SUSIE MORGAN, District Judge.
Before the Court are the following motions: (1) Defendant Arkansas Blue Cross and Blue Shield's Motion to Dismiss the Fifth Amended, Supplemented, and Restated Complaint for Noncompliance with the Court's September 30, 2014 Order,
Defendant Arkansas Blue Cross and Blue Shield and the "Blue Cross Defendants" filed motions to dismiss based on noncompliance with the Court's September 30, 2014 order and failure to adequately state a claim upon which relief may be granted.
The Court now addresses the remaining arguments in the Defendants' motions to dismiss. Both motions either incorporate by reference prior arguments made by the Defendants with respect to failure to adequately plead Counts II through IV or provide an abbreviated argument for dismissal of these counts.
Count II of the Fifth Amended Complaint asserts a claim for failure to supply requested information ERISA requires to be produced. The Defendants claim the factual allegations in the Fifth Amended Complaint and Revised Exhibit 1 do not plausibly support a right to relief. Specifically, they argue the Defendants are not the proper parties to whom a demand for documents under 29 U.S.C. §§ 1024, 1132(c) may be made.
29 U.S.C. § 1024(b)(4) requires the "administrator" of a plan to produce summary plan descriptions upon written request of any participant or beneficiary. ERISA defines "administrator" to mean "the person specifically so designated by the terms of the instrument under which the plan is operated," or "if an administrator is not so designated, the plan sponsor."
The Fifth Amended Complaint contains paragraphs referencing each named Defendant. In all of these paragraphs, Plaintiffs allege that the particular Defendant "insured and/or administered employer health benefit plans."
In this case, Plaintiffs have not pleaded facts sufficient to support a penalty claim against the individual Defendants under 29 U.S.C. § 1132(c). With respect to all of the seventy-plus Defendants, Plaintiffs merely make a conclusory statement that the Defendants are the plan administrator, de facto administrator, or administrator through contract delegation. The Fifth Amended Complaint and Revised Exhibit 1 lack factual content that would allow the Court to draw the reasonable inference that the Defendants are plan administrators under the statute.
Plaintiffs have had notice of Defendants' arguments concerning the lack of sufficient factual allegations to support this Count, and the Court has given Plaintiffs numerous opportunities to amend their complaint. Plaintiffs have not cured the allegational defects under this Count. Accordingly, all claims under Count II against all Defendants are dismissed with prejudice.
Count III of the Fifth Amended Complaint asserts a claim for failure to provide full and fair review under ERISA, and Count IV asserts a claim for breach of fiduciary duties of loyalty, disclosure and prudence. Both claims are pursued under 29 U.S.C. § 1132(a)(3), which permits a participant, beneficiary, or fiduciary to bring a civil action "(A) to enjoin any act or practice which violates any provision of this subchapter 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 subchapter or the terms of the plan." The Defendants again assert the factual allegations in the Fifth Amended Complaint and Revised Exhibit 1 do not plausibly support a right to relief under either Count III or Count IV. Specifically, the Defendants argue the Plaintiffs are not entitled to maintain claims for relief under 29 U.S.C. § 1132(a)(3) where they are otherwise bringing a claim for benefits under § 1132(a)(1)(B).
As the Defendants correctly argue, a plaintiff may pursue claims under 29 U.S.C. § 1132(a)(3) only when no other relief is available or adequate under the facts giving rise to the plaintiff's claims.
It is clear from Plaintiffs' Fifth Amended Complaint that Count I—the claim to recover benefits owed under the ERISA plans—is the predominate ERISA cause of action in this suit. The fact that the Plaintiffs may not ultimately obtain the benefits they seek under § 1132(a)(1) is irrelevant.
Plaintiffs have had notice of Defendants' 12(b)(6) arguments concerning Counts III and IV, and the Court has given Plaintiffs numerous opportunities to amend their complaint. Accordingly, the Court dismisses with prejudice all claims under Counts III and IV asserted against all Defendants.
For the reasons stated above, the motions to dismiss filed by Defendant Arkansas Blue Cross and Blue Shield
Defendant Blue Cross Blue Shield of Michigan's ("BCBS Michigan") Motion to Dismiss based on noncompliance with the Court's September 30, 2014 order is denied for the reasons addressed above. The Defendant is granted leave to revisit issues raised in its motions to dismiss through motions for full or partial summary judgment, where appropriate.
The Court previously granted BCBS Michigan leave to re-urge its previous motion to sever.
The Anthem Defendants' Motion to Dismiss argues that the Fifth Amended Complaint fails to allege any facts showing that Defendants "Anthem BlueCross BlueShield of Nevada" or "BlueCross BlueShield of Missouri" have any connection to this case, and as a result the Fifth Amended Complaint fails to state a claim for relief against these two Defendants.
Plaintiffs argue the Defendants have sufficient information to identify the claims asserted against each Defendant by filtering Revised Exhibit 1 to search and identify the claims directed to that specific Defendant. Revised Exhibit 1 delivered to the Court on June 11, 2015 does not identify any claims against Defendants Anthem BlueCross BlueShield of Nevada or BlueCross BlueShield of Missouri. Thus, Plaintiffs have not asserted any claims against them. Accordingly, to the extent the Anthem Defendants' motion argues the Fifth Amended Complaint fails to allege any facts showing that Defendants "Anthem BlueCross BlueShield of Nevada" or "BlueCross BlueShield of Missouri" have any connection to this case, the motion is granted, and these two Defendants are dismissed with prejudice as parties to this action.
The Anthem Defendants' Motion to Dismiss also states that the Anthem Defendants collectively join in the Blue Cross Defendants' motion. Accordingly, the Anthem Defendants' Motion to Dismiss is granted to the extent it seeks dismissal of Counts II, III, and IV for failure to state a claim upon which relief could be granted. The Anthem Defendants' Motion to Dismiss is denied with respect to all remaining arguments. However, the Anthem Defendants are granted leave to revisit issues raised in its motions to dismiss through motions for full or partial summary judgment, where appropriate.
Defendant Blue Cross and Blue Shield of Kansas was dismissed with prejudice as a party to this action.
Defendant Independence Administrators BlueCross BlueShield of Pennsylvania's Motion to Dismiss for Failure to State a Claim is reset for submission for July 15, 2015 at 10:00 a.m.
As a result of this order, all pending motions except for Defendant Independence Administrators BlueCross BlueShield of Pennsylvania's Motion to Dismiss for Failure to State a Claim
(4) Georgia; (5) Indiana; (6) Kentucky; (7) Maine; (8) Missouri; (9) Nevada; (10) New York; (11) Ohio; (12) Virginia; and (13) Wisconsin.