Opinion

Brown v. United Healthcare Corporation

Court
District Court, W.D. Arkansas
Filed
Jun 3, 2024
Cited by
0 cases
Authority
More cited than 17.2%

The opinion

IN THE UNITED STATES DISTRICT COURT

WESTERN DISTRICT OF ARKANSAS

EL DORADO DIVISION

JANICE BROWN PLAINTIFF

v. Case No. 1:24-cv-1025

UNITED HEALTHCARE CORPORATION DEFENDANT

ORDER

Before the Court is Defendant UnitedHealthcare Insurance Company’s

(“UnitedHealthcare”)1 Motion to Dismiss. ECF No. 8. Plaintiff Janice Brown has not filed a

0F

response, and the time to do so has passed. See Local Rule 7.2(b). The Court finds the matter ripe

for consideration.

I. BACKGROUND

On February 21, 2024, Plaintiff filed her complaint in the Ouachita County, Arkansas

Circuit Court. ECF No. 3. Plaintiff alleges that her son, Derek Brown, obtained a life insurance

policy through his employer Rent-A-Center, which was in turn provided by UnitedHealthcare.

Plaintiff further alleges that she was the beneficiary of her son’s life insurance policy and that,

upon her son’s death, UnitedHealthcare denied her claim for benefits under the life insurance

policy. Plaintiff brings one claim for breach for contract against UnitedHealthcare for failure to

provide the requested benefits.

On April 11, 2024, UnitedHealthcare removed this action to this Court pursuant to 28

U.S.C. § 1446(a). ECF No. 2. UnitedHealthcare asserts that this Court has original jurisdiction

over this claim pursuant to 28 U.S.C. § 1331 because Plaintiff’s claim arises under the Employee

Retirement Income Security Act, 29 U.S.C. § 1132 (“ERISA”). United HealthCare subsequently

1 Defendant asserts that Plaintiff erroneously named it as “United Healthcare Corporation.”

filed the instant motion to dismiss pursuant to Federal Rule of Civil Procedure 12(b)(6), arguing

that Plaintiff’s breach of contract claim is wholly preempted by ERISA.

II. LEGAL STANDARD

A pleading must “contain a short and plain statement of the claim showing that the pleader

is entitled to relief.” Fed. R. Civ. P. 8(a)(2). This standard “does not require ‘detailed factual

allegations,’ but it demands more that an unadorned, the-defendant-unlawfully-harmed-me

accusation.” Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009) (quotation omitted). While factual

allegations in a complaint are presumed true, unsupported legal conclusions presented as facts are

not sufficient to show a pleader is entitled to relief. See id. (citations omitted). There must be

factual allegations underlying a complaint such that the claim of misconduct is sufficiently

plausible on its face and not merely a possibility. See id. at 678-79 (citations omitted). Sufficiently

supporting a claim “requires more than labels and conclusions, and a formulaic recitation of the

elements of a cause of action will not do.” Bell Atlantic Corp. v. Twombly, 550 U.S. 544, 555

(2007) (citation omitted). Upon motion, a party against whom a claim for relief is sought may

assert the defense that the claim is not one upon which relief can be granted. See Fed. R. Civ. P.

12(b)(6). In evaluating a motion to dismiss pursuant to Rule 12(b)(6), the Court evaluates the

complaint in the light most favorable to the non-moving party. Carton v. Gen. Motor Acceptance

Corp., 611 F.3d 451, 454 (8th Cir. 2010) (citations omitted).

III. DISCUSSION

Plaintiff brings a claim for breach of contract against UnitedHealthcare for an alleged

failure to pay life insurance benefits to Plaintiff upon her son’s death. ECF No. 3, p. 1-3. Plaintiff

alleges that Derek Brown obtained a life insurance policy provided by UnitedHealthcare as part of

his employment benefits with Rent-A-Center. Plaintiff further alleges that Rent-A-Center paid all

premiums owed for the life insurance policy. Plaintiff asserts that she was the beneficiary for the

life insurance policy benefits upon her son’s death on October 13, 2021. Plaintiff then states that

UnitedHealthcare denied her claim for benefits under the policy and further denied her appeal of

the initial denial. Plaintiff contends that UnitedHealthcare improperly denied benefits rightfully

owed to her under the insurance contract through its denial of her claim. Plaintiff seeks damages

in the amount of the full value of the life insurance policy, along with costs and attorney’s fees.

UnitedHealthcare argues that Plaintiff’s breach of contract claim is preempted by ERISA

and must be dismissed. ECF No. 8, p. 3-5. UnitedHealthcare first asserts that 29 U.S.C. §1144(a)

and the Supreme Court’s holding in Aetna Health Inc. v. Davila, 542 US 200 (2004) make it clear

that ERISA is the sole remedy for claims related to employee benefit plans. UnitedHealthcare

then contends that Plaintiff’s allegations make it indisputable that the life insurance policy Derek

Brown obtained during his employment is an “employee welfare benefit plan” subject to ERISA.

