The opinion
UNITED STATES DISTRICT COURT
NORTHERN DISTRICT OF ALABAMA
SOUTHERN DIVISION
DEBT COLLECTIONS, LLC, )
)
Plaintiff, )
)
v. ) Case No. 2:26-cv-00398-NAD
)
ALABAMA DENTAL )
ASSOCIATION, )
)
Defendant. )
MEMORANDUM OPINION AND ORDER
GRANTING PLAINTIFF’S MOTION TO REMAND
For the reasons stated below, and on the record in the oral argument motion
hearing, the court GRANTS the motion to remand filed by Plaintiff Debt
Collections, LLC (Doc. 11), and REMANDS this case to the Circuit Court for
Jefferson County, Alabama. Separately, the court will enter a remand order.
BACKGROUND
A. Procedural background
On February 12, 2026, Debt initiated this action against Defendant Alabama
Dental Association (ALDA) in Alabama state court. Doc. 1-2. The complaint
alleges the following state law causes of action: (1) breach of contract; (2) open
account; (3) account stated; (4) money had and received; and (5) unjust enrichment.
Doc. 1-2 at 7–11. The complaint arises from an alleged medical benefits stop loss
insurance policy issued to ALDA by Iron Reinsurance Company. Doc. 1-2 at 2–7.
Debt filed this action as the assignee of certain rights from Iron. See Doc. 1-2 at 2.
On March 10, 2026, ALDA timely removed the case to this court based on
federal question jurisdiction. Doc. 1. ALDA asserted that the court has federal
question jurisdiction over this case because the Employee Retirement Income
Security Act of 1974 (ERISA) completely preempts all of Debt’s claims. Doc. 1 at
5–10.
On the same date (March 10, 2026), ALDA also filed a motion for summary
judgment asserting collateral estoppel, that there is no genuine dispute of material
fact, and that the ERISA statute of limitations bars Debt’s claims. Doc. 3; see Doc.
6 (evidentiary material); Doc. 7 (supporting brief). On March 13, 2026, the court
entered a briefing schedule on ALDA’s summary judgment motion. Doc. 8.
On March 25, 2026, Debt filed a motion to stay the briefing on ALDA’s
summary judgment motion, because Debt intended to file a motion to remand. Doc.
9. On March 26, 2026, ALDA filed its opposition to the stay motion. Doc. 10.
On March 31, 2026, Debt filed this motion to remand (Doc. 11), arguing that
the court lacks subject matter jurisdiction over this case because ERISA complete
preemption does not apply. See Doc. 12 (supporting brief).
On April 1, 2026, the court held a telephone status conference. See minute
entry, entered: 04/01/2026. Based on the discussion during that conference, the
court stayed the briefing on ALDA’s summary judgment motion, stayed all
discovery, and set a briefing schedule on Debt’s motion to remand. Doc. 13; see
Doc. 4 (order regarding discovery).
On April 20, 2026, ALDA filed its opposition to this motion to remand. Doc.
16. On May 5, 2026, Debt filed its reply. Doc. 17. The parties consented to
magistrate judge jurisdiction. Doc. 14; see Doc. 5 (order regarding consent); 28
U.S.C. § 636(c); Fed. R. Civ. P. 73. And, the court held an oral argument hearing
on the motion to remand. See Doc. 18 (order setting motion hearing); minute entry,
entered: 06/25/2026; Doc. 21 (transcript).
B. Factual background
The complaint alleges the following: On or about March 26, 2024, Iron
assigned to Debt the rights to certain receivables. Doc. 1-2 at 2–3.
ALDA is a professional membership organization of dentists, which at all
relevant times sponsored and maintained a self-funded medical benefits plan for its
members. Doc. 1-2 at 3.
The plan was administered by Arsenal Health, LLC, which now is bankrupt.
Doc. 1-2 at 3.
On or around November 8, 2019, the ALDA Board of Trustees approved the
plan. Doc. 1-2 at 6. The trustees “marketed the Plan to ALDA’s members and
were responsible for fully and accurately conveying the terms of the Plan—including
the terms related to the [medical benefits stop loss insurance] [p]olicy” issued by
Iron. Doc. 1-2 at 6.
