Wells v. Prudential Insurance Co. of America

13 F. Supp. 2d 1326, 1998 U.S. Dist. LEXIS 11757, 1998 WL 449565
CourtDistrict Court, M.D. Florida
DecidedJuly 15, 1998
Docket98-720-CIV-T-17B
StatusPublished

This text of 13 F. Supp. 2d 1326 (Wells v. Prudential Insurance Co. of America) is published on Counsel Stack Legal Research, covering District Court, M.D. Florida primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Wells v. Prudential Insurance Co. of America, 13 F. Supp. 2d 1326, 1998 U.S. Dist. LEXIS 11757, 1998 WL 449565 (M.D. Fla. 1998).

Opinion

ORDER ON DEFENDANT’S MOTION FOR SUMMARY JUDGMENT

KOVACHEVICH, Chief Judge.

This cause is before the Court on Defendant’s Motion for Summary Judgment, (Docket No. 10), Defendant’s Memorandum of Law in Support of Its Motion for Summary Judgment, (Docket No. 11), supplemented by an Affidavit of Kathy Cintron, (Docket No. 9), and Plaintiffs Affidavit in Opposition to Defendant’s Motion for Summary Judgment. (Docket No. 16).

Standard of Review

Summary judgment is proper if the “pleadings, depositions, answers to interrogatories, and admissions on file, together with the affidavits, if any, show that there is no genuine issue of material fact and that the moving party is entitled to judgment as a matter of law.” Fed.R.Civ.P. 56(c). The moving party must state the basis for its motion and must identify the portions of the record that show the absence of a genuine issue of material fact. The burden can be discharged by “showing... that there is an absence of evidence to support the nonmoving party’s case.” Celotex Corp. v. Catrett, 477 U.S. 317, 323, 106 S.Ct. 2548, 2552, 91 L.Ed.2d 265 (1986).

Once a moving party meets its burden, the nonmoving party must go beyond the pleadings and designate specific facts in affidavits, or in depositions, answers to interrogatories, and admissions, if any, that show a genuine issue of material fact. Id. 477 U.S. at 324, 106 S.Ct. at 2553.

Issues of material fact are “ ‘genuine’ if a reasonable jury considering the evidence presented could find for the nonmoving party.” Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248, 106 S.Ct. 2505, 2510, 91 L.Ed.2d 202 (1986). Material facts are those that will affect the outcome of the trial under the governing substantive law. Id. 477 U.S. at 248, 106 S.Ct. at 2510, 91 L.Ed.2d at 202. In determining whether a material fact exists, the Court must consider all evidence in the light most favorable to the nonmoving party. Sweat v. Miller Brewing Co., 708 F.2d 655 (11th Cir.1983). All reasonable doubts and justifiable inferences are resolved in favor of the nonmoving party. Fitzpatrick v. City of Atlanta, 2 F.3d 1112, 1115 (11th Cir.1993).

Although factual disputes preclude summary judgment, the “mere possibility that a factual dispute may exist, without more, is not sufficient to overcome a convincing presentation by the party seeking summary judgment.” Quinn v. Syracuse Model Neighborhood Corp., 613 F.2d 438, 445 (2d Cir.1980). When a party’s response consists of nothing “more than a repetition of conclu-sional allegations,” summary judgment is not only proper but required. Morris v. Ross, 663 F.2d 1032, 1034 (11th Cir.1981).

Facts

Plaintiff Rebecca Wells (“Plaintiff’) brought this action on August 29, 1997, by filing her original complaint in the Circuit Court of the Thirteenth Judicial Circuit in Hillsborough County, Florida, entitled Rebecca Wells v. PruCare HMO. (Docket No. 11). On January 22, 1998, Plaintiff refiled her Amended Complaint, (Docket No. 2), in the state court, which removed Defendant Pru-Care HMO as a party and added “The Prudential Insurance Company of America, a/k/a The Prudential Health Care System of Tampa Bay,” as a new party to the action, (The Prudential). (Docket No. 11).

