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UNITED STATES DISTRICT COURT DISTRICT OF NEW JERSEY ROBERT JOHN HOTOP, Plaintiff, Civil Action No. 18-15312 v. OPINION THE PRUDENTIAL INSURANCE COMPANY OF AMERICA, Defendant. ARLEO, UNITED STATES DISTRICT JUDGE THIS MATTER comes before the Court by way of Defendant Prudential Insurance Company of Americaâs (âPrudentialâ or âDefendantâ) Motion for Summary Judgment against Plaintiff Robert John Hotop (âPlaintiffâ or âHotopâ) under Federal Rule of Civil Procedure 56(c). ECF No. 59. Plaintiff opposes the Motion. ECF No. 64. For the reasons set forth herein, Defendantâs Motion is GRANTED. I. BACKGROUND1 This action arises from a dispute over whether Plaintiff is entitled to $100,000 or $1,000,000 from Prudential due under a life insurance policy. A. Plaintiffâs Life Insurance Policy During His Employment Plaintiff is a former employee of United Parcel Service (âUPSâ). Def. SOMF ¶ 23. During his tenure at UPS, Plaintiff received welfare benefits and coverage for his spouse, Patricia Hotop (âPatriciaâ), through âThe UPS Flexible Benefits Planâ (the âPlanâ). Id. ¶¶ 1, 24. The Plan 1 Unless otherwise indicated, the Court draws the following facts from Defendantâs Statement of Material Facts (âDef. SOMFâ), ECF No. 59.12, Plaintiffâs Supplemental Statement of Material Facts (âPl. Supp. SOMFâ), ECF No. 64.2, that are not in dispute, and the partiesâ responses to those submissions, see ECF No. 64.1 (âPl. Response to Def. SOMFâ); ECF No. 65.1 (Def. Response to Pl. Supp. SOMFâ). provided life insurance benefits to employees through a group insurance contract between UPS and Prudential, which designated Prudential as the Planâs claims administrator (the âGroup Contractâ).2 Id. ¶ 8. The Plan permitted employees to obtain up to $500,000 in supplemental dependents term life insurance (âSDTLI Coverageâ) for their spouses. Id. ¶¶ 11-12. While employed at UPS, Plaintiff received $360,000 in supplemental term life insurance coverage for himself and $100,000 in SDTLI Coverage for Patricia. Id. ¶ 25. B. Plaintiffâs Election to Port His Life Insurance Policy After Retirement On October 1, 2017, Plaintiff retired from UPS. Id. ¶ 26. Upon his retirement, Plaintiff received a notice from UPS that he could continue the insurance coverage he had during his employment by electing one of two options. See id. ¶ 27. The first optionâconversionâwould allow Plaintiff to convert his supplemental coverage to an individual whole life policy. Id. ¶ 15. The second optionâportabilityâwould allow him to continue his coverage at group rates. See id.3 Plaintiff called Prudential on October 30, 2017 to inquire about the difference between [ deleted word] porting and converting his coverage and spoke with a Prudential representative. Id. ¶¶ 29-30. During that call, Plaintiff expressed that he wished to âstick with the portabilityâ option. Id. ¶ 31. On November 13, 2017, Prudential sent Plaintiff a letter, notifying him that he could continue âthe same amount of coverage that was in force on the last day of [his] active serviceâ under the portability provision, and that he would move to a Prudential standard portability rate after the first full year of ported coverage. See id. ¶¶ 34-35; see also Declaration of Angle (âAngle Plaintiff does not dispute UPS and Prudential had a group contract or that the group contract designated Prudential 2as claims administrator. He claims, however, that the Plan provided life insurance benefits through that contract to a ctive employees only. See Pl. Response to Def. SOMF ¶ 8. 3 The parties dispute whether the portability option allowed p a rticipants like Plaintiff to continue coverage under the Plan. See Def SOMF ¶ 15; Pl. Response to Def. SOMF ¶ 15. A fulsome description of this dispute is later described herein. Decl.â) Ex. B at Pru1000, 59.11. The letter also directed Plaintiff to sign and return a âPortability Election formâ to Prudential if he wished to continue his coverage âon a portable basis.