Hanshaw v Life Ins Co North Amer

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UNITED STATES DISTRICT COURT
WESTERN DISTRICT OF KENTUCKY
LOUISVILLE DIVISION
CIVIL ACTION NO: 3:14-CV-00216-JHM
PAMELA HANSHAW PLAINTIFF
V.
LIFE INSURANCE COMPANY OF NORTH AMERICA DEFENDANT
MEMORANDUM OPINION AND ORDER
This matter is before the Court on Plaintiff’s Motion to Remand [DN 7] the present
action to the J efferson Circuit Court. Fully briefed, this matter is ripe for decision. For the
following reasons, the Plaintiff’s motion is DENIED.
I. BACKGROUND
Plaintiff, Pamela Hanshaw, was employed by St. Claire Medical Center, Inc.
1
(“St.
Claire”), a non-profit hospital. St. Claire established and funded a group long-term disability
(“LTD”) insurance policy for its eligible employees. The LTD policy was issued and
underwritten by Defendant, Life Insurance Company of North America (“LINA”). (Compl. [DN
1-2] ¶ 9.) Plaintiff, who was an eligible participant in the policy, submitted a claim to LINA for
the monthly disability income benefit, after allegedly becoming disabled. (Id. ¶ 11.) Defendant
denied Plaintiff’s claim. (Id. ¶ 12.)
On February 5, 2014, Plaintiff filed this action in J efferson Circuit Court against
Defendant, alleging claims for breach of contract; breach of the duty of good faith and fair
dealing; violation of Kentucky Unfair Claims Settlement Practices Act, KRS 304.12–230
(“UCSPA”); violation of Kentucky Consumer Protection Act, KRS 367.170; negligence per se

1
St. Claire is also referred to as “St. Claire Regional Medical Center” in various documents, including the LTD
insurance policy with LINA. St. Claire Regional Medical Center is an assumed name of St. Claire Medical Center,
Inc., which is the name of the business entity on record with the Kentucky Secretary of State. (Amended Articles of
Incorporation of St. Claire Medical Center, Inc. [DN 16-1] 1.)
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for using opinions of medical personnel who are not licensed in Kentucky in violation of KRS
311.560; unjust enrichment; and failure to timely pay the claim in violation of KRS 304.12–235.
(Compl. [DN 1-2] ¶¶ 25–51.)
On March 4, 2014, Defendant removed this action from the J efferson Circuit Court to this
Court alleging both diversity jurisdiction and federal question jurisdiction. Defendant contends
removal is proper because Plaintiff’s claims are governed by the Employee Retirement Income
Security Act of 1974, 29 U.S.C. §§ 1001 et seq. (“ERISA”). (Def.’s Notice Removal [DN 1] ¶¶
3, 7.) Defendant maintains that while Plaintiff’s Complaint did not expressly reference ERISA,
the cause of action asserted in the Complaint clearly involves an ERISA plan and is subject to,
and preempted by, ERISA, and is therefore properly removable.
On March 13, 2014, Plaintiff filed this Motion to Remand [DN 7] the case to J efferson
Circuit Court arguing that this Court lacks subject matter jurisdiction. Plaintiff alleges that
Defendant’s Notice of Removal is defective, and maintains that the Complaint alleges only state
law claims and makes no mention of ERISA. Further, Plaintiff contends that the facts as stated
in the Complaint do not provide a basis for complete preemption under ERISA, and cannot
therefore form the basis of subject matter jurisdiction for removal. Additionally, Plaintiff moves
to remand on the ground that her claims are exempt from ERISA because the plan at issue is a
“church plan” that is exempted from ERISA’s coverage pursuant to 29 U.S.C. §§ 1003(b)(2),
1002(33). In response to the diversity jurisdiction basis for removal, Plaintiff asserts that
Defendant has failed to demonstrate that the amount-in-controversy exceeds $75,000.
II. STANDARD OF REVIEW
Removal to federal court from state court is proper for “any civil action brought in a State
court of which the district courts of the United States have original jurisdiction.” 28 U.S.C. §
Case 3:14-cv-00216-JHM-JDM Document 19 Filed 10/24/14 Page 2 of 14 PageID #: 122
3
1441(a). One category of cases of which district courts have original jurisdiction is “federal
question” cases: cases “arising under the Constitution, laws, or treaties of the United States.” 28
U.S.C. § 1331. “Ordinarily, determining whether a particular case arises under federal law turns
on the well-pleaded complaint rule[,]” i.e., whether a federal question “necessarily appears in the
plaintiff’s statement of [her] own claim.” Aetna Health Inc. v. Davila, 542 U.S. 200, 207 (2004)
(internal quotation marks omitted). Thus, “the existence of a federal defense normally does not
create” federal-question jurisdiction, id., and “a defendant may not [generally] remove a case to
federal court unless the plaintiff’s complaint establishes that the case ‘arises under’ federal law,”
id. (quoting Franchise Tax Bd. of State of Cal. v. Constr. Laborers Vacation Trust for S. Cal.,
463 U.S. 1, 10 (1983)) (internal quotation marks omitted).
2

