Winsor v. Sequoia Benefits and Insurance Services LLC

District Court, N.D. California·Decided November 1, 2021·No. 3:21-cv-00227·Unknown

Opinion

1 2 3 6 7 RACHAEL WRIGHT WINSOR, et al., Case No. 21-cv-00227-JSC

8 Plaintiffs, ORDER RE: MOTION TO DISMISS 9 v. AMENDED COMPLAINT

10 SEQUOIA BENEFITS & INSURANCE Re: Dkt. No. 60 SERVICES LLC, et al., 11 Defendants.

12 13 Plaintiffs, current and former participants in RingCentral, Inc.’s Welfare Benefits Plan, 14 allege that Defendants engaged in an unlawful kickback scheme as fiduciaries of the Plan.1 The 15 Court previously dismissed Plaintiffs’ complaint for lack of Article III standing, granting leave to 16 amend. (Dkt. No. 54.)2 Defendants now move to dismiss Plaintiffs’ amended complaint, (Dkt. 17 No. 55), on the grounds that it fails to establish standing or, in the alternative, fails to plausibly 18 allege that Defendants were fiduciaries. (Dkt. No. 60.) After carefully considering the parties’ 19 briefing, and having had the benefit of oral argument on October 28, 2021, the Court GRANTS 20 the motion.3 21

