Opinion

Haskett v. Southern Benefit Administrators, Inc.

Court
District Court, W.D. Tennessee
Filed
Feb 20, 2020
Cited by
0 cases
Authority
More cited than 29.7%

The opinion

IN THE UNITED STATES DISTRICT COURT

FOR THE WESTERN DISTRICT OF TENNESSEE

WESTERN DIVISION

PHILLIP DAVID HASKETT, )

)

Plaintiff, )

) No. 2:19-cv-02355-TLP-dkv

v. )

) JURY DEMAND

SOUTHERN BENEFIT )

ADMINISTRATORS, INC., et al., )

)

Defendants. )

ORDER ADOPTING REPORT AND RECOMMENDATION

Plaintiff Phillip David Haskett sued thirteen Defendants pro se under the Employee

Retirement Income Security Act of 1974 (“ERISA”), 29 U.S. Code § 1132(a)(1)(B).1 (ECF

No. 1; ECF No. 22.) Three Defendants—Board of Trustees, Ironworkers Local Union No. 167

Pension Fund; International Association of Bridge, Structural and Ornamental Ironworkers

Local Union No. 167; and Ironworkers Local Union No. 167 Pension Fund—moved to dismiss

Plaintiff’s complaint for failure to state a claim or, in the alternative, to hold the case in

abeyance pending more administrative proceedings. (ECF No. 25.) Plaintiff responded to

Defendants’ motion. (ECF No. 27.) And Defendants did not reply.

The Court referred this case to the Magistrate Court for determination of all pretrial

matters under Administrative Order 2013-05. The Magistrate Court entered a Report and

Recommendation (“R&R”) recommending that the Court grant Defendants’ motion to dismiss

1 Plaintiff filed his initial complaint on May 31, 2019. (ECF No. 1.) He later amended his

complaint on August 22, 2019. (ECF No. 22.)

in part, and that the Court stay this case pending remand for further administrative proceedings.

(ECF No. 30.)

For the reasons below, the Court ADOPTS the R&R in full. The Court thus GRANTS

IN PART AND DENIES IN PART Defendants’ motion to dismiss and STAYS this case

pending remand for further administrative proceedings.

I. The R&R2

A. Failure to Exhaust Administrative Remedies as Properly Presented in a Fed.

R. Civ. P. 12(b)(6) Motion

The first issue that the Magistrate Judge analyzed in the R&R is whether a Fed. R. Civ. P.

12(b)(6) motion “is the proper motion to bring when asserting failure to exhaust administrative

remedies.” (Id. at PageID 386.) The Magistrate Judge determined that Defendants’ “motion to

dismiss is properly presented under Rule 12(b)(6).” (Id. at PageID 389.)

She explained that “[a] Rule 12(b)(6) motion is appropriate where reference to the

affirmative defense of failure to exhaust appears from the face of the plaintiff’s complaint.”

(Id.) (citing Beamon v. Assurant Emp. Benefits, 917 F. Supp. 2d 662, 666 (W.D. Mich. 2013);

Zappley v. The Stride Rite Corp., 2010 WL 234713, at *4 (W.D. Mich. Jan. 13, 2010)).

The Magistrate Judge made these observations about Plaintiff’s complaint:

[Plaintiff]’s amended complaint contains several specific allegations relating to

the issue of exhaustion of required administrative remedies: (i) that he was told

he was “not a participant in the Local [] 167 Plan, and is therefore without any

right to appeal the decision denying his application for pension benefits”; (ii) that

SBA “denied his appeal on February 12, 2019” claiming it was not timely; and

(iii) that he “has fully exhausted his administrative remedies.”

(ECF No. 30 at PageID 389) (quoting ECF No. 22 at PageID 236.)

2 The Court ADOPTS the R&R’s proposed findings of fact in whole. (See ECF No. 30 at

PageID 378–83.)

As a result of these allegations, the Magistrate Judge found that “the defense of

exhaustion of administrative remedies is properly presented in the Rule 12(b)(6) motion.” (Id.)

B. Exhaustion of Administrative Remedies

The second issue that the Magistrate Judge decided in the R&R is whether Plaintiff

exhausted his administrative remedies before suing. (See id. at PageID 389–92.) She

concluded that Plaintiff did not. (Id. at PageID 392.)

The Magistrate Judge explained that, “while the text of ERISA does not explicitly require

exhaustion, the Sixth Circuit has held ‘[t]he administrative scheme of ERISA requires a

participant to exhaust his or her administrative remedies prior to commencing suit in federal

court.’” (Id. at PageID 390) (quoting Miller v. Metro. Life Ins. Co., 925 F.2d 979, 986 (6th Cir.

1991)).

The Magistrate explained why courts require exhaustion under ERISA.

Exhaustion aims to: (i) reduce the number of frivolous lawsuits; (ii) promote the

consistent treatment of claimants; (iii) provide a non-adversarial method of claims

settlement; (iv) minimize the cost of claims settlement for all concerned; (v)

enhance the ability of trustees of benefit plans to expertly and efficiently manage

their funds by preventing premature judicial intervention in their decision-making

processes; (vi) enhance the ability of trustees of benefit plans to correct their

errors; (vii) enhance the ability of trustees to interpret plan provisions; and (viii)

help assemble a factual record which will assist a court in reviewing the

fiduciaries’ actions.

(Id. at PageID 390–91) (citing Barix Clinics of Ohio, Inc. v. Longaberger Family of Cos. Grp.

Med. Plan, 459 F. Supp. 2d 617, 621–22 (S.D. Ohio 2005)).

