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Vinson v. Metropolitan Life Insurance Co., 2:15CV885-WHA. (2016)

Court: District Court, M.D. Alabama Number: infdco20161107777 Visitors: 8
Filed: Nov. 04, 2016
Latest Update: Nov. 04, 2016
Summary: MEMORANDUM OPINION AND ORDER W. HAROLD ALBRITTON , Senior District Judge . I. INTRODUCTION This cause is before the court on Defendant International Paper Company's Motion to Dismiss (Doc. #43). Nicholas Vinson, LaDexter Vinson, Yutiv Vinson Fuqua, and Thomas Vinson, Jr. ("the Plaintiffs"), filed a Complaint in this case in the Circuit Court of Montgomery, Alabama. The Complaint asserted claims for breach of an insurance policy (Count One) and bad faith (Count Two). The case was removed t
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MEMORANDUM OPINION AND ORDER

I. INTRODUCTION

This cause is before the court on Defendant International Paper Company's Motion to Dismiss (Doc. #43).

Nicholas Vinson, LaDexter Vinson, Yutiv Vinson Fuqua, and Thomas Vinson, Jr. ("the Plaintiffs"), filed a Complaint in this case in the Circuit Court of Montgomery, Alabama. The Complaint asserted claims for breach of an insurance policy (Count One) and bad faith (Count Two). The case was removed to this court on the basis of diversity jurisdiction. The Plaintiffs are citizens of Alabama and Ohio, Defendant Metropolitan Life Insurance Co. ("MetLife") is a citizen of New York and International Paper Company ("International Paper") is a citizen of New York and Tennessee. The Plaintiffs seek to recover approximately $250,000 in life insurance and other damages. No Motion to Remand was filed. Diversity subject matter jurisdiction exists in this case. 28 U.S.C. §1332.

The Plaintiffs filed, with leave of court, an Amended Complaint again bringing claims for breach of contract and bad faith, but adding a claim under the Employee Retirement Income Security Act of 1974 ("ERISA"), and, in the alternative, for breach of fiduciary duty pursuant to 29 U.S.C. §1132.

International Paper filed a Motion to Dismiss which this court granted in part and denied in part. The Plaintiffs were then given an additional opportunity to replead a breach of contract claim against International Paper, and did so. The instant Motion to Dismiss is directed to the newly-pled breach of contract claim.

For reasons to be discussed, the Motion to Dismiss is due to be DENIED.

II. MOTION TO DISMISS

The court accepts the plaintiff's factual allegations as true, Hishon v. King & Spalding, 467 U.S. 69, 73 (1984), and construes the complaint in the plaintiff's favor, Duke v. Cleland, 5 F.3d 1399, 1402 (11th Cir. 1993). In analyzing the sufficiency of pleading, the court is guided by a two-prong approach: one, the court is not bound to accept conclusory statements of the elements of a cause of action and, two, where there are well-pleaded factual allegations, a court should assume their veracity and then determine whether they plausibly give rise to entitlement to relief. See Ashcroft v. Iqbal, 556 U.S. 662, 678-79 (2009). "[A] plaintiff's obligation to provide the `grounds' of his `entitle[ment] to relief' requires more than labels and conclusions, and a formulaic recitation of the elements of a cause of action will not do." Bell Atlantic Corp. v. Twombly, 550 U.S. 544, 555 (2007). To survive a motion to dismiss, a complaint need not contain "detailed factual allegations," but instead the complaint must contain "only enough facts to state a claim to relief that is plausible on its face." Id. at 570. The factual allegations "must be enough to raise a right to relief above the speculative level." Id. at 555.

III. FACTS

The allegations of the Plaintiffs' Amended Complaint are as follows:

The Plaintiffs are beneficiaries of a life insurance policy issued to Plaintiffs' decedent, Dexter W. Vinson ("Vinson"). Vinson was hired by International Paper in 1979. He purchased life insurance from Metropolitan Life Insurance Company ("MetLife") and paid for the policy premiums through a payroll deduction. It is alleged in the Amended Complaint that the policy in question was agreed by MetLife and International Paper to not be governed by ERISA.

Vinson became disabled. It is alleged in the Amended Complaint that International Paper acknowledged his retirement due to disability. When Vinson died, notice of the claim under the policy was provided to MetLife. MetLife denied the claim on the basis that the policy had lapsed. The lapse was said to be as a result of non-payment because Dexter W. Vinson was no longer eligible for payroll deduction at the time of his death.

