White v. Worthington Industries, Inc.

266 F.R.D. 178, 2010 U.S. Dist. LEXIS 25414, 2010 WL 749921
CourtDistrict Court, S.D. Ohio
DecidedFebruary 23, 2010
DocketNo. 2:08-cv-1082
StatusPublished
Cited by5 cases

This text of 266 F.R.D. 178 (White v. Worthington Industries, Inc.) is published on Counsel Stack Legal Research, covering District Court, S.D. Ohio primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
White v. Worthington Industries, Inc., 266 F.R.D. 178, 2010 U.S. Dist. LEXIS 25414, 2010 WL 749921 (S.D. Ohio 2010).

Opinion

OPINION AND ORDER

TERENCE P. KEMP, United States Magistrate Judge.

This case was filed under the provisions of ERISA which allow a participant in or beneficiary of an employer-sponsored disability plan to seek judicial review of a denial of a claim for benefits under that plan. See 29 U.S.C. § 1132(a)(1)(B). It has been referred to the Magistrate Judge for disposition pursuant to the consent of the parties and through the authority found in 28 U.S.C. § 636(c). The administrative record has been filed, and both parties have briefed the [181]*181question of whether Ms. White is entitled to relief. A motion to seal the administrative record and a motion to dismiss count III of the amended complaint have also been filed. For the following reasons, the Court will direct the entry of judgment in favor of the defendants.

I. The Motion to Dismiss

In her amended complaint, Ms. White has pleaded three claims for relief. Counts I and II are ERISA-based claims for benefits and equitable relief. Count III alleges that defendants Worthington Industries and Unum Life Insurance Company of America breached a multi-state settlement agreement under which they had agreed to reassess her benefits claim in 2005. In their motion to dismiss, defendants (who refer to themselves collectively as Unum) argue that this claim, which is styled as a claim arising under federal contract law, is actually a state-law breach of contract claim that is pre-empted by ERISA. Alternatively, they argue that this count of the complaint does not state a claim upon which relief can be granted. For the following reasons, the Court agrees that this claim is subject to dismissal.

As also described below, more than a year after Unum upheld its discontinuation of Ms. White’s long-term disability benefits, it offered her the opportunity to participate in a reassessment procedure. That opportunity arose as the result of Unum’s assent to a Regulatory Settlement Agreement which required it to afford such rights to a class of claimants whose benefit claims had previously been denied or whose receipt of benefits had been discontinued. Ms. White was a member of that class and therefore entitled to have her claim reassessed. She completed the necessary forms for that process, but was advised on December 13, 2006, that the decision terminating her benefits would not be altered.

Ms. White’s claim for breach of the Agreement, which, she asserts, arises under federal contract law, contains three separate allegations of contractual violations. She contends that Unum breached the contract by “failing to provide White with a full and fair review of her claim,” by “failing to reinstate White’s benefits,” and by requiring her “to waive certain rights as a condition precedent to reassessing her claim, even though no such waiver was required by, or agreed to, in the ... agreement.” Amended Complaint, Doc. #25, ¶ s 41-43. She does not specifically identify in any of her filings what rights she was allegedly required to waive or how that might have caused damage, so the Court will not consider that allegation. The other allegations relate to the way in which Dr. Krell, the physician who did the reassessment of her claim, evaluated such things as the opinions of her treating physicians (or failed to correct the improper evaluation of those opinions during the earlier claim review process), failed to contact her physicians, and relied selectively on information favoring Unum to the exclusion of information which favored Ms. White. See Plaintiffs Motion for Judgment on the Administrative Record, Doc. #37, at 16-20. The remedy she seeks for these alleged breaches is the reinstatement of her benefits and an award of past due benefits. The question is whether this type of breach of contract claim can be maintained apart from ERISA, either because it is a preempted state law claim, or because it would be inappropriate to imply a federal common-law remedy here.

There are surprisingly few decisions dealing with either of these issues. Two courts have held, without a substantial amount of analysis, that any claims arising under this type of agreement are state law claims and, as such, are preempted by ERISA. See Johnson v. Unum Provident, 2009 WL 5126546 (11th Cir. December 30, 2009); Goldberg v. Unum Life Ins. Co. of America, 527 F.Supp.2d 164 (D.Me.2007). Another court has suggested that whether claims brought under such an agreement (which the court apparently believed to be state law claims) are preempted may depend on the type of relief sought, and whether that relief is truly independent of any claim available under ERISA. See Cherochak v. Unum Life Ins. Co. of America, 586 F.Supp.2d 522, 536-37 (D.S.C.2008). Another court, perhaps for similar reasons, has held that a claim that such an agreement was breached by the insurer’s refusal to provide the reassessment [182]*182process to the plaintiff was a state-law claim not preempted by ERISA. MacLennan v. Provident Life & Acc. Ins. Co., 676 F.Supp.2d 57 (D.Conn.2009). Finally, one court has held, in the context of a motion for leave to amend, and without considering the preemption question, that a claim for breach of the agreement was cognizable as a state law claim under Arkansas law. Jones v. Unurn Life Ins. Co. of America, 2006 WL 3462130 (E.D.Ark. November 29, 2006). There do not appear to be any decisions holding that the Regulatory Settlement Agreement involved in this case, or any similar agreement, creates rights which are enforceable under federal common law.

If the Court were to construe the agreement as creating rights enforceable only under state law, there would appear to be little dispute that the claim presented by Ms. White would be preempted by ERISA. The scope of ERISA preemption of state law is broad, and encompasses almost any state law claim that relates to an ERISA plan. See Cromwell v. Equicor-Equitable HCA Corp., 944 F.2d 1272, 1276 (6th Cir.1991) (“only those state laws and state law claims whose effect on employee benefit plans is merely tenuous, remote or peripheral are not preempted”). Her claims, like the ones deemed preempted in Goldberg, go to the heart of her ERISA claim, and the relief she requests for the alleged breaches of the agreement includes an award of past and future benefits from an ERISA plan. Consequently, if the claims she asserts are state law claims, they are preempted.

Ms. White argues strenuously, however, that her contract-based claims are not state law claims but claims arising under federal law. It is true that the federal courts have the power to imply federal common law causes of action under some circumstances. Because of the limited role of the federal courts in determining what causes of action may be maintained under federal common law, however, the courts must be very circumspect when doing so. See Musson Theatrical, Inc. v. Federal Express Corp., 89 F.3d 1244 (6th Cir.1996). The courts may have more leeway in using federal common law rules within the context of state-created causes of action, but that does not convert such claims into federal law causes of action. Id.

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266 F.R.D. 178, 2010 U.S. Dist. LEXIS 25414, 2010 WL 749921, Counsel Stack Legal Research, https://law.counselstack.com/opinion/white-v-worthington-industries-inc-ohsd-2010.