Suchin v. Fresenius Medical Care Holdings, Inc.

District Court, D. Maryland·Decided July 22, 2024·No. 1:23-cv-01243·Unknown

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF MARYLAND CRAIG SUCHIN, Plaintiff, *

v. = Civ. No. JKB-23-01243 FRESENIUS MEDICAL CARE HOLDINGS, INC., Defendant. * * * * * * * * * * * * * MEMORANDUM In this action under the Employee Retirement Income Security Act of 1974 (“ERISA”), 29 U.S.C. § 1001 ef seq., Plaintiff Dr. Craig Suchin alleges that his former employer, Defendant Fresenius Medical Care Holdings (“Fresenius”) misrepresented the terms of his long-term disability (“LTD”) and life insurance benefits, and failed to produce certain ERISA-mandated documents. In February 2024, this Court dismissed Counts I and II of Suchin’s Complaint pursuant to Federal Rule of Civil Procedure 12(b)(6). (ECF No. 35.) Suchin subsequently filed the operative Amended Complaint. (ECF No. 40.) Now pending before the Court is Fresenius’s Partial Motion to Dismiss Plaintiff's Amended Complaint. (ECF No. 43.) The Motion is fully briefed, and no hearing is necessary. See Local Rule 105.6 (D. Md. 2023). For the following reasons, the Motion will be granted in part and denied in part. Suchin’s claims for reformation will be dismissed with prejudice, but his claims for equitable estoppel will be permitted to proceed to discovery. L Factual and Procedural Background The Court already set out the factual allegations of this case in its February 6, 2024

Memorandum, and so will only briefly summarize them here. Suchin v. Fresenius Med. Care Holdings, Inc., Civ. No. JKB-23-01243, 2024 WL 449322, at *1-3 (D. Md. Feb. 6, 2023). (ECF No. 35 at 2-5.) In short, Suchin alleges that, between 2012 and 2021, Fresenitus—who was the plan sponsor and administrator for the LTD and life insurance plans—failed to provide ERISA- mandated documents about either plan, including summary plan descriptions (“SPDs), and that Fresenius made misrepresentations that had the effect of making plan benefits seem more generous than they in fact were. (Am. Comp. □□ 17—180.) Relying on these misrepresentations and omissions, Suchin elected not to procure supplemental insurance, on the erroneous belief that his existing insurance would be sufficient. (Ud {| 80-81, 97, 162.) Suchin retired from his employment with Fresenius as a physician in 2021, after being diagnosed with behavioral frontotemporal dementia, a neurological disorder. (/d. §f{ 1-13.) As Suchin and Andrea—his wife and power of attorney—began the process of applying for benefits under Fresenius’s LTD plan, they discovered that the benefits of that plan were far less generous than they had expected. They had expected LTD benefits worth 60% of his monthly salary, which would translate to about $23,000 per month, but instead learned that the LTD benefits were capped at $10,000 and were subject to further offsets for Social Security disability payments. (/d. §§ 14-140.) Suchin and Andrea also inquired about the terms of Suchin’s life insurance policy and realized that his life insurance was also much less generous than anticipated—worth only $400,000, as opposed to the approximately $1.12 million they had believed they were due. (/d. §§§ 141-180.) Suchin also alleges that Fresenius failed to provide certain ERISA plan documents that his counsel had requested multiple times, beginning in April 2022. (/d. 4 181-213.) Both the original Complaint and the Amended Complaint contain three counts. Counts I and II allege that Fresenius breached its fiduciary duty to Suchin with respect to the LTD and life

insurance plans, respectively, and seek equitable relief under ERISA § 502(a)(3), 29 U.S.C. § 1132(a)(3).! (Am Comp. § 235-315.) Count III alleges that Fresenius failed to provide statutorily mandated documents and seeks damages pursuant to ERISA § 502(c)(1)(B).” (/d. §§ 316-331.) In February 2024, the Court granted Fresenius’s Motion to dismiss Counts | and II of the Complaint. In reaching that conclusion, the Court held that (1) Count II (relating to Suchin’s life insurance policy) was ripe for adjudication; (2) Counts I and II were properly brought under ERISA § 502(a)(3) rather than § 502(A)(1)(B); (3) Suchin adequately alleged that Fresenius was a fiduciary with respect to the LTD and life insurance plans; and (4) Suchin adequately alleged that Fresenius breached its fiduciary duties with respect to both plans by failing to provide him with SPDs and other ERISA-mandated plan documents. (ECF No. 35 at 5-19.) Nothing in the Amended Complaint provides any reason for the Court to revisit these holdings, and this Memorandum will proceed on the assumption that these issues have been resolved for the purposes of this stage of the litigation. Nevertheless, the Court previously dismissed Counts I and II on the grounds that Suchin failed to show he was entitled to the requested remedies of reformation, equitable estoppel, or surcharge. (/d. at 19-30.) This Memorandum will proceed directly into analyzing whether the Amended Complaint now adequately states a claim for equitable estoppel or reformation.* The Court will incorporate Suchin’s new or revised allegations from the Amended Complaint in its analysis where relevant. As will be explained, the Amended Complaint now adequately alleges

' As in the Court’s earlier Memorandum, the Court will refer to ERISA provisions by their designation in the ERISA statute rather than by their United States Code citation, “in keeping with the trend in this practice area.” Rose v. PSA Airlines, Inc., 80 F.4th 488, 494 n.2 (4th Cir. 2023), cert. denied, 144 S. Ct. 1346 (2024). Fresenius has not moved to dismiss Count III. * Suchin’s claim for surcharge was previously dismissed with prejudice (see ECF No. 35 at 31), so the Court does not discuss this remedy any further here.

that Suchin is entitled to equitable estoppel, but fails to show that Suchin is entitled to reformation. II. Legal Standard A motion to dismiss under Rule 12(b)(6) “tests the sufficiency of the claims pled in a complaint.” Sheppard v. Visitors of Va. State Univ., 993 F.3d 230, 234 (4th Cir. 2021) (quotation omitted). When considering a motion to dismiss pursuant to Rule 12(b)(6), the Court must “accept all well-pleaded allegations in the complaint as true and draw all reasonable inferences in the plaintiff's favor.” Langford v. Joyner, 62 F.4th 122, 124 (4th Cir. 2023). To survive a motion to dismiss, the complaint “must include ‘sufficient factual matter, accepted as true, to state a claim to relief that is plausible on its face.”” Jd. (quoting Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009)). Ill. Discussion In enacting ERISA, Congress created a comprehensive framework to protect participants and beneficiaries of employee benefit plans through a complex set of enforcement regimes. Aefna Health Inc. v. Davila, 542 U.S. 200, 208 (2004). ERISA is in many ways a highly technical statute, and when ERISA’s technical provisions are at issue, this Court enforces them in strict accordance with the statutory text. But Congress also chose to incorporate equitable principles directly into the statute by authorizing plaintiffs to sue for “other appropriate equitable relief’ when a defendant violates the statute and no other provision provides an adequate remedy. Korotynska v. Metro. Life Ins. Co., 474 F. 3d 101, 104-105 (4th Cir. 2006) (citing ERISA § 502(a)(3)). This provision authorizes courts to award “typically” equitable forms of relief. Rose v. PSA Airlines, 80 F.4th 488, 500 (4th Cir.

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Suchin v. Fresenius Medical Care Holdings, Inc., (D. Md. 2024).

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