TERENCE C. KERN, District Judge.
Before the Court is Plaintiff's Motion to Remand (Doc. 11).
Plaintiff filed a Petition in the District Court in and for Creek County, State of Oklahoma, alleging bad faith breach of an insurance contract. In the Petition, Plaintiff claims he is entitled to benefits under a health insurance policy (the "Plan") he received through his wife's employment at St. John Medical Center, Inc. ("SJMC"). Defendant CommunityCare HMO, Inc., which manages the Plan, removed this matter pursuant to 28 U.S.C. § 1331. In its Notice of Removal, Defendant asserts that the Plan is a welfare benefit plan subject to the Employee Retirement Income Security Act ("ERISA"), 29 U.S.C. § 1001 et seq., and that Plaintiff's claim for benefits is completely preempted by ERISA. Plaintiff seeks to remand this matter, arguing that the Plan is a "church plan" as defined in 29 U.S.C. § 1002(33) and is therefore exempt from ERISA.
In support of its position that the Plan is governed by ERISA, Defendant has submitted the affidavit of Lex S. Anderson ("Anderson") ("Anderson Affidavit"), Executive Vice President and Chief Financial Officer of St. John Health System, Inc. ("SJHS"). (See Anderson Aff., Ex. A to Def.'s Resp. to Pl.'s. Mot. to Remand.) Therein, Anderson states as follows: (1) the Sisters of the Sorrowful Mother ("SSM") is the sole sponsor of Marian Health System, Inc., ("Marian"), which is the sole sponsor of SJHS; (2) SJHS is the sole sponsor and corporate member of SJMC;
Further, the Anderson Affidavit provides information about the Plan, stating that "each of the [SJHS employers] buys into the Plan by contributing premiums based on the number of beneficiaries employed by that entity." (Id. at 1). According to Anderson, "[s]ince 1975, the Plan has been administered in accordance with applicable ERISA requirements, including filing annual ERISA Form 5500s,
In support of his contention that the Plan constitutes a church plan, Plaintiff submits language from SJHS's website. Specifically, SJHS's website outlines its "Mission" as follows:
(SJHS Mission Statement, Ex. 1 to Pl.'s Mot. to Remand.) Further, under "Our Philosophy," the website states as follows:
(SJHS Philosophy, Ex. 1 to Pl.'s Mot. to Remand.) Plaintiff also points out that Sister Mary Therese Gottschalk is listed as the Chief Executive Officer of SJMC.
Pursuant to 28 U.S.C. § 1447(c), "[i]f at any time before final judgment it appears that the district court lacks subject matter jurisdiction, the case shall be remanded." "This rule is inflexible and without exception, requiring a court to deny jurisdiction in all cases where it does not affirmatively appear in the record." Geter v. St. Joseph Healthcare Sys., Inc., 575 F.Supp.2d 1244, 1248 (D.N.M.2008) (internal quotations and citations omitted). "The party invoking the jurisdiction of a federal court has the duty to establish that federal jurisdiction does exist, but since the courts of the United States are courts of limited jurisdiction, there is a presumption against its existence." Id. (citing, inter alia, Basso v. Utah Power & Light Co., 495 F.2d 906, 909 (10th Cir.1974)). "Indeed, it is the burden of the party opposing remand to show jurisdiction by a preponderance of the evidence." Geter, 575 F.Supp.2d at 1248 (internal quotations and citations omitted). Any doubt concerning whether a case is removable must be resolved in favor of remand. See Fajen v. Found. Reserve Ins. Co., Inc., 683 F.2d 331, 333 (10th Cir.1982).
ERISA establishes a comprehensive scheme for regulating the administration of employee welfare benefit plans. Section 1144(a) of ERISA provides that ERISA "shall supercede any and all State laws insofar as they may now or hereafter relate to any employee benefit plan...." 29 U.S.C. § 1144(a). Five categories of employee benefit plans are specifically exempted from the provisions of ERISA, however. See 29 U.S.C. § 1003(b)(1)-(5) (listing exempted plans). Included in these exempted benefit plans are "church plan[s] ... with respect to which no election has been made under section 401(d) of [the Internal Revenue Code]." 29 U.S.C. § 1003(b)(2). Thus, if a plan constitutes a church plan, "no federal question jurisdiction [exists] because the plan [is not] covered by ERISA." Lown v. Continental Casualty Co., 238 F.3d 543, 547 (4th Cir. 2001).
Finally, in assessing whether a plan is a "church plan," the applicable regulations defining a church plan exclude plans maintained by two or more employers unless:
26 C.F.R. § 1.414(e)-1(c)(1)-(2).
Defendant contends that the Plan is governed by ERISA for the following reasons: (1) "the Plan has effectively elected to be under ERISA," (Def.'s Resp. to Pl.'s Mot. to Remand 8); (2) the Plan falls outside the definition of "church plan" because it is maintained by multiple employers and not all of the employers are tax exempt; and (3) the Plan falls outside the definition of "church plan" because the employers that maintain the Plan are not sufficiently associated with or controlled by a church. Plaintiff argues that, based on the current record, Defendant has not established that the Plan is indeed a church plan. Plaintiff alternatively moves for discovery in order to better ascertain the nature of the Plan and the relationship between SJHS and SSM.