â Angle Decl. Ex. B at Pru1000. On November 20, 2017, Plaintiff called Prudential again, and he told a Prudential representative, among other things, that he wished to âcontinue [Patriciaâs coverage] which was roughly $100,000.â Def. SOMF 36, 39. Plaintiff executed the Portability Election form, electing to continue his supplemental term life insurance and Patriciaâs SDTLI coverage âas a portable participant,â and faxed it to Prudential on December 11, 2017. Id. {| 43-47. On December 19, 2017, Prudential sent Plaintiff an automatically generated billing notice for $2,359.80 in premiums for the period of October 1, 2017 to March 31, 2018. Id. 4] 73; see also Angle Decl. Ex. D (the âBilling Noticeâ). The Billing Notice also reflected a summary of Plaintiffâ s coverage as follows: The Below Plan Description Reflects Your Coverage(s) as of: January 1, 2018 Plan Description Insurance Amount Optional Life (11) $368,000 ODL-Spouse (10) $1,000,000 On January 2, 2018, after receiving the Billing Notice, which indicated $1,000,000ârather than $100,000âin SDTLI Coverage for Patricia, Plaintiff called Prudential to âmake sure what [his] coverage is and what [his] costs are.â See Def. SOMF 4 80. Plaintiff asked the responding Prudential representative, Kyle, to âbreak down what [his] insurance is and what [his] wifeâs insurance is and the costs for the two[.]â Id. When Plaintiff asked specifically about his wifeâs coverage, Kyle stated, âit does look like that is set [at] a million dollars. That is $345.00 monthly.â Id. 481. After that phone call, Plaintiff paid the premium amount listed on the Billing Notice. Id. {| 86; see also Pl. Supp. SOMF §] 39. On January 30, 2018, Plaintiff called Prudential and again spoke with Kyle, who confirmed that Plaintiff's coverage âwas approvedâ and was âeffective as of 11/1/2017.â Id. ¶ 88. Prudential later electronically drafted a premium payment from Plaintiffâs bank account for the period of January 2018 to March 2018. Pl. Supp. SOMF ¶ 40. One day before Plaintiff first called Prudential to discuss the rates reflected on the Billing Notice, on January 1, 2018, the Group Contract terminated for active UPS employees. Id. ¶ 20. The parties dispute the effect of this termination on Plaintiff as a UPS retiree.4 See Def. SOMF ¶¶ 21-22; Pl. Response to Def. SOMF ¶¶ 21-22. Prudential claims that despite the Group Contractâs termination, certain retirees like Plaintiff continued coverage under the Plan. See id. Prudential calls these individuals âUPS Continuees.â Id. Plaintiff, however, claims that he and other retirees with ported coverage under the Plain were âtransferred to the Prudential Standard Port Plan and separated entirely from the UPS ERISA Plan.â Pl. Response to Def. SOMF ¶¶ 21- 22; see also Pl. Supp. SOMF ¶¶ 7-9. According to Plaintiff, after his policy was transferred to the Prudential Standard Port Plan, âUPS had no involvement, or administrative or financial obligation or burden relating to life insurance Prudential provided to Hotopâ and it âmade no contributionsâ to Plaintiffâs policy. Pl. Supp. SOMF ¶¶ 10-12. C. Plaintiffâs Claim for SDTLI Benefits Patricia Hotop passed away on February 4, 2018. Def. SOMF ¶ 92. On March 6, 2018, Plaintiff called Prudential to make a claim for SDTLI benefits. Id. ¶ 93. During the call, Plaintiff requested to verify the amount of Patriciaâs SDTLI coverage, but the Prudential representative to whom he spoke told Plaintiff he could not provide that information. Id. ¶ 95. Plaintiff called Prudential again the next day and made the same request. See id. ¶ 96. Prudential advised him 4 The parties do not dispute that the Plan in effect before the Group Contractâs termination was an ERISA plan. See Def. SOMF ¶ 7. that it could provide âthe value amount of the policyâ upon its receipt of Plaintiffâs claim form. Id. Plaintiff then faxed a claim form to Prudential on May 10, 2018. Id. ¶ 97. On May 7, 2018, Prudential sent Plaintiff a letter, explaining