As stated above, Iron allegedly had issued to ALDA a medical benefits stop
loss insurance policy. Doc. 1-2 at 4. “Stop-loss insurance reimburses the plan
sponsor for any eligible health care costs that exceed a certain threshold (known as
the ‘attachment point’ or ‘specific deductible’).” Doc. 1-2 at 4.
The policy term “expired on or around March 31, 2022, and included a 6-
month ‘runout’ period, during which time claims incurred during the Policy term
could still be submitted to and covered by Iron.” Doc. 1-2 at 4.
Under the policy, “Iron agreed to reimburse ALDA for all eligible claims
incurred by a participant in a particular year once that participant’s claims exceeded
the Specific Deductible of $10,000. Iron paid the claims directly and [sought]
reimbursement, rather than first requiring ALDA to pay the claim[s].” Doc. 1-2 at
5.
The policy also included an “Accommodation” clause. Doc. 1-2 at 5. The
Accommodation clause “required Iron to temporarily fund incurred health care costs
for Plan participants incurred before the Specific Deductible was met if ALDA had
not provided enough funding to pay for such claims.” Doc. 1-2 at 5. “Said another
way, if ALDA had not set aside enough money to pay the claims owed under the
Plan, Iron would temporarily pay those claims, too—even for those participants for
whom the Specific Deductible was not yet satisfied.” Doc. 1-2 at 5. “For example,
assume the Specific Deductible under the [medical benefits stop loss insurance]
policy was $10,000. If a participant in the Plan incurred $9,000 of medical claims
during a particular Plan year, ALDA was contractually obligated to pay those claims.
Pursuant to the Accommodation clause cited above, if ALDA had not set aside
sufficient funds to pay these claims, Iron would temporarily pay those claims on
ALDA’s behalf and then seek repayment from ALDA at a later date.” Doc. 1-2 at
5–6. “In the event Iron made such Accommodation Payments, ALDA was
contractually responsible for repayment of the Accommodation Payments, as well
as any administrative costs associated with the Accommodation Payments.” Doc.
1-2 at 6.
The complaint alleges that ALDA now has “refuse[d] to honor the terms” of
the medical benefits stop loss insurance policy. Doc. 1-2 at 7. The complaint also
alleges that “Iron fully performed its obligation to cover the cost of claims that
exceeded the Specific Deductible and does not dispute its responsibility to initially
pay such claims,” but that at the end of the policy term and runout period ALDA
“owed Iron reimbursements for payments made by Iron” pursuant to the policy.
Doc. 1-2 at 7.
Along with the complaint, Debt attached a copy of the assignment agreement
between Debt and Iron. Doc. 1-2 at 12–16. Debt also attached a copy of the
alleged “Medical Benefits Stop Loss Policy”—apparently for the policy year from
September 1, 2018, to August 31, 2019—which was issued by Iron as the insurer to
ALDA as the policyholder, and which named Arsenal as the “Designated Plan
Supervisor (or TPA).” Doc. 1-2 at 37.
The policy is designated “non-participating insurance,” and states, “This is a
reimbursement policy. You [ALDA], or Your Plan Supervisor [Arsenal], are
responsible for making benefit determinations under Your Employment Benefit
Plan. We [Iron] have no duty, obligation, or authority to administer, settle, adjust,
or provide advice regarding claims filed under Your Employee Benefit Plan.” Doc.
1-2 at 38 (bold all-caps emphasis omitted). The policy defines “Employee Benefit
Plan” as the “medical benefits You [ALDA] have agreed to provide under a plan of
benefits for Your Eligible employees and their Eligible dependents, whether or not
it is subject to [ERISA].” Doc. 1-2 at 41 (all-caps emphasis omitted).
The policy states: “We [Iron] have no duty or obligation to settle or adjust
any claims for Plan Benefits filed under Your [ALDA’s] Employee Benefit Plan.”
Doc. 1-2 at 46. The policy also states: “This Policy is between You [ALDA] and
Us [Iron]. No other party has any rights under this Policy.” Doc. 1-2 at 47. The
policy states further: “You [ALDA] or Your Plan Supervisor [Arsenal] is
responsible for administering Your Employee Benefit Plan, preparing reports as
required by Us [Iron] and keeping and making available to Us such data as We may
require.” Doc. 1-2 at 54.