As stated above, the ERISA church plan exception is limited to a church plan "with respect to which no election has been made under section 410(d) of [the Internal Revenue Code] [("Section 410(d)")]." 29 U.S.C. § 1003(b)(2). Section 410(d) provides that if a "church ... which maintains any church plan makes an election under this subsection ..., then the provisions of this title relating to participation, vesting, funding, etc. ... shall apply to such church plan as if such provisions did not contain
A Section 410(d) election may be made by attaching a statement to the annual return required under 26 U.S.C. § 6058(a) (the Form 5500) or by requesting a determination letter relating to the qualification of the plan. See 26 C.F.R. § 1.410(d)-1(c)(2)-(3). If the election is made by statement, said statement must indicate that the election is made under Section 410(d) and the first plan year for which it is effective. Id. at § 1.410(d)-1(c)(5). In assessing the sufficiency of a welfare benefit plan election, as opposed to a pension benefit plan election, one court has directly applied these regulations to the plan at issue. See Rinehart, 2009 WL 995715, at *5 (finding that employer never made "an affirmative election under [Section] 410(d) as required to have [ ] ERISA apply to the [long-term disability] plan [at issue]" despite the filing of numerous Form 5500s) (applying requirements of 26 C.F.R. § 1.410(d)-1) (stating "[t]he Court agrees that [the regulations] requir[e] a strict election, especially considering the irrevocable nature of the election after it is made"). Another court, however, found that the regulations apply solely to pension benefit plans, as opposed to welfare benefit plans, and "[t]here being no regulation governing a church welfare plan's election, a church welfare plan would be entitled to elect in any reasonable form and manner, including by attaching a statement for form 5500." Catholic Charities, 304 F.Supp.2d at 89 (finding election statement, which was attached to a Form 5500, was sufficient).
Either way, whether the Court applies the precise requirements of the election regulations or merely looks for a "reasonable form and manner" of election, there must be some sort of affirmative election,
Defendant further argues that the Plan does not constitute a church plan because: (1) it is maintained by multiple employers and not all employers are tax exempt; and (2) the SJHS employers are not sufficiently controlled by or associated with a church so as to bring the Plan within the definition of "church plan." Plaintiff disputes that the Plan is not a church plan, pointing to certain deficiencies in Defendant's evidence. In the alternative, Plaintiff seeks additional time for discovery in order to refute the evidence presented by Defendant.
The nature of the Plan and the precise contours of the relationship between SJHS and SSM are fact-intensive inquiries. The Court finds that Plaintiff's request for discovery is well founded, as the current record before the Court is somewhat incomplete regarding these issues. For example, regarding the nature of the Plan, although the Anderson Affidavit states that all SJHS employers buy into the Plan, certain documents attached to the Anderson Affidavit indicate that the Plan is a "single employer plan," and/or list the employer as SJMC, which is only one of the SJHS employers. (See Exs. A-2, A-4-A-8, A-10-A-14 to Def.'s Resp. to Pl.'s Mot. to Remand.) This apparent inconsistency, without additional documentation or explanation, makes it difficult for the Court to determine whether the Plan falls into the church plan exclusion outlined in the Treasury Regulations. See 26 C.F.R. § 1.414(e)-1(c)(1)-(2) (stating church plans exclude plans maintained by two or more employers unless each of the employer is tax exempt).
Further, the Court is unable to accurately assess the role of SSM and Marian in the governance of SJHS and the various SJHS employers from the current record. Specifically, the Anderson Affidavit states that the "SJHS Bylaws provide Marian with reserved powers regarding the governance of SJHS (including the other Plan Employers)." (Ex. A to Def.'s Resp. to Pl.'s Mot. to Remand at 3.) However, no
Therefore, because a federal court must satisfy itself of its subject matter jurisdiction before proceeding in any case, see Gold v. Local 7 United Food and Commercial Workers Union, 159 F.3d 1307, 1309-10 (10th Cir.1998), and because "a more satisfactory showing of the facts is necessary" in order for the Court to assess whether Plaintiff's claims are preempted by ERISA, Sizova v. Nat. Inst. of Standards & Tech., 282 F.3d 1320, 1326 (10th Cir.2002) (noting that denial of discovery on issue of subject matter jurisdiction results in prejudice when a "more satisfactory showing of the facts is necessary"), the Court grants Plaintiff's alternative request for additional time for discovery. See also Hall v. USABLE Life, No. 4:08CV4214 BSM, 2009 WL 2195828, at * 1 (E.D.Ark. July 22, 2009) (noting that court permitted parties to conduct discovery on issue of whether plan was church plan after plaintiff filed motion to remand) (ruling on plaintiff's second motion to remand, which was filed after limited discovery on church plan issue). The parties are given sixty (60) days to conduct discovery regarding the nature of the Plan and the relationship of Marian and SSM with SJHS and the SJHS employers. If, after completion of discovery on these issues, Plaintiff continues to maintain that the Plan is a church plan, Plaintiff may file a second motion to remand on or before June 13, 2011.
For the reasons outlined above, Plaintiff's Motion to Remand (Doc. 11) is granted in part and denied in part. Specifically, Plaintiff's motion to remand is denied, but Plaintiff's alternative request for additional discovery is granted. The denial of Plaintiff's motion to remand is without prejudice, as Plaintiff is permitted to file a second motion to remand after conducting limited discovery, as outlined above. Any such second motion to remand shall be filed with the Court on or before June 13, 2011.