that it had separately mailed Plaintiff a ârefundâ check in the amount of $1,380.00. See id. ¶ 100; see also Angle Decl. Ex. C. Prudential claimed this amount represented Plaintiffâs âoverpayment of premiums for Patricia[âs] . . . life insurance coverageâ under the Plan. Id. On May 16, 2018, Prudential sent Plaintiff a second check in the amount of $101,640.53, which Prudential claims represented Patriciaâs SDTLI benefits of $100,000, plus interest of $1,640.53. Id. ¶ 99. Plaintiff submitted a written claim for $1,000,000 in SDTLI benefits on August 16, 2018, which Prudential denied on September 27, 2018. Id. ¶¶ 101-02; see also Angle Decl. Ex. A at Pru359-62, 375-78 (the âClaim Denial Letterâ). In rejecting Plaintiffâs new claim, Prudential explained that only Plaintiffâs pre-retirement âexisting coverage c[ould] be portedâ under the âGroup Policy,â and âthe Group Policy limits [SDTLI] to $500,000, does not permit increases above $25,000 without . . . evidence of insurability, and does not permit dependent coverage at a level higher than the employeeâs own coverage.â Claim Denial Letter at Pru 376. Prudential also indicated that it âmistakenly billedâ Plaintiff âfor premiums on $1,000,000.00 of [SDTLI] instead of the $100,000 he portedâ due to an âadministrative error.â Id. It advised Plaintiff that it refunded the incorrect premium amounts he paid, and because âthe plan documents have been clear in stating that only $100,000 in coverage could have been in force,â denied Plaintiffâs claim for an additional $900,000. Id. On January 4, 2019, Plaintiff appealed Prudentialâs claims decision, which Prudential denied on April 2, 2019. Def. SOMF ¶¶ 105-06; see also Angle Decl. Ex. A at Pru386-89 (the âAppeal Denial Letterâ). Prudential again reiterated the administrative error that caused Plaintiffâs Billing Notice to mistakenly reflect $1,000,000 in SDTLI coverage and the Planâs terms limiting his SDTLI coverage. Appeal Denial Letter at Pru387-88. Prudential further indicated that Plaintiff should have contacted it âimmediatelyâ after receiving the Billing Notice to notify it of the error, but he did not, and thus Prudential did not discover the error until Patricia passed away. Id. at Pru388. D. Procedural History On September 28, 2018, Plaintiff filed the instant action in the Superior Court of New Jersey, Essex County. ECF No. 1.1 (the âOriginal Complaintâ). Through the Original Complaint, Plaintiff alleged a series of common law claims against Prudential related to Prudentialâs failure to pay his life insurance claim upon his wifeâs death. On October 25, 2018, Prudential removed the matter to this Court, asserting that the Court has jurisdiction over Plaintiffâs claims under the Employee Retirement Income Security Act of 1974 (âERISAâ), 29 U.S.C. § 1001 et seq. ECF No. 1. Plaintiff did not file a motion to remand. Instead, he twice amended the Original Complaint to include claims under ERISA. See ECF Nos. 8, 38 (the âSecond Amended Complaintâ or âSACâ). The Second Amended Complaint alleges three common law claims and three âalternativeâ ERISA claims against Prudential: (1) breach of contract (âCount Oneâ); (2) breach of the duty of good faith and fair dealing (âCount Twoâ); (3) breach of fiduciary duty (âCount Threeâ); (4) ERISA breach of contract (âCount Fourâ); (5) ERISA breach of fiduciary duty (âCount Fiveâ); and (6) ERISA equitable estoppel (âCount Sixâ). SAC ¶¶ 19-77. On November 22, 2019, after discovery commenced, Plaintiff filed a motion to remand, arguing that ERISA does not govern the supplemental life insurance policy. ECF No. 53. Prudential filed the instant Motion for Summary Judgment on December 23, 2019, while Plaintiffâs remand motion was pending. See ECF No. 59. Plaintiff filed an opposition to Prudentialâs Motion on January 21, 2019. ECF No. 64. On February 4, 2020, Magistrate Judge Hammer issued a Report and Recommendations (âR&Râ), recommending that the Court deny Plaintiffâs remand motion based on his addition of ERISA claims to his amended pleadings.5 ECF No. 69. The Court adopted Judge Hammerâs R&R on June 18, 2020. ECF No. 72. II. LEGAL STANDARD Under Federal Rule of Civil Procedure 56(c), the Court should grant summary judgment when there is no genuine issue as to any material fact ââthat would permit a reasonable jury to find for the nonmoving party,ââ Boyle v. Cty. of Allegheny Pa., 139 F.3d 386, 393 (3d Cir. 1998) (citation omitted), and âthe moving party is entitled to judgment as a matter of law.