The policy also includes a “disclaimer”: “We [Iron] act only as an insurer to
You [ALDA]. We are not a fiduciary or a party in interest to the Employee Benefit
Plan or any participant. We do not assume any duty to perform any of the functions
of, or to provide any of the reports required by, You by [ERISA] or any other
applicable state or federal law. We assume no responsibility or obligation for the
administration of Your Employee Benefit Plan or Your acts. We reserve the right
to determine amounts payable under this Policy without regards to such acts.” Doc.
1-2 at 50 (all-caps emphasis omitted).
The policy states that “[t]he form of coverage is specific stop loss insurance.”
Doc. 1-2 at 40 (“contract basis”; all-caps emphasis omitted). The policy also states
that the “Specific Deductible is Ten Thousand Dollars ($10,000). This is the
amount of Covered Expenses that must be Paid by the Employee Benefit Plan for a
Covered Person before Specific Stop Loss Insurance benefits are reimbursable under
the Policy.” Doc. 1-2 at 44 (“specific deductible”; all-caps emphasis omitted).
The policy states further, “We [Iron] will reimburse You [ALDA] for Specific Stop
Loss Insurance, subject to the terms, conditions, and limitations of this Policy, only
after We receive a written request for reimbursement with complete claim
information.” Doc. 1-2 at 45; see also Doc. 1-2 at 44 (“We will reimburse You for
Covered Expenses Paid in excess of the Specific Deductible.” (“specific stop loss
insurance”; bold all-caps emphasis omitted).
The “Accommodation” clause in the policy1 states as follows:
Accommodation shall be provided for only those claims for which
reimbursement is provided under the terms of the Agreement. The
Insurer shall determine for each Contract Month whether the
cumulative total of claims paid to date by the Company exceeds the
Company’s required contributions as determined by the Company’s
Plan Administrator. The total amount of Accommodation made under
this Agreement shall never be more than the amount by which such
claims Paid during the Contract Period exceeds the Insurer’s net
retained liability attributable to the Contract Basis under this
Agreement. Accommodations shall be repaid to the Insurer each
month as the Company’s required contributions exceed its claims paid
plus expenses.
Doc. 1-2 at 54; see also Doc. 1-2 at 5 (same).
LEGAL STANDARD
A. Federal subject matter jurisdiction
Federal courts have a “strict duty to exercise the jurisdiction that is conferred
upon them by Congress.” Quackenbush v. Allstate Ins. Co., 517 U.S. 706, 716
(1996); accord Colorado River Water Conservation Dist. v. United States, 424 U.S.
800, 817 (1976) (federal courts have a “virtually unflagging obligation . . . to
exercise the jurisdiction given them”). However, “[f]ederal courts are courts of
limited jurisdiction.” Burns v. Windsor Ins. Co., 31 F.3d 1092, 1095 (11th Cir.
1 As part of the evidentiary materials that ALDA submitted in support of its summary
judgment motion, ALDA included an apparent version of the alleged policy that did
not include any Accommodation clause at all. Doc. 6-10 at 8–27.
1994). Generally speaking, federal subject matter jurisdiction over a civil case
requires either a question “arising under the Constitution, laws, or treaties of the
United States” (28 U.S.C. § 1331), or complete diversity of citizenship (28 U.S.C.
§ 1332).
On a motion to remand for lack of jurisdiction, “the removing party bears the
burden of showing the existence of federal subject matter jurisdiction.”
Connecticut State Dental Assn. v. Anthem Health Plans, Inc., 591 F.3d 1337, 1343
(11th Cir. 2009). “‘As a general rule, a case arises under federal law only if it is
federal law that creates the cause of action.’” Id. (quoting Diaz v. Sheppard, 85
F.3d 1502, 1505 (11th Cir. 1996)). Normally, the test for federal question
jurisdiction is “whether a federal question appears on the face of the plaintiff’s well-
pleaded complaint.” Id.