However, complete preemption is an exception to the well-pleaded complaint rule:
“‘when a federal statute wholly displaces the state-law cause of action through complete pre-
emption,’ the state claim can be removed.” Davila, 542 U.S. at 207 (quoting Beneficial Nat’l
Bank v. Anderson, 539 U.S. 1, 8 (2003)). Removal is permitted in this context because “[w]hen
the federal statute completely pre-empts the state-law cause of action, a claim which comes
within the scope of that cause of action, even if pleaded in terms of state law, is in reality based
on federal law.” Beneficial Nat’l Bank, 539 U.S. at 8. In Metropolitan Life Insurance Co. v.
Taylor, 481 U.S. 58 (1987), the Supreme Court held that the complete preemption exception to
the well-pleaded complaint rule applies to claims within the scope of ERISA § 502(a)(1)(B), 29
U.S.C. § 1132(a)(1)(B). Metro. Life Ins., 481 U.S. at 66–67.
ERISA § 502(a)(1)(B) provides:

2
This is the case with ERISA’s express preemption clause, § 514(a), 29 U.S.C. § 1144(a), which preempts “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).” 29 U.S.C. § 1144(a). “That a state-law claim is preempted
under § 1144(a) is no basis to remove the case from state court to federal.” Gardner v. Heartland Indus. Partners,
LP, 715 F.3d 609, 612 (6th Cir. 2013).
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A civil action may be brought—(1) by a participant or beneficiary— . . . (B) to
recover benefits due to him under the terms of his plan, to enforce his rights under
the terms of the plan, or to clarify his rights to future benefits under the terms of
the plan.
29 U.S.C. § 1132(a)(1)(B). Therefore, in order to be subject to complete preemption, and
properly removable to federal court, the state law claim must be brought by a participant or
beneficiary “to recover benefits due to him under the terms of his plan, to enforce his rights
under the terms of the plan, or to clarify his rights to future benefits under the terms of the plan,”
as provided in § 1132(a)(1)(B). See Barrow v. Aleris Intern, No. 1:07-CV-110-J HM, 2007 WL
3342306, at *2 (W.D. Ky. Nov. 7, 2007).
III. DISCUSSION
Plaintiff filed this Motion to Remand [DN 7] the case to state court arguing that this
Court lacks subject matter jurisdiction. Plaintiff alleges that the removal notice is defective
because Defendant failed to provide sufficient factual support for its allegation that ERISA
governs Plaintiff’s claims. Further, Plaintiff maintains that the Complaint alleges only state law
claims against Defendant and that Defendant failed to prove Plaintiff’s claims are subject to
complete preemption so as to avoid the well-pleaded complaint rule. Additionally, Plaintiff
contends that even if the LTD plan constituted an ERISA plan, it is exempt from ERISA as a
“church plan,” and as a result, the case should be remanded to state court.
Defendant disagrees, contending that it specifically alleged facts establishing that
Plaintiff’s claims are governed under ERISA. Further, Defendant argues that the LTD policy is
an ERISA employee welfare benefit plan. Defendant maintains that because Plaintiff’s
Complaint asserts claims seeking to recover benefits under that plan, Plaintiff’s claims are
completely preempted by ERISA. Furthermore, Defendant maintains that the LTD policy is not
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5
a church plan. Defendant contends that it properly removed Plaintiff’s claims to federal court,
and therefore, Plaintiff’s Motion to Remand should be denied.
In determining whether removal of Plaintiff’s claims to federal court is proper, the Court
must determine as an initial matter whether Defendant’s Notice of Removal was sufficient to
establish grounds for removal. The Court must then determine whether the LTD insurance
policy is an ERISA plan, and if so, whether ERISA completely preempts Plaintiff’s state law
claims. Lastly, the Court must determine whether the LTD policy is a church plan exempt from
ERISA.
A. Notice of Removal
Plaintiff argues that Defendant’s Notice of Removal is defective because it lacks factual
allegations and instead alleges in conclusory terms the basis for federal jurisdiction. See, e.g.,
Thomas v. Burlington Indus., Inc., 763 F. Supp. 1570, 1576 (S.D. Fla. 1991); Bryant v. Blue
Cross & Blue Shield of Ala., 751 F. Supp. 968, 969 (N.D. Ala. 1990) (state law claim against
insurer not subject to removal where insurer made only bare-bones contention in notice of
removal that “action will be governed by the provisions of [ERISA]”). However, the Notice of
Removal in this case is distinguishable from the Thomas and Bryant notices of removal because
