Summary
holding that state law claims against health plan provider based on allegation that provider failed to compensate employee for medical treatment were preempted where health plan was part of employee benefit plan
Summary of this case from Marcella v. Capital Dist. Physicians Health PlanOpinion
No. 98-7333
Argued: December 18, 1998
Decided: December 23, 1998
Appeal from a decision of the United States District Court for the District of Connecticut (Janet Bond Arterton, J.), affirming a magistrate's ruling granting the defendant's motion to dismiss on ERISA preemption grounds.
Affirmed.
WILLIAM R. MOLLER, Moller, DiPentima, Peck and O'Brien, L.L.C. (Michael Ruben Peck, on the brief), Hartford, CT, for Plaintiff-Appellant.
JEAN E. TOMASCO, Robinson Cole, LLP (Theodore J. Tucci, Linda L. Morkan, on the brief), Hartford, CT, for Defendant-Appellee.
The estate of Gerald T. Kolasinski appeals from a decision of the United States District Court for the District of Connecticut (Janet Bond Arterton, Judge), affirming Magistrate Judge William I. Garfinkel's grant of defendant's motion to dismiss.
Plaintiff originally filed this complaint in Connecticut state court seeking damages from Cigna Healthplan of Connecticut ("Cigna"), alleging a number of state law claims, including breach of contract and unfair trade practices, arising out of the failure of Cigna to compensate Kolasinski for medical treatment that he received. Cigna was the health plan provider to the plaintiff, through his employer, United Technologies Corporation. Under the plan, Cigna agreed that it would cover the plaintiff's medically necessary services.
After Cigna removed the action to federal court, the magistrate judge granted the defendant's Rule 12(b)(6) motion to dismiss the complaint, finding that the federal Employee Retirement Income Security Act ("ERISA") preempted all the state law claims. See Magistrate's Recommended Ruling, Estate of Gerald T. Kolasinski v. Cigna Healthplan of CT, Inc., No. 97 Civ. 129 (D. Ct. Feb. 5, 1998). The district court affirmed the magistrate's ruling. See Estate of Gerald T. Kolasinski v. Cigna Healthplan of CT, Inc., No. 97 Civ. 129 (D. Ct. Mar. 5, 1998).
It is conceded that the health plan of which Kolasinski was a part was an "employee benefit plan" covered by ERISA. It is also clear, as the Magistrate below found, that ERISA preempts any state law claims that the plaintiff may have because the state law claims directly "relate to" the plan, and Congress intended for ERISA to supercede all state laws that relate to employee benefit plans. See 29 U.S.C. § 1144(a) (1994) (establishing that the provisions of ERISA "shall supersede any and all State laws insofar as they may now or hereafter relate to any employee benefit plan described in . . . this title"); see also Pilot Life Ins. Co. v. Dedeaux, 481 U.S. 41, 45-46 (1987) ("[T]he express pre-emption provisions of ERISA are deliberately expansive."); Romney v. Lin, 94 F.3d 74, 80-81 (2d Cir. 1996), reh'g denied, 105 F.3d 806 (2d Cir.), cert. denied, ___ U.S. ___, 118 S.Ct. 263 (1997). Thus, dismissal of the plaintiff's complaint was appropriate for substantially the reasons stated in the magistrate's ruling. See Magistrate's Recommended Ruling, No. 97 Civ. 129 (D. Ct. Feb. 5, 1998).
See 29 U.S.C. § 1002(1)(A) (1994) (defining "employee welfare benefit plan" to include "any plan . . . established or maintained by an employer . . . for the purpose of providing for its participants or their beneficiaries . . . medical, surgical, or hospital care or benefits in the event of sickness, accident, disability, death or unemployment").
The judgment of the district court is affirmed.