MYRON H. THOMPSON, District Judge.
Plaintiff Charles M. Davis brings this lawsuit against defendant Prudential Insurance Company of America, claiming breach of contract and unjust enrichment based on Prudential's refusal to pay his insurance claim for disability benefits. Prudential removed this case from state court to this federal court under 28 U.S.C. § 1441, asserting that Davis's claims are `completely preempted' by the Employee Retirement Income Security Act of 1974 ("ERISA"), 29 U.S.C. §§ 1001 et seq., and thus the court has jurisdiction under 28 U.S.C. § 1331.
The case is now before this court on Prudential's motion to dismiss for failure to state a claim. For the reasons that follow, the dismissal motion will be granted, and the complaint will be dismissed, albeit without prejudice and with leave to amend.
In considering a defendant's motion to dismiss, the court accepts the plaintiff's allegations as true,
This case arises out of Prudential's denial of Davis's workplace disability claim. Davis worked as a customer service representative at a bottling plant in southeast Alabama for some time before stopping due to severe headaches and visual dysfunction in mid-2012. Based on these conditions, he filed a disability claim with Prudential under a benefits plan provided by his employer. After considering the medical records in Davis's file, Prudential denied his claim. About a month later, Prudential denied the claim for a second time after examining additional medical records.
Davis filed suit in an Alabama state court against Prudential for wrongful denial of his benefit claim. He alleges that Prudential breached its contract because it "refused . . . and has continued to refuse" coverage, and that it has been unjustly enriched as a result. The breach of contract and unjust enrichment counts are the only causes of action in the complaint.
Prudential removed the case to this court and now seeks to dismiss the case.
Prudential argues that the complaint should be dismissed because ERISA preempts Davis's state-law claims. And, even if his claims are not preempted, Prudential further contends, Davis failed to plead exhaustion and to exhaust his remedies, both of which are required under ERISA.
Before reaching the merits, the court must consider whether it has subject-matter jurisdiction.
A defendant may remove any civil action where the district court would have had original jurisdiction.
ERISA, which applies to "any employee benefit plan. . . established or maintained . . . by any employer engaged in commerce or in any industry or activity affecting commerce," is one such case of complete preemption. 29 U.S.C. § 1003(a). The Eleventh Circuit Court of Appeals has adopted a two-part test to determine whether ERISA completely preempts a state-law claim: "(1) whether the plaintiff could have brought its claim under § 502(a); and (2) whether no other legal duty supports the plaintiff's claim."
Davis's claims meet both prongs of the test. First, Davis could have brought the claims under ERISA. ERISA's § 502(a) states that a participant or beneficiary of an employee insurance plan may bring an action to recover benefits or enforce his rights under a plan. 29 U.S.C. § 1132(a). In this case, neither party disputes that the long-term disability plan is an employee insurance plan subject to ERISA.
Second, the theories upon which Davis based his claims "did not arise independently" from his ERISA plan.
Because Davis could have brought his legal claims under § 502(a) and did not have an independent basis for the claims, they are completely preempted by federal law. Therefore, the claims arise under federal law, and the court has proper federal-question jurisdiction.
Given that there is subject-matter jurisdiction, the court turns to Prudential's motion to dismiss. Prudential first argues that Davis's complaint should be dismissed because ERISA preempts his state-law claims.
Defensive preemption is a separate inquiry from complete preemption.
The question whether a law relates to an ERISA plan is one of Congressional intent.
Davis claims that Prudential breached its contract and was unjustly enriched when it refused to pay his disability claim. These two claims not only reference the ERISA plan, but are based entirely on the plan. They are classic examples of state-law claims that relate to an ERISA plan and are thus preempted under federal law.
Because Davis's only claims are state-law claims and are both preempted under ERISA, the court grants the motion to dismiss.
An appropriate judgment will be entered granting Prudential`s motion to dismiss and dismissing this lawsuit, albeit without prejudice and with leave to amend.