it contains allegations of fact that the LTD plan is an employee welfare benefit plan, which are
governed by ERISA. (Def.’s Notice Removal [DN 1] ¶¶ 3, 7.) Thus, Defendant’s Notice of
Removal in this case contains more than a “bare-bones contention” that the action is governed by
ERISA and is sufficient to establish grounds for removal.
Moreover, the removal statute requires that a notice of removal merely contain “a short
and plain statement of the grounds for removal.” 28 U.S.C. § 1446(a). This statute has been
interpreted to mean that the same liberal rules testing the sufficiency of a pleading should also
Case 3:14-cv-00216-JHM-JDM Document 19 Filed 10/24/14 Page 5 of 14 PageID #: 125
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apply to evaluating the sufficiency of a defendant’s notice of removal. See, e.g., Charter Sch. of
Pine Grove, Inc. v. St. Helena Parish Sch. Bd., 417 F.3d 444, 447 (5th Cir. 2005); White v.
Humana Health Plan, Inc., No. 06 C 5546, 2007 WL 1297130, at *1 (N.D. Ill. May 2, 2007)
(citing 14C Charles Alan Wright, Arthur R. Miller & Edward H. Cooper, Federal Practice and
Procedure § 3733 (3d ed. 2006)) (“The court need only be provided with the facts from which
removal jurisdiction can be determined.”). Thus, Plaintiff’s argument that the Notice of
Removal is defective fails.
B. ERISA Plan
Congress enacted ERISA to “protect . . . the interests of participants in employee benefit
plans and their beneficiaries” by setting out substantive regulatory requirements for employee
benefit plans and “providing for appropriate remedies, sanctions, and ready access to the Federal
courts.” 29 U.S.C. § 1001(b). “The purpose of ERISA is to provide a uniform regulatory regime
over employee benefit plans.” Aetna Health Inc. v. Davila, 542 U.S. 200, 208 (2004). Thus,
ERISA comprehensively regulates life, health, disability, and pension benefits provided by
employers to employees pursuant to employee benefit plans. ERISA defines an “employee
benefit plan” as an “employee welfare benefit plan or an employee pension benefit plan or a plan
which is both.” 29 U.S.C. § 1002(3). Plaintiff contends that ERISA does not preempt her state
law claims because St. Claire’s LTD policy does not constitute an “employee welfare benefit
plan” as defined by ERISA. An “employee welfare benefit plan” is “any plan, fund, or program .
. . established or maintained by an employer . . . for the purpose of providing for its participants
or their beneficiaries, through the purchase of insurance or otherwise, (A) . . . benefits in the
event of sickness, accident, disability, death or unemployment.” 29 U.S.C. § 1002(1).
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7
The “existence of an ERISA plan is a question of fact, to be answered in light of all the
surrounding circumstances and facts from the point of view of a reasonable person.” Thompson
v. Am. Home Assurance Co., 95 F.3d 429, 434 (6th Cir. 1996). The Sixth Circuit has articulated
the following three-part test for determining whether an ERISA benefits plan exists:
First, the court must apply the so-called “safe harbor” regulations established by
the Department of Labor to determine whether the program was exempt from
ERISA. Second, the court must look to see if there was a “plan” by inquiring
whether “from the surrounding circumstances a reasonable person [could]
ascertain the intended benefits, the class of beneficiaries, the source of financing,
and procedures for receiving benefits.” Finally, the court must ask whether the
employer “established or maintained” the plan with the intent of providing
benefits to its employees.
Thompson, 95 F.3d at 434–35 (citations omitted).
A review of LINA’s Group Long Term Disability Policy [DN 16-4] reflects that the
policy satisfies the minimum requirements for establishing an ERISA plan.
3
With respect to the
second inquiry, a reasonable person could ascertain the following: (1) LTD insurance was the
intended benefit of the plan; (2) that the beneficiaries were the eligible employees of St. Claire as
an incident of their employment; (3) the source of financing was premiums paid by St. Claire;
and (4) the procedure to apply for and collect benefits was to submit a claim to LINA subject to
specific conditions precedent to eligibility. [DN 16-4.] Additionally, the group policy shows
that St. Claire established the LTD plan for the purpose of providing disability benefits to a
clearly defined group of employees. [DN 16-4.]
For these reasons, the Court concludes that the LTD policy is an “employee benefit plan”
governed by ERISA. 29 U.S.C. § 1002(3).