â Celotex Corp. v. Catrett, 477 U.S. 317, 322 (1986). In deciding a motion for summary judgment, the Court does not âweigh the evidence to determine the truth of the matter,â but rather assesses âwhether the evidence presents a sufficient disagreement to require submission to a jury or whether it is so one- sided that one party must prevail as a matter of law.â Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 249-52 (1986). The Court construes all facts and inferences in the light most favorable to the non-moving party, see Boyle, 139 F.3d at 393, and the moving party bears the initial burden of demonstrating that no genuine issue of material fact remains, see Celotex Corp., 477 U.S. at 322-23. If the moving party meets its burden, the non-moving party must present evidence demonstrating a genuine issue of material fact for trial. See Anderson, 477 U.S. at 248-49. A non-moving partyâs â[u]nsupported allegations, subjective beliefs, or argumentâ cannot alone overcome a properly supported summary judgment motion. V.C. by Costello v. Target Corp., 2020 WL 1864611, at *4 (D.N.J. Apr. 14, 5 Judge Hammer found remand would be improper because Plaintiffâs addition of well-pleaded ERISA claims conferred original jurisdiction on th e Court under 28 U.S.C. 1131. R&R at 12. He did not reach whether ERISA governs this dispute. 2020). If the non-moving party has failed âto make a showing sufficient to establish the existence of an element essential to that partyâs case, and on which that party will bear the burden of proof at trialâ summary judgment is warranted because âa complete failure of proof concerning an essential element of the nonmoving partyâs case necessarily renders all other facts immaterial.â Katz v. Aetna Cas. & Sur. Co., 972 F.2d 53, 59 n.5 (3d Cir. 1992) (internal quotation marks and citation omitted). III. ANALYSIS Plaintiffâs Second Amended Complaint contains both New Jersey common law claims and ERISA claims. The Court must first determine whether ERISA governs this action before it resolves whether genuine issues of material fact preclude summary judgment. A. ERISA Applies to Plaintiffâs Claims As noted earlier, there is no dispute that the Plan is governed by ERISA. See Def. SOMF ¶ 7. Rather, Plaintiff maintains that when the Group Contract terminated, his post-retirement, continued coverage under the Plan âtransferred to the Prudential Standard Port Plan â which was new coverage, completely separate from the UPS Plan.â Pl. Br. at 12, ECF No. 64. Prudential counters that Plaintiffâs decision to port, rather than convert, his life insurance policy continued his coverage under the Plan, which is subject to ERISA. See Def. Br. at 7-8; Def. Reply Br. at 6, ECF No. 65. The Court agrees with Prudential that ERISA governs this action. âERISAâs framework ensures that employee benefit plans be governed by written documents and summary plan descriptions, which are the statutorily established means of informing participants and beneficiaries of the terms of their plan and its benefits.â In re Unisys Corp. Retiree Med. Ben. âERISAâ Litig., 58 F.3d 896, 902 (3d Cir. 1995). The Court therefore must âlook to the plan documents to interpret plan obligations,â and if the âplan is clear an unambiguous . . . must determine its meaning as a matter of law without looking to extrinsic evidence.