B. ERISA complete preemption
ERISA “[c]omplete preemption is a narrow exception to the well-pleaded
complaint rule.” Connecticut State Dental, 591 F.3d at 1343. “ERISA is one of
only a few federal statutes under which two types of preemption may arise: conflict
preemption and complete preemption.” Id. Conflict preemption (or defensive
preemption) preempts any state law claim that “relates to” an ERISA plan, but
“conflict preemption is merely a defense, it is not a basis for removal.” Id. at 1344.
On the other hand, complete preemption (or superpreemption) arises from
ERISA’s civil enforcement provision, § 502(a), which is codified at 29 U.S.C.
§ 1132(a); complete preemption “converts an ordinary state common law complaint
into one stating a federal claim for purposes of the well-pleaded complaint rule,” and
consequently provides a basis for removal to federal court. Connecticut State
Dental, 591 F.3d at 1344.
On this motion to remand, the parties agree that the controlling test for ERISA
complete preemption (and removability) is the four-part test “set forth in Butero v.
Royal Maccabees Life Insurance Co., 174 F.3d 1207 (11th Cir.1999): (1) ‘there
must be a relevant ERISA plan,’ (2) ‘the plaintiff must have standing to sue under
that plan,’ (3) ‘the defendant must be an ERISA entity,’ and (4) ‘the complaint must
seek compensatory relief akin to that available under § [502(a)]; often this will be a
claim for benefits due under a plan.’” Connecticut State Dental, 591 F.3d at 1344
(quoting Butero, 174 F.3d at 1212); see 29 U.S.C. § 1132(a); Doc. 21 at 37–38; Doc.
1 at 7; Doc. 12 at 10–13; Doc. 16 at 11–14.
The Butero test is rooted in ERISA § 502(a), see 29 U.S.C. § 1132(a).
Butero, 174 F.3d at 1212 (“ERISA superpreemption exists only when the ‘plaintiff
is seeking relief that is available under 29 U.S.C. § 1132(a).’” (quoting Whitt v.
Sherman Int’l Corp., 147 F.3d 1325, 1330 (11th Cir. 1998)); see Connecticut State
Dental, 591 F.3d at 1343.
Section 1132(a) provides in relevant part that a civil action “may be brought
. . . by a participant, beneficiary, or fiduciary (A) to enjoin any act or practice which
violates any provision of this subchapter or the terms of the plan, or (B) to obtain
other appropriate equitable relief (i) to redress such violations or (ii) to enforce any
provisions of this subchapter or the terms of the plan.” 29 U.S.C. § 1132(a)(3).
On this motion to remand, the parties also agree that the dispositive issue is
whether Debt, as assignee of Iron, has standing to sue under ERISA—that is,
specifically, whether Iron was an ERISA fiduciary. See Doc. 21 at 30, 38, 42; Doc.
16 at 8.
By statute, “a person is a fiduciary with respect to the plan to the extent (i) he
exercises any discretionary authority or discretionary control respecting
management of such plan or exercises any authority or control respecting
management or disposition of its assets, (ii) he renders investment advice for a fee
or other compensation, direct or indirect, with respect to any moneys or other
property of such plan, or has any authority or responsibility to do so, or (iii) he has
any discretionary authority or discretionary responsibility in the administration of
such plan.” 29 U.S.C. § 1002(21)(A); accord Cotton v. Massachusetts Mut. Life
Ins. Co., 402 F.3d 1267, 1277 (11th Cir. 2005).
“Clearly, the fiduciary duties outlined in ERISA are designed to protect the
plan and its beneficiaries rather than those who administer the plan.” First Nat. Life
Ins. Co. v. Sunshine-Jr. Food Stores, Inc., 960 F.2d 1546, 1550 (11th Cir. 1992).
That is because “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) (quoting Shaw v. Delta Air Lines, Inc.,
463 U.S. 85, 90 (1983)).
In addition, “fiduciary status under ERISA is not an all-or-nothing concept,
and a court must ask whether a person is a fiduciary with respect to the particular
activity at issue.” Cotton, 402 F.3d at 1277 (citation and quotation marks omitted).
