YVONNE GONZALEZ ROGERS, UNITED STATES DISTRICT COURT JUDGE.
Plaintiff James L. Bush brings this Employee Retirement Income Security Act of 1974, as amended ("ERISA")
Plaintiff filed his initial complaint on April 1, 2014. (Dkt. No. 1 ("Complaint").) On January 2, 2015, the Court granted in part and denied in part a motion to dismiss filed by Liberty Life and joined, in part, by Hyundai. Bush v. Liberty Life Assurance Co. of Boston, 77 F.Supp.3d 900, 902 (N.D.Cal.2015) ("Bush I"). On April 20, 2015, plaintiff filed a First Amended Complaint, asserting twelve claims for: (1) disability benefits under section 502(a)(1)(B), against Liberty Life; (2) equitable relief pursuant to sections 102 and 502(a)(3), against Hyundai and the Administrator Class; (3) equitable relief and disgorgement pursuant to section 502(a)(3), against Liberty Life; (4) breach of fiduciary duty under section 404, against Liberty Life; (5) breach of fiduciary duty under section 404, against Hyundai and the Administrator
Liberty Life and Hyundai again moved to dismiss. (Dkt.Nos.87, 90.) Having carefully considered the papers submitted, the record in this case, and the arguments of counsel presented at the July 21, 2015 hearing, and good cause shown, the Court hereby
Plaintiff's allegations center around Liberty Life's decision to offset the long-term disability benefits he was otherwise owed by the amount he received in VA disability payments.
"Federal Rule of Civil Procedure 8(a)(2) requires only a `short and plain statement of the claim showing that the pleader is entitled to relief,' in order to `give the defendant fair notice of what the... claim is and the grounds upon which it rests.'" Bell Atlantic Corp. v. Twombly, 550 U.S. 544, 554, 127 S.Ct. 1955, 167 L.Ed.2d 929 (2007) (quoting Conley v. Gibson, 355 U.S. 41, 47, 78 S.Ct. 99, 2 L.Ed.2d 80 (1957)) (alteration in original). Even under the liberal pleading standard of Rule 8(a)(2), "a plaintiff's obligation to provide the grounds of his entitlement to relief requires more than labels and conclusions, and a formulaic recitation of the elements of a cause of action will not do." Twombly, 550 U.S. at 555, 127 S.Ct. 1955 (citing Papasan v. Allain, 478 U.S. 265, 286, 106 S.Ct. 2932, 92 L.Ed.2d 209 (1986) (internal brackets and quotation marks omitted)). The Court will not assume facts not alleged, nor will it draw unwarranted inferences. Ashcroft v. Iqbal, 556 U.S. 662, 679, 129 S.Ct. 1937, 173 L.Ed.2d 868 (2009) ("Determining whether a complaint states a plausible claim for relief [is] a context-specific task that requires the reviewing court to draw on its judicial experience and common sense.").
Pursuant to Rule 12(b)(6), a complaint may be dismissed for failure to state a claim upon which relief may be granted. Dismissal for failure to state a claim under Federal Rule of Civil Procedure 12(b)(6) is proper if there is a "lack of a cognizable legal theory or the absence of sufficient facts alleged under a cognizable legal theory." Conservation Force v. Salazar, 646 F.3d 1240, 1242 (9th Cir.2011) (citing Balistreri v. Pacifica Police Dep't, 901 F.2d 696, 699 (9th Cir.1988)). The complaint
Pursuant to Federal Rule of Civil Procedure 12(b)(6), Hyundai filed a motion to dismiss Counts II, V, and VIII on multiple grounds. (Dkt. No. 87 ("Hyundai Mot.").) As to Counts II and V, Hyundai argues: (1) the claims are improperly pled in the alternative to Count I in such a way that it would be "logically impossible" for plaintiff to prevail on those claims; and (2) plaintiff has no available remedy under those claims as to Hyundai. (Id. at 6-7.) As to Count VIII, Hyundai argues that, as a matter of law, the FAC establishes that the plan at issue was maintained pursuant to a "written instrument," undercutting this claim. (Id. at 7.)
As a threshold matter, the Court addresses plaintiff's contention that Hyundai's arguments have been waived due to its failure to argue them in connection with its original motion to dismiss (a joinder, in part, in Liberty Life's motion). Federal Rule of Civil Procedure 12(g)(2) provides that "a party that makes a motion under this rule [including for failure to state a claim] must not make another motion under this rule raising a defense or objection that was available to the party but omitted from its earlier motion." One treatise describes the rule as follows:
Fed. Prac. & Proc. Civ. § 1384 (3d ed.). Certain defenses or objections, such as those relating to lack of subject-matter jurisdiction or failure to state a claim, will not be permanently waived. Instead, while the defendant may be precluded from raising them in a pre-answer motion, they may be subsequently raised in a motion for judgment on the pleadings or on summary judgment. See Fed. R. Civ. P. 12(h).