3
It appears prong one is not contested by the parties because neither side briefed it.
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C. Complete Preemption
Having determined that the LTD plan is an ERISA plan, the Court must determine
whether ERISA completely preempts Plaintiff’s state law claims. As discussed, a claim that is
within the scope of § 1132(a)(1)(B) is completely preempted and thus removable to federal
court. See Metro. Life Ins., 481 U.S. at 66–67; Davila, 542 U.S. at 209–10. In the Sixth Circuit,
a claim is within the scope of § 1132(a)(1)(B) if the two requirements of the Davila test are met:
“(1) the plaintiff complains about the denial of benefits to which he is entitled ‘only because of
the terms of an ERISA-regulated employee benefit plan’; and (2) the plaintiff does not allege the
violation of any ‘legal duty (state or federal) independent of ERISA or the plan terms[.]’”
Gardner v. Heartland Indus. Partners, LP, 715 F.3d 609, 613 (6th Cir. 2013) (quoting Davila, 542
U.S. at 210).
4

In her Motion to Remand, Plaintiff failed to specifically address whether her claims fell
within the scope of § 1132(a)(1)(B)’s civil enforcement provision. The Supreme Court stated
that to make that determination, the court must examine the plaintiff’s complaint, the statute on
which the state law claims are based, and the various plan documents. Davila, 542 U.S. at 211.
Upon review of the instant Complaint, the relevant state laws, and the LTD policy [DN 16-4],
this Court determines that Plaintiff’s state law claims amount to a claim for benefits under an
ERISA plan and are completely preempted by ERISA.
First, Plaintiff complains about the “denial of benefits to which [s]he is entitled ‘only
because of the terms of an ERISA-regulated employee benefit plan.’” Gardner, 715 F.3d at 613
(quoting Davila, 542 U.S. at 210). Plaintiff alleges that LINA provides LTD benefits under her