“In other words, ‘ERISA . . . defines “fiduciary” not in terms of formal trusteeship,
but in functional terms of control and authority over the plan.’” Romano v. John
Hancock Life Ins. Co. (USA), 120 F.4th 729, 739 (11th Cir. 2024) (quoting Mertens
v. Hewitt Assocs., 508 U.S. 248, 262 (1993)) (emphasis in original).
In this regard, the performance of “ministerial [insurance-]policy-related
services”—for instance, “allocating [employees’] premium payments between the
portion counted as loans from their employer and the portion treated as income to
them, analyzing policy performance, and communicating with [employees]
regarding policy performance”—does not “render an insurer . . . a fiduciary if it does
not otherwise occupy that status.” Cotton, 402 F.3d at 1279 (citations omitted).
“Nor does the performance of multiple duties, none of which in and of itself creates
fiduciary status, render one a fiduciary.” Id. (citation omitted).
DISCUSSION
Based on the controlling law, the allegations in the complaint, and the record
evidence, the court must remand this case to the Alabama state trial court. ALDA
has not carried its burden of showing ERISA complete preemption and removability.
See Connecticut State Dental, 591 F.3d at 1343.
As explained above, the determinative issue is whether Iron was an ERISA
fiduciary, such that Debt—as assignee of Iron—has the standing that is required for
complete preemption under Butero and § 502(a)(3). See Butero, 174 F.3d at 1212;
29 U.S.C. § 1132(a)(3); Legal Standard supra.
I. There is no caselaw concluding that a stop-loss reinsurer is an ERISA
fiduciary.
As a preliminary matter, there is no caselaw concluding that an alleged stop-
loss reinsurer—like Iron here—is an ERISA fiduciary. Neither ALDA nor this
court has identified any such case. Everyone agrees that Iron was neither a
participant, a beneficiary, nor a sponsor of a benefits plan, and that Debt’s state law
causes of action do not actually reach the substance of the benefits plan, any claim
for benefits under that plan, or any of the plan beneficiaries at all.
In situations like this, courts generally have ruled that an insurer providing
stop loss reinsurance falls outside the scope of ERISA and is not treated as a
fiduciary. See, e.g., Strategic Outsourcing, Inc. v. Commerce Benefits Grp. Agency,
Inc., 54 F. Supp. 2d 566, 573 (W.D.N.C. 1999) (collecting cases and reasoning that
“[r]einsurance coverage does not provide insurance benefits for the plan participants
but instead is in the nature of excess liability coverage for the employer and, as such,
falls outside the scope of both the plan and ERISA”).
Indeed, “[a]n apparently unbroken line of decisions concludes that excess loss
or reinsurance proceeds that are not payable to persons covered by a plan are outside
the scope of ERISA.” Baker County Med. Servs., Inc. v. Fringe Benefits Mgmt. Co.,
No. 4:04-CV-488-RHWCS, 2005 WL 2001734, at *3 (N.D. Fla. Aug. 12, 2005)
(collecting cases).
Consistent with that unbroken line of caselaw, the Middle District of Alabama
has reasoned that ERISA “is not directly concerned with regulating a plan insurer’s
collateral business transactions,” and consequently that ERISA “was not intended to
displace commonplace, run-of-the-mill state-law claims that might arise out of such
transactions.” Consumer Benefits Assn. of U.S. v. Lexington Ins. Co., 731 F. Supp.
1510, 1516 (M.D. Ala. 1990).
II. ALDA has not carried its burden to show that Iron was an ERISA
fiduciary.
Nevertheless, ALDA argues that this case is different—and that the rule of
thumb discussed above should not apply, see supra Part I—primarily because of the
“Accommodation” clause in the medical benefits stop loss insurance policy that Iron
allegedly issued to ALDA. In particular, ALDA agues that, “[f]or the ALDA Plan,
Iron was an ERISA fiduciary on three grounds: (A) The Accommodation clause of
the Iron insurance policy, (B) Iron’s making discretionary decisions about funding
or not funding ALDA Plan Accommodation payments, or (C) Iron’s having and
using information central to administering and managing the ALDA Plan, yet not
disclosing the information to ALDA or to ALDA Plan participants.” Doc. 16 at 8;
see Doc. 21 at 42 (similar).
