance or otherwise, provide medical, surgical, or hospital care, or benefits in the event of sickness, accident, disability, or death”. Id. (quoting 29 U.S.C. § 1002(1) (internal quotations omitted)). ERISA applies to all employee benefit plans established or maintained by an employer engaged in, or affecting, commerce. 29 U.S.C. § 1003(a)(1). An employee benefit plan is defined as “an employee welfare benefit plan or an employee pension benefit plan or a plan which is both----” 29 U.S.C. § 1002(3).

There are regulations that cover both the fiduciary responsibilities of welfare plans, 29 U.S.C. §§ 1101-1104, and the disclosure of information to plan participants and beneficiaries. 29 U.S.C. §§ 1021-1022. Under ERISA, participants or beneficiaries of welfare plans can enforce their rights under the terms of their plan in a civil suit. See 29 U.S.C. § 1132(a). Should a welfare plan terminate, ERISA dictates that the assets of the plan shall be distributed “in accordance with the terms of the plan....” 29 U.S.C. § 1103(d). ERISA also has an “anti-inurement” provision that prevents the assets of a plan from inuring to “the benefit of any employer,” and requires benefits be held “for the exclusive purposes of providing benefits to participants in the plan and their beneficiaries and defraying reasonable expense of administering the plan.” 29 U.S.C. § 1103(c)(1).

Congress intended for ERISA to be expansive. With minor exceptions, state law relating to employee benefit plans is preempted by ERISA. Pilot Life Ins. Co., 481 U.S. at 54, 107 S.Ct. 1549. ERISA section 514(a) explicitly states that “[e]x-cept as provided in subsection (b) of this section, the provisions of this subchapter and subchapter III of this chapter shall supersede any and all State laws insofar as they may now or hereafter relate to any employee benefit plan.... ” 29 U.S.C. § 1144(a). The Supreme Court strictly construes the preemption provision in ERISA, opining that the “federal scheme would be completely undermined if ERISA-plan participants and beneficiaries were free to obtain remedies under state law that Congress rejected in ERISA.” Aetna Health Inc., 124 S.Ct. at 2500 (quoting Pilot Life Ins. Co., 481 U.S. at 54, 107 S.Ct. 1549). Any state-law cause of action that “duplicates, supplements, or supplants the ERISA civil enforcement remedy” is preempted. Id. at 2495.

II. Factual Background

Plaintiffs and other members of the NEA (“Member-Insureds”) enrolled in the Group Contract, originally as “partici *126 pants,” before Prudential changed its ownership structure in 2001 from a mutual insurance company to a publicly owned, stock-based insurance company. ■ Am. Compl. ¶ 12. The life insurance benefit under the Group Contract was one of several programs the NEA established under its Members’ NEA Insurance ' Plan (“Plan”). Id. ¶ 6. Defendant NEA Trust is a trust established by the NEA for the purposes of holding the assets of the Plan. Id. ¶ 7.

A. The Group Contract

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Stewart Ex Rel. Stewart v. National Education Ass'n, 404 F. Supp. 2d 122, 2005 U.S. Dist. LEXIS 38731, 2005 WL 3276315 (D.D.C. 2005).

404 F. Supp. 2d 122 (Stewart Ex Rel. Stewart v. National Education Ass'n) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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