MARTIN L.C. FELDMAN, District Judge.
Before the Court are four motions: (1) The Prudential Insurance Company of America's motion to dismiss Count III of the plaintiff's complaint; (2) The United Parcel Service Flexible Benefits Plan and United Parcel Service, Inc.'s motion to dismiss Counts I (as to UPS only), II, and III of the plaintiff's complaint; (3) The Prudential Insurance Company of America's motion to dismiss Count IV of the plaintiff's amended complaint; and (4) The United Parcel Service Flexible Benefits Plan and United Parcel Service, Inc.'s motion to dismiss Counts III and IV of the plaintiff's amended complaint. For the reasons that follow, the motions are GRANTED.
This lawsuit arises out of a widow's efforts to recover life insurance benefits following her husband's tragic death at age 37 in a weekend motorcycle accident; benefits that were denied because of her late husband's active military status.
Linda Singletary worked for United Parcel Service, Inc. as a part-time, non-union employee. As a UPS employee, Mrs. Singletary participated in the UPS Service Flexible Benefits Plan, which provides group insurance coverage to certain qualified UPS employees and their dependents. The Plan, which includes benefits for both basic dependent life insurance benefits and optional, supplemental dependent life benefits,
Timothy Singletary died in October 2012. Mr. Singletary was a member of the United States Army, but he was stationed stateside and was off-duty at the time of his death.
Having exhausted her administrative remedies under the terms of the Plan and ERISA, Mrs. Singletary sued The Prudential Insurance Company of America, the United Parcel Service Flexible Benefits Plan, and United Parcel Service, Inc. Mrs. Singletary seeks to recover damages related to the denial of basic and optional dependent life insurance benefits under the benefit plan sponsored by her employer, UPS, and she advances four theories of recovery.
Prudential now seeks to dismiss Counts III and IV of the plaintiff's original and amended complaints. And the Plan, along with UPS, now seek to dismiss Counts II, III, and IV of the original and amended complaints; UPS also seeks to dismiss Count I insofar as it is named as a defendant to the plaintiff's ERISA claim.
Rule 12(b)(6) of the Federal Rules of Civil Procedure allows a party to move for dismissal of a complaint for failure to state a claim upon which relief can be granted. Such a motion is rarely granted because it is viewed with disfavor. See Lowrey v. Tex. A & M Univ. Sys., 117 F.3d 242, 247 (5th Cir.1997) (quoting Kaiser Aluminum & Chem. Sales, Inc. v. Avondale Shipyards, Inc., 677 F.2d 1045, 1050 (5th Cir.1982)).
Under Rule 8(a)(2) of the Federal Rules of Civil Procedure, a pleading must
In considering a Rule 12(b)(6) motion, the Court "accepts `all well-pleaded facts as true, viewing them in the light most favorable to the plaintiff.'" See Martin K. Eby Constr. Co. v. Dall. Area Rapid Transit, 369 F.3d 464 (5th Cir.2004) (quoting Jones v. Greninger, 188 F.3d 322, 324 (5th Cir.1999)). But, in deciding whether dismissal is warranted, the Court will not accept conclusory allegations in the complaint as true. Kaiser, 677 F.2d at 1050. Indeed, the Court must first identify allegations that are conclusory and, thus, not entitled to the assumption of truth. Ashcroft v. Iqbal, 556 U.S. 662, 678-79, 129 S.Ct. 1937, 173 L.Ed.2d 868 (2009). A corollary: legal conclusions "must be supported by factual allegations." Id. at 678, 129 S.Ct. 1937. Assuming the veracity of the well-pleaded factual allegations, the Court must then determine "whether they plausibly give rise to an entitlement to relief." Id. at 679, 129 S.Ct. 1937.