Hyundai claims its arguments in the instant motion were not available as to the original complaint, but only arose in connection with changes made in the FAC. This argument does not persuade. First, in moving to dismiss Counts II and V, Hyundai contends it is "logically impossible" for the plaintiff to ever prevail on these counts. This argument flows, in broad strokes, as follows: (1) Count I alleges the offset provision of the plan does not permit VA benefits offsets; (2) Counts II and V, pled in the alternative, allege that even if VA offsets are permitted under the plan language, insufficient disclosure of those terms renders the provision
Second, in moving to dismiss Counts II and V, Hyundai argues no relief is available under those counts because only Liberty Life has the power to reform the terms of the agreement. Hyundai appears to concede that it could have raised this issue in its first motion.
Third, Hyundai claims that because Count V is newly asserted in the FAC, it could not have raised its arguments as to that claim in its original motion. However, Hyundai raises identical issues with respect to both Counts II and V. Had it raised these points in connection with its original motion as to Count II, plaintiff could have taken the resulting ruling into account in formulating — or choosing to leave out — the newly pled Count V, thus vitiating the need for further motion practice at the pleading stage.
Finally, Hyundai fails to address why it could not have moved to dismiss Count VIII (included as Count IV in the original complaint) in its first motion. The Court, in reviewing the respective allegations from each complaint, finds no reason why the argument could not have been raised at that time.
Thus, the Court finds that the grounds for dismissal raised in Hyundai's motion could have properly been raised by Hyundai in its original motion to dismiss — which, in this case, happened to be a joinder, in part, in Hyundai's motion. Hyundai was free to file a separate motion at that time, raising these issues, but perhaps strategically chose to first await the result of Liberty Life's efforts. Such an approach needlessly complicated the pleading stage of this case. While Hyundai cites authority suggesting the Court may nevertheless consider its arguments at this stage despite the plain language of Rule 12(g)(2), the Court declines, in light of the procedural history of this case, to exercise any such authority. As a result, Hyundai's motion to dismiss is
Pursuant to Federal Rule of Civil Procedure 12(b)(6), Liberty Life filed a motion to dismiss Counts III, IV, VI, VII, XI, and XII, for failure to state a claim upon which relief can be granted. The Court addresses each in turn:
The argument raised by Liberty Life as to Count III (equitable relief and disgorgement pursuant to section 502(a)(3)) — that it is impermissibly duplicative of Count I (disability benefits under section 502(a)(1)(B)) — was raised in Liberty Life's previous motion, and rejected by the Court. (See Bush I, at 909-10.)
In Count IV (breach of fiduciary duty under section 404), pled in the alternative to Count I, plaintiff challenges Liberty Life's drafting of the Certificate of Coverage and SPD. Specifically, plaintiff alleges "Liberty Life assumed responsibility for providing participants with information about their eligibility for benefits ... and drafted the Certificate of Coverage and [SPD]...." (FAC ¶ 199.) He then alleges those documents fail to disclose adequately the offset at issue, and that Liberty Life failed to take other steps to so inform participants. (Id. ¶¶ 200-210.) This claim is presented as one for a breach of fiduciary duty under section 404. Section 404 provides that fiduciaries must discharge their duties "solely in the interest of the participants and beneficiaries" and with reasonable care and diligence, among other requirements.
As to Count IV, Liberty Life renews an argument upon which it prevailed as to two counts asserted against it in the initial complaint — namely, that this claim is only available against the "plan administrator," Hyundai, and so may not be asserted against the insurer, Liberty Life. The FAC still alleges that "Hyundai Motor America is ... the Plan Administrator...." (FAC ¶ 8.) Thus, the Court again finds, for purposes of this motion, that Hyundai is the plan administrator as that term is defined in the statute. (See Bush I, at 905-06.) The Court also notes that it previously held that only Hyundai was responsible for purported failings in the SPD pursuant to sections 102 and 104. (Id. at 906-07.)
