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Duncan v. Hartford Life & Accident Ins. Co.

UNITED STATES DISTRICT COURT FOR THE EASTERN DISTRICT OF CALIFORNIA
Jan 18, 2012
2:11-cv-1536-GEB-CKD (E.D. Cal. Jan. 18, 2012)

Opinion

2:11-cv-1536-GEB-CKD

01-18-2012

Teresea Duncan, Plaintiff, v. Hartford Life and Accident Insurance Company, Lorillard Tobacco Company, Defendants.


ORDER DENYING DEFENDANT LORILLARD TOBACCO COMPANY'S

MOTION FOR JUDGMENT ON THE PLEADINGS

This matter is deemed suitable for decision without oral argument. E.D. Cal. R. 230(g).

Defendant Lorillard Tobacco Company ("Lorillard") moves under Federal Rule of Civil Procedure ("Rule") 12(c) for judgment on the pleadings of all claims asserted against it in Plaintiff's Complaint. Lorillard argues its motion should be granted because "Plaintiff . . . previously signed a Workers' Compensation Compromise and Release (the 'Settlement') agreeing to release Lorillard . . . from her claims for permanent disability — the very same claims at issue here." (Defendant Lorillard Tobacco Company's Motion for Judgment on the Pleadings ("Mot.") 2:4-7, ECF No. 31.) Plaintiff counters that "the standard language of the preprinted form used in settling California workers' compensation claims releases only those claims that are within the scope of the workers' compensation system, and does not apply to claims asserted in separate civil actions." (Plaintiff's Opposition to Defendant Lorillard's Motion for Judgment on the Pleadings ("Opp'n") 2:12-15, ECF No. 33.)

Lorillard filed two separate requests for judicial notice in support of its motion, which combined seek to include the entirety of the referenced Workers' Compensation Appeals Board Compromise and Release. (Request for Judicial Notice ("RJN"), ECF Nos. 32, 35.) Plaintiff does not oppose the requests. Since the Compromise and Release is part of a workers' compensation administrative law judge's Order Approving Compromise and Release that is "capable of accurate and ready determination," the judicial notice requests are granted. Fed. R. Evid. 201.

Rule 12(c) prescribes that "[a]fter the pleadings are closed . . . a party may move for judgment on the pleadings." "Judgment on the pleadings is proper when the moving party clearly establishes on the face of the pleadings that no material issue of fact remains to be resolved and that it is entitled to judgment as a matter of law." Hal Roach Studios, Inc. v. Richard Feiner & Co., 896 F.2d 1542, 1550 (9th Cir. 1990). In reviewing a Rule 12(c) motion "all factual allegations in the complaint [must be accepted] as true and construe[d] . . . in the light most favorable to the non-moving party." Fleming v. Pickard, 581 F.3d 922, 925 (9th Cir. 2009). Judgment on the pleadings under Rule 12(c) is warranted "only if it is clear that no relief could be granted under any set of facts that could be proved consistent with the allegations. Deveraturda v. Globe Aviation Sec. Servs., 454 F.3d 1043, 1046 (9th Cir. 2006) (citations omitted).

Plaintiff alleges in her complaint that she "was employed by Lorillard until she became disabled on or about April 30, 2005[,] . . . [and that w]hen she became disabled, she became eligible for the long term disability benefits" under the Lorillard Tobacco Company Group's Disability Income Plan (the "Plan") which is governed by the Employee Retirement Income Security Act ("ERISA"). (Plaintiff's Complaint for Benefits Under an Employee Benefit Plan ("Compl.") ¶¶ 1, 7, ECF No. 1.) On June 23, 2008, a workers' compensation administrative law judge approved a form Compromise and Release that settled Plaintiff's workers' compensation claim. (RJN, ECF No. 32-1.) Plaintiff alleges in her complaint that "[o]n July 28, 2010, [she] was notified of the decision of the defendants to terminate her Plan benefits" and "has been denied the benefits which are due her under the Plan and has suffered and is continuing to suffer economic loss as a result thereof from July 28, 2010." Compl. ¶¶ 8, 9.

