Winsor v. Sequoia Benefits and Insurance Services LLC

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

Opinion

RACHAEL WRIGHT WINSOR, et al., Case No. 21-cv-00227-JSC

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

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

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

1 All parties have consented to the jurisdiction of a magistrate judge pursuant to 28 U.S.C. § 636(c). (Dkt. Nos. 5, 26.) 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. 3 The Court likewise GRANTS Defendants’ request for judicial notice as to documents related to 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 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 Clara, 307 F.3d 1119 (9th Cir. 2002). “Although mere mention of the existence of a document is “Standing is a necessary element of federal-court jurisdiction” and a “threshold question in every federal case.” Thomas v. Mundell, 572 F.3d 756, 760 (9th Cir. 2009) (citing Warth v. Seldin, 422 U.S. 490, 498 (1975)). “[A] plaintiff must show (i) that he suffered an injury in fact that is concrete, particularized, and actual or imminent; (ii) that the injury was likely caused by the defendant; and (iii) that the injury would likely be redressed by judicial relief.” TransUnion LLC v. Ramirez, 141 S. Ct. 2190, 2203 (2021) (citing Lujan v. Defs. of Wildlife, 504 U.S. 555, 560–61 (1992)). These elements are often referred to as injury in fact, causation, and redressability. See, e.g., Planned Parenthood of Greater Wash. & N. Idaho v. U.S. Dep’t of Health & Human Servs., 946 F.3d 1100, 1108 (9th Cir. 2020). Plaintiffs, invoking federal jurisdiction, bear the burden of establishing the existence of Article III standing and, at the pleading stage, “must clearly [] allege facts demonstrating each element.” Spokeo v. Robins, 136 S. Ct. 1540, 1547 (2016) (internal quotation marks and citation omitted). Plaintiffs’ amended complaint alleges that Defendants violated ERISA by accepting commissions from insurers that they did not return to the Plan, and by failing to negotiate lower administrative fees. (See Dkt. No. 62 at 13.) They argue both have caused Plaintiffs injury in fact and that they establish the other elements of standing. (Id. at 18–24.) I. Injury In Fact Injury in fact is “an invasion of a legally protected interest” that is (1) “concrete,” (2) “particularized,” and (3) “actual or imminent, not conjectural or hypothetical.” Spokeo v. Robins, 136 S. Ct. 1540, 1548 (2016) (citation omitted). A concrete injury may be financial or non- financial, tangible or intangible, but it must be “real, and not abstract”; “it must actually exist.” TransUnion LLC v. Ramirez, 141 S. Ct. 2190, 2204 (2021); Spokeo, 136 S. Ct. at 1548. A. Commissions 1. Financial As to unlawful commissions, Plaintiffs first argue the financial injury of “non- reimbursement of Defendants’ commissions.” (Dkt. No. 62 at 18.) According to the amended complaint, Plaintiffs Nicole Beichle and Rachael Wright Winsor made twice monthly contributions for insurance in amounts between $0.22 and $105.16. (Dkt. No. 55 ¶¶ 11–14, 17– 18.) Defendants then earned a 6% commission from insurer Anthem, such that Ms. Beichle’s contributions “funded $91.08 of Defendants’ Anthem commission in 2018-2019” and Ms. Winsor’s contributions “funded $151.43 of Defendants’ Anthem commission in 2017.” (Id. ¶¶ 20–21.) Plaintiffs allege Defendants did not return those commissions to the Plan, in violation of ERISA. (Id. ¶¶ 20, 80.) This allegation, however, does not plausibly support an inference that Plaintiffs—as opposed to the Plan—suffered an injury in fact because Plaintiffs have not alleged facts that support an inference that reimbursement to the Plan would concretely affect them one way or another. See Thole v. U. S. Bank N.A., 140 S. Ct. 1615, 1618–19 (2020) (holding that ERISA plan participants did not have standing to challenge fiduciaries’ mismanagement of plan assets where the amount of benefits they received and would receive in the future was not impacted by the alleged mismanagement); Glanton ex rel. ALCOA Prescription Drug Plan v. AdvancePCS Inc., 465 F.3d 1123, 1124–25 (9th Cir. 2006) (finding no standing where plaintiffs claimed defendants overcharged the plans, but did not allege they were denied benefits or show that “any one-time award to the plans [would] inure to the benefit of participants” as individuals). Cf. Evans v. Akers, 534 F.3d 65, 71 (1st Cir. 2008) (finding standing where plaintiffs alleged “that fiduciary breaches by the defendants diminished the value of their [retirement] accounts, such that they received less money on the day they cashed out of the Plan than they would have received in the absence of any fiduciary breach”). As with the original complaint, there are no allegations that support an inference that had Defendants not charged commissions to the insurers, or had they charged a lower commission, Plaintiffs would have contributed less toward their health benefits. Plaintiffs’ insistence that, if they prevail, Defendants will have to pay the commissions received to the Plan and the Plan in turn will distribute the commissions to plan participants on a pro rata basis is unpersuasive. First, Plaintiffs’ contention that the availability of a remedy in the recent Supreme Court standing rulings. In TransUnion LLC v. Ramirez, the Fair Credit Reporting Act gave the plaintiffs a statutory damages remedy, yet the Supreme Court held that certain plaintiffs had not suffered a concrete injury in the first place and therefore did not have Article III standing. 141 S. Ct. 2190, 2208–13 (2021). Second, Plaintiffs do not cite any law that supports the conclusion that the Plan will distribute any portion of any recovered commissions to plan beneficiaries. Evans v. Akers, 534 F.3d 65 (1st Cir. 2008), is inapposite. There, the plan participants alleged an injury in fact: the fiduciaries’ mismanagement diminished the monies in their personal accounts such that when they received lump sum distributions, they received less than they otherwise would have received but for the breach. Id. at 67–68, 71. Further, the portion of the opinion upon which Plaintiffs rely stated that “recovery made on behalf of a

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