Liberty Life cites a Fourth Circuit decision which held fiduciaries were not obligated to furnish information to plan participants over and above those documents that administrators must furnish pursuant to section 104. See Faircloth v. Lundy Packing Co., 91 F.3d 648, 657 (4th Cir. 1996) (rejecting the argument that "ERISA's general fiduciary duty provision, § 404(a)(1)(A), requires plan fiduciaries to furnish documents to participants and beneficiaries in addition to the documents that ERISA's specific disclosure provision, § 104(b)(4), requires" because "[s]uch a holding would conflict with the principle that specific statutes govern general statutes"). The Court agrees that, to the extent Count IV seeks to hold a non-plan administrator responsible for obligations of solely the administrator under sections 102 or 104, the claim fails. However, the claim also alleges a breach of fiduciary duty arising from Liberty Life's purportedly misleading benefits letters. While it may be true that Liberty Life similarly has no such obligation, it has failed to put forth any authority directly addressing this aspect of the claim. Given the law continues to develop in this area, the Court declines to dismiss Count IV in its entirety at this time, and
In Count VI (co-fiduciary liability under section 405(a)), plaintiff seeks to hold Liberty Life accountable for an alleged breach of fiduciary responsibility by Hyundai. Section 405(a) provides as follows:
Plaintiff alleges Liberty Life drafted the Certificate of Coverage and SPD on behalf of a number of plan administrators for which it provides insurance coverage, including Hyundai. (FAC ¶¶ 220-21.) He further alleges that by providing these documents in a manner that "fail[ed] to disclose that Veterans Disability Benefits is a form of income eligible for offset," and expecting that those documents would be provided to participants, Liberty Life enabled the plan administrators to commit a breach of fiduciary duties and took no reasonable steps to remedy those breaches. (Id. ¶¶ 221-23.)
Liberty Life puts forth two primary arguments in support of dismissal: (1) that the allegations put forth in support of Count VI are conclusory and insufficient to render the claim plausible; and (2) that Count VI is impermissibly duplicative of Count I. As to the first point, the non-binding authority put forth by Liberty Life in support of its position is distinguishable and does not persuade. See, e.g., In re Syncor ERISA Litig., 351 F.Supp.2d 970, 988 (C.D.Cal.2004) (dismissing co-fiduciary liability claim where the plaintiffs provided "no facts to support" their conclusory allegations). Here, the FAC does not merely present conclusory allegations, but instead offers a theory of co-fiduciary liability premised upon specific conduct by Liberty Life — its provision of purportedly deficient plan documents to plan administrators with the knowledge that those administrators would distribute said documents to members. These allegations are sufficient to render plausible plaintiff's claim of a violation of at least subsections 405(a)(1) and (3).
As to Liberty Life's second point, the Court finds this count properly pled in the alternative at this early stage in the case for the same reasons enumerated in Bush I.
Thus, the motion as to Count VI is
Count VII accuses Liberty Life of violating sections 406(a) and (b), which
Liberty Life argues the accused conduct simply does not fall within the scope of the section. The Court agrees. Plaintiff seeks an expansive reading of section 406 that would render almost any wrongful benefits denial determination by an insurer a prohibited transaction under the statute. Such errors are properly addressed elsewhere in the statute, such as through a claim seeking disability benefits under section 502(a)(1)(B) — asserted as Count I in the FAC. The prohibited transactions statute is focused on misuse of plan assets or self-dealing by a fiduciary in connection with its supervisory role over the plan. A mere benefits denial determination is not the type of transaction this section was intended to address. See Wright v. Oregon Metallurgical Corp., 360 F.3d 1090, 1100 (9th Cir.2004) ("Congress enacted [section 406] `to bar categorically a transaction ... likely to injure the pension plan."). Allegations of "a lawful decision to remain in full compliance with the explicit language of the Plan's terms" and the absence of a transaction "akin to a `sale, exchange, or leasing of property, ... [or] the lending of money or extension of credit," fail to state a claim under this section. Id. at 1101. Plaintiff attempts to distinguish this authority by arguing Liberty Life's decision was not "lawful," and pointing to cases that define "plan assets" broadly. See, e.g., Kayes v. Pac. Lumber Co., 51 F.3d 1449, 1467 (9th Cir.1995) (finding use of right to receive future residual distributions from a plan, after the plan's termination, as collateral in order to obtain a loan constituted use of a plan asset). The Ninth Circuit follows a two-part test for determining whether a particular "item" constitutes a plan asset: "(1) whether the item in question may be used to the benefit (financial or otherwise) of the fiduciary, and (2) whether such use is at the expense of the plan participants or beneficiaries." Id. Here, however, the Court is not persuaded that this test is applicable in the first instance, as Liberty Life is simply an insurer and no allegations support a finding that any assets of the plan are at issue. Instead, according to the FAC, Hyundai or other plan sponsors pay premiums to Liberty Life in exchange for its promise, as an insurer, to pay benefits in accordance with the terms of the plans in question. Thus, as noted, plaintiff's interpretation — unsupported by any binding authority directly on point — would transform any claim for an improper benefits denial by an insurer into a "prohibited transaction." While the Court is aware of no Ninth Circuit authority directly on point, in light of the purpose of the provision (discussed above), the Court declines to so extend its scope.
