Merrimon v. Unum Life Insurance Company, 1st Cir. (2014)
Merrimon v. Unum Life Insurance Company, 1st Cir. (2014)
Merrimon v. Unum Life Insurance Company, 1st Cir. (2014)
No. 13-2168
DENISE MERRIMON and BOBBY S. MOWERY,
Plaintiffs, Appellants,
v.
UNUM LIFE INSURANCE COMPANY OF AMERICA,
Defendant, Appellee.
______________
APPEALS FROM THE UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF MAINE
[Hon. Nancy Torresen, U.S. District Judge]
Before
Torruella and Selya, Circuit Judges,
and McAuliffe,* District Judge.
July 2, 2014
employees
and
their
beneficiaries
with
respect
to
the
See Nachman
Corp. v. Pension Benefit Guar. Corp., 446 U.S. 359, 361-62 (1980).
As is true of virtually any prophylactic statute, interpretive
questions lurk at the margins. This class action, which arises out
of an insurer's redemption of claims on ERISA-regulated life
insurance policies through the establishment of retained asset
accounts (RAAs), spawns such questions.
Here, the plaintiffs challenge the insurer's use of RAAs
as a method of paying life insurance benefits in the ERISA context.
They presented the district court with two basic questions. First,
did the insurer's method of paying death benefits in the form of
RAAs constitute self-dealing in plan assets in violation of ERISA
section 406(b)?
-3-
BACKGROUND
We briefly rehearse the relevant facts, which are largely
undisputed.
See Merrimon v.
Unum Life Ins. Co., 845 F. Supp. 2d 310, 312-15 (D. Me. 2012).
The plaintiffs, Denise Merrimon and Bobby S. Mowery,
represent a class of beneficiaries of ERISA-regulated employee
welfare benefit plans funded by certain guaranteed-benefit group
life insurance policies that the defendant, Unum Life Insurance
Company of America (the insurer), issued.1
After
same
time,
plaintiffs,
accounts.
the
along
insurer
with
mailed
books
informational
of
materials
drafts
At
to
the
regarding
the
any part of the corpus of the RAAs; provided, however, that each
withdrawal was in an amount not less than $250.
In short order, the plaintiffs fully liquidated their
RAAs and the accounts were closed.
In
followed.
II.
JURISDICTION
The
insurer
argues,
albeit
conclusorily,
that
the
-6-
When
an
issue
implicates
subject-matter
See Arizonans
See U.S.
"A
case
or
controversy
exists
only
when
the
party
'such
personal
stake
in
the
outcome
of
the
presentation
depends.'"
of
issues
upon
which
the
court
so
largely
(quoting Baker v. Carr, 369 U.S. 186, 204 (1962)); see Muskrat v.
United States, 219 U.S. 346, 361-62 (1911).
standing is the notion that the plaintiffs did not suffer any
-7-
See Edmonson v.
Lincoln Nat'l Life Ins. Co., 725 F.3d 406, 415-17 (3d Cir. 2013),
cert. denied, 134 S. Ct. 2291 (2014); id. at 429-33 (Jordan, J.,
dissenting).
After
careful
perscrutation,
we
hold
that
the
U.S.
at
560
(footnote
omitted)
(internal
Lujan,
citations
and
plaintiff does not need to show that her rights have actually been
abridged: such a requirement "would conflate the issue of standing
with the merits of the suit."
Instead, a
plaintiff need only show that she has "a colorable claim to such a
-8-
right."
showing has been made must take into account the role of Congress.
After all, Congress has the power to define "the status of legally
cognizable injuries."
Congress has
ERISA
beneficiaries
corresponding
See
rights
to
sue
for
29 U.S.C. 1132(a)(3)
This means, of
does
not
necessarily
confer
standing
on
all
plan
worked
some
"personal
and
tangible
harm"
to
her.
-9-
If proven, this
gain
interference
in
with
cases
where
protected
the
plaintiff
interests
but
no
has
suffered
measurable
an
loss
whatsoever."); see also CIGNA Corp. v. Amara, 131 S. Ct. 1866, 1881
(2011). In addition, the injury although common to a potentially
wide class of beneficiaries is particularized to the plaintiffs,
each of whom claims that the insurer wrongfully retained his or her
assets.
The Supreme Court has "often said that history and
tradition offer a meaningful guide to the types of cases that
Article III empowers federal courts to consider."
Sprint Commc'ns
Co. v. APCC Servs., Inc., 554 U.S. 269, 274 (2008). Although ERISA
is of relatively recent origin, its administration is informed by
the common law of trusts.
496 (1996).
Trustees 861 (2013) (citing Mosser v. Darrow, 341 U.S. 267, 27273 (1951); Magruder v. Drury, 235 U.S. 106, 120 (1914)); see also
Restatement (Third) of Restitution and Unjust Enrichment 3
reporter's note a (2011).
-10-
THE MERITS
The district court made two pertinent liability rulings
novo.
We start
there.
A.
of
how
the
relevant
ERISA
provisions
affect
demur,
arguing
that
the
DOL
Guidance
was
The
hastily
Harris Trust & Sav. Bank, 510 U.S. 86, 107 n.14 (1993) (citing 29
U.S.C. 1204(a)).
-12-
which
the
authoritative.
agency's
exposition
of
the
issue
is
deemed
(2001).
