DONALD C. NUGENT, District Judge.
This matter is before the Court upon Defendants' Fleet Owners Insurance Fund, (hereafter the "Plan"), Robert Kavalec, Charlie Alferio and Victor Collava (hereafter "Defendants") Motion to Dismiss First Amended Complaint and to Strike Jury Demand. (ECF #13). Plaintiffs Daniel P. Soehnlen, Bill Reeves and Superior Dairy, Inc. (hereafter "Plaintiffs") filed a Memorandum of Law in Opposition, (ECF #18) and Defendants filed their Reply Brief (ECF #22). Therefore the issues have been fully briefed and are ripe for review.
For the reasons set forth in this Memorandum, Defendants' Motion to Dismiss is GRANTED.
Plaintiff Superior Dairy is an Ohio corporation located in Canton, Ohio that engages in intrastate and interstate commerce as a manufacturer of milk, cheese, cottage cheese and ice cream. (ECF #11, ¶ 3). Plaintiff Soehnlen is President and Chief Executive Officer of Superior Dairy, and Plaintiff Reeves is an hourly-compensated employee. (Id. at ¶ 5). As employees, both Plaintiffs, along with their spouses and eligible dependents, are considered participants and beneficiaries under a group health plan (the "Plan") managed by Defendants.
Plaintiffs filed their First Amended Complaint (ECF #11) against Defendants, alleging that they violated the Patient Protection and Affordable Care Act of 2010,
Specifically, the Amended Complaint asserts eights counts:
In ruling on a motion to dismiss under Rule 12(b)(6), the court must construe the complaint in a light most favorable to the plaintiff, accept all well-pleaded allegations in the complaint as true, and determine whether plaintiff undoubtedly can prove no set of facts in support of those allegations that would entitle him to relief. Erickson v. Pardus, 551 U.S. 89, 94, 127 S.Ct. 2197, 167 L.Ed.2d 1081 (2007); Bishop v. Lucent Technologies, Inc., 520 F.3d 516, 519 (6th Cir.2008). To survive a motion to dismiss, the "complaint must contain either direct or inferential allegations with respect to all material elements necessary to sustain a recovery under some viable legal theory."Mezibov v. Allen, 411 F.3d 712, 716 (6th Cir.2005).
While the complaint need not contain detailed factual allegations, the "[f]actual allegations must be enough to raise the claimed right to relief above the speculative level, Bell Atlantic Corp. v. Twombly, 550 U.S. 544, 555, 127 S.Ct. 1955, 167 L.Ed.2d 929 (2007), and must create a reasonable expectation that discovery will reveal evidence to support the claim. Campbell v. PMI Food Equipment Group, Inc., 509 F.3d 776, 780 (6th Cir.2007). A complaint must contain facts sufficient to "state a claim to relief that is plausible on its face." Twombly, 550 U.S. at 570. "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."Ashcroft v. Iqbal, 556 U.S. 662, 129 S.Ct. 1937, 1949, 173 L.Ed.2d 868 (2009). 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. Where the facts pleaded do not permit the court to infer more than the mere possibility of misconduct, the complaint has not shown that the pleader is entitled to relief as required under Fed.R.Civ.P. 8(a)(2). Ibid.
Plaintiff must provide "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; see also Association of Cleveland Firefighters v. City of Cleveland, Ohio, 422 F.Supp.2d 883 (N.D.Ohio 2006).
In evaluating a motion to dismiss, a court considers the complaint. Amini v. Oberlin College, 259 F.3d 493, 502 (6th Cir.2001). The court may also consider a document or instrument which is attached to the complaint, or which is referred to in the complaint and is central to the plaintiff's claim. See id.; Fed. R.Civ.P. 10(c) ("[a] copy of any written instrument which is an exhibit to a pleading is a part thereof for all purposes."); Weiner v. Klais & Co., Inc., 108 F.3d 86, 89 (6th Cir.1997).
Defendants argue in their Motion to Dismiss that each of Plaintiffs Counts in the Amended Complaint fail to state a claims and should be dismissed pursuant to Rule 12(b)(6). Each Count will be addressed herein.