First, ALDA has not shown that the plain text of the “Accommodation” clause
gave Iron discretion over ALDA’s self-funded medical benefits plan or the plan
assets. See Doc. 16 at 1–2; Doc. 21 at 3, 42. Everyone agrees that the
Accommodation clause, as written, is unclear. But, whatever else the
Accommodation clause may say, the plain language of the clause and the policy does
make clear that Iron’s accommodation payments to ALDA would be limited to
reimbursement for specific stop loss insurance coverage. For example, the
Accommodation clause says “Accommodation shall be provided for only those
claims for which reimbursement is provided under the terms of the Agreement,” and
limits the “total amount of Accommodation made under this Agreement” according
to “the Contract Basis under this Agreement.” Doc. 1-2 at 54. As explained
above, the policy elsewhere defines the “Contract Basis” as “[t]he form of coverage
is specific stop loss insurance. The Contract Basis shall be considered in
determining what Covered Expenses will be reimbursed by Us.” Doc. 1-2 at 40.
The policy also states that “[t]his is a reimbursement policy.” Doc. 1-2 at 38. With
respect to the specific stop loss insurance coverage, the policy states further that the
“Specific Deductible is Ten Thousand Dollars ($10,000),” that “[t]his is the amount
of Covered Expenses that must be Paid by the Employee Benefit Plan for a Covered
Person before Specific Stop Loss Insurance benefits are reimbursable under the
Policy,” and that “We will reimburse You for Covered Expenses Paid in excess of
the Specific Deductible.” Doc. 1-2 at 44.
The Accommodation clause also says that ALDA shall repay Iron for
accommodation payments: “Accommodations shall be repaid to [Iron].” Doc. 1-
2 at 54.
Moreover, the policy expressly states that “Iron [is] not a fiduciary or a party
in interest to the Employee Benefit Plan or any participant.” Doc. 1-2 at 50
(emphasis added). Among other things, the policy states that Iron “do[es] not
assume any duty to perform any of the functions of, or to provide any of the reports
required by, [ALDA] by [ERISA] or any other applicable state or federal law,” that
Iron “assume[s] no responsibility or obligation for the administration of [ALDA’s]
Employee Benefit Plan or [ALDA’s] acts,” and that Iron “act[s] only as an insurer
to [ALDA].” Doc. 1-2 at 50. The policy also states that “[ALDA], or [Arsenal],
are responsible for making benefit determinations under [ALDA’s] Employment
Benefit Plan” (Doc. 1-2 at 38), that Iron “ha[s] no duty, obligation, or authority to
administer, settle, adjust, or provide advice regarding claims filed under [ALDA’s]
Employee Benefit Plan” (Doc. 1-2 at 38), that Iron “ha[s] no duty or obligation to
settle or adjust any claims for Plan Benefits filed under [ALDA’s] Employee Benefit
Plan” (Doc. 1-2 at 46), and that “[ALDA] or [Arsenal] is responsible for
administering [ALDA’s] Employee Benefit Plan.” Doc. 1-2 at 54.
Thus, nothing in the plain text of the Accommodation clause or the medical
benefits stop loss insurance policy otherwise shows that Iron had any discretionary
authority, responsibility, or control over ALDA’s plan or the self-funded plan assets.
See 29 U.S.C. § 1002(21)(A); Butero, 174 F.3d at 1212; 29 U.S.C. § 1132(a)(3).
Next, ALDA has not shown that Iron’s funding of any accommodation
payments—as alleged in the complaint—made Iron an ERISA fiduciary. See Doc.
16 at 3; Doc 21 at 22, 25. While ALDA is correct that the allegations in the
complaint about the funding of accommodation payments do appear to vary from
the plain language of the Accommodation clause and the medical benefits stop loss
insurance policy, those allegations still do not show that Iron had any discretion over
the plan or the plan assets. As explained above, the complaint does not limit
accommodation payments to specific stop loss insurance coverage for covered
expenses exceeding the Specific Deductible.