Lorillard argues its motion should be granted because "the Settlement . . . makes clear that the release includes claims in addition to workers' compensation claims such as long term disability." (Mot. 2:17-18.) Lorillard cites the following portion of the Settlement in support of its argument: "Settlement of your workers compensation claim by compromise and release may affect other benefits you are receiving or may become entitled to receive in the future from sources other than workers' compensation, including but not limited to . . . long term disability benefits." (Mot. 2:19-24.) However, the Settlement also includes the statement: "Execution of this form has no effect on claims that are not within the scope of the workers' compensation law or claims that are not subject to the exclusivity provisions of the workers' compensation law, unless otherwise expressly stated." (Lorillard's Request for Judicial Notice of Prior Settlement Agreement, ECF No. 32-1.)

Lorillard also argues that "Plaintiff signed an additional attachment to [the Settlement], called an 'Informed Consent to Compromise and Release.'" (Lorillard's Reply in Support of its Motion for Judgment on the Pleadings 1:11-13, ECF No. 34.) The Informed Consent to Compromise and Release contains the statement: "I understand and acknowledge that the settlement of my workers' compensation case by Compromise and Release with the defendants . . . means that the insurance company and the employer will not be responsible for any future medical expenses and permanent disability payments after the date of signing the Compromise and Release." (Lorillard's Supplemental Request for Judicial Notice of Prior Settlement Agreement, Ex. D, ECF No. 35-2.)

Plaintiff indicates that judgment on the pleadings is not warranted because there is a set of facts that could be proved concerning the interpretation of the Settlement which runs counter to Lorillard's argument that she released her claims for reinstatement of ERISA long term disability benefits. Specifically, Plaintiff argues the following concerning the "permanent disability" language cited by Lorillard:

In the context of a worker's compensation claim the term 'permanent disability' has a specific meaning[,] . . . [i]n the context of ERISA 'permanent disability' does not have any specific meaning[, and w]hen read in the context in which it is found, the 'permanent disability' referred to by Lorillard clearly refers to Plaintiff's permanent disability as it is qualified in the workers' compensation system.
(Opp'n 6:5-11.) Further, Plaintiff argues that "[t]he form entitled 'Informed Consent to Compromise and Release' does not expressly, or even impliedly, mention any other claims besides Plaintiff's workers compensation claim. . . . The form simply explains the consequences of the workers' compensation compromise and release as it affects the claimant's workers' compensation claim." (Supplemental Opp'n to Defendant Lorillard's Motion for Judgment on the Pleadings 3:6-12, ECF No. 38.) In addition, Plaintiff argues that "[t]he payment of [long term disability] benefits [until July 2010] shows that no party to the compromise and release thought it affected the ERISA claim." Id. 3:25-26.

Lorillard has not shown that its interpretation of the Settlement should be adopted under the applicable "clearly established" standard of Rule 12(c). Therefore, Lorillard's motion for judgment on the pleadings is denied.

____________________________

GARLAND E. BURRELL, JR.

United States District Judge


Summaries of

Duncan v. Hartford Life & Accident Ins. Co.

UNITED STATES DISTRICT COURT FOR THE EASTERN DISTRICT OF CALIFORNIA
Jan 18, 2012
2:11-cv-1536-GEB-CKD (E.D. Cal. Jan. 18, 2012)
Case details for

Duncan v. Hartford Life & Accident Ins. Co.

Case Details

Full title:Teresea Duncan, Plaintiff, v. Hartford Life and Accident Insurance…

Court:UNITED STATES DISTRICT COURT FOR THE EASTERN DISTRICT OF CALIFORNIA

Date published: Jan 18, 2012

Citations

2:11-cv-1536-GEB-CKD (E.D. Cal. Jan. 18, 2012)