Honey et al v. Dignity Health et al

Filing 42

ORDER Granting 22 Dignity Health's Motion to Dismiss. Plaintiffs first, second, and third claims for relief are DISMISSED without prejudice. Plaintiffs fourth and fifth claims for relief are DISMISSED without prejudice. Defendant's Request to Strike certain portions of Plaintiffs' demand for attorney's fees and costs 22 is DENIED. Signed by Judge Miranda M. Du on 3/5/13. (Copies have been distributed pursuant to the NEF - EDS)

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1 2 3 4 5 6 7 UNITED STATES DISTRICT COURT 8 DISTRICT OF NEVADA 9 *** 10 REGINA C. HONEY, et al., Case No. 2:12-cv-00416-MMD-GWF Plaintiffs, 11 ORDER v. 12 13 (Def.’s Motion to Dismiss – dkt. no. 22) DIGNITY HEALTH, et al., Defendants. 14 15 16 I. SUMMARY Before the Court is Defendant Dignity Health’s (“Dignity”) Motion to Dismiss. (Dkt. 17 18 no. 22.) For the reasons stated below, the Motion is granted. 19 II. BACKGROUND 20 This is a suit under the Employee Retirement Income Security Act of 1974 21 (“ERISA”), regarding an alleged violation of the Consolidated Omnibus Budget 22 Reconciliation Act (“COBRA”). 23 provide notice to Plaintiff Regina Honey regarding her right to the continuation of her and 24 her children’s (collectively, “Plaintiffs”) health care benefits under Dignity’s health 25 insurance plan after Dignity dismissed Regina from employment at St. Rose Hospital in 26 August 2010. 27 Dignity to no avail, and that this resulted in all Plaintiffs not receiving health and dental 28 coverage. The case stems from Defendants’ alleged failure to Regina asserts that she repeatedly sought the required notice from 1 Plaintiffs allege that as a result of Defendants’ actions, Plaintiffs received multiple 2 telephone calls and bills from numerous medical providers seeking payment for their 3 services related to Lucas Honey’s birth and follow-up care. Plaintiffs further allege that 4 they each suffered harm in the form of unpaid or unreimbursed medical expenses, lack 5 of reasonable and necessary medical care, damage to Regina’s credit score, and mental 6 anguish. Plaintiffs filed this ERISA action on March 13, 2012. (Dkt. no. 1.) Defendant 7 Dignity Health now moves to dismiss Plaintiffs’ Complaint. (Dkt. no. 22.) 8 III. 9 DISCUSSION A. Legal Standard 10 On a 12(b)(6) motion, the court must determine “whether the complaint’s factual 11 allegations, together with all reasonable inferences, state a plausible claim for relief.” 12 Cafasso, U.S. ex rel. v. Gen. Dynamics C4 Sys., 637 F.3d 1047, 1054 (9th Cir.2011) 13 (citing Ashcroft v. Iqbal, 556 U.S. 662, 678-79 (2009)). “A claim has facial plausibility 14 when the plaintiff pleads factual content that allows the court to draw the reasonable 15 inference that the defendant is liable for the misconduct alleged.” Iqbal, 556 U.S. at 678 16 (citing Bell Atl. Corp. v. Twombly, 550 U.S. 544, 556 (2007)). 17 When determining the sufficiency of a claim, “[w]e accept factual allegations in the 18 complaint as true and construe the pleadings in the light most favorable to the non- 19 moving party[; however, this tenet does not apply to] . . . legal conclusions . . . cast in the 20 form of factual allegations.” Fayer v. Vaughn, 649 F.3d 1061, 1064 (9th Cir. 2011) 21 (citation and internal quotation marks omitted). “Therefore, conclusory allegations of law 22 and unwarranted inferences are insufficient to defeat a motion to dismiss.” Id. (citation 23 and internal quotation marks omitted); see also Iqbal, 556 U.S. at 678 (quoting Twombly, 24 550 U.S. at 555) (“A pleading that offers ‘labels and conclusions’ or ‘a formulaic 25 recitation of the elements of a cause of action will not do.’”). 26 B. Counts 1, 2, 4, and 5 27 Plaintiffs concede that the first two causes of action should be construed as a 28 single cause of action for COBRA violations. (Dkt. no. 25 at 3.) As such, these claims 2 1 are dismissed without prejudice to Plaintiffs amending the Complaint to properly plead 2 this single cause of action. 3 Plaintiffs also concede that the fourth and fifth causes of action for interference 4 with protected rights and negligence are state law causes of action pre-empted by 5 ERISA. (Dkt. no. 25 at 3.) These claims are accordingly dismissed with prejudice. 6 C. Count 3: Breach of Fiduciary Duty 7 Defendants argue that Plaintiffs’ cause of action for breach of fiduciary duty lacks 8 merit because such a claim is only permitted where it is brought by the plan itself or 9 where there is a loss to the plan as a whole. Plaintiffs concede that this correctly states 10 the “general rule” but argue that they are entitled to equitable restitution under ERISA’s 11 “catchall provision,” 29 U.S.C. § 502(a)(3). (Dkt. no. 25 at 3 (citing Varity Corp. v. Howe, 12 516 U.S. 489, 508-10 (1996).) However, Plaintiffs’ breach of fiduciary duty cause of 13 action is brought under 29 U.S.C. § 502(a)(2), not subsection (a)(3). (Dkt. no. 1 at ¶ 14 102.) 29 U.S.C. § 502(a)(2) does not allow for individuals to bring claims for breach of 15 fiduciary duty. Varity Corp., 516 U.S. at 490 (citing Massachusetts Mut. Life Ins. Co. v. 16 Russell, 473 U.S. 134, 141, 148 (1985). 17 IV. ATTORNEY’S FEES AND COSTS 18 Defendant acknowledges that this Court has authority under 29 U.S.C. § 1132(g) 19 to award reasonable attorney’s fees and costs to either party. However, Defendant 20 argues that to the extent that Plaintiffs’ request for fees and costs is premised on claims 21 and damages not properly asserted under ERISA, such a request should be stricken. 22 (Dkt. no. 22 at 4.) After reviewing Plaintiffs’ Complaint, it appears as if Plaintiffs request 23 fees and costs under the appropriate section of the ERISA statute. (Dkt. no. 1 at 18, ¶ 24 6.) However, any decision on attorney’s fees and costs would be premature before 25 resolution of the ERISA claim on the merits. 26 V. 27 28 CONCLUSION Accordingly, IT IS ORDERED that Defendant Dignity Health’s Motion to Dismiss (dkt. no. 22) is GRANTED. Plaintiffs’ first, second, and third claims for relief are 3 1 DISMISSED WITHOUT PREJUDICE. 2 Plaintiffs’ fourth and fifth claims for relief are DISMISSED WITH PREJUDICE. 3 4 5 Defendant’s Request to Strike certain portions of Plaintiffs’ demand for attorney’s fees and costs (dkt. no. 22) is DENIED. DATED THIS 5th day of March 2013. 6 7 MIRANDA M. DU UNITED STATES DISTRICT JUDGE 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 4

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