ELIZABETH ERNY FOOTE, District Judge.
In the underlying action, Plaintiff seeks to recover life insurance benefits from United of Omaha Life Insurance Company ("United"). Plaintiff's late husband, Donald Swenson ("Swenson") was employed by Eldorado Casino Shreveport Joint Venture ("Eldorado") and allegedly participated in Eldorado's ERISA-governed life insurance plan administered by United. United has brought a third-party complaint against Eldorado, which Eldorado has moved to dismiss. [Record Documents 18 at 29-32 and 23]. Because the facts alleged do not entitle United to indemnity, Eldorado's motion is
The Court has amply discussed the factual and procedural background in its prior rulings in this matter. See Swenson v. Eldorado Casino Shreveport Joint Venture (Swenson I), No. 15-CV-2042, 2017 WL 1334307 (W.D. La. Apr. 7, 2017), aff'd sub nom. Swenson v. United of Omaha Life Ins. Co., 876 F.3d 809 (5th Cir. 2017); Swenson I, No. 15-CV-2042, 2016 WL 6106483 (W.D. La. Oct. 19, 2016); [Record Document 35 in No. 15-CV-2042]. After Swenson's death, United denied Plaintiff's life insurance claim, asserting that Swenson was ineligible and that United received no premiums for his coverage. [Record Document 1-2 at 1].
Following her unsuccessful appeal, Plaintiff brought the present action. [Record Document 11]. In its answer, United named Eldorado as a third-party defendant, alleging that Eldorado knew that Swenson was ineligible for life insurance coverage because he was not actively working and failed to share this information with United when submitting premiums on Swenson's behalf. [Record Document 18 at 31]. On the basis of Eldorado's alleged duty to "inform [United] who was and was not eligible" for benefits, United seeks indemnification if "United . . . is held liable to the plaintiff for any sums whatsoever because of Eldorado's breach of fiduciary duty to Donald Swenson." [Id. at 32]. United has also alleged that "Eldorado is liable to United . . . for all defense costs incurred in connection with this matter by United . . . because, if Eldorado had informed United that Donald Swenson was never eligible for coverage under this policy, United would not be facing these claims and demands. . . ." [Id.]. Eldorado responded with the instant motion, which denies any legal basis for indemnity as well as any duty to inform United of employees' eligibility for benefits. [Record Document 23]. The parties have filed an opposition, a reply, and a surreply. [Record Documents 27, 28, 33].
In order to survive a motion to dismiss under Rule 12(b)(6), a complaint must "state a claim to relief that is plausible on its face." Bell Atl. Corp. v. Twombly, 550 U.S. 544, 570 (2007). "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." Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009) (citing Twombly, 550 U.S. at 556). In determining whether a complaint states plausible claim, the court must construe the complaint in the light most favorable to the plaintiff, see In re Great Lakes Dredge & Dock Co., 624 F.3d 201, 210 (5th Cir. 2010), and accept as true all well-pleaded factual allegations, see Twombly, 550 U.S. at 555; In re Katrina Canal Breaches Litig., 495 F.3d 191, 205 (5th Cir. 2009). However, "[t]hreadbare recitals of the elements of a cause of action, supported by mere conclusory statements, do not suffice." Iqbal, 556 U.S. at 678 (citing Twombly, 550 U.S. at 555). Thus, the Court does not have to accept as true "conclusory allegations, unwarranted factual inferences, or legal conclusions." Plotkin v. IP Axess Inc., 407 F.3d 690, 696 (5th Cir. 2005) (citing Southland Sec. Corp. v. INSpire Ins. Sols, Inc., 365 F.3d 353, 361 (5th Cir. 2004)).
United has alleged that Eldorado "breached its fiduciary duties to [United]" by failing to inform United that Swenson was not actively working and was ineligible for coverage and by submitting premiums on his behalf. [Record Documents 18 at 30-32 and 27 at 15].
United has alleged that Eldorado breached its fiduciary duty to Swenson by accepting an enrollment form from him and paying premiums on his behalf and for that reason must indemnify United if United is held liable to Plaintiff. [Record Document 18 at 30-32]. Eldorado argues that there is no right of indemnity under ERISA. [Record Document 23-1 at 11-14].