Rather, the complaint alleges that the Accommodation clause “required Iron
to temporarily fund incurred health care costs for Plan participants incurred before
the Specific Deductible was met if ALDA had not provided enough funding to pay
for such claims,” and that, “if ALDA had not set aside enough money to pay the
claims owed under the Plan, Iron would temporarily pay those claims, too—even for
those participants for whom the Specific Deductible was not yet satisfied.” Doc. 1-
2 at 5 (emphasis added). The complaint also alleges a hypothetical “example”:
“[A]ssume the Specific Deductible under the [medical benefits stop loss insurance]
policy was $10,000. If a participant in the Plan incurred $9,000 of medical claims
during a particular Plan year, ALDA was contractually obligated to pay those
claims.” Doc. 1-2 at 5. Even though the Specific Deductible would not have been
met for that plan participant, “[p]ursuant to the Accommodation clause cited above,
if ALDA had not set aside sufficient funds to pay these claims, Iron would
temporarily pay those claims on ALDA’s behalf and then seek repayment from
ALDA at a later date.” Doc. 1-2 at 5–6.
ALDA argues that, as alleged, Iron had discretion regarding whether or not to
fund accommodation payments—i.e., before the Specific Deductible had been met
for any given plan participant. See, e.g., Doc. 16 at 8; Doc. 21 at 42. But, even as
alleged, Iron was not an ERISA fiduciary. ALDA still sponsored the plan, and
Arsenal still administered the plan.
Consistent with the Accommodation clause and the medical benefits stop loss
insurance policy generally, the allegations in the complaint make clear that ALDA
still was responsible for payment of medical claims for each participant before the
Specific Deductible had been met, even where Iron allegedly had made
accommodation payments: “ALDA was contractually obligated to pay those
claims.” Doc. 1-2 at 5. Iron would fund those claims only “temporarily” on
“ALDA’s behalf” (Doc. 1-2 at 5–6), and then “seek repayment from ALDA at a later
date” (Doc. 1-2 at 6). “ALDA was contractually responsible for repayment of
th[ose] Accommodation Payments, as well as any administrative costs associated
with th[ose] Accommodation Payments.” Doc. 1-2 at 6.
Likewise, there is no allegation that Iron was involved at all in managing
medical claims or benefits for plan participants, disbursing payments under the plan
to medical providers, or investing plan assets. Iron only provided specific stop loss
insurance and, as alleged, temporarily funded payments for some medical claims
before the Specific Deductible had been met for a given plan participant—i.e.,
medical claims which ALDA was contractually obligated to pay, and for which
ALDA was contractually obligated to repay Iron.
At the oral argument motion hearing, counsel suggested that Iron purportedly
had deposited any such accommodation payments into a checking account that
Arsenal—the plan administrator—had opened and operated on ALDA’s behalf,
although apparently without ALDA’s knowledge. See, e.g., Doc. 21 at 17. ALDA
argues that Iron had discretion over plan administration and plan assets, because
Iron—in its own discretion and without ALDA’s knowledge—allegedly was
depositing money into the Arsenal-operated, ALDA checking account, from which
payments under the plan were funded, at least temporarily. Doc. 21 at 18–21, 26–
28.
Without more, Iron’s allegedly having deposited money—pursuant to the
Accommodation clause—into the plan’s checking account in order to temporarily
fund payments under the plan, which ALDA remained contractually obligated to pay
(and repay), did not give Iron any discretionary authority or control over the plan or
its assets. See Cotton, 402 F.3d at 1277; Doc. 21 at 4, 21. Again, Iron did not
manage claims or benefits, make any payments from out of the plan’s checking
account, or invest any of the money in the plan’s checking account; that still would
have been Arsenal on ALDA’s behalf. Instead, the alleged accommodation
payments into the plan’s checking account amount to payments under a contractual,
third-party financing agreement (i.e., before the Specific Deductible had been met
for a given plan participant). As such, depositing money into the plan’s checking
account was only a “ministerial [insurance-]policy-related service[]” that did not
“render” Iron a fiduciary. See Cotton, 402 F.3d at 1279.
Any alleged discretion that Iron exercised regarding depositing money into
the plan’s checking account was only with respect to whether to provide funding
pursuant to the Accommodation clause in the medical benefits stop loss insurance
policy, and not discretion regarding the administration of the plan or its assets.
