VOLZ v. GENERAL MOTORS, LLC

CourtDistrict Court, E.D. Pennsylvania
DecidedOctober 5, 2023
Docket2:22-cv-03471
StatusUnknown

This text of VOLZ v. GENERAL MOTORS, LLC (VOLZ v. GENERAL MOTORS, LLC) is published on Counsel Stack Legal Research, covering District Court, E.D. Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
VOLZ v. GENERAL MOTORS, LLC, (E.D. Pa. 2023).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE EASTERN DISTRICT OF PENNSYLVANIA

WADE VOLZ : CIVIL ACTION Plaintiff, : : v. : : GENERAL MOTORS, LLC and : THE GENERAL MOTORS LIFE AND : DISABILITY BENEFITS PROGRAM : FOR SALARIED EMPLOYEES : Defendants. : No. 22-cv-3471

MEMORANDUM KENNEY, J. October 5, 2023 Plaintiff Wade Volz (“Plaintiff”) brings this action against Defendants General Motors, LLC (“GM”) and The General Motors Life and Disabilities Benefits Program for Salaried Employees (together, the “Defendants”), alleging violations of the Employee Retirement Income Security Act of 1974 (“ERISA”) that resulted in denial of Plaintiff’s life insurance claim on his ex-spouse. Presently before the Court are cross-motions for summary judgment. ECF Nos. 23, 24. For the reasons set forth below, Plaintiff’s Motion for Summary Judgment (ECF No. 24) is denied, and Defendants’ Motion for Summary Judgment (ECF No. 23) is granted. Appropriate Orders will follow.

I. BACKGROUND

Plaintiff worked for GM beginning in November 1999. ECF No. 1 ¶ 7. As a benefit of his employment, he enrolled himself and his ex-spouse, Tina Volz (“Ms. Volz”), in GM’s employee benefits plan which included voluntary dependent coverage in a group variable life insurance plan, in the amount of $150,000. Id. ¶¶ 8–9; ECF No. 22, Stipulation of Material Facts Not in Dispute (“SMF”) ¶ 13. From November 1999 through Ms. Volz’s death, GM automatically deducted premium payments from Plaintiff. ECF No. 1 ¶ 11. Metropolitan Life Insurance Company (“MetLife”) insured the life insurance benefits and

GM was the named Plan Administrator. ECF No. 22, SMF ¶¶ 9–10. As the Plan Administrator, GM had “discretionary authority to construe, interpret, and apply the terms of the Plan, determine eligibility, and modify or amend the Life Plan, among various other responsibilities.” Id. ¶ 11. GM admits that as Plan Administrator it was, at times, a fiduciary pursuant to ERISA. Id. ¶ 12. Relevant documents of the “Life Plan” include the Wrap Document and Group Variable Universal Life Insurance Certificate of Coverage. Id. ¶ 2. The Certificate of Coverage states that “Spouse” means the employee’s “lawful Spouse,” and that a “Dependent” under the Dependent Life Rider includes only the employee’s “Spouse” and children up to a certain age. Id. ¶¶ 4–5. The Life Plan states that “Dependent Life Benefits will end . . . the date a Dependent ceases to be a Dependent as defined.” Id. ¶ 8. The Life Plan also states that once the Dependent is no longer

eligible for coverage, the employee has 31 days to submit a written application to MetLife to convert the dependent coverage from the Life Plan to an individual life insurance policy. Id. ¶ 16. On February 10, 2011, MetLife mailed a notification to Plaintiff stating he had access to the “MyBenefits Web site” which allowed employees to review all information about the life benefits and perform certain service functions related to the life benefits, by either calling an “800” phone number or logging into the website. Id. ¶ 14. On January 9, 2013, Plaintiff and Ms. Volz divorced. Id. ¶ 15. Plaintiff alleges that following the divorce he “promptly” called GM’s Human Resource department to notify them of the divorce. ECF No. 1 ¶ 17. Plaintiff alleges that during the call, he was told he could maintain the insurance benefits for Ms. Volz. Id. ¶ 18. Plaintiff elected to terminate Ms. Volz’s health and dental insurance, and to continue Ms. Volz’s life insurance coverage. Id. Plaintiff alleges that GM did not advise Plaintiff of the need to complete a conversion or portability application or take any other affirmative action to maintain Ms. Volz’s life insurance coverage, other than paying the