4
“In other words, if an individual, at some point in time, could have brought his claim under ERISA § 502(a)(1)(B),
[29 U.S.C. § 1132(a)(1)(b),] and where there is no other independent legal duty that is implicated by a defendant’s
actions, then the individual’s cause of action is completely pre-empted by ERISA § 502(a)(1)(B)[, 29 U.S.C. §
1132(a)(1)(B)].” Davila, 542 U.S. at 210.
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9
employer’s LTD plan. She alleges that she became disabled and, in accordance with the LTD
insurance policy, submitted a claim for monthly disability income benefits, which was denied by
LINA. The action complained of is LINA’s denial of Plaintiff’s claim for monthly disability
income benefits. Further, the only relationship LINA had with Plaintiff was its administration of
Plaintiff’s employer’s benefit plan. It is clear, then, that Plaintiff complains only about denial of
coverage promised under the terms of an ERISA-regulated employee benefit plan. Upon denial
of those benefits, Plaintiff could have sought a remedy through a § 1132(a)(1)(B) action. Thus,
the first prong is met.
Second, Plaintiff does not claim any violation of a legal duty independent of those
imposed by ERISA or the ERISA plan’s terms. Plaintiff’s state law contract claims plainly
cannot arise independently of ERISA or the plan terms because Defendant’s duties under the
contract—the ERISA-regulated LTD policy—are premised on the terms of that contract.
Plaintiff specifically alleges that “[b]y denying Plaintiff’s monthly disability income benefits and
by not complying with the terms of the insurance policy, Defendant breached the parties
contractual agreement.” (Compl. [DN 1-2] ¶ 28 (emphasis added).) Thus, Defendant’s contract
duties under state law derive from the plan terms.
Plaintiff’s various tort causes of action also are not independent of ERISA or the plan
terms. “Whether a duty is ‘independent’ of an ERISA plan, for purposes of the Davila rule, does
not depend merely on whether the duty nominally arises from a source other than the plan’s
terms.” Gardner, 715 F.3d at 613. Therefore, it makes no difference that Plaintiff “only asserts
state law claims and expressly disavows any federal causes of action,” (Pl.’s Mot. Remand [DN
7] 5–6). What matters is whether LINA’s duty and potential liability under state law derives
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10
“from the particular rights and obligations established by the [ERISA] benefit plan[].” Davila,
542 U.S. at 213.
Defendant’s purported duties under the various state laws could arise in this instance only
because of Defendant’s administrative review of Plaintiff’s claim for benefits under an ERISA
plan. See, e.g., Hogan v. J acobson, No. 3:12-CV-00820, 2014 WL 9784864, at *3 (W.D. Ky.
Mar. 12, 2014). Interpretation of the terms of Plaintiff’s benefit plan forms an essential part of
her claims, and “liability would exist here only because of [Defendant]’s administration of [the]
ERISA-regulated benefit plan[].” Id. Defendant’s duty and potential liability under state law in
this case, then, derives from the particular rights and obligations established by the benefit plan.
Therefore, Plaintiff’s state law tort causes of action are not entirely independent of the federally
regulated contract itself.
Hence, Plaintiff brings suit only to rectify a wrongful denial of benefits promised under
an ERISA-regulated plan, and does not attempt to remedy any violation of a legal duty
independent of ERISA. The Court concludes that Plaintiff states causes of action that fall
“within the scope of” § 1132(a)(1)(B), Metropolitan Life, 481 U.S. at 66, and are therefore
completely preempted by ERISA and removable to federal district court.
D. ERISA Church Plan Exemption
Having determined that the LTD plan is an employee benefits plan under ERISA and that
Plaintiff’s claims are completely preempted by § 1132(a)(1)(B), the Court must determine
whether the LTD plan is nevertheless exempt from ERISA as a “church plan.” If the LTD plan
is a church plan, this Court lacks subject matter jurisdiction and the Motion to Remand must be
granted.
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11
Congress specifically exempted certain employee benefit plans from coverage under
ERISA. See 29 U.S.C. § 1003(b)(1)–(5). Pursuant to § 1003(b)(2), ERISA does not apply to an
employee benefit plan that is a “church plan” as defined in § 1002(33). 29 U.S.C. § 1003(b)(2).
5