The Amended Complaint alleges that International Paper had various duties and rights under the contract for life insurance, including the administration of the Payroll Deduction Plan. The Amended Complaint alleges that the life insurance policy states that if the employee is retired, the employee will be considered to be on the payroll deduction plan. The Amended Complaint further alleges that International Paper was charged with continuing the payments under the payroll deduction election and failed in that duty and also failed in its contractual duty to inform Vinson that it was no longer submitting his payments through the Payroll Deduction Plan until 3 months after it had stopped submitting his premium payments. The Plaintiffs allege that they were damaged by International Paper in the amount of benefits that MetLife denied his beneficiaries under the policy.

IV. DISCUSSION

When the court addressed the Plaintiffs' initially-pled breach of contract claim against International Paper, the court noted that the Plaintiffs argued with regard to the breach of contract claim against International Paper that the policy appeared to reflect that there were separate agreements between International Paper and MetLife, but that the claim was for breach of the insurance contract and the recovering of benefits. The court could not discern a basis for liability on the part of International Paper under those facts. Having been given an additional opportunity to clarify the claim, the Plaintiffs have alleged the breach of a tripartite contract for insurance by International Paper in its failure to continue to make payroll deductions and to inform Vinson that it had discontinued making payroll deductions. As noted, the Plaintiffs allege damages in the amount of benefits that MetLife denied Vinson's beneficiaries.

In their briefs, the parties have not cited the court to any cases addressing the theories of breach of contract as alleged. The court is aware of at least one decision in which both the employer responsible for a payroll deduction procedure and the insurance company were held responsible for a breach of an insurance contract which fell within the ERISA Safe Harbor provision. See Johnson v. Watts Regulator Co., No. 92-508-JD, 1994 WL 587801 (D. N. H. Oct. 26, 1994), aff'd, 63 F.3d 1129 (1st Cir. 1995).

In this case, the certificate of insurance provided by the Plaintiffs in support of their claim states that contributions will be sent monthly by the employer (Doc. #43-1). It further states that if the Payroll Deduction procedure ends, further contributions can be paid directly to MetLife. It also states that an employee may be considered to be on the Payroll Deduction Plan under procedures agreed to by the insurance company and the employer. (Doc. #43-1).

In their briefing, the parties have referred to various documents, including an Agreement and Trust. International Paper's argument essentially is that these documents have not been provided, and the Plaintiffs have not pled their claim with sufficient specificity. (Doc. #52 at p.5). The Plaintiffs also request that the court not convert the Motion to Dismiss into a Motion for Summary Judgment. (Doc. #49 at p.10 n.8).

At this pleading stage, where only notice pleading and not heightened pleading is required, and with the clarification of the claim by the Plaintiffs, the court finds that the argument that the documents, not all of which are before the court, do or do not support the Plaintiffs' theories is more appropriately evaluated in the context of a Motion for Summary Judgment. The court concludes that the more appropriate course is to allow the breach of contract claim to proceed to the summary judgment stage rather than convert the instant motion to a motion for summary judgment. It may well be that ultimately there will be insufficient proof of a contractual duty by International Paper, but at this point, the court cannot conclude that the Defendants have adequately demonstrated that the claim is due to be dismissed.

V. CONCLUSION

For the reasons discussed, it is hereby ORDERED that the Motion to DISMISS (Doc. #42) is DENIED.

