Van Loo v. Cajun Operating Co.

64 F. Supp. 3d 1007, 2014 U.S. Dist. LEXIS 166471, 2014 WL 6750453
CourtDistrict Court, E.D. Michigan
DecidedDecember 1, 2014
DocketCase No. 14-cv-10604
StatusPublished
Cited by17 cases

This text of 64 F. Supp. 3d 1007 (Van Loo v. Cajun Operating Co.) is published on Counsel Stack Legal Research, covering District Court, E.D. Michigan primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Van Loo v. Cajun Operating Co., 64 F. Supp. 3d 1007, 2014 U.S. Dist. LEXIS 166471, 2014 WL 6750453 (E.D. Mich. 2014).

Opinion

OPINION AND ORDER GRANTING IN PART AND DENYING IN PART DEFENDANT CHURCH’S CHICKEN’S MOTION TO DISMISS THE COMPLAINT AND TO STRIKE JURY DEMAND [12] AND GRANTING RELIANCE STANDARD LIFE INSURANCE COMPANY’S MOTION TO DISMISS COUNTS II THROUGH V OF THE COMPLAINT AND TO STRIKE JURY DEMAND [15]

LAURIE J. MICHELSON, District Judge.

Plaintiffs Donald and Harriet Van Loo bring this action pursuant to the Employee Retirement Income Security Act (“ERISA”), 29 U.S.C. §§ 1001-1461. They assert that Defendants Cajun Operating Company d/b/a Church’s Chicken (“Church’s”), Reliance Standard Life Insurance Company (“Reliance”), and Reliance Standard Life Insurance Company Group Life Policy (Policy No. GL 140042) (“the Plan”) improperly denied them, as beneficiaries, the full value of supplemental life insurance benefits following the death of their daughter, Donna Van Loo. Presently before the Court is Defendant Church’s Motion to Dismiss the Complaint and to Strike Jury Demand (Dkt. 12) under Federal Rules of Civil Procedure 12(b)(6) and 12(f) and Defendant Reliance Standard Life Insurance Company’s Motion to Dismiss Counts II through V of the Complaint and to Strike Jury Demand (Dkt. 15) under Federal Rules of Civil Procedure 12(b)(6) and 12(f).

The Court finds that Plaintiffs can proceed against Church’s on only one count of the Complaint, Count II. Church’s did not make the final decision to deny benefits and so it is not the proper defendant to a claim for denied benefits. Plaintiffs’ federal common law claims are preempted by ERISA or otherwise fail to state a claim upon which relief can be granted. Church’s had no duty to provide Plaintiffs with the documents that Plaintiffs requested. But Plaintiffs have adequately pled that Church’s acted as a fiduciary when making misrepresentations to Ms. Van Loo concerning her coverage, and the relief they seek is available under 29 U.S.C. § 1132(a)(3).

As to Reliance, the Court likewise finds that Plaintiffs’ federal common law claims are preempted by ERISA or otherwise fail to state a claim upon which relief can be granted. The Court also finds that Plain[1012]*1012tiffs cannot state a claim against Reliance for the documents they requested but did not receive because Plaintiffs’ “de facto Plan Administrator” argument does not pass muster under Sixth Circuit precedent. While Plaintiffs have alleged that Reliance took on duties as the Plan Administrator during the relevant time period, their only specific allegation is insufficient to show that Reliance was acting in a fiduciary capacity with respect to anything other than claims adjudication.

Finally, there is no right to a jury trial in actions brought under ERISA § 502, which Plaintiffs concede in their response.

The Court will therefore grant in part and deny in part Church’s motion and grant Reliance’s motion. The Court will also strike Plaintiffs’ jury demand.

