785 P.2d 108 | Ariz. Ct. App. | 1989
An employee sought medical benefits from a group employee benefit plan governed by the Employee Retirement Income Security Act (ERISA), 29 U.S.C. §§ 1001 to 1461 (1985). The employer/insurer rejected the claim and allegedly threatened to terminate the employee if she continued to pursue it. In response, the employee quit and sued the employer under state tort and contract law.
We hold that the trial court correctly granted the defendants’ motion for summary judgment. All of the plaintiffs’ claims are preempted by ERISA.
FACTS
We state the facts in a light most favorable to the party opposing summary judgment. State ex rel. Corbin v. Challenge, Inc., 151 Ariz. 20, 24, 725 P.2d 727, 731 (App.1986). Plaintiff Patricia Miller worked for defendant Yuma Daily Sun, published by Sun Printing Company, Inc. Cox Enterprises, Inc. is the parent corporation of Sun Printing Company. An employee benefits plan provided health insurance for plaintiff and her husband, Craig Miller, and covered “certain hospital and other medical services and supplies.” The parties agree that the plan was an employee benefit plan within the meaning of ERISA.
In 1984, Craig Miller underwent elective surgery. Beforehand, Patricia Miller consulted Cox’s Employee Benefits Manager, Pua McCleod, to clarify whether the surgery would be covered under the policy. In reliance on McCleod’s affirmative representations, her husband proceded to have surgery. When plaintiffs submitted a claim for the resulting bills, it was denied by Aetna, Cox’s claims administrator. Plaintiffs pursued the claim further until Joe Soldwedel, editor of the Yuma Daily Sun, advised Patricia Miller in a letter that further complaints would bring about her termination.
In their amended complaint, plaintiffs alleged five causes of action: breach of con
PREEMPTION OF STATE COMMON LAW CLAIMS UNDER ERISA
In Pilot Life Ins. Co. v. Dedeaux, the Supreme Court held that ERISA preempts state common law claims relating to ERISA-qualified employee benefit plans. 481 U.S. 41, 57, 107 S.Ct. 1549, 1558, 95 L.Ed.2d 39 (1987). Dedeaux sued Pilot Life over a termination of permanent disability benefits, alleging tortious breach of contract, breach of fiduciary duty, and fraud in the inducement. Id. at 43, 107 S.Ct. at 1551. The Supreme Court found these claims preempted by ERISA’s sweeping enforcement machinery. Id. at 57, 107 S.Ct. at 1558. We find the Millers’ claims likewise preempted.
1. Negligent Misrepresentation and Detrimental Reliance
We first consider the negligent misrepresentation and detrimental reliance claims. The Millers allege that, even if reverse vasectomies were not in fact covered by the plan, they incurred the cost of such an operation in detrimental reliance on Cox’s misrepresentation of coverage. Cox, they claim, is equitably obliged to compensate them for the detriment that it induced. This is essentially an estoppel claim.
A narrower statute than ERISA might have preserved state law remedies in circumstances of misrepresentation or estop-pel. ERISA, however, was not narrowly drawn. 29 U.S.C. § 1144(a) provides:
Except as provided in subsection (b) of this section, the provisions of this sub-chapter 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. This section shall take effect on January 1, 1975.
(Emphasis added.)
The Supreme Court has broadly interpreted the provision that common law claims need only “relate to” an employee benefit plan to be preempted by ERISA. Pilot Life, 481 U.S. at 47-48, 107 S.Ct. at 1553-1554. Noting that ERISA’s “House and Senate sponsors emphasized both the breadth and importance of the pre-emption provisions,” Id. at 46, 107 S.Ct. at 1552, the Court stated: “The phrase ‘relate to’ [must be] given its broad common-sense meaning, such that a state law ‘relate[s] to’ a benefit plan ‘in the normal sense of the phrase, if it has a connection with or reference to such a plan.’ ” Id. at 47, 107 S.Ct. at 1553, quoting Metropolitan Life Ins. Co. v. Massachusetts, 471 U.S. 724, 739, 105 S.Ct. 2380, 2388, 85 L.Ed.2d 728 (1985).
The United States Circuit Courts have uniformly held, both before and after Pilot Life, that estoppel claims “relate to” employee benefit plans so as to be preempted by ERISA. See, e.g., Davis v. Kentucky Finance Cos. Retirement Plan, 887 F.2d 689, 696 (6th Cir.1989); Moore v. Provident Life & Accident Ins. Co., 786 F.2d 922, 928 (9th Cir.1986); Blau v. Del Monte Corp., 748 F.2d 1348, 1356-57 (9th Cir.1984), cert. denied, 474 U.S. 865, 106 S.Ct. 183, 88 L.Ed.2d 152 (1985). The Davis claim, like this, included allegations of misrepresentation. 887 F.2d at 695.
We are compelled to hold as these circuit courts have held in light of ERISA’s expansive preemptive sweep. We conclude that the Millers’ claims of negligent misrepresentation and detrimental reliance “relate to” their employee benefit plan within the meaning of Pilot Life and are accordingly preempted.
2. Emotional Distress From Wrongful Termination
We turn to the plaintiffs’ claim of intentional infliction of emotional distress,
3. Emotional Distress From Denial of Reimbursement
The Millers also claim that Cox intentionally inflicted emotional distress by refusing to reimburse their claim. ERISA provides no remedy for emotional damages resulting from denial of a claim or interference with protected rights. We conclude, however, that the absence of emotional losses from ERISA’s range of remediable losses was both deliberate and preemptive. In devising ERISA, Congress “establish[ed] pension plan regulation as exclusively a federal concern.” Pilot Life, 481 U.S. at 46, 107 S.Ct. at 1552, quoting Alessi v. Raybestos-Manhattan, Inc., 451 U.S. 504, 523, 101 S.Ct. 1895, 1906, 68 L.Ed.2d 402 (1981). Though some losses were omitted, “[t]he policy choices reflected in the inclusion of certain remedies and the exclusion of others under the federal scheme would be completely undermined if ERISAplan participants and beneficiaries were free to obtain remedies under state law that Congress rejected in ERISA.” Pilot Life, 481 U.S. at 54, 107 S.Ct. at 1556.
State law might have provided fuller monetary remedies and a greater variety of tort theories for the Millers to pursue. The question posed by ERISA, however, is not whether state law or ERISA provides a fuller remedy, but whether the claim “relates to” an employee benefit plan. If so— as here — ERISA preemptively applies.
The judgment of the trial court is affirmed.
. Plaintiffs’ counsel support their allegation of a threat by directing this court to a part of Sold-wedel's deposition not included in the record on appeal. In their answer to plaintiffs’ amended complaint, defendants generally deny any such threat, but do not expressly respond to plaintiffs' claim that supporting evidence is found in Soldwedel’s deposition. It is plaintiffs’ burden as appellants to supply the necessary record on appeal. However, for the purpose of our resolution of ERISA preemption issues, we will assume that the trial court considered deposition segments not provided on appeal and that these deposition segments permit the inference that the threat was made.