The Magistrate Judge found that, “[d]espite being told he had no right to appeal,

[Plaintiff] ‘promptly filed a written appeal pursuant to the procedures enumerated in the [Local

167 Summary Plan Description (“SPD”)] booklet’ by sending a letter in which he stated, ‘please

consider this letter to be my appeal.’” (Id. at PageID 391) (quoting ECF No. 22 at PageID 236.)

The Magistrate Judge noted that Defendant Southern Benefit Administrators, Inc.

informed Plaintiff “that he ‘had no right to appeal under the Plan.’” (Id.) (quoting ECF No. 20-

2.) She then found that, although Plaintiff filed this lawsuit in May (see ECF No. 1), “[i]t was

not until July 15, 2019 that the Local 167 Defendants communicated to [Plaintiff] that the Board

of Trustees had ‘agreed to hear [his] appeal of the denial of [his] pension benefits.’” (ECF No.

30 at PageID 391) (quoting ECF No. 25-3.)

Given these developments, the Magistrate Court determined that, “[d]espite [Plaintiff]’s

allegation that he has exhausted his administrative remedies, it appears from the face of the

amended complaint that the Board of Trustees—the only entity authorized by the Plan to

interpret the Plan—has yet to decide [Plaintiff]’s application for benefits.” (Id. at PageID 392.)

Thus, the Magistrate Judge found that Plaintiff had not exhausted administrative remedies under

ERISA. (Id.)

C. Remand for Further Administrative Proceedings

The third and final issue that the Magistrate Judge decided in the R&R is whether this

Court “should remand this case back to the plan administrator for further proceedings.” (Id. at

PageID 392.) The Magistrate Judge found that such a remand is warranted. (Id. at PageID

397.)

The Magistrate Court explained that “the Sixth Circuit listed three circumstances where

remand is appropriate: (i) where the decision to deny benefits suffers from a procedural defect

(e.g., non-compliance with ERISA’s appeal-notice requirements); (ii) where the initial

decisionmaker fails to provide adequate reasoning for its denial; and (iii) where the factual

record is incomplete.” (Id. at PageID 398) (citing Shelby Cty. Health Care Corp. v. Majestic

Star Casino, 581 F.3d 355, 373 (6th Cir. 2009)).

The Magistrate Judge found that all three circumstances are present here. (See id. at

PageID 394.) First, she found that Plaintiff “alleges that SBA’s denial letter was ‘devoid of any

documentation or accounting . . . to support [its] decision to deny [his] application for pension

benefits.’” (Id.) (quoting ECF No. 22 at PageID 235.) This allegation, according to the

Magistrate Judge, constitutes “a claim that SBA failed to comply with ERISA’s appeal-notice

requirements and that SBA failed to provide adequate reasoning for its denial.” (Id.) (citing 29

U.S.C. § 1133(1)).

Second, the Magistrate Judge found that the “allegations regarding SBA’s allegedly

improper handling of his claim also underscores the fact that the Board of Trustees have yet to

decide [Plaintiff]’s application for benefits.” (Id.) And because “the Board of Trustees—not

SBA—is the actual administrator of the Local 167 Defendants’ fund,” it “should have a chance

to fully explain the grounds for [Plaintiff]’s benefit determination.” (Id. at 394–95) (citing

Hackney v. Lincoln Nat. Life Ins. Co., 2012 WL 13343, at *5 (W.D. Ky. Jan. 4, 2012)).

Third, the Magistrate Judge found that “[r]emand . . . will help to further develop the

factual record—'enabling [the Local 167 Defendants] to consider [Plaintiff’s] claims before

premature judicial intervention.’” (Id. at PageID 395) (quoting Coomer v. Bethesda Hosp., Inc.,

370 F.3d 499, 506 (6th Cir. 2004)). To this point, she emphasized that “[a]n incomplete factual

record, alone, is a basis to remand an ERISA case back to the plan administrator.” (Id.) (citing

Majestic Star Casino, 581 F.3d at 373).

As a result of these findings, the Magistrate Judge recommended that this Court should

remand this case “so that the Board of Trustees can make a final determination regarding

[Plaintiff]’s right to pension benefits based on a more complete factual record.” (Id. at PageID

397) (citing Majestic Star Casino, 581 F.3d at 373). That said, the Magistrate Judge found that,

“[r]ather than dismiss this action,” this Court should stay this action pending more

administrative proceedings. (Id.)

II. Disposition

Under Fed. R. Civ. P. 72(b)(2), “[w]ithin 14 days of being served with a copy of the

recommended disposition, a party may serve and file specific written objections to the proposed

findings and recommendations.” Fed. R. Civ. P. 72(b)(2). Neither party objected to the R&R,

and the time for filing objections has expired. See Fed. R. Civ. P. 5(b)(2), 6(d), 72(b)(2).

“When no timely objection is filed, the court need only satisfy itself that there is no clear

error on the face of the record in order to accept the recommendation.” Fed. R. Civ. P. 72(b)

advisory committee notes.

Plaintiff did not file any objections to the Magistrate Judge’s R&R. Having reviewed the

R&R and the record here, the Court finds no clear error and ADOPTS the R&R in its entirety.

Thus, the Court GRANTS IN PART AND DENIES IN PART Defendants’ motion to dismiss

and STAYS this case pending remand for further administrative proceedings.

SO ORDERED, this 20th day of February, 2020.

s/Thomas L. Parker

THOMAS L. PARKER

UNITED STATES DISTRICT JUDGE

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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