22 1 All parties have consented to the jurisdiction of a magistrate judge pursuant to 28 U.S.C. § 636(c). (Dkt. Nos. 5, 26.) 23 2 Record citations are to material in the Electronic Case File (“ECF”); pinpoint citations are to the ECF-generated page numbers at the top of the documents. 24 3 The Court likewise GRANTS Defendants’ request for judicial notice as to documents related to 25 the Welfare Benefits Plan. (Dkt. Nos. 61, 60-1.) “[D]ocuments whose contents are alleged in a complaint and whose authenticity no party questions, but which are not physically attached to the 26 pleading, may be considered in ruling on a Rule 12(b)(6) motion to dismiss.” Branch v. Tunnell, 14 F.3d 449, 454 (9th Cir. 1994), overruled on other grounds by Galbraith v. Cnty. of Santa 27 Clara, 307 F.3d 1119 (9th Cir. 2002). “Although mere mention of the existence of a document is 2 “Standing is a necessary element of federal-court jurisdiction” and a “threshold question in 3 every federal case.” Thomas v. Mundell, 572 F.3d 756, 760 (9th Cir. 2009) (citing Warth v. 4 Seldin, 422 U.S. 490, 498 (1975)). “[A] plaintiff must show (i) that he suffered an injury in fact 5 that is concrete, particularized, and actual or imminent; (ii) that the injury was likely caused by the 6 defendant; and (iii) that the injury would likely be redressed by judicial relief.” TransUnion LLC 7 v. Ramirez, 141 S. Ct. 2190, 2203 (2021) (citing Lujan v. Defs. of Wildlife, 504 U.S. 555, 560–61 8 (1992)). These elements are often referred to as injury in fact, causation, and redressability. See, 9 e.g., Planned Parenthood of Greater Wash. & N. Idaho v. U.S. Dep’t of Health & Human Servs., 10 946 F.3d 1100, 1108 (9th Cir. 2020). Plaintiffs, invoking federal jurisdiction, bear the burden of 11 establishing the existence of Article III standing and, at the pleading stage, “must clearly [] allege 12 facts demonstrating each element.” Spokeo v. Robins, 136 S. Ct. 1540, 1547 (2016) (internal 13 quotation marks and citation omitted). 14 Plaintiffs’ amended complaint alleges that Defendants violated ERISA by accepting 15 commissions from insurers that they did not return to the Plan, and by failing to negotiate lower 16 administrative fees. (See Dkt. No. 62 at 13.) They argue both have caused Plaintiffs injury in fact 17 and that they establish the other elements of standing. (Id. at 18–24.) 18 I. Injury In Fact 19 Injury in fact is “an invasion of a legally protected interest” that is (1) “concrete,” (2) 20 “particularized,” and (3) “actual or imminent, not conjectural or hypothetical.” Spokeo v. Robins, 21 136 S. Ct. 1540, 1548 (2016) (citation omitted). A concrete injury may be financial or non- 22 financial, tangible or intangible, but it must be “real, and not abstract”; “it must actually exist.” 23 TransUnion LLC v. Ramirez, 141 S. Ct. 2190, 2204 (2021); Spokeo, 136 S. Ct. at 1548. 24 A. Commissions 25 1. Financial 26 As to unlawful commissions, Plaintiffs first argue the financial injury of “non- 27 1 reimbursement of Defendants’ commissions.” (Dkt. No. 62 at 18.) According to the amended 2 complaint, Plaintiffs Nicole Beichle and Rachael Wright Winsor made twice monthly 3 contributions for insurance in amounts between $0.22 and $105.16. (Dkt. No. 55 ¶¶ 11–14, 17– 4 18.) Defendants then earned a 6% commission from insurer Anthem, such that Ms. Beichle’s 5 contributions “funded $91.08 of Defendants’ Anthem commission in 2018-2019” and Ms. 6 Winsor’s contributions “funded $151.43 of Defendants’ Anthem commission in 2017.” (Id. ¶¶ 7 20–21.) 8 Plaintiffs allege Defendants did not return those commissions to the Plan, in violation of 9 ERISA. (Id. ¶¶ 20, 80.) This allegation, however, does not plausibly support an inference that 10 Plaintiffs—as opposed to the Plan—suffered an injury in fact because Plaintiffs have not alleged 11 facts that support an inference that reimbursement to the Plan would concretely affect them one 12 way or another. See Thole v. U. S. Bank N.A., 140 S. Ct. 1615, 1618–19 (2020) (holding that 13 ERISA plan participants did not have standing to challenge fiduciaries’ mismanagement of plan 14 assets where the amount of benefits they received and would receive in the future was not 15 impacted by the alleged mismanagement); Glanton ex rel. ALCOA Prescription Drug Plan v. 16 AdvancePCS Inc., 465 F.3d 1123, 1124–25 (9th Cir. 2006) (finding no standing where plaintiffs 17 claimed defendants overcharged the plans, but did not allege they were denied benefits or show 18 that “any one-time award to the plans [would] inure to the benefit of participants” as individuals). 19 Cf. Evans v. Akers, 534 F.3d 65, 71 (1st Cir. 2008) (finding standing where plaintiffs alleged “that 20 fiduciary breaches by the defendants diminished the value of their [retirement] accounts, such that 21 they received less money on the day they cashed out of the Plan than they would have received in 22 the absence of any fiduciary breach”). As with the original complaint, there are no allegations that 23 support an inference that had Defendants not charged commissions to the insurers, or had they 24 charged a lower commission, Plaintiffs would have contributed less toward their health benefits. 25 Plaintiffs’ insistence that, if they prevail, Defendants will have to pay the commissions 26 received to the Plan and the Plan in turn will distribute the commissions to plan participants on a 27 pro rata basis is unpersuasive. First, Plaintiffs’ contention that the availability of a remedy in the 1 recent Supreme Court standing rulings. In TransUnion LLC v. Ramirez, the Fair Credit Reporting 2 Act gave the plaintiffs a statutory damages remedy, yet the Supreme Court held that certain 3 plaintiffs had not suffered a concrete injury in the first place and therefore did not have Article III 4 standing. 141 S. Ct. 2190, 2208–13 (2021). 5 Second, Plaintiffs do not cite any law that supports the conclusion that the Plan will 6 distribute any portion of any recovered commissions to plan beneficiaries. Evans v. Akers, 534 7 F.3d 65 (1st Cir. 2008), is inapposite.

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Winsor v. Sequoia Benefits and Insurance Services LLC, (N.D. Cal. 2021).

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