premium. Id. Plaintiff continued to make the required premium payments which GM automatically deducted from Plaintiff’s pay until Ms. Volz’s death. Id. ¶ 19. Plaintiff believed that the life insurance coverage for Ms. Volz continued based on his call with GM Human Resources and the automatic withdrawal of premium payments. Id. ¶ 20. Plaintiff alleges that at no point after Plaintiff notified GM of his divorce did GM give Plaintiff any indication that his coverage was not effective or that Plaintiff needed to take further action. Id. Plaintiff asserts that had he been properly informed he would have submitted the required application. Id. ¶ 29. On November 26, 2020, Ms. Volz died. ECF No. 22, SMF ¶ 17. On December 11, 2020, Plaintiff filed a claim seeking benefits under the Life Plan. Id. On January 22, 2021, MetLife denied Plaintiff’s claim for dependent spouse benefits under the Life Plan, finding that Ms. Volz’s

eligibility as a dependent spouse ended when divorce was final in 2013 and that coverage was not properly converted within the 31-day period. Id. ¶ 18. On March 31, 2021, Plaintiff requested an administrative appeal of the claim denial. Id. ¶ 19. On July 9, 2021, as part of that appeal, Plaintiff alleged that he called “GM’s Benefits Department” and was informed he could maintain dependent spouse coverage despite the divorce. Id. ¶ 20. In response to this allegation, GM and MetLife reviewed their phone records. Id. ¶ 21. MetLife confirmed that there was no prior notice of the divorce in their system. Id. ¶ 22. Additionally, GM and MetLife had no record of a call regarding Plaintiff’s divorce. Id. ¶¶ 22–23, 26. In addition, GM confirmed that if an employee called the “800” number which is considered “GM Benefits,” the employee should have been transferred to the insurer, MetLife. Id. ¶ 24. As a part of the same appeal, MetLife determined that Plaintiff was sent mailings in 2018 and 2020 based on his election of dependent spouse coverage and that the mailings informed the

employee that the employee needed to contact MetLife if the employee was not married so the election could be cancelled and any premium paid could be refunded. Id. ¶ 29. On August 27, 2021, MetLife completed the administrative appeal and upheld denial of the benefits based on a finding that Ms. Volz’s eligibility ended when divorce was final. Id. ¶ 30. MetLife sent a premium refund to Plaintiff. Id. ¶ 33. On August 27, 2021, Plaintiff submitted another letter to MetLife seeking a second administrative appeal to review the claim denial. Id. ¶ 34. On January 18, 2022, MetLife completed its second administrative appeal of Plaintiff’s claim. Id. ¶ 40. MetLife again determined that the claim was not payable and that a premium refund was previously sent. Id. ¶ 41. MetLife further confirmed that Plaintiff had exhausted his administrative remedies and that no further appeals

would be considered. Id. ¶ 42. On June 1, 2023—nine months after Plaintiff commenced this action—Plaintiff signed a Separation and Release Agreement (“SRA”) which GM provided to Plaintiff. See id. ¶ 49. The SRA is four pages long. ECF No. 21-6. The SRA states Plaintiff “releases, waives, and forever discharges [General Motors LLC] and all of its subsidiaries, affiliates, and related entities, and all of their respective agents, employees, officers, directors, shareholders, members, managers, employee benefit plans and fiduciaries, insurers, successors, assigns, the Plan, the Plan sponsor, and the Plan administrator.” ECF No. 22, SMF ¶ 50. The SRA also states that Plaintiff agrees to release “all claims, liabilities, actions, grievances, demands, obligations, agreements, or proceedings of any kind, individually or as part of a group action, whether known or unknown, that arise out of, relate to, or are connected with” Plaintiff’s employment, his compensation and benefits, his termination of employment, any

alleged discrimination, harassment, retaliation, or failure to accommodate claims, and any claims or disputes based on events or circumstances occurring up to and including the date Plaintiff signed the Agreement. Id. ¶ 51.

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Bluebook (online)
VOLZ v. GENERAL MOTORS, LLC, Counsel Stack Legal Research, https://law.counselstack.com/opinion/volz-v-general-motors-llc-paed-2023.