When ERISA originally exempted “church plans” from its requirements, it provided that “[t]he
term ‘church plan’ means . . . a plan established and maintained for its employees by a church or
by a convention or association of churches.” 29 U.S.C. § 1002(33)(A) (1976). The statute
permitted a church plan to also cover the employees of church agencies (such as hospitals and
schools), but that provision was to sunset in 1982. 29 U.S.C. § 1002(33)(C) (1976). In 1980,
Congress amended ERISA to eliminate the 1982 deadline and to include other clarifications. See
Multiemployer Pension Plan Amendments Act of 1980, Pub. L. No. 96-364, § 407(a), 94 Stat.
1208. The relevant statutory section, 29 U.S.C. § 1002(33), now provides in pertinent part:
(A) The term “church plan” means a plan established and maintained . . .
for its employees (or their beneficiaries) by a church or by a convention or
association of churches which is exempt from tax under section 501 of Title 26.
****
(C) For purposes of this paragraph–
(i) A plan established and maintained for its employees (or their
beneficiaries) by a church or by a convention or association of churches
includes a plan maintained by an organization, whether a civil law
corporation or otherwise, the principal purpose or function of which is the
administration or funding of a plan or program for the provision of
retirement benefits or welfare benefits, or both, for the employees of a
church or a convention or association of churches, if such organization is
controlled by or associated with a church or a convention or association of
churches.
(ii) The term employee of a church or a convention or association
of churches includes–

5
“The provisions of this subchapter shall not apply to any employee benefit plan if . . . such plan is a church plan (as
defined in section 1002(33) of this title) with respect to which no election has been made under section 410(d) of
Title 26.” 29 U.S.C. § 1003(b)(2). Defendant made no argument that an election had been made under I.R.C. §
410(d).
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12
(I) a duly ordained, commissioned, or licensed minister of
a church in the exercise of his ministry, regardless of the source of
his compensation;
(II) an employee of an organization, whether a civil law
corporation or otherwise, which is exempt from tax under section
501 of Title 26 and which is controlled by or associated with a
church or a convention or association of churches; and
(III) an individual described in clause (v).
(iii) A church or a convention or association of churches which is
exempt from tax under section 501 of Title 26 shall be deemed the
employer of any individual included as an employee under clause (ii).
(iv) An organization, whether a civil law corporation or otherwise,
is associated with a church or a convention or association of churches if it
shares common religious bonds and convictions with that church or
convention or association of churches.
(v) If an employee who is included in a church plan separates
from the service of a church or a convention or association of churches or
an organization, whether a civil law corporation or otherwise, which is
exempt from tax under section 501 of Title 26 and which is controlled by
or associated with a church or a convention or association of churches, the
church plan shall not fail to meet the requirements of this paragraph
merely because the plan–
(I) retains the employee's accrued benefit or account for
the payment of benefits to the employee or his beneficiaries
pursuant to the terms of the plan; or
(II) receives contributions on the employee's behalf after
the employee's separation from such service, but only for a period
of 5 years after such separation, unless the employee is disabled
(within the meaning of the disability provisions of the church plan
or, if there are no such provisions in the church plan, within the
meaning of section 72(m)(7) of Title 26) at the time of such
separation from service.
29 U.S.C. § 1002(33).
The Parties dispute the proper interpretation of § 1002(33) and whether the LTD plan
meets the definition of a church plan. Plaintiff’s interpretation, based primarily on subsection C,
is that a “‘church plan’ is a ‘plan that is (1) established by a church or (2) established by an
organization that is controlled by or associated with a church.” (Pl.’s Reply Supp. Mot. Remand
[DN 18] 3 (quoting Overall v. Ascension, --- F. Supp. 2d ---, No. 13–11396, 2014 WL 2448492,
Case 3:14-cv-00216-JHM-JDM Document 19 Filed 10/24/14 Page 12 of 14 PageID #: 132
13
at *15 (E.D. Mich. May 13, 2014)).) Plaintiff contends that the LTD plan is a church plan
exempted from ERISA because St. Claire is a “church owned entity,” (Pl.’s Mot. Remand [DN
7] 4), and a “fully controlled and sponsored subsidiary of the Sisters of Notre Dame,” (Pl.’s
Reply Supp. Mot. Remand [DN 18] 3), concluding that “[a]s a result of its church status, St.
Claire falls within the church plan exception of ERISA,” (id.) Thus, Plaintiff contends that
because St. Claire is allegedly an entity “controlled by or associated with” the Catholic Church,
its LTD plan qualifies as church plan.
Defendant’s interpretation is that only a church or a convention or association of
churches—which St. Claire is not
6
—may establish and maintain a church plan. (Def.’s Resp. to
Pl.’s Mot. Remand [DN 16] 4–5 (citing 29 U.S.C. § 1002(33)(A); Rollins v. Dignity Heath, --- F.
Supp. 2d ---, No. C13–1450, 2013 WL 6512682, at *4–5 (N.D. Cal. Dec. 12, 2013)).) However,
the Court need not decide which interpretation is correct because even accepting Plaintiff’s
interpretation of § 1002(33) that a church plan need not be established by a church, the LTD plan
still does not qualify as a church plan. Plaintiff’s argument disregards the limiting language of
subsection C(i) that to maintain a church plan, an organization must not only be associated with
the church,
7
but it must have as its “principal purpose or function . . . the administration or
funding of a [benefits] plan or program.” 29 U.S.C. § 1002(33)(C)(i).
8
St. Claire Medical