"`To survive a motion to dismiss, a complaint must contain sufficient factual matter, accepted as true, to state a claim to relief that is plausible on its face.'" Gonzalez v. Kay, 577 F.3d 600, 603 (5th Cir.2009) (quoting Iqbal, 556 U.S. at 678, 129 S.Ct. 1937) (internal quotation marks omitted). "Factual allegations must be enough to raise a right to relief above the speculative level, on the assumption that all the allegations in the complaint are true (even if doubtful in fact)." Bell Atl. Corp. v. Twombly, 550 U.S. 544, 555, 127 S.Ct. 1955, 167 L.Ed.2d 929 (2007) (citations and footnote omitted). "A claim has facial plausibility when the plaintiff pleads factual content that allows the court to draw the reasonable inference that the defendant is liable for the misconduct alleged." Iqbal, 556 U.S. at 678, 129 S.Ct. 1937 ("The plausibility standard is not akin to a `probability requirement,' but it asks for more than a sheer possibility that a defendant has acted unlawfully."). This is a "context-specific task that requires the reviewing court to draw on its judicial experience and common sense." Id. at 679, 129 S.Ct. 1937. "Where a complaint pleads facts that are merely consistent with a defendant's liability, it stops short of the line between possibility and plausibility of entitlement to relief." Id. at 678, 129 S.Ct. 1937 (internal quotations omitted) (citing Twombly, 550 U.S. at 557, 127 S.Ct. 1955). "[A] plaintiff's obligation to provide the `grounds' of his `entitle[ment] to relief'", thus, "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 (alteration in original) (citation omitted).
Finally, "[w]hen reviewing a motion to dismiss, a district court `must consider the complaint in its entirety, as well as other sources ordinarily examined when ruling on Rule 12(b)(6) motions to dismiss, in particular, documents incorporated into the complaint by reference, and matters of which a court may take judicial notice.'" Funk v. Stryker Corp., 631 F.3d 777, 783 (5th Cir.2011) (quoting Tellabs, Inc. v. Makor Issues & Rights, Ltd., 551 U.S. 308, 322, 127 S.Ct. 2499, 168 L.Ed.2d 179 (2007)).
Mrs. Singletary concedes that the Plan is subject to ERISA; indeed, she alleges that her husband was covered under the Plan as a qualified dependent. She likewise concedes that the group life insurance policy excludes coverage for dependent life insurance benefits based solely on an individual's status as a member of the armed forces without regard to any connection between the insured's death and war (or other military activities or duties). But she insists that it does so unfairly, and illegally. Thus, the defendants in their four pending motions to dismiss focus not on Mrs. Singletary's ERISA claim; rather, they focus on whether or not Mrs. Singletary has stated any one of three claims that the group policy exclusion is prohibited by the Louisiana Insurance Code, or is illegal discrimination against members of the armed forces under the Uniformed Services Employment and Reemployment Rights Act of 1994 or the Louisiana Military Service Relief Act.
As an initial matter, insofar as the plaintiff seeks to recover from UPS on her ERISA claim, the plaintiff has failed to state a claim. The plaintiff does not allege that UPS is more than merely a plan sponsor, that UPS controls administration of the Plan, or that UPS has the authority to fund or decide claims with respect to the life insurance benefits at issue. Accordingly, it appears that UPS is not a proper defendant to Mrs. Singletary's ERISA claim. See LifeCare Management Services, LLC v. Insurance Management Administrators Inc., 703 F.3d 835, 843 (5th Cir.2013); see also Musmeci v. Schwegmann Giant Super Markets, Inc., 332 F.3d 339, 349-50 (5th Cir.2003). By failing to advance any argument in opposition, the plaintiff apparently concedes this point. Accordingly, UPS's motion to dismiss Count 1 (as against UPS) must be granted.
UPS's motion to dismiss Count II of the plaintiff's complaint presents the issue of whether the Plan's armed forces coverage exclusion is prohibited under the anti-discrimination provisions of the Uniformed Services Employment and Reemployment Rights Act of 1994.
In Count II, Mrs. Singletary alleges that UPS has violated the Uniformed Services Employment and Reemployment Rights Act of 1994 by denying her equal access and coverage for life insurance benefits under the terms of the Plan solely because of her husband's active duty status in the armed forces at the time of his death. UPS contends that dismissal of Count II is warranted as a matter of law where, as here, Mrs. Singletary, who herself has never applied to or served in the military, seeks to recover from UPS a benefit of her employment that she has been denied due to her late husband's uniformed service.