â In re Lucent Death Ben. ERISA Litig., 541 F.3d 250, 254-55 (3d Cir. 2008). Here, because Prudential argues ERISA applies as Plaintiffâs ported life insurance is not separate from the Plan, the Court must first examine the Plan documentsâ plain language for supplemental term life insurance portability. According to the Planâs Summary Plan Description (the âSPDâ), upon a UPS employeeâs retirement, âthe portability option lets [them] continue supplemental term life insurance,â and Prudential bills the retiree directly. Declaration of Bryan Brum (âBrum Decl.â) Ex. B at Pru256, ECF No. 59.4. The SPD further states that a retireeâs âgroup rates will no longer be the same as rates available to active UPSers, but will be based on a group made up of many Prudential customers.â Id. The retiree may, however, âkeep up the current amount of [their] insurance without providing any evidence of insurability.â Id. The SPD refers the retiree to the Prudential Enrollment Kit (the âPEKâ) for more information. Id. at Pru257. Like the SPD, the PEK provides that the portability option allows retirees âto continue [their] group life insurance at group ratesâ but that those rates âwill be 120% of the rate schedule [they] had [as] an employee of UPS.â Id. at Pru322. In a separate section entitled âTermination of Coverage,â the PEK states that a UPS employeeâs supplemental term life coverage ends when their coverage under the Plan ends but that they may âcontinue [their] coverage by either electing to continue [their] group term life coverage under the portability provision or converting it to a Prudential individual life insurance policy.â Id. (emphasis added). Based on the foregoing, the Court finds that by electing the Planâs portability provision, Plaintiff continued his coverage under the Plan, albeit on modified terms (i.e. different group rates), rather than under an individual Prudential life insurance policy. While the SPD does not itself explain the portability optionâs effect on oneâs coverage under the Plan, the PEK, which the SPD incorporates by reference, see id. at Pru252, clears up any ambiguity. By its plain terms, the PEK provides that ported coverage is continued group term life coverage under the Plan, while converted coverage is an individual Prudential life insurance policy separate from the Plan. Id. at Pru322. Contrary to Plaintiffâs contention, neither the Group Contract nor the Group Contract Certificate of Coverage, see Declaration of Karen Petrone (âPetrone Decl.â) Exs. A-B, ECF No. 59.6, appear to contradict the SPD or the PEK. Rather, consistent with the SPD and the PEK, the Group Contract Certificate of Coverage provides that a retiree may elect to receive âsimilar coverage under the Portability Planâ when their supplemental term life coverage under the Group Contract ends and that the terms âwill not be the same as those under the Group Contract.â Petrone Decl. Ex. B at Pru45. Likewise, the Group Contract Certificate of Coverage distinguishes the portability option from the âconversion privilege,â which converts the retireeâs coverage âto an individual life insurance contract.â Id. at Pru41. Read together, the Plan documents make clear that by electing the portability option, Plaintiff continued his group term life coverage under the Plan. ERISA thus governs this dispute.6 That the Group Contract terminated on January 1, 2018 does not alter this conclusion. The SPD explicitly provides that coverage for UPS retirees who elected the Planâs portability option would survive the Group Contractâs termination: If UPSâ participation in the master contract terminates, his/her portability coverage will continue. You will be moved to the Prudential standard port rate structure after one year and your rates will increase. Case law on whether ERISA governs ported health insurance policies is novel and undeveloped. At least one court i6n this District, however, has held th at ERISA governs ported coverage, distinguishing it from converted coverage. S ee Horan v. Reliance Std. Life Ins. Co., No. 12-7802, 2014 WL 346615, at *5-6 (D.N.J. Jan. 30, 2014). According to Horan, ported coverageâunlike converted coverage that is âarguably independent from the ERISA plan because it involves a new policy issued to an individualââallows âa former employee [to] maintain optional coverage through the employerâs group policy on the same terms for a period of time.