ORDER
THIS CAUSE came before the Court upon Defendant, United Healthcare Insurance Company’s Motion to Dismiss Plaintiffs’ Amended Complaint (DE # 21).
UPON CONSIDERATION of the motion and being otherwise fully advised in the premises, the Court enters the following Order.
I. Facts
The instant case arises out of Plaintiff AutoNation, and its subsidiary AutoNation Benefits Company, Inc. (collectively, “Plaintiffs”) claim for breach of fiduciary duty in violation of the Employee Retirement Income Security Act of 1974 (“ERISA”) (Count I), and state law claims for breach of contract (Count II) and professional negligence (Count III) against United Healthcare Insurance Company (“United” or “Defendant”).
AutoNation is the nation’s largest retailer of new and used vehicles, and employs approximately 27,000 people. Amended Compl. ¶ 7. Together with its subsidiary, ABC, AutoNation provides healthcare and prescription drug benefits for its employees through a self-funded healthcare program known as the AutoNation Medical Benefits Plan (the “Plan”). Id. ¶ 8. On April 1, 2002, AutoNation and ABC executed an administrative services agreement (“ASA”) with United under which United agreed to administer the Plan for thirty-six months. Id. ¶ 11. This contract was later extended for nine additional months. Id. United had a number of obligations under the ASA, including the duty to “discharge its duties ... in the interest of Participants and with the care, skill, prudence and diligence under the circumstances then prevailing that a prudent person would ...,” “periodically review its claims processing services for the Program for the purpose of detecting Overpay-ments,” assume liability for unrecovered overpayments when the Overpayment was caused by “gross negligence” or an “intentional disregard of [United’s] obligations under” the ASA, and to determine which services are “covered” under the ASA, among other obligations. See Amended Compl. ¶¶ 13-26.
After the Plan experienced a substantial increase in costs, AutoNation hired Hewitt
II. Standard of Review
A motion to dismiss for failure to state a claim merely tests the sufficiency of the complaint; it does not decide the merits of the case.
Milburn v. United States,
III. Discussion
Defendant first argues that Counts II and III of Plaintiffs’ Amended Complaint, which are state law claims, are preempted by ERISA and should therefore be dismissed. 1
A. ERISA Preemption
There are two types of ERISA preemption. The first is “complete” preemption, or “super preemption.”
Butero v. Royal Maccabees Life Insurance Co.,
“Defensive” or “conflict” preemption provides an affirmative defense to certain state-law allegations and calls for their dismissal where the state law claims “relate to” an ERISA plan.
See Butero,
The Defendant argues that Plaintiffs’ state law claims should be conflict preempted because they “relate to” an ERISA Plan within the meaning of the statute. The Defendant cites to a number of cases that stand for the proposition that state law breach of contract or breach of duty claims can be preempted under ERISA.
See e.g., Aetna Health Inc. v. Da Vila,
In a narrow ruling, the Court of Appeals in
Morstein
determined that the Plaintiffs suit against an insurance agent was not preempted where the Defendant was not an ERISA entity and had no control over the determination of Plaintiffs rights under the Plan.
Although
Aetna v. Davila
concerns complete preemption rather than conflict preemption, its analysis is instructive. There, Plaintiffs alleged that their HMOs refused to cover certain medical expenses in violation of the HMO’s duty to exercise ordinary care under Texas state law.
Aetna Health Inc. v. Davila,
Similarly here, there is no question that the state law claims “relate to” the ERISA Plan. The Plan provides healthcare to Plaintiffs’ employees. Amended Compl. ¶ 8. The Defendant was hired, pursuant to the ASA, to administer the Plan and allegedly breached its duties during the course of its administration. Id. ¶ 12. As the Defendant correctly points out, the Plaintiffs have identified the ERISA plan, asserted ERISA jurisdiction, sued United as an ERISA plan fiduciary, and brought a § 502(a)(2) ERISA cause of action. While the Court recognizes the Plaintiffs’ right to plead alternative and inconsistent causes of action, the Court finds that the Amended Complaint’s factual allegations, including a breach of contract claim and a professional negligence claim, “relate to” an ERISA Plan. Indeed, if this Court were not to find that the state law claims were “related to” the ERISA Plan, its ruling would completely eviscerate the significance of the phrase “relate to.” Accordingly, Counts II and III are conflict-preempted and dismissed.
