WILLIAM H. STEELE, Chief District Judge.
This matter has been recently transferred to the undersigned's docket, and now comes before the Court on plaintiff's Motion to Remand (doc. 4). The briefing schedule entered by Magistrate Judge Cassady last month has expired, and the Motion is ripe for disposition. Also pending are defendant Prudential Insurance Company's Motion to Dismiss (doc. 7) and Motion to Strike Jury Demand (doc. 9).
Plaintiff, Marion McIntosh, filed suit against Prudential Insurance Company and certain fictitious defendants in the Circuit Court of Wilcox County, Alabama, on September 8, 2016. In his Complaint (doc. 1, Exh. A, at 4-7), McIntosh alleged that he had purchased an insurance policy from Prudential in 1987; that such policy was in full force as of March 19, 2016, when McIntosh's wife died; that the policy by its terms obligated Prudential to pay McIntosh approximately $25,000 upon the death of his spouse; and that Prudential has nonetheless failed and refused to pay any such policy benefits to McIntosh. (Id., ¶¶ 7-10.) On the strength of those factual allegations, McIntosh pursues nominally state-law claims against Prudential on theories of breach of contract, fraud and wantonness, through which he seeks to recover the unpaid policy benefits, as well as punitive damages, costs and attorney's fees.
The body of the Complaint provides no insights into the nature of the insurance policy at issue. However, appended to the Complaint as exhibits are policy documents reflecting on their face that the subject policy is a group insurance contract between Prudential and "NEA Members Insurance Trust," providing for certain life insurance benefits based on the certificate holder's attained age at the time of his or her spouse's death. (Doc. 1, Exh. A, at 10.) Those exhibits further show that McIntosh signed a "Life Insurance Enrollment Form" for "The NEA Group Life Insurance Program." (Id. at 20-21.) McIntosh also attached to his Complaint a document entitled "Your NEA Insurance Booklet and Certificate," which reads in pertinent part as follows:
(Id. at 52.) The Summary Plan Description goes on to indicate that "[a]s a participant in the
NEA Members Insurance plan, you are entitled to certain rights and protections under the Employee Retirement Income Security Act of 1974 (ERISA)." (Id. at 54.) And it specifies that "ERISA imposes duties on NEA, and the Trustees in their operation of the NEA Life Insurance Plan." (Id.) There are thus numerous indications in the documents that the plan was conceived and established as an ERISA plan.
On October 7, 2016, Prudential filed a Notice of Removal (doc. 1), to effectuate removal of this action from Wilcox County Circuit Court to this District Court. As grounds for federal subject matter jurisdiction, Prudential relied on the federal question provisions of 28 U.S.C. § 1331. Even though the Complaint is framed in exclusively state-law terms, Prudential asserted that all of McIntosh's claims were subject to ERISA complete preemption, such that those claims actually arise under federal law despite their facially state-law character.
Plaintiff (by and through counsel) has now filed a Motion to Remand seeking remand of this action to state court for lack of federal jurisdiction. The skeletal Motion, which was not accompanied by a brief, indicates that McIntosh's Complaint raises only "state not federal issues," that "[t]here is no diversity," and that "[t]he Plaintiff is not now nor has ever been an ERISA based employee." (Doc. 4, ¶¶ 3-5.) Prudential filed a detailed Response (doc. 11) to the Motion to Remand. Despite an opportunity to do so, McIntosh elected not to file a reply.
By statute, "[t]he district courts shall have original jurisdiction of all civil actions arising under the Constitution, laws, or treaties of the United States." 28 U.S.C. § 1331. Ordinarily, the test for determining whether a case is removable under § 1331 hinges on the presence or absence of a federal question in the well-pleaded allegations of the complaint. See, e.g., Lobo v. Celebrity Cruises, Inc., 704 F.3d 882, 891 (11
There are, however, certain narrow exceptions to the well-pleaded complaint rule. For purposes of this discussion, the critical exception is the doctrine of complete preemption. "Complete preemption is a narrow exception to the well-pleaded complaint rule and exists where the preemptive force of a federal statute is so extraordinary that it converts an ordinary state law claim into a statutory federal claim." Connecticut State Dental Ass'n v. Anthem Health Plans, Inc., 591 F.3d 1337, 1343 (11
The Supreme Court has articulated the test for complete preemption in the ERISA context in the following terms: "[I]f an individual, at some point in time, could have brought his claim under ERISA § 502(a)(1)(B), and where there is no other independent legal duty that is implicated by a defendant's actions, then the individual's cause of action is completely pre-empted by ERISA § 502(a)(1)(B)." Aetna Health Inc. v. Davila, 542 U.S. 200, 210, 124 S.Ct. 2488, 159 L.Ed.2d 312 (2004); see also Conn. State Dental, 591 F.3d at 1345 ("The Davila test thus requires two inquiries: (1) whether the plaintiff could have brought its claim under § 502(a); and (2) whether no other legal duty supports the plaintiff's claim."). The Court now applies the two-part Davila test to McIntosh's Complaint.
