Workforce Development, Inc. v. Corporate Benefit Services of America, Inc.

316 F. Supp. 2d 854, 32 Employee Benefits Cas. (BNA) 2691, 2004 U.S. Dist. LEXIS 7691, 2004 WL 963578
CourtDistrict Court, D. Minnesota
DecidedMay 3, 2004
DocketCIV. 03-5439(RHK/AJB)
StatusPublished
Cited by1 cases

This text of 316 F. Supp. 2d 854 (Workforce Development, Inc. v. Corporate Benefit Services of America, Inc.) is published on Counsel Stack Legal Research, covering District Court, D. Minnesota primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Workforce Development, Inc. v. Corporate Benefit Services of America, Inc., 316 F. Supp. 2d 854, 32 Employee Benefits Cas. (BNA) 2691, 2004 U.S. Dist. LEXIS 7691, 2004 WL 963578 (mnd 2004).

Opinion

MEMORANDUM OPINION AND ORDER

KYLE, District Judge.

Introduction

This matter comes before the Court on Plaintiffs Motion to Remand. Plaintiff Workforce Development, Inc. (“Workforce”) has alleged various state common law claims against Defendant Corporate Benefit Services of America, Inc. (“CBSA”) regarding CBSA’s purported failure to process claims according to an agreement with Workforce. CBSA removed the action from Olmsted County District Court on the ground the Complaint states a federal cause of action under the Employee Retirement and Income Security Act of 1974 (“ERISA”), 29 U.S.C. § 1101, et seq. Workforce now moves the Court to remand this matter to state court. For the reasons set forth below, the Court will grant Workforce’s motion.

Background

Workforce is an employer and the plan sponsor of a self-funded employee welfare benefit plan governed by ERISA. (Hickey Aff. Ex. A.) Workforce and CBSA are signatories to the Administrative Services Agreement, under which CBSA, acting as the contract administrator, provides administrative services for Workforce, the plan administrator. (Zehe Aff. Ex. A at 1.) Under the Administrative Services Agreement, Workforce retains final authority and responsibility for the plan, funds the plan, and collects contributions. (Id. at 1-2.) CBSA, on the other hand, is obligated to assist in developing the plan documents, review enrollment applications, and process and adjudicate claims. (Id. at 2-3.) In exchange for these services, Workforce pays CBSA a fee. (Id. at 4.) The Administrative Services Agreement is “governed by the laws of the State of Minnesota or, where applicable, federal law,” and “constitute[s] the entire contract between the parties.” (Id. at 6, 5.)

Workforce entered into a separate contract with Avemco Insurance Co. (“Avemco”) to secure stop-loss insurance coverage. (Hickey Aff. Ex. B.) Stop-loss insurance is often used by self-insured employers such as Workforce to protect against the risk that a high claim might wipe out the employer’s medical insurance fund. Under the stop-loss agreement, Avemco agreed to provide excess reimbursement coverage for individual health insurance claims exceeding $20,000 or a total aggregate of $475,000. (Id.; *857 Compl. ¶ V.) The stop-loss insurance covered only expenses “[p]aid from 01/01/2002 through 12/31/2002.” (Hickey Aff. Ex. B. at 1.)

On July 18, 2002, an employee of Workforce gave birth to a premature daughter at the Mayo Clinic in Rochester, resulting in large medical expenses. On December 12, 2002, the Mayo Clinic submitted the largest bill — in excess of $400,000 — to CBSA. CBSA did not, however, pay the bill before the end of the year. Because the bill was not “[p]aid from 01/01/2002 through 12/31/2002,” (id), it fell outside Avemco’s stop-loss policy.

On September 17, 2003 Workforce filed this suit alleging breach of contract, breach of fiduciary duty, negligence, and promissory estoppel against CBSA for its alleged failure to process the $400,000 claim so as to ensure coverage by Avemco.

Standard of Decision

Under 28 U.S.C. § 1441(a), a defendant may remove a matter from state court if that matter could have originally been brought in federal court. The district court must, however, remand the case to state court “[i]f at any time before final judgment it appears that the district court lacks subject matter jurisdiction ....” 28 U.S.C. § 1447(c). The party seeking removal and opposing remand has the burden of establishing federal subject matter jurisdiction. In re Bus. Men’s Assurance Co., 992 F.2d 181, 183 (8th Cir.1993). When reviewing a motion to remand, a court must resolve all doubts about federal jurisdiction in favor of remand. Id.

Analysis

In general, a claim is only removable under federal question jurisdiction if a federal issue appears on the face of the plaintiffs well-pleaded complaint. See, e.g., Oklahoma Tax Comm’n v. Graham, 489 U.S. 838, 840-41, 109 S.Ct. 1519, 103 L.Ed.2d 924 (1989). The United States Supreme Court has created an exception to this rule, however, where Congress has so completely preempted a particular area of law that “any civil complaint raising this select group of claims is necessarily federal in character.” Metropolitan Life Ins. Co. v. Taylor, 481 U.S. 58, 63-64, 107 S.Ct. 1542, 95 L.Ed.2d 55 (1987).

This exception applies to § 502(a) of ERISA, the statute’s civil enforcement provisions. Section 502(a) reads, in pertinent part,

A civil action may be brought—

(1) by a participant or beneficiary—
(B) to recover benefits due to him under the terms of his plan, to enforce his rights under the terms of the plan, or to clarify his rights to future benefits under the terms of the plan;
(3) by a participant, beneficiary or fiduciary (A) to enjoin any act or practice which violates any provision of this sub-chapter or the terms of the plan, or (B) to obtain other appropriate equitable relief (i) to redress such violations or (ii) to enforce any provisions of this subchap-ter or the terms of the plan ....

29 U.S.C. § 1132(a). Because § 502(a) provides “the exclusive remedy for rights guaranteed under ERISA,” Ingersoll-Rand v. McClendon, 498 U.S. 133, 144, 111 S.Ct. 478, 112 L.Ed.2d 474 (1990), “causes of action within the scope of the civil enforcement provisions of [§ 502(a) are] removable to federal court,” Metropolitan Life, 481 U.S. at 66, 107 S.Ct. 1542.

CBSA removed this matter from state court on the ground that ERISA completely preempts Workforce’s breach of contract, breach of fiduciary duty, negligence, and promissory estoppel claims. Workforce rejects this assertion, and has moved *858 the Court to remand the ease to state court.

I. . Complete Preemption Analysis

To determine whether Workforce’s claims are completely preempted, the Court must determine whether (1) Workforce has standing to bring a claim; (2) the subject matter of the state law claim falls within the scope of ERISA; and (3) the claim can be resolved without reference to the plan language. Blaylock v. Hynes, 104 F.Supp.2d 1184, 1189 (2000) (Mongomery, J.); see also Tovey v. Prudential Ins. Co. of America,

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316 F. Supp. 2d 854, 32 Employee Benefits Cas. (BNA) 2691, 2004 U.S. Dist. LEXIS 7691, 2004 WL 963578, Counsel Stack Legal Research, https://law.counselstack.com/opinion/workforce-development-inc-v-corporate-benefit-services-of-america-inc-mnd-2004.