I. STANDARD OF REVIEW

Under Federal Rule of Civil Procedure 12(b)(6),1 a case warrants dismissal if it fails “to state a claim upon which relief can be granted.” When deciding a motion under Rule 12(b)(6), the Court must “construe the complaint, in the light most favorable to the plaintiff, accept its allegations as true, and draw all reasonable inferences in favor of the plaintiff,” but the Court need not accept as true legal conclusions or unwarranted factual inferences. Hunter v. Sec’y of U.S. Army, 565 F.3d 986, 992 (6th Cir.2009). To survive a motion to dismiss under Rule 12(b)(6), a plaintiff must plead “sufficient factual matter” to “state a claim to relief that is plausible on its face.” Ashcroft v. Iqbal, 556 U.S. 662, 678, 129 S.Ct. 1937, 173 L.Ed.2d 868 (2009). “Threadbare recitals of the elements of a cause of action, supported by mere conclusory statements, do not suffice.” Id. “A claim has facial plausibility when the plaintiff pleads factual content that allows the court to draw the reasonable inference that the defendant is liable for the misconduct alleged.” Id. The plausibility standard is not a “probability requirement,” but it does require “more than a sheer possibility that a defendant has acted unlawfully.” Id.

In addition to the Complaint, the Court may consider “any exhibits attached thereto, public records, items appearing in the record of the case and exhibits attached to defendant’s motion to dismiss so long as they are referred to in the Complaint and are central to the claims contained therein.” Bassett v. NCAA, 528 F.3d 426, 430 (6th Cir.2008); see also New Eng. Health Care Emps. Pension Fund v. Ernst & Young, LLP, 336 F.3d 495, 501 (6th Cir.2003).

Under Rule 12(f), “the court may strike from any pleading any insufficient defense or any redundant, immaterial, impertinent, or scandalous matter.” A court has “liberal discretion to strike such filings” as it deems appropriate under Rule 12(f). Fed. Nat’l Mortg. Ass’n v. Emperian at Riverfront, LLC, No. 11-14119, 2013 WL 5500027, at *7, 2013 U.S. Dist. LEXIS 143110, at *18 (E.D.Mich. Oct. 3, 2013) [1013]*1013(citing Stanbury Law Firm v. IRS, 221 F.3d 1059, 1063 (8th Cir.2000)).

II. FACTUAL BACKGROUND

Defendant Reliance issued a Group Life Policy to Defendant Church’s, effective January 1, 2006. (Church’s Mot. to Dismiss Ex. B, Ins. Policy at PagelD 107 [hereinafter “Plan”]). The policy was a welfare benefit plan that provided both Basic Life and Accidental Death and Dismemberment benefits and Supplemental Life Insurance benefits. (Compl. at ¶¶ 4, 13.) Church’s was the designated policyholder and administrator of the Plan and Reliance was the designated claims administrator. (Dkt. 1, Compl. at ¶¶ 10 — 11; Church’s Mot. to Dismiss Ex. A, Summary Plan Description at PagelD 93-94 [hereinafter “SPD”].) The Summary Plan Description states that Reliance served as the “claims review fiduciary” with “discretionary authority to interpret the Plan and ... determine eligibility for benefits.” (SPD at PagelD 103.)

Church’s elected the “Self-Administered” billing and administration option for the Policy. This meant that as the policyholder and appointed administrator, Church’s would “typically [be] responsible for ensuring that coverage elections (including any required proof of good health) are processed in accordance with the terms and conditions of the applicable policy and that premium remittances are accurate and timely.” (Reliance Mot. to Dismiss Ex. C, Appeal Letter, at PagelD 247-48.) It also meant that Reliance would “typically ha[ve] no record of individual coverage or premium amounts.” (Id.)

“[A]ctive, Full-time employee[s], except ... temporary or seasonal” workers, were eligible to enroll in the Plan. (Plan at PagelD 111.) As noted, the Plan provided both “Basic Life” and “Supplemental Life” benefits. (Compl.

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Bluebook (online)
64 F. Supp. 3d 1007, 2014 U.S. Dist. LEXIS 166471, 2014 WL 6750453, Counsel Stack Legal Research, https://law.counselstack.com/opinion/van-loo-v-cajun-operating-co-mied-2014.