Therefore, UnitedHealthcare concludes that Plaintiff’s breach of contract claim related to Derek

Brown’s life insurance policy is preempted by ERISA and must be dismissed. As previously

noted, Plaintiff has not responded in opposition.

“ERISA is a comprehensive statute designed to promote the interests of employees and

their beneficiaries in employee benefit plans.” Ingersoll-Rand Co. v. McClendon, 498 U.S. 133,

137 (1990) (quotation omitted). An “employee welfare benefit plan” is defined as:

any plan, fund, or program which was heretofore or is hereafter established or

maintained by an employer or by an employee organization, or by both, to the

extent that such plan, fund, or program was established or is maintained for the

purpose of providing for its participants or their beneficiaries, through the purchase

of insurance or otherwise, (A) medical, surgical, or hospital care or benefits, or

benefits in the event of sickness, accident, disability, death or unemployment, or

vacation benefits, apprenticeship or other training programs, or day care centers,

scholarship funds, or prepaid legal services[.]

29 U.S.C. § 1002(1). ERISA provides participants and beneficiaries of such an employee benefit

plan the means for civil enforcement of the rights protected under the plan. See Ingersoll-Rand

Co., 498 U.S. at 137 (citing 29 U.S.C. §1132(a)). “ERISA supercedes [sic] ‘any and all State laws

insofar as they . . . relate to any employee benefit plan.’” Parkman v. Prudential Ins. Co. of Am.,

439 F.3d 767, 771 (8th Cir. 2006) (quoting 29 U.S.C. §1144(a)). “Therefore, any state-law cause

of action that duplicates, supplements, or supplants the ERISA civil enforcement remedy conflicts

with the clear congressional intent to make the ERISA remedy exclusive and is therefore pre-

empted.” Davila, 542 U.S. at 209.

“A law relates to a covered employee benefit plan for purposes of ERISA if it has (1) ‘a

connection with’ or (2) ‘reference to such a plan.’” Parkman, 439 F.3d at 771 (internal quotation

omitted). The Eighth Circuit has also stated that “a claim relates to an ERISA plan when it

‘premises a cause of action on the existence of an ERISA plan.’” Estes v. Fed Express Corp., 417

F.3d 870, 872 (8th Cir. 2005) (internal quotation omitted). “ERISA preempts “‘state common law

tort and contract actions asserting improper processing of a claim for benefits’ under an ERISA

plan.” Moore v. Apple Central, LLC, 893 F.3d 573, 576 (8th Cir. 2018) (internal quotations

omitted). “If the essence of a state law claim ‘relates to the administration of plan benefits, it falls

within the scope of ERISA.’” Id. (internal quotation omitted).

The Court finds that Plaintiff’s breach of contract claim is preempted by ERISA. Plaintiff’s

allegations place Derek Brown’s life insurance policy squarely within the definition of an ERISA

employee benefit plan under 29 U.S.C. § 1002(1), as it is a plan funded by his employer to provide

benefits upon his death. Further, Plaintiff’s breach of contract claim is expressly premised on the

existence of that ERISA covered plan and UnitedHealth’s allegedly improper administration of

Plaintiff’s claim for benefit proceeds under that plan. Therefore, Plaintiff’s breach of contract

claim plainly “relates to” the administration of an ERISA plan and is preempted by ERISA. See

Moore, 893 F.3d at 576; Parkman, 439 F.3d at 771-72; Estes, 417 F.3d at 872-73. Accordingly,

Plaintiff has failed to state a claim upon which relief can be granted and her complaint must be

dismissed.2

1F

IV. CONCLUSION

For the reasons stated above, the Court finds that Defendant UnitedHealth’s Motion to

Dismiss (ECF No. 8) should be and is hereby GRANTED. Plaintiff’s Complaint (ECF No. 3) is

DISMISSED WITH PREJUDICE.

IT IS SO ORDERED, this 3rd day of June, 2024.

/s/ Susan O. Hickey

Susan O. Hickey

Chief United States District Judge

2 Some courts provide an opportunity for a plaintiff to file an amended complaint asserting an ERISA claim after the

court finds that the originally pled state-law claims are preempted by ERISA. See, e.g., Moore v. Apple Central, LLC,

2017 WL 525703 at *2 (W.D. Ark. Feb. 8, 2017). The Court does not find that approach prudent in this instance

because of Plaintiff’s failure to respond to Defendant’s motion to dismiss.

This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.

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