Plaintiff has not identified an alternative theory to support this claim. In light of the Court's finding that this theory fails as a matter of law, granting leave to amend would be futile. Consequently, Count VII is
Count XI seeks declaratory and injunctive relief and restitution pursuant to the Declaratory Judgment Act, 28 U.S.C. §§ 2201-02, based upon a purported violation of 38 U.S.C. § 5301(a), which protects
38 U.S.C. § 5301(a)(1).
Count XI alleges Liberty Life, merely by withholding or seeking to recover purported overpayments, "has made an `attachment, levy or seizure'" in violation of the anti-attachment provision. (FAC ¶ 288.) Plaintiff claims that, under Bilyeu v. Morgan Stanley Long Term Disability Plan, 683 F.3d 1083 (9th Cir.2012), Liberty Life cannot obtain an equitable lien over plaintiff's VA benefits. Bilyeu addressed the question of whether an insurer could obtain an equitable lien by agreement against a beneficiary to recover overpayments due to an offset of her social security benefits. Bilyeu, 683 F.3d at 1086-94. The Ninth Circuit found that an equitable lien could not be established because the specific fund identified — the purported overpayments — had already been spent. Id. at 1094. However, Count X — which Liberty Life does not challenge — already seeks a declaratory judgment that the policy in question does not contain language sufficient to establish an equitable lien by agreement. Count XI appears to go further, seeking a declaratory judgment that, as a matter of law, VA benefits can never be offset from payments due under a long-term disability policy. However, the authorities cited by plaintiff merely stand for the uncontroversial and undisputed proposition that VA benefits cannot themselves be attached. There is apparently no controversy as to that point, and so declaratory judgment as to that basic point is unnecessary. Liberty Life cites authority suggesting social security offsets may be appropriate despite an analogous anti-attachment statute. See Cusson v. Liberty Life Assur. Co. of Boston, 592 F.3d 215, 232 (1st Cir.2010). Plaintiff puts forth no authority supporting the proposition that VA benefits may never be offset as a matter of law, and suggests no additional facts that could be asserted in amending the claim. Thus, Count XI is
In Count XII, plaintiff alleges — in the alternative to certain of its prior claims, in the event that Liberty Life is not found to be a fiduciary — that Liberty Life knowingly participated in a fiduciary breach by a fiduciary (Hyundai and other plan administrators) in violation of section 502(a)(3). Specifically, the complaint alleges Liberty Life knowingly participated in Hyundai's breach of its obligations under section 102 to provide an SPD that "reasonably apprise[d] ... participants and beneficiaries of their rights and obligations under the plan." (FAC ¶¶ 194, 294.) Liberty Life argues plaintiff fails to plead adequately "what was false or misleading." (Dkt. No. 94 at 12 n.4.) At the pleading stage, the allegations in the complaint on this point are sufficient to state a claim. Additionally, Liberty Life argues this is simply an end-run around this Court's earlier order finding section 102 obligations
For the foregoing reasons, the Court hereby
1. Liberty Life's motion to dismiss Count III (seeking equitable relief and disgorgement pursuant to section 502(a)(3)) is
2. Liberty Life's motion to dismiss Count IV (for breach of fiduciary duty under section 404) is
3. Liberty Life's motion to dismiss Count VI (co-fiduciary liability under section 405(a)) is
4. Liberty Life's motion to dismiss Count VII (accusing Liberty Life of undertaking prohibited transactions in violation of section 406(a) and (b)) is
5. Liberty Life's motion to dismiss Count XI (seeking declaratory and injunctive relief and restitution pursuant to the Declaratory Judgment Act, 28 U.S.C. §§ 2201-02, based upon a purported violation of 38 U.S.C. § 5301(a)) is
6. Liberty Life's motion to dismiss Count XII (alleging, in the alternative, knowing participation in the breach of a fiduciary by a non-fiduciary under section 502(a)(3)) is
This Order terminates Docket Numbers 87, 90.