On April 4, 1998, The Prudential removed the state-court action to this Court pursuant to Plaintiffs claim arising under the Employee Retirement Income Security Act of 1974 (“ERISA”), 29 U.S.C. § 1001 et seq. Plaintiff alleged in her amended complaint that she was issued a policy of disability insurance by The Prudential during the course of her employment with J.C. Penney Corporation. (Docket No. 2). In her affidavit that was filed on June 10, 1998, Ms. Wells stated that she was an employee of J.C. Penny for a period of twenty-five years, and that as of 1995, she was insured under an employee policy with Defendant. (Docket No. 16).

In support of her claim against Defendant, Ms. Wells provided the Group Number, Branch Number, I.D. Numbers, and the Control Number of this alleged policy. (Docket *1328 No. 16). Plaintiff added that representatives of The Prudential frequently communicated with her through these reference numbers, and that Defendant paid many medical claims submitted by her medical providers. (Docket No. 16). Ms. Wells identified six representatives of The Prudential who she claimed communicated with her, and she concluded that Defendant never denied her any coverage or benefits relating to the alleged policy. (Docket No. 16).

Defendant denied the existence of this policy in its Answer and Defenses to the Plaintiffs Amended Complaint. (Docket No. 6). Defendant argued that Plaintiffs failure to attach a copy of the disability policy to her amended complaint should bar her from stating a cause of action. (Docket No. 11). The Prudential offered the Affidavit of Kathy Cintron, (Ex. A), to support its argument that such a disability policy was never issued to Plaintiff. (Docket No. 11). Ms. Cintron’s Affidavit described her ability to manage and develop J.C. Penney’s employee health and welfare plans through her position as its Projects Specialis1>-Benefit Development Division. (Ex. A). She added that Defendant “never issued such a disability policy to either Plaintiff or her employer, J.C. Penney, for Plaintiffs benefit, and that J.C. Penney was self-insured against its employees’ disabilities during the period of time at issue in Plaintiffs Amended Complaint.” (Ex. A).

Defendant filed its motion for summary judgment pursuant to Fed.R.Civ.P. 56 and Local Rule 3.01 with this Court on May 11, 1998. (Docket No. 10). Based upon established ease law, this Court grants Defendant’s Motion for Summary Judgment for the following reasons.

Discussion

The Employee Retirement Income Security Act of 1974 (“ERISA”), 29 U.S.C. § 1001 et seq., enables a participant or beneficiary of an employee welfare plan to bring a civil suit in federal court for the purpose of either recovering benefits due to him or her under the terms of the plan, or to enforce certain rights under its terms. § 1132(a)(1)(B). Congress enacted ERISA in order to safeguard the employee by insuring disclosure with respect to the creation, maintenance, and administration of employee benefit programs with their employers. Cate v.

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Related

Allen v. Tyson Foods, Inc.
121 F.3d 642 (Eleventh Circuit, 1997)
Anderson v. Liberty Lobby, Inc.
477 U.S. 242 (Supreme Court, 1986)
Marvin Morris v. Harold Ross
663 F.2d 1032 (Eleventh Circuit, 1981)
Cate v. Blue Cross & Blue Shield of Alabama
434 F. Supp. 1187 (E.D. Tennessee, 1977)
Reed v. Prudential Insurance Co. of America
4 F. Supp. 2d 1148 (M.D. Florida, 1998)
Fitzpatrick v. City of Atlanta
2 F.3d 1112 (Eleventh Circuit, 1993)
Quinn v. Syracuse Model Neighborhood Corp.
613 F.2d 438 (Second Circuit, 1980)
Sweat v. Miller Brewing Co.
708 F.2d 655 (Eleventh Circuit, 1983)

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Bluebook (online)
13 F. Supp. 2d 1326, 1998 U.S. Dist. LEXIS 11757, 1998 WL 449565, Counsel Stack Legal Research, https://law.counselstack.com/opinion/wells-v-prudential-insurance-co-of-america-flmd-1998.