The Uniformed Services Employment and Reemployment Rights Act of 1994 was "enacted to prohibit discrimination by employers against persons because of their service in the uniformed services." 38 U.S.C. § 4301(a)(3) (emphasis added). To advance this and similar purposes, this anti-discrimination law is self-limiting and focused; § 4311(a) states:
The statute's text is clear and direct. This Act applies, for example, to preclude discrimination against a service member by that service member's employer. Nowhere in the plain text of the statute does the USERRA prohibit discrimination against a spouse of a service member by the spouse's employer. See Lourens v. Merit Systems Protection Board, 193 F.3d 1369, 1371 (Fed.Cir.1999) ("If Congress desired [§ 4311(a)] to include spouses or widows [of those in uniformed service], an additional phrase in the statute would have done the job. That phrase is not there.").
Notwithstanding the Act's express application only to a person who is a "member of, applies to be a member of, performs, has performed, applies to perform, or has an obligation to perform service in a uniformed service," Mrs. Singletary nevertheless seeks the shelter of its anti-discrimination provision by virtue of her deceased husband's military status. Ignoring subsection (a), she invokes subsection (b) of § 4311, which states:
Mrs. Singletary claims that, by denying her claim for dependent life insurance benefits solely because of Mr. Singletary's status as a member of the armed forces, she has been denied by UPS a benefit of her employment. UPS counters that Mrs. Singletary's argument is defeated by the express application of the Act, and further points out that she fails to offer up even one case that would support a spouse or widow's enforcement rights under the Act. The Court agrees that her USERRA claim is not plausible.
Mrs. Singletary takes entirely out of its statutory schematic context the "any person" and "regardless of whether that person has performed service in the uniformed services" term and phrase of § 4311(b). In fact, the anti-retaliation provision articulated in (b) appears to have no bearing on her attempt to state a claim under the USERRA. "Section 4311," it has been observed, "prohibits employers from discriminating against employees on the basis of military service and retaliating against individuals, whether service members or not, who testify or give statements on behalf of a USERRA claimant." See Coffman v. Chugach Support Services, Inc., 411 F.3d 1231, 1234 (11th Cir.2005). The Act's purpose pronouncement (§ 4301(a)) strictly delimits its scope. Mrs. Singletary has advanced no allegations that would trigger application of the USERRA here: she was neither a service member, nor an applicant to be a service member; nor is she alleging that she seeks to enforce a protection afforded to her deceased husband or any service member or applicant. Insofar as she seeks to step into Mr. Singletary's shoes and enforce any rights that he may have had under the USERRA, she is not entitled to do so.
Next, the defendants seek to dismiss Count III of the plaintiff's complaint, the plaintiff's Louisiana Military Service Relief Act claim. In support of dismissal, the defendants contend that the LMSRA is preempted by ERISA, and even if it is not preempted, the active-military exclusion in the Plan is not prohibited by the LMSRA. Prudential additionally contends that because the LMSRA applies only to employers, the plaintiff fails to state an LMSRA claim as to it for the additional reason that Prudential was not Mrs. Singletary's employer, UPS was.
The Louisiana Military Service Relief Act, La.R.S. 29:401 et seq., like the USERRA, prohibits discrimination by an employer against a member of or an applicant to uniformed service; it provides, in part:
La.R.S. 29:404. Its anti-discrimination provision extends to an in-state employer's
La.R.S. 29:407. See La.R.S. 29:405-420 for additional benefits such as compensation, leave status, worker's compensation, right to reinstatement, and retirement credit.
The plaintiff's LMSRA claim fails as a matter of law for several reasons. First, the LMSRA is preempted by ERISA. Second, even if it is not preempted (or was somehow saved from ERISA preemption), the LMSRA permits policy exclusions such as the one challenged here based on military status. Third, as to Prudential, the plaintiff cannot state a claim under the LMSRA, which (like its federal counterpart, the USERRA) applies to employers, not insurers.
