Weir v. Northwestern National Life Insurance

796 F. Supp. 846, 1992 U.S. Dist. LEXIS 9653, 1992 WL 202463
CourtDistrict Court, E.D. Pennsylvania
DecidedJuly 2, 1992
DocketCiv. A. 92-0679
StatusPublished
Cited by6 cases

This text of 796 F. Supp. 846 (Weir v. Northwestern National Life Insurance) 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
Weir v. Northwestern National Life Insurance, 796 F. Supp. 846, 1992 U.S. Dist. LEXIS 9653, 1992 WL 202463 (E.D. Pa. 1992).

Opinion

*847 MEMORANDUM

ROBERT F. KELLY, District Judge.

This is an action brought by Leonard and Paula Weir (“Plaintiffs”) to recover unpaid medical bills allegedly due under the Employee Health Insurance Plan of Atlantic Western Personnel Leasing Corporation (“AWPL”). Plaintiffs have named Defendant Northwestern National Life Insurance Company (“NWNL”) in Counts III, IV and V of their Complaint. NWNL filed a Motion to Dismiss Plaintiffs’ Complaint for failure to state a claim entitling Plaintiffs to relief.

Count III of the Complaint is a state claim for breach of contract against NWNL. Count IV is a state claim alleging bad faith for NWNL’s failure to notify Plaintiffs of the cancellation of their insurance coverage. Count V is a claim for breach of fiduciary duty under ERISA.

The Employee Retirement Income Security Act (“ERISA”) is a comprehensive legislative scheme including an integrated system of procedures for enforcement. Northwest Airlines, Inc. v. Transport Workers, 451 U.S. 77, 97, 101 S.Ct. 1571, 1583-84, 67 L.Ed.2d 750 (1981). The “preemption clause,” section 514(a) of ERISA, provides that ERISA “shall supersede any and all State laws insofar as they may now or hereafter relate to any employee benefit plan.” 29 U.S.C. section 1144(a). In Shaw v. Delta Air Lines, Inc., 463 U.S. 85, 96-100, 103 S.Ct. 2890, 2899-2902, 77 L.Ed.2d 490 (1983), the Supreme Court noted the expansive sweep of ERISA’s pre-emption clause. In Shaw, the phrase “relates to” was given a broad common sense meaning such that a state law “relates to” a benefit plan if it has a connection with or reference to such a plan.. Id. at 97, 103 S.Ct. at 2900. The Court emphasized that “the pre-emption clause is not limited to state laws specifically dealing with the subject matters covered by ERISA — reporting, disclosure, fiduciary responsibility, and the like.” Id. at 98, 103 S.Ct. at 2900. The only relevant state laws that are not pre-empted, are those that are specifically exempted from the scope of ERISA. Alessi v. Raybestos-Manhattan, Inc., 451 U.S. 504, 101 S.Ct. 1895, 68 L.Ed.2d 402 (1981).

The Supreme Court dealt with a breach of contract claim under an employee benefit plan in Metropolitan Life Insurance Co. v. Taylor, 481 U.S. 58, 107 S.Ct. 1542, 95 L.Ed.2d 55 (1987). The Court held that the common law contract claims at issue were pre-empted by ERISA since they “related to an employee benefit plan.” Id. at 62, 107 S.Ct. at 1546. In Metropolitan the Court recognized that “the policy choices reflected in the inclusion of certain remedies and the exclusion of others under 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.” Id. at 64, 107 S.Ct. at 1547 (citing Pilot Life Ins. Co. v. Dedeaux, 481 U.S. 41, 54, 107 S.Ct. 1549, 1556-57, 95 L.Ed.2d 39 (1987)).

State law claims that relate to the administration of an ERISA-governed plan, but which have no impact on employee benefit plans, are within the scope of ERISA pre-emption. Holland v. Burlington Industries, Inc., 772 F.2d 1140, 1147 (4th Cir.1985). In Berger v. Edgewater Steel Co., 911 F.2d 911, 923 (3d Cir.1990), the Third Circuit held that section 514(a) pre-empted the employees’ misrepresentation claims since they related to an employee benefit plan. The court dismissed the state law claims and the plaintiffs were denied an opportunity to amend their complaint. Id. at 923. The court in Pane v. RCA Corp., 868 F.2d 631 (3d Cir.1989) also dealt with the issue as to whether state law and ERISA co-exist under the Act. Dismissing three state law counts, including a breach of contract claim, the court found that state law and ERISA do not co-exist for purposes of enforcement of an employee benefit plan. Id. at 635.

The nature of Counts III and IV of Plaintiffs’ Complaint are made with reference to AWPL’s benefit plan. These claims clearly “relate to” the benefit plan and are therefore pre-empted by ERISA. By claiming state law violations, Plaintiffs are attempting to substitute state law for *848 ERISA’s carefully devised enforcement procedures. McMahon v. McDowell, 794 F.2d 100, 107 (3d Cir.1986). When enacting ERISA, Congress intended to explicitly rule out this option. For these reasons, Counts III and IV of Plaintiffs’ Complaint are dismissed.

Count V of Plaintiffs’ Complaint alleges that NWNL breached its fiduciary duty under ERISA. Pursuant to the provisions of ERISA, “a person is a fiduciary with respect to a plan to the extent (i) he exercises any authority or control respecting management or disposition of its assets, (ii) he renders investment advice for a fee or other compensation ..., or (iii) he has any discretionary authority or discretionary responsibility in the administration of such plan.” 29 U.S.C. section 1002(21)(A). In determining who is a fiduciary under ERISA, courts consider whether a party has exercised discretionary authority or control over a plan’s management, assets, or administration. Painters of Philadelphia Dist. Council No. 21 Welfare Fund v. Price Waterhouse, 879 F.2d 1146, 1148-51 (3d Cir.1989).

In the present case, NWNL had no discretionary or decision making authority. NWNL contracted with AWPL to provide only administrative duties pursuant to the Administrative Services Only plan. NWNL’s duties as outlined in this plan were solely ministerial. In addition, NWNL was not the Plan Administrator. Therefore, NWNL is a non-fiduciary under ERISA and Count V of Plaintiffs’ Complaint must be dismissed.

This Court notes that the Third Circuit has yet to address the issue of whether non-fiduciaries can be held liable under ERISA. However, a number of district courts in this Circuit have rendered decisions in this area. Those courts which do recognize non-fiduciary liability under ERISA do so only in limited circumstances. “The one situation in which courts have imposed ERISA fiduciary status on a party not otherwise meeting the definition of fiduciary is when a non-fiduciary knowingly colludes with a fiduciary to impair a fund’s assets.” Dole v. Compton, 753 F.Supp. 563, 567 (E.D.Pa.1990) (citations omitted).

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Cite This Page — Counsel Stack

Bluebook (online)
796 F. Supp. 846, 1992 U.S. Dist. LEXIS 9653, 1992 WL 202463, Counsel Stack Legal Research, https://law.counselstack.com/opinion/weir-v-northwestern-national-life-insurance-paed-1992.