Counts 1 and 2 are brought by Plaintiffs Soehnlen and Reeves under ERISA § 502(a)(1)(B), claiming that Defendants have failed to provide coverages mandated under the ACA and ERISA. Section 502(a)(1)(B) allows a participant or beneficiary to bring a civil action to recover benefits owed to him under the plan, enforce his rights under the plan, or to clarify his rights to future benefits under the terms of the plan. Daft v. Advest, Inc., 658 F.3d 583, 587 (6th Cir.2011); 29 U.S.C. § 1132(a)(1)(B).
Federal courts only have the power that is authorized by Article III of the Constitution and that statutes enacted by Congress, therefore, a plaintiff must possess both constitutional and statutory standing in order for this Court to have jurisdiction. Loren v. Blue Cross & Blue Shield of Mich., 505 F.3d 598, 607 (6th Cir.2007). As the party invoking federal jurisdiction, Plaintiffs bear the burden of establishing standing. Id. (citing Lujan v. Defenders of Wildlife, 504 U.S. 555, 561, 112 S.Ct. 2130, 119 L.Ed.2d 351 (1992). In order to establish Article III standing, Plaintiffs "must allege (1) injury in fact, (2) a causal connection between the injury and the conduct complained of, and (3) redressability." Taylor v. KeyCorp, 680 F.3d 609, 612 (6th Cir.2012) (citing Lujan, 504 U.S. at 560).
In this matter, Plaintiffs have failed to show standing because they have not sufficiently alleged an injury in fact, or "an invasion of a legally protected interest which is (1) concrete and particularized, and (2) actual or imminent, not conjectural or hypothetical." Taylor, 680 F.3d at 612. Plaintiffs have not alleged any concrete or actual injury — rather, they allege potential injuries that might occur under a hypothetical set of circumstances.
To avoid the standing requirement, Plaintiffs argue that Defendants' Motion to Dismiss should be denied because "separate and distinct 28 U.S.C. § 2201 Declaratory Judgment Act standing exists." (ECF #18, p. 16). This Court does not agree, and finds that the Declaratory Judgment Act does not provide Article III standing for Plaintiffs in this matter.
While this court has jurisdiction over "all civil actions arising under the Constitution, laws, or treaties of the United States," it may exercise jurisdiction only "where it is specifically authorized by federal statute." 28 U.S.C. § 1331. The Declaratory Judgment Act itself does not provide independent jurisdictional footing, Michigan Corrections Org. v. Michigan Dept. Of Corrections, 774 F.3d 895 (6th Cir. 2014)(citations omitted), nor does it provide a federal cause of action. Davis v. United States, 499 F.3d 590, 594 (6th Cir. 2007). It has already been determined that the Plaintiffs alleged injuries are merely speculative and do not rise to the level of a "case of actual controversy." Grand Trunk W.R.R. Inc. v. Brotherhood of Maint. of Way Employees, 643 F.Supp.2d 947 (N.D.Ohio 2009). Therefore, the Declaratory Judgment Act does not provide this Court with independent jurisdiction over Plaintiffs ERISA claims.
In Count IV, Plaintiffs
In Count V, Plaintiffs allege that the individual trustees, Defendants Kavalec, Collova and Alferio, violated § 1149 of ERISA by knowingly making false statements or representations regarding the benefits and coverages provided by the Plan. (ECF #11, ¶67-68). Defendants argue that private plaintiffs lack the standing to enforce ERISA's criminal provisions, and this Court agrees. It has been held that enforcement of ERISA's several criminal provisions is the "exclusive prerogative of the Attorney General" and that these criminal provisions of ERISA provide no private right of action. West v. Butler, 621 F.2d 240, 244 (6th Cir.1980). The ACA recently amended ERISA to provide that "any person who violates section 519 shall upon conviction be imprisoned not more than 10 years or fined . . ." 29 U.S.C. § 1131(b). Clearly, § 519 provides criminal penalties and does not allow for the monetary or equitable relief sought by Plaintiffs. Therefore, Plaintiffs do not have standing to sue Defendants under 29 U.S.C. § 1149, and Count V of the Amended Complaint must be dismissed.