â Id. at *5 (citations omitted). Based on the particular facts presented here, the Court agrees with the reasoning in Horan. Id. (emphasis added). Because the Plan documentsâ plain language is clear that the portability option does not create an individual policy separate from the Plan, and that the Group Contractâs termination did not affect retireesâ ported coverage, the Court need not consider extrinsic evidence submitted by the parties. See In re Lucent Death Ben. ERISA Litig., 541 F.3d at 254-55. The Court concludes, as a matter of law, that ERISA governs Plaintiffâs ported life insurance policy.7 Because ERISA governs this action, summary judgment is warranted on Plaintiffâs state law claims in Counts One, Two, and Three. ERISA expressly preempts âany and all State laws insofar as they . . . relate to any employee benefit planâ covered under the statute. 29 U.S.C. § 1144(a). âState laws ârelate toâ an ERISA plan if the law either has a âreference toâ or has a âconnection withâ the plan at issue.â Sleep Tight Diagnostic Ctr., LLC v. Aetna Inc., 399 F. Supp. 3d 241, 249 (D.N.J. 2019) (citation omitted). Here, there is no doubt that Plaintiffâs state law claims are preempted because they relate to the Plan; it is the reason Plaintiff amended his original pleading to include ERISA claims. Accordingly, the Court dismisses Plaintiffâs common law claims in Counts One, Two, and Three. B. Plaintiffâs ERISA Claims Having concluded that ERISA governs Plaintiffâs claims, the Court now turns to whether those claims can withstand summary judgment. i. Count Four: ERISA Breach of Contract As a preliminary matter, the Court grants summary judgment on Plaintiffâs ERISA breach of contract claim because Plaintiff âconcedes that if . . . [his] coverage is under the UPS Plan, ERISA governs and bars [his] claim for more than $100,000 in death benefits.â Pl. Br. at 9. The 7 It bears noting that despite Plaintiffâs insistence that his post-retirement insurance coverage is under a separate âPrudential Standard Port Plan,â Pla intiff did not produce any independent Prudential plan documents in opposition to Defendantâs Motion. Court thus need not inquire further as there is no genuine issue of material fact on this claim. Summary judgment on Count Four is granted. ii. Counts Five and Six : ERISA Breach of Fiduciary Duty and Equitable Estoppel Prudential next argues that it is entitled to summary judgment on Plaintiffâs breach of fiduciary duty claim because: (1) Prudential did not act as a fiduciary in producing and mailing the Billing Notice; and (2) Plaintiff did not detrimentally rely on the Billing Notice because he âknew precisely how much coverage he was portingâ when he elected the portability option. Def. Br. at 18-21. Prudential similarly argues that summary judgment is warranted on Plaintiffâs ERISA equitable estoppel claim because Plaintiff has not demonstrated detrimental reliance. Def. Br. at 13-18. The Court agrees that, based on the record, Plaintiff cannot satisfy the detrimental reliance element to support either claim. To prevail on a breach of duty claim under ERISA, Plaintiff must establish that â(1) the defendant was acting in a fiduciary capacity; (2) the defendant made affirmative misrepresentations or failed to adequately inform plan participants and beneficiaries; (3) the misrepresentation or inadequate disclosure was material; and (4) the plaintiff detrimentally relied on the misrepresentation or inadequate disclosure.â Finnegan v. Medco Health Sols., Inc., No. 14- 7184, 2017 WL 3208347, at *5 (D.N.J. July 27, 2017) (quoting In re Unisys Corp. Retiree Med. Benefits ERISA Litig., 579 F.3d 220, 228 (3d Cir. 2009)). ERISA fiduciaries are defined âin functional terms of control and authority over the plan.