Regardless of how much money Iron deposited into the plan’s checking account (and
when), as allegedly determined by Iron according to its interpretation of the
Accommodation clause, it still was for Arsenal to administer the money in that
checking account; and it still was ALDA that was contractually obligated both to
pay the claims under its self-funded medical benefits plan (with the money in that
checking account or otherwise), and to repay Iron for any accommodation payments.
Finally, ALDA has not shown that Iron had a fiduciary duty to provide any
information to ALDA or the plan beneficiaries. ALDA argues that, because ALDA
did not know about the alleged Iron medical benefits stop loss insurance policy (or
the Accommodation clause) until June 2022, Iron had information that Iron was
required to provide to ALDA. Doc. 16 at 3; Doc. 21 at 8, 12–14, 41. But there
was no such obligation on Iron, much less any such obligation that would render
Iron an ERISA fiduciary in this case.
As explained above, the complaint alleges that the ALDA trustees “were
responsible for fully and accurately conveying the terms of the Plan—including the
terms related to the [medical benefits stop loss insurance] [p]olicy” issued by Iron,
as well as “the members’ potential exposure for costs and expenses associated with
the Plan, and the members’ obligations to Iron.” Doc. 1-2 at 6. That is an alleged
information-sharing obligation on ALDA. However, ALDA argues that, because
Iron allegedly was the only entity with information about how much money Iron was
depositing—pursuant to the Accommodation clause—into the Arsenal-operated,
ALDA checking account, Iron was a fiduciary with respect to the plan. Doc. 21 at
41.
But, consistent with both the Accommodation clause and the allegations in
the complaint, the plan administrator—Arsenal—would have had that same
information regarding money in the ALDA checking account. See Doc. 1-2 at 3
(“The Plan purchased by ALDA was self-funded. . . . ALDA’s Plan was
administered by the now-bankrupt [Arsenal].”). So, while it is undisputed that the
ALDA trustees—and seemingly Arsenal—had a fiduciary duty to provide
information to plan beneficiaries, there is no showing that Iron had that obligation,
based on the Accommodation clause or otherwise. See First Nat. Life, 960 F.2d at
1550 (“[T]he fiduciary duties outlined in ERISA are designed to protect the plan and
its beneficiaries rather than those who administer the plan.”).
That conclusion is confirmed by the controlling law that “fiduciary status
under ERISA” is contextual, depending on “the particular activity at issue,” and not
“an all-or-nothing concept.” See Cotton, 402 F.3d at 1277.
Section 1002(21)(A) renders an entity a “fiduciary” only “to the extent” that
the entity “was acting as a fiduciary (that is, was performing a fiduciary function)
when taking the action subject to complaint.” Pegram v. Herdrich, 530 U.S. 211,
226 (2000). “ERISA federalized a great portion of the law governing employee
benefit plans. It is not true, however, that all contracts relating in any way to an
ERISA plan are governed entirely by ERISA.” Baker County, 2005 WL 2001734,
at *2 (emphasis in original).
In this case, Debt—as the plaintiff, and assignee of Iron—filed its complaint
to collect money that ALDA allegedly owes under the Accommodation clause of the
Iron medical benefits stop loss insurance policy. While ALDA may prevail on
Debt’s state law causes of action based on ALDA’s position that ALDA did not
know about the alleged Iron medical benefits stop loss insurance policy or the
Accommodation clause until June 2022, “the action subject to complaint” is Iron’s
alleged accommodation payments and ALDA’s alleged “refus[al] to honor the
terms” of the policy and to repay those accommodation payments (Doc. 1-2 at 7).
See Pegram, 530 U.S. at 226. Thus, on the question whether Iron was an ERISA
fiduciary, “the particular activity at issue” is the alleged accommodation payments,
and not any alleged information sharing by the ALDA trustees, Arsenal, or Iron.
See Cotton, 402 F.3d at 1277.
CONCLUSION
For the reasons stated above, Debt’s motion to remand (Doc. 11) is
GRANTED, and this case is REMANDED. The court DIRECTS the Clerk of
Court to REMAND this case to the Circuit Court for Jefferson County, Alabama.
The court will enter a separate remand order.
DONE and ORDERED this August 31, 2026.
NICHOLAS A. DANELLA
UNITED STATES MAGISTRATE JUDGE
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