In Count VI, Plaintiffs allege that Defendants have breached § 186(a-c) of the Taft-Hartley Act, because the Plan fails to identify a neutral party in the event of a deadlock between the parties as to the administration of the plan, and the trust agreement fails to provide for an impartial umpire to decide deadlocks. (ECF #11, ¶¶ 70-72).
Defendants argue that Count VI of Plaintiffs Amended Complaint fails to state a claim and should be dismissed, and this Court agrees. A violation of the Taft-Hartley Act occurs when the substantive restrictions in §§ 302(a) and (b) are disobeyed. Demisay, 113 S.Ct. at 2257. Plaintiffs have not alleged violations of those sections, but rather, has relied upon the remedial language contained in § 302(c). It has been held that any failure of party to comply with § 302(c) may present some cause of action, "but it is no violation of [Taft-Hartley] — 302." Id. (Footnotes omitted).
This Court also finds that Plaintiff's have not demonstrated facts to support a violation of the Taft-Hartley Act by virtue of the agreements entered into by the parties. The Trust Agreement (aka the Plan), attached to Plaintiffs' Amended Complaint,
(Id. at Article 4, Section 3.)
Not only does the Trust Agreement specifically reference § 302(c) of the LMRA, its language complies with the requirements of § 302(c)(5)(B). The Trust Agreement clearly sets forth the manner in which the parties can resolve deadlocked disputes administratively, prior to bringing action in district court. Plaintiffs have not alleged any other violation under § 302(c)(5)(b) of the LMRA, and therefore, have failed to state a claim against Defendants under the Taft-Hartley Act. Count VI is dismissed.
Plaintiffs allege in Counts 7 and 8 that "[d]efendants have breached, and continue to breach" the Participation Agreement and the Trust documents that are included in the Plan. (ECF #11, ¶¶ 75, 77). Plaintiffs provide no specific legal citations or factual information within these two claims, however, this Court can infer that they are alleging Defendants violated the ACA and/or ERISA.
This Court need only look to the language contained in the Agreement and the Trust documents to determine that Plaintiffs have not exhausted their administrative remedies prior to filing this lawsuit. The Trust provides as follows:
Any person asserting a claim under or pursuant to the provisions of this Agreement, or pursuant to any rule, regulation or plan adopted by the Board of Trustees or asserting any right against the Fund, shall not file any claim before any court or agency without first having exhausted all remedies provided for by this agreement.
(ECF #11-2; Article XII, Section 2).
The Trust goes on to provide that prior to seeking remedies under the Plan, one must adhere to the following requirement:
ECF #11-2, Article XI, Section 2 (emphasis added).
In ERISA cases, exhaustion of administrative remedies is a prerequisite to commencing suit in federal court. Coomer v. Bethesda Hospital, Inc., 370 F.3d 499, 505 (6th Cir.2004)(citation omitted). Plaintiffs attempt to argue that they are not "claimants" under the Plan, nor are they "asserting a claim" for benefits, and therefore, this exhaustion requirement does not apply. (ECF #18, p. 19). Such an argument completely disregards the relevant language of the Trust Agreement, which specifically provides separate exhaustion requirements for benefits claims, (submit to the Claims Committee) as opposed to claims regarding the overall construction and operation of the Plan (submit to the Board of Trustees). Plaintiffs cannot escape the exhaustion requirement of the Plan with semantics.
Similarly, Plaintiffs argument that they are entitled to an exception to the exhaustion requirement based upon "futility" will not stand. Plaintiffs have not sufficiently alleged that the Plan's administrative procedures would be futile, or that the remedy would be inadequate. See, e.g., Coomer, 370 F.3d at 505. Plaintiffs rely on one, unverified statement made by the Plan's counsel to support their futility argument.
For the reasons outlined herein, Plaintiffs have failed to state a claim against Defendants upon which relief can be granted, and therefore, their Amended Complaint (ECF #11) is DISMISSED and Defendants' Motion to Dismiss (ECF #13) is GRANTED. Defendants' Motion to Strike Jury Demand is now moot.
IT IS SO ORDERED.