Stiles v. Memorial Hermann Healthcare System

213 S.W.3d 521, 2007 WL 79436
CourtCourt of Appeals of Texas
DecidedFebruary 22, 2007
Docket01-05-00473-CV
StatusPublished
Cited by3 cases

This text of 213 S.W.3d 521 (Stiles v. Memorial Hermann Healthcare System) is published on Counsel Stack Legal Research, covering Court of Appeals of Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Stiles v. Memorial Hermann Healthcare System, 213 S.W.3d 521, 2007 WL 79436 (Tex. Ct. App. 2007).

Opinion

OPINION ON REHEARING

TERRY JENNINGS, Justice.

We grant appellee’s motion for rehearing. Tex.R.App. P. 49.3. We vacate our June 15, 2006 judgment, withdraw our June 15, 2006 opinion, and substitute this opinion in its place.

Appellant, Mattie Stiles, challenges the trial court’s order dismissing her breach of contract and fraud suit against appellee, Memorial Hermann Healthcare System (“Memorial”). In her sole issue, Stiles contends that the trial court erred in concluding that it had no subject matter jurisdiction over her claims.

We reverse and remand for proceedings consistent with this opinion.

Factual and Procedural Background

Stiles’s action arose out of an injury that she sustained on January 4, 2002, while working at Memorial. Stiles asserts that *525 Memorial agreed to pay her health care expenses related to the incident in consideration of Stiles’s releasing Memorial from liability for any negligence on its part. Stiles attached an unsigned “Release of Claims and Covenant not to Sue” to her second amended petition evidencing such an agreement. The release referenced Memorial’s Occupational Health Plan (the “Plan”) and stated that notwithstanding Stiles’s release of her claims against Memorial, Stiles retained her rights to benefits under the Plan. Stiles alleges that Memorial refused to pay her medical bills pursuant to the release.

Memorial answered Stiles’s suit with a general denial and argued, among other things, that the trial court lacked subject matter jurisdiction to hear Stiles’s claims. Memorial then filed a notice of removal, asserting that Stiles’s petition stated an action to recover benefits under the Plan, which qualified under the Employee Retirement Income Security Act of 1974 (“ERISA”), 1 thereby triggering complete preemption under ERISA’s civil enforcement provisions. 2 The case was removed to the United States District Court of the Southern District of Texas. In Stiles’s subsequent motion to remand, she contended that it was Memorial’s breach and fraud related to the release agreement, distinct from any rights that she held under the Plan, that formed the basis of her lawsuit. The United States District Court remanded the case back to the trial court for lack of federal jurisdiction, stating that “substantial doubt remains as to whether [Stiles’s] claim does in fact fall within the preemptive scope of ERISA.”

Upon remand, Memorial moved to dismiss the lawsuit, again arguing a lack of subject matter jurisdiction based on ERISA preemption. The trial court granted the motion to dismiss, concluding that Stiles’s state law claims for breach of contract and fraud were “addressed by” and “related to” the Plan, that ERISA “completely preempted” Stiles’s state law claims, and that it had no subject matter jurisdiction over the claims.

Standard of Review

Subject matter jurisdiction is a question of law, to which we apply a de novo standard of review. Mayhew v. Town of Sunnyvale, 964 S.W.2d 922, 928 (Tex.1998). A claim of federal preemption is a challenge to a state court’s subject matter jurisdiction and cannot be waived. See Int’l Longshoremen’s Ass’n v. Davis, 476 U.S. 380, 392, 106 S.Ct. 1904, 1913, 90 L.Ed.2d 389 (1986). When courts speak of “preemption of jurisdiction,” they are not referring to the applicability of federal law; rather, they refer to Congress’s ability to require resolution of certain claims exclusively in a federal forum. Mills v. Warner Lambert Co., 157 S.W.3d 424, 427 (Tex. 2005). “In any doubtful case all intend-ments of the plaintiffs pleading will be in favor of the jurisdiction.” Peek v. Equip. Serv. Co. of San Antonio, 779 S.W.2d 802, 804 (Tex.1989).

A trial court’s findings of fact have the same weight as a jury’s verdict upon special issues and are reviewable for sufficiency of the evidence to support them. Amador v. Berrospe, 961 S.W.2d 205, 207 (Tex. App.-Houston [1st Dist.] 1996, writ denied). A trial court’s conclusions of law are reviewed de novo. Material P’ships, Inc. v. Ventura, 102 S.W.3d 252, 257 (Tex. *526 App.-Houston [14th Dist.] 2003, pet. denied).

ERISA Preemption

Congress enacted ERISA as a comprehensive system to regulate employee benefit plans “to promote the interests of employees and their beneficiaries in employee benefit plans ... [and] to protect contractually defined benefits.” Firestone Tire & Rubber Co. v. Bruch, 489 U.S. 101, 113, 109 S.Ct. 948, 956, 103 L.Ed.2d 80 (1989). The act regulates both pension plans and welfare plans that provide benefits for contingencies such as illness, accident, disability, death, or unemployment. Cathey v. Metro. Life Ins. Co., 805 S.W.2d 387, 388 (Tex.1991). While it provides standards and rules governing reporting, disclosure, and fiduciary responsibility for pension and welfare plans, ERISA does not mandate any particular benefits. Shaw v. Delta Air Lines, Inc., 463 U.S. 85, 90-91, 103 S.Ct. 2890, 2896-97, 77 L.Ed.2d 490 (1983).

ERISA includes expansive preemption provisions, which are intended to ensure that employee benefit plan regulation would be “exclusively a federal concern.” Alessi v. Raybestos-Manhattan, Inc., 451 U.S. 504, 523, 101 S.Ct. 1895, 1906, 68 L.Ed.2d 402 (1981). To this end, ERISA “shall supercede any and all state laws insofar as they may now or hereafter relate to any employee benefit plan.” Employee Retirement Income Security Act of 1974, 29 U.S.C. § 1144(a) (2005). ERISA preemption applies not only to state laws but to all forms of state action dealing with the subject matters covered by the statute. 29 U.S.C. § 1144(c)(1); see also Shaw, 463 U.S. at 98, 103 S.Ct. at 2900. Accordingly, when a state court suit, alleged in terms of a state common-law or statutory cause of action, relates to an employee welfare benefit plan, ERISA may preempt the state law in favor of federal law. Metro. Life Ins. Co. v. Taylor, 481 U.S. 58, 63-66, 107 S.Ct. 1542, 1546-48, 95 L.Ed.2d 55 (1987); Gorman v. Life Ins. Co. of N. Am., 811 S.W.2d 542, 545 (Tex.1991).

The ERISA preemptive provision is to be broadly construed. See Aetna Health Inc. v. Davila, 542 U.S. 200, 217, 124 S.Ct.

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