In their respective roles as plan administrator and claims administrator, [Record Document 1-2 at 65, 72], both Eldorado and United owed Swenson fiduciary duties, see 29 U.S.C. § 1002(14)(A), (21)(A); Sanders v. Unum Life Ins. Co. of Am., 553 F.3d 922, 925 (5th Cir. 2008); Wildbur, 974 F.2d at 645. Under the common law of trusts from which ERISA derives, two co-fiduciaries, both of whom have participated in a breach of trust, may obtain contribution or indemnity. See Cent. States, Se. & Sw. Areas Pension Fund v. Cent. Transp., Inc., 472 U.S. 559, 570 (1985); Restatement (Third) of Trusts § 102(1) & cmt. b(2) (2012). The Seventh and Second Circuits have held that ERISA co-fiduciaries have a right to indemnity or contribution,
At its heart, Plaintiff's claim is that United improperly denied benefits due under Swenson's life insurance policy. ERISA authorizes a plaintiff to "recover benefits due to him under the terms of his plan," 29 U.S.C. § 1132(a)(1)(B), as well as "other appropriate equitable relief," id. § 1132(a)(3)(B). Both this Court and the Fifth Circuit have determined that Plaintiff has no cause of action for a breach of fiduciary duty and that her recovery is limited to her claim under § 1132(a)(1)(B). Swenson I, 876 F.3d at 812; Swenson I, 2017 WL 1334307, at *6-7. When an insurer "exercises control over a plan's benefits claims process . . . and exerts that control to deny a claim by incorrectly interpreting a plan in a way that amounts to an abuse of discretion," the insurer is liable to the claimant. LifeCare Mgmt. Servs. LLC v. Ins. Mgmt. Adm'rs Inc., 703 F.3d 835, 845 (5th Cir. 2013) (citing Cyr v. Reliance Standard Life Ins. Co., 642 F.3d 1202, 1207 (9th Cir. 2011)). Because this liability arises from the terms of the insurance policy and benefits under the policy will be paid by United (the insurer) and not Eldorado (the employer), [Record Document 1-2 at 64], only United is potentially liable to Plaintiff under § 1132(a)(1)(B).
Indemnity is available only where an "indemnitee . . . extinguish[ed] the liability
United has alleged that Eldorado had a duty to inform United that Swenson was not actively working and thus was ineligible for coverage. [Record Document 11 at 32]. The Court interprets this allegation as one of negligence. In Louisiana, negligence is analyzed under the duty-risk analysis:
Maw Enters., L.L.C. v. City of Marksville, 2014-0090, p. 16 n.9 (La. 9/3/14); 149 So.3d 210, 220 n.9 (citing Mathieu v. Imperial Toy Corp., 94-0952, p. 4 (La. 11/30/94); 646 So.2d 318, 321-22)).
By alleging that it would not have incurred defense costs "if Eldorado had informed United that . . . Swenson was never eligible for coverage," United has adequately alleged that Eldorado's conduct was a substantial factor in a monetary harm. [Record Document 18 at 32]. United has alleged Eldorado's duty by claiming that Eldorado had a duty to "inform [United] who was and was not eligible." [Id.]. The breach prong is sufficiently alleged by United's claim that Eldorado did not inform United that Swenson was ineligible for coverage. [Id.]. Finally, if Eldorado had the alleged duty, then the risk of a lawsuit resulting from claims submitted by employees known by Eldorado to have been ineligible may be "within the scope of protection afforded by the duty breached." Maw Enters., 2014-0090, p. 16 n.9; 149 So. 3d at 221 n.9 (citing Mathieu, 94-0952, p. 4; 646 So. 2d at 321-22). Therefore, the Court finds that United has adequately stated a claim in negligence against Eldorado.
While Swenson I was on appeal, Plaintiff settled with Eldorado. [Record Document 23-1 at 9]. United demands to view the settlement agreement and argues that the settlement extinguished Plaintiff's claim for benefits. [Record Documents 27 at 6, 12 and 33 at 2-3]. United's demand to view the settlement is a premature discovery request. Because resolving whether the settlement extinguished United's liability to Plaintiff is irrelevant to Eldorado's motion to dismiss
In light of the foregoing, Eldorado's Motion to Dismiss [Record Document 13] is