The Court finds that the LMSRA fails the first part of the Miller test. The LMSRA is not directed toward the insurance industry;
Even if the plaintiff had persuaded the Court that her LMSRA claim was saved from ERISA preemption, she nevertheless has failed to state a claim for which relief may be granted. This is so because — even if the LMSRA applies to the Plan — exclusions based on military status for group life insurance, such as the one in her Plan, are permitted by the LMSRA and the Louisiana Insurance Code. The LMSRA states that "[t]he provisions of this Section shall not invalidate any legitimate exclusions to coverage of any policy or plan enumerated in Subsection A herein [i.e., group life insurance]." La.R.S. 29:407(F). The LMSRA does not define "legitimate exclusions", but the Louisiana Insurance Code articulates valid exclusions. In particular, La.R.S. 22:943, which governs group life insurance (set forth more completely below) provides that a policy of group life insurance may exclude or restrict coverage "in the event of death occurring:... (2) While in the military, naval, or air forces of any country at war, declared or undeclared." La.R.S. 22:943(A). As explained more thoroughly in connection with the defendants' final motion to dismiss Count IV (the plaintiff's claim under La.R.S. 22:943), Louisiana insurance law expressly permits a group life insurance plan such as the one at issue here to exclude coverage in the event that death occurs while the individual is in the military. Notably, questions of fairness aside, the Louisiana state law permits such exclusions regardless of any connection or causation between the insured's death and
Finally, the defendants seek dismissal of Count IV, a claim added by the plaintiff in her amended complaint in which she alleges that the terms of the Plan violate the Louisiana Insurance Code. The defendants challenge the plausibility of this latest claim on the grounds that (1) the Insurance Code does not apply; and (2) even if it does, the Code in fact permits the challenged policy exclusion contained in the Plan. The Court agrees on both counts.
Louisiana Revised Statute 22:943 states:
First, the defendants submit that the plaintiff has not and cannot plead that the policy here is a policy of group life insurance "delivered or issued for delivery in" the state of Louisiana and, thus, the Louisiana Insurance Code is not triggered. The Court agrees.
Whether an insurance policy has been delivered in the state of Louisiana depends on the intention of the parties as manifested by their actions or words. See McDermott Intern., Inc. v. Lloyds Underwriters of London, 120 F.3d 583, 586 (5th Cir.1997); Ostrowiecki v. Aggressor Fleet, Ltd., No. 07-6598, 2008 WL 2185326, at *4 (E.D.La. May 20, 2008) (citations omitted). No alleged facts indicate that the group policy at issue here was delivered or issued for delivery in Louisiana. Although the allegations of the plaintiff's complaint fail to advance resolution of this threshold issue, the Court need only look to the applicable group policy incorporated by reference into the complaint; the group policy manifests the intention of the contracting parties that the contract is delivered in Georgia. Indeed, the plaintiff alleges (correctly) that UPS is a Georgia-based company, and the insurance contract states that the group contract "is delivered in and governed by the laws of ... Georgia." Taking the alleged facts together with the policy language, the policy was delivered or issued for delivery in Georgia; thus, La.R.S. 22:943 is not triggered.
Even if the Louisiana Insurance Code were triggered, however, the Court is persuaded that La.R.S. 22:943(A) would not and does not provide a plausible basis for the plaintiff's claim in Count IV. This is so because La.R.S. 22:943(A) expressly allows exclusions based on military status for group life insurance. Again, this result is compelled by the statutory text.
Louisiana Revised Statute 22:943 states:
The statute patently permits a group life insurance policy to exclude coverage when the death occurs while the individual is in the military of a nation at war; there is no statutory requirement that the insured's death be connected to the war. The defendants submit, and the Court takes judicial notice of the fact, that in October 2012 when Mr. Singletary died, the United States was at war in Afghanistan.
Accordingly, the four motions to dismiss are GRANTED. The Court notes that the plaintiff has still pending and viable an ERISA claim as alleged in Count 1 of her complaint.
Mrs. Singletary added this fourth count when she amended her complaint; in the amended complaint, she also revised her third claim to invoke the Louisiana statutory provision governing group life insurance policies, rather than individual life insurance policies.
29 U.S.C. § 1002.