6
Plaintiff mentions St. Claire’s “church status” as the reason why “St. Claire falls within the church plan exception
of ERISA.” (Pl.’s Reply Supp. Mot. Remand [DN 18] 3.) However, there is no credible argument made that St.
Claire Medical Center, Inc. is itself a church. St. Claire’s primary purpose is to provide healthcare. While St. Claire
is likely a “church agency” as referenced in the legislative history, St. Claire is not itself a church.
7
Although the parties dispute whether St. Claire is controlled by or associated with the Catholic Church, this issue is
not dispositive.
8

(C) For purposes of this paragraph--
(i) A plan established and maintained for its employees (or their beneficiaries) by a
church or by a convention or association of churches includes a plan maintained by an
organization, whether a civil law corporation or otherwise, the principal purpose or
function of which is the administration or funding of a plan or program for the provision
of retirement benefits or welfare benefits, or both, for the employees of a church or a
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14
Center is a healthcare organization; its principal purpose is the provision of healthcare, not the
administration of a benefits plan.
9

Therefore, the Court finds that St. Claire’s long-term disability benefits plan is not a
“church plan” under ERISA, and is, therefore, governed by ERISA. Accordingly, this Court has
subject matter jurisdiction to decide the matter.
10

IV. CONCLUSION
For the reasons set forth above, IT IS HEREBY ORDERED that Plaintiff’s Motion to
Remand [DN 7] the case to J efferson Circuit Court is DENIED.




cc: counsel of record

convention or association of churches, if such organization is controlled by or associated
with a church or a convention or association of churches.
29 U.S.C. § 1002(33)(C)(i).
9
According to its Articles of Incorporation, the specific purposes of St. Claire “are to carry out the Roman Catholic
Apostolate of care for the sick, by providing quality physician services for the benefit of the community through the
operation, support and management of a hospital and a medical and health center, or institution.” (Amended
Articles of Incorporation of St. Claire Medical Center, Inc. [DN 16-1] 1–2.)
10
Because the Court concludes that there is federal question jurisdiction, it need not address the issue of diversity
jurisdiction.
October 22, 2014
Case 3:14-cv-00216-JHM-JDM Document 19 Filed 10/24/14 Page 14 of 14 PageID #: 134

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