B. Count I Fails to State a Cause of Action
Defendant argues that Count I should be dismissed because Plaintiffs failed to allege that the Defendant breached its fiduciary duty. Specifically, Defendant contends that because “fiduciary duties under ERISA are owed only to participants and beneficiaries,” and the crux of Plaintiffs’ claim is that because the Defendant provided more Plan benefits than it was supposed to, the Plaintiffs have failed to plead that the Defendant breached its fiduciary duty to the participants or beneficiaries. Def. Motion at 13. The Plaintiffs argue that the Defendant’s fiduciary duty is in fact much broader, and the Plaintiffs are also suing for damages on behalf of the Plan participants and beneficiaries.
ERISA § 404(a)(1) states:
a fiduciary shall discharge his duties with respect to a plan solely in the interest of the participants and beneficiaries and—
(A) for the exclusive purpose of:
(i) providing benefits to participants and their beneficiaries;
and
(ii) defraying reasonable expenses of administering the plan;
(B) with the care, skill, prudence, and diligence under the circumstances then prevailing that a prudent man acting in a like capacity and familiar with such matters would use in the conduct of an enterprise of a like character and with like aims;
(C) by diversifying the investments of the plan so as to minimize the risk of large losses, unless under the circumstances it is clearly prudent not to do so; and
(D) in accordance with the documents and instruments governing the plan insofar as such documents and instruments are consistent with the provisions of this subchapter and subchapter III of this chapter.
Thus, ERISA enumerates a handful of duties for a fiduciary, including “providing benefits to participants and their beneficiaries;” “defraying reasonable expenses of administering the plan;” and behaving in accordance with a “prudent man” standard, among others. The Court agrees with the Plaintiffs that the Complaint properly alleges a cause of action under ERISA. In
Baker County Medical Services v. Broum,
Plaintiff Baker County Medical Services, Inc. sued Brown
&
Brown, Inc. alleging that Brown & Brown breached its fiduciary duties as an administrator of a benefits plan Plaintiff established.
The Defendant next contends that Count I should be dismissed because the Plaintiffs seek “individualized relief’ rather than losses caused by self-dealing or that “threaten the financial viability of the Plan and cause other participants to be denied access to benefits to which they are otherwise entitled.” Def. Motion to Dismiss at 16. The Defendant primarily relies on
Physicians HealthChoice, Inc. v. Trustees of the Automotive Employee Benefit Trust,
C. Dismissal of Autonation as a Party
Defendant next suggests that AutoNation should be dismissed as a party because “neither the ASA nor the Summary Plan Description ... provide an express grant of discretionary authority to it. Also, they nowhere state AutoNation is an intended third party beneficiary under the ASA.” Reply at 9. Again, Defendant has failed to meet its burden on a motion to dismiss. On a motion to dismiss, the Court is required the accept all well-pled factual allegations are true. According to the Complaint, “AutoNation is the sponsor of the Plan and also retains and exercises discretionary authority and control with respect to the management and administration of the Plan, including, but not limited to, interpreting, amending, and or otherwise altering the terms of the Plan.” Amended Complaint, at ¶ 9. Accordingly, the Court finds that dismissal of AutoNation as a party would not be proper at this juncture.
TV. Conclusion
Based on the foregoing, it is
ORDERED AND ADJUDGED that Defendant’s Motion to Dismiss is GRANTED IN PART. Counts II and III of Plaintiffs’ Amended Complaint are DISMISSED with prejudice.
Notes
. Defendant’s Reply Memorandum of Law (DE # 39), although technically in compliance with Local Rule 7.1C, is in violation of the spirit of the rule. The Reply is ten pages long, however it contains fifty-four (54) small font, single-spaced footnotes, often occupying nearly half a page. Although less egregious, Defendant’s Motion to Dismiss (DE #21), particularly footnotes that contain extensive legal argument and occupy all but three lines of a page (see footnote 5), is also in violation of the spirit of the local rules. Any additional motions filed by the Defendant that similarly violate the local rules will be stricken.
. "[T]he provisions of this subchapter and subchapter III of this chapter shall supersede any and all State laws insofar as they may now or hereafter relate to any employee benefit plan described in section 1003(a) of this title and not exempt under section 1003(b) of this title.”
. The Court also finds that the Defendant did not meet its burden on a motion to dismiss with respect to its conclusory argument that “the Count I prayer for relied to compensate Plaintiffs and Plan Participants for 'Plan losses' must be stricken and replaced solely with a claim to compensate the Plan.'' Def. Motion to Dismiss at 18.