To evaluate whether the first prong of Davila is satisfied — that is, whether a plaintiff's claim could have been brought under ERISA § 502(a)(1)(B) — the Eleventh Circuit has examined whether "two requirements are met: (1) the plaintiff's claim must fall within the scope of ERISA; and (2) the plaintiff must have standing to sue under ERISA." Conn. State Dental, 591 F.3d at 1350. The Court readily concludes that McIntosh's claims fall within the scope of ERISA. After all, his Complaint centers on allegations that Prudential denied coverage promised to him under the terms of the NEA Life Insurance Plan, which is on its face an ERISA-regulated benefit plan.
Nor can there be any doubt about McIntosh's standing to sue under ERISA. The gravamen of McIntosh's Complaint is his desire to recover life insurance benefits that he claims are due and owing him by Prudential as claims administrator for the NEA Life Insurance Plan. This colorable claim for benefits gives rise to standing to sue under ERISA. See, e.g., Conn. State Dental, 591 F.3d at 1353 ("all one needs for standing under ERISA is a colorable claim for benefits, and the possibility of direct payment is enough to establish subject matter jurisdiction") (citation and internal marks omitted); Gables, 813 F.3d at 1338 (explaining that "[t]o maintain an action under ERISA, a plaintiff must have statutory standing, meaning the plaintiff has the right to make a claim under section 502(a)," and that ERISA permits "two categories of persons to sue for benefits: plan beneficiaries and plan participants"). As a plan participant who contends he was denied benefits owed him under the plan, McIntosh has statutory standing to sue.
The second prong of Davila provides that for ERISA complete preemption to exist, there must be "no other independent legal duty that is implicated by a defendant's actions." Davila, 542 U.S. at 210. All of McIntosh's claims asserted against Prudential necessarily depend on a breach of the ERISA plan, which is the ultimate source of the right to payment invoked by McIntosh; therefore, such claims do not implicate any legal duty independent of the ERISA plan. See, e.g., Davila, 542 U.S. at 213 (finding "no other legal duty" test satisfied where defendants' potential liability "derives entirely from the particular rights and obligations established by the benefit plans," such that the plaintiffs' "causes of action are not entirely independent of the federally regulated contract itself"); Gables, 813 F.3d at 1338 ("Because Gables's third party beneficiary claims necessarily depend upon a breach of the ERISA plan, they do not arise out of a separate duty independent of the plan."); Borrero v. United Healthcare of New York, Inc., 610 F.3d 1296, 1304 (11
In light of the foregoing analysis, both prongs of the Davila test are satisfied here. McIntosh's claims asserted in the Complaint are thus completely preempted by ERISA, giving rise to federal question jurisdiction under 28 U.S.C. § 1331 and rendering this action properly removable to federal court. Plaintiff's Motion to Remand is, therefore,
Contemporaneously with McIntosh's Motion to Remand, Prudential brings a pair of additional motions, as to which McIntosh has elected not to be heard. First, Prudential submits a Motion to Dismiss (doc. 7) predicated on the notion that because McIntosh's claims are preempted by ERISA, the Complaint should be dismissed with prejudice in its entirety. As Prudential sees it, whenever a plaintiff pleads state-law claims predicated on denial of benefits under an ERISA plan, preemption principles not only allow the defendant to remove the case to federal court, but also mandate the dismissal with prejudice of all claims post-removal, effectively stripping the plaintiff of any viable remedy for the alleged wrongful denial of benefits. That is not how preemption works in the ERISA context. "When a state-law claim is subject to ERISA superpreemption, that claim is not dismissed; rather, it is simply converted into a federal cause of action." Hall v. Infirmary Health System, 2007 WL 772560, *11 (S.D. Ala. Mar. 8, 2007).
Second, Prudential has filed a Motion to Strike Plaintiff's Jury Demand (doc. 9) on the ground that no right to trial by jury exists in the ERISA context. Binding authorities have so held. See, e.g., Howard v. Parisian, Inc., 807 F.2d 1560, 1566-67 (11
For all of the foregoing reasons, it is
DONE and ORDERED.