CIVIL APPEALS JURISDICTION CHECKLIST

1. Appealable Orders: Courts of Appeals have jurisdiction conferred and strictly limited by statute:

(a) Appeals from final orders pursuant to 28 U.S.C. § 1291: Only final orders and judgments of district courts, or final orders of bankruptcy courts which have been appealed to and fully resolved by a district court under 28 U.S.C.§ 158, generally are appealable. A final decision is one that "ends the litigation on the merits and leaves nothing for the court to do but execute the judgment." Pitney Bowes, Inc. v. Mestre, 701 F.2d 1365, 1368 (11th Cir. 1983). A magistrate judge's report and recommendation is not final and appealable until judgment thereon is entered by a district court judge. 28 U.S.C. § 636(c). (b) In cases involving multiple parties or multiple claims, a judgment as to fewer than all parties or all claims is not a final, appealable decision unless the district court has certified the judgment for immediate review under Fed.R.Civ.P. 54(b). Williams v. Bishop, 732 F.2d 885, 885-86 (11th Cir. 1984). A judg ment which resolves all issues except matters, such as attorneys' fees and costs, that are collateral to the merits, is immediately appealable. Budinich v. Becton Dickinson & Co., 486 U.S.196, 201, 108 S.Ct. 1717, 1721-22, 100 L.Ed.2d 178 (1988); LaChance v. Duffy's Draft House, Inc., 146 F.3d 832, 837 (11th Cir. 1998). (c) Appeals pursuant to 28 U.S.C. § 1292(a): Appeals are permitted from orders "granting, continuing, modifying, refusing or dissolving injunctions or refusing to dissolve or modify injunctions . . ." and from "[i]nterlocutory decrees . . . determining the rights and liabilities of parties to admiralty cases in which appeals from final decrees are allowed." Interlocutory appeals from orders denying temporary restraining orders are not permitted. (d) Appeals pursuant to 28 U.S.C. § 1292(b) and Fed.R.App.P. 5: The certification specified in 28 U.S.C. § 1292(b) must be obtained before a petition for permission to appeal is filed in the Court of Appeals. The district court's denial of a motion for certification is not itself appealable. (e) Appeals pursuant to judicially created exceptions to the finality rule: Limited exceptions are discussed in cases including, but not limited to: Cohen v. Beneficial Indus. Loan Corp., 337 U.S. 541, 546, 69S.Ct. 1221, 1225-26, 93 L.Ed. 1528 (1949); Atlantic Fed. Sav. & Loan Ass'n v. Blythe Eastman Paine Webber, Inc., 890 F.2d 371, 376 (11th Cir. 1989); Gillespie v. United States Steel Corp., 379 U.S. 148, 157, 85 S.Ct. 308, 312, 13 L.Ed.2d 199 (1964).

2. Time for Filing: The timely filing of a notice of appeal is mandatory and jurisdictional. Rinaldo v. Corbett, 256 F.3d 1276, 1278 (11th Cir. 2001). In civil cases, Fed.R.App.P. 4(a) and (c) set the following time limits:

(a) Fed.R.App.P. 4(a)(1): A notice of appeal in compliance with the requirements set forth in Fed.R.App.P. 3 must be filed in the district court within 30 days after the entry of the order or judgment appealed from. However, if the United States or an officer or agency thereof is a party, the notice of appeal must be filed in the district court within 60 days after such entry. THE NOTICE MUST BE RECEIVED AND FILED IN THE DISTRICT COURT NO LATER THAN THE LAST DAY OF THE APPEAL PERIOD — no additional days are provided for mailing. Special filing provisions for inmates are discussed below. (b) Fed.R.App.P. 4(a)(3): "If one party timely files a notice of appeal, any other party may file a notice of appeal within 14 days after the date when the first notice was filed, or within the time otherwise prescribed by this Rule 4(a), whichever period ends later." (c) Fed.R.App.P. 4(a)(4): If any party makes a timely motion in the district court under the Federal Rules of Civil Procedure of a type specified in this rule, the time for appeal for all parties runs from the date of entry of the order disposing of the last such timely filed motion. (d) Fed.R.App.P. 4(a)(5) and 4(a)(6): Under certain limited circumstances, the district court may extend the time to file a notice of appeal. Under Rule 4(a)(5), the time may be extended if a motion for an extension is filed within 30 days after expiration of the time otherwise provided to file a notice of appeal, upon a showing of excusable neglect or good cause. Under Rule 4(a)(6), the time may be extended if the district court finds upon motion that a party did not timely receive notice of the entry of the judgment or order, and that no party would be prejudiced by an extension. (e) Fed.R.App.P. 4(c): If an inmate confined to an institution files a notice of appeal in either a civil case or a criminal case, the notice of appeal is timely if it is deposited in the institution's internal mail system on or before the last day for filing. Timely filing may be shown by a declaration in compliance with 28 U.S.C. § 1746 or a notarized statement, either of which must set forth the date of deposit and state that first-class postage has been prepaid.

3. Format of the notice of appeal: Form 1, Appendix of Forms to the Federal Rules of Appellate Procedure, is a suitable format. See also Fed.R.App.P. 3(c). A pro se notice of appeal must be signed by the appellant.

4. Effect of a notice of appeal: A district court loses jurisdiction (authority) to act after the filing of a timely notice of appeal, except for actions in aid of appellate jurisdiction or to rule on a timely motion of the type specified in Fed.R.App.P. 4(a)(4).

Source:  Leagle

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