â Mertens v. Hewitt Assocs., 508 U.S. 248, 251 (1993); see also Edmonson v. Lincoln Nat. Life Ins. Co., 725 F.3d 406, 413 (3d Cir. 2013). Accordingly, the term âfiduciaryâ under ERISA is broadly construed. Currcio v John Hancock Mut. Life Ins. Co., 33 F.3d 226, 233 (3d Cir. 1994). As for reliance, Plaintiff must show he took âsome action as a result of the misrepresentation or omission; the mere expectation of a continued benefit is not enough.â Shook v. Avaya, Inc., 625 F.3d 69, 73 (3d Cir. 2010). The Court first finds unpersuasive Prudentialâs argument that it did not act in a fiduciary capacity in preparing and mailing the Billing Notice to Plaintiff. Although those who perform âpurely ministerial tasks, such as claims processing and calculation, cannot be fiduciaries because they do not have discretionary roles,â Confer v. Customs Engineering Company, 952 F.2d 34, 39 (3d Cir. 1991), that is not the case here. Prudential concedes that the Plan delegated discretionary authority to it to interpret the Plan and decide benefits eligibility. Def. SOMF ¶ 9. Nonetheless, summary judgment is warranted on Count Five because Plaintiff has not established he detrimentally relied on Prudentialâs misrepresentations about his life insurance policy. âIn demonstrating sufficient reliance, the plaintiff must have taken some action as a result of the misrepresentation; the mere expectation of a continued benefit is not enough.â Shook, 625 F.3d at 73. Here, Plaintiff conceded that he made no changes in his life or financial planning or purchases on the expectation that Patriciaâs SDTLI coverage would be $1,000,000. Deposition of Robert Hotop (âHotop Dep.â) at 101:22-102:6, ECF No. 59.2. Plaintiff neither claims nor points to record evidence showing that he decided not to consider other life insurance policy options in reliance on Prudentialâs misrepresentations after he elected to port his coverage under the Plan. Nor is there evidence that Plaintiff considered other life insurance policies before he elected to port his insurance. Plaintiff admits that he originally sought to continue only $100,000 in SDTLI coverage, see id. at 34:8-11, and elected to port his life insurance coverage because the premium rate was cheaper as a subsidized plan. See Def. SOMF ¶ 58; Pl. Response to Def. SOMF ¶ 58. Plaintiff also admits that he understood Patricia, given her medical condition, would not be able to provide evidence of insurability. Def. SOMF ¶ 60; Pl. Response to Def. SOMF ¶ 60; see also Hotop Decl. at 28:17-25. Having failed to proffer evidence on which one could find Plaintiff detrimentally relied on Prudentialâs misrepresentations, Plaintiff cannot succeed on his ERISA breach of fiduciary claim in Count Five.8 Likewise, because an ERISA equitable estoppel claim also requires detrimental reliance, see Pell v. E.I. DuPont de Nemours & Co. Inc., 539 F.3d 292, 300 (3d Cir. 2008) (explaining that ERISA equitable estoppel requires plaintiff to âestablish (1) a material representation, (2) reasonable and detrimental reliance upon the representation, and (3) extraordinary circumstancesâ) (emphasis added), Plaintiff cannot prevail on Count Six. Accordingly, Prudential is entitled to summary judgment on Counts Five and Six. IV. CONCLUSION For the reasons set forth herein, Defendantâs Motion for Summary Judgment, ECF No. 59, is GRANTED. An appropriate Order follows. Dated: July 30, 2020 /s Madeline Cox Arleo__________ Hon. Madeline Cox Arleo UNITED STATES DISTRICT JUDGE 8 That Plaintiff paid premiums to Prudential in amounts based on the Billing Noticeâs $1,000,000 coverage is insufficient to show detrimental reli ance. The record shows that Prudential refunded Plaintiff a check for premium payments made in excess of the $100,000 ported policy. See Def. SOMF ¶ 100; Angle Decl. Ex. B at Pru1004. Case Information
- Court
- D.N.J.
- Decision Date
- July 30, 2020
- Status
- Precedential