While agencies are generally presumed to have particular
expertise with respect to the statutes that they administer,
agencies
speak
in
variety
of
ways.
As
result,
Chevron U.S.A. Inc. v. Natural Res. Def. Council, Inc., 467 U.S.
837, 842-45 (1984).
But when an agency speaks with something less than the
force of law, its interpretations are entitled to deference "only
to the extent that those interpretations have the 'power to
persuade.'"
-13-
Doe v.
of
its
interpretation]
reasoning,
with
earlier
[and
and
the]
later
consistency
[of
pronouncements."
its
Id.
Id.
at 82.
We appraise the DOL Guidance with these factors in mind.
In doing so, we are acutely aware that if this inquiry is to have
any real utility, it must involve something more than merely
determining whether the agency's views comport with the court's
independent interpretation of the relevant statutory provisions.
See id. at 80-81.
"the
agency
has
consulted
appropriate
Here, as in
sources,
employed
Id. at 82.
-14-
Eng. Teamsters & Trucking Indus. Pension Fund, 724 F.3d 129, 140-41
(1st Cir. 2013), cert. denied, 134 S. Ct. 1492 (2014); Conn. Office
of Prot. & Advocacy for Pers. with Disabs. v. Hartford Bd. of
Educ., 464 F.3d 229, 239-40 (2d Cir. 2006) (Sotomayor, J.).
Persuasiveness (or the lack of it) depends on the totality of the
relevant factors.
So,
too,
the
fact
that
the
DOL's
position
is
of
Cir.
2002),
new
interpretations
particularly
new
the
last
analysis,
we
are
satisfied
that
the
The
-15-
(1991).
B.
The
plaintiffs'
Section 406(b).
remaining
contention
is
that
the
29 U.S.C.
on
self-dealing
in
plan
assets
by
retaining
and
In
an effort to fill this void, the DOL consistently has stated that
"the assets of a plan generally are to be identified on the basis
of ordinary notions of property rights under non-ERISA law."
-16-
U.S.
formulation. See, e.g., Edmonson, 725 F.3d at 427; Faber, 648 F.3d
at 105-06; Kalda v. Sioux Valley Physician Partners, Inc., 481 F.3d
639, 647 (8th Cir. 2007); In re Luna, 406 F.3d 1192, 1199 (10th
Cir. 2005).
That is because
[i]n the case of a plan to which a guaranteed
benefit policy is issued by an insurer, the
assets of such plan shall be deemed to include
such policy, but shall not, solely by reason
of the issuance of such policy, be deemed to
include any assets of such insurer.
29 U.S.C. 1101(b)(2).
The
plaintiffs
nonetheless
posit
that
when
death
those retained funds remain plan assets until the RAA is fully
liquidated.
This argument lacks force.
the case law or in common sense, for the proposition that funds
held in an insurer's general account are somehow transmogrified
into plan assets when they are credited to a beneficiary's account.
-17-
plan
that
contained
specific
directive
to
pay
F.3d 26, 28 n.3 (1st Cir. 2003) (explaining that "[d]icta comprises
-18-
Id.
in
doubtful
cases,
the
assets
with
which
we
are
concerned the funds backing the RAAs fall squarely within the
compass of section 401(b)(2) prior to the establishment of an RAA,
and they are not governed by ERISA subsequent thereto.
As the DOL
Guidance makes manifest, those funds are simply not plan assets.
The plaintiffs have one final shot in their sling.
They
say that even if the court below appropriately determined that the
retained funds were not plan assets, its ultimate conclusion that
the
insurer
incorrect.
did
not
offend
section
406(b)
was
nevertheless
life insurance policies themselves were plan assets and the insurer
-19-
The plaintiffs'
We explain briefly.
waived.
This brings us to the end of the road.
funds backing the plaintiffs' RAAs were not, and never became, plan
assets.
-20-
C.
Section 404(a).
29 U.S.C. 1104(a)(1).
Relatedly, ERISA
stipulates that
a "person is a fiduciary with respect to a
plan,"
and
therefore
subject
to
ERISA
fiduciary duties, "to the extent" that he or
she "exercises any discretionary authority or
discretionary control respecting management"
of the plan, or "has any discretionary
authority or discretionary responsibility in
the administration" of the plan.
Varity, 516 U.S. at 498 (quoting 29 U.S.C. 1002(21)(A)).
The
The
on
the
insurer's
retention
of
discretion
both
"to
RAAs"
while
retaining
the
assets
backing
these
Id. at 320.
-21-
It granted partial
See id.
The
holding.
insurer
mounts
formidable
challenge
to
this
Consequently, the
appropriate
because
the
only
courts
of
appeals
to
have
plaintiffs
beseech
us
not
to
follow
these
-22-
of
contradiction
that
sponsors
of
It is clear beyond
ERISA
plans
have
that
monies
owed
to
beneficiaries
are
disbursed
in
available
to
the
beneficiary
-23-
retained
asset
account"(emphasis in original).4
the plans.
Once the insurer fulfilled these requirements, its duties
as an ERISA fiduciary ceased.
There is simply no
the
insurer
had
to
the
beneficiaries
"constituted
Here,
however, the insurer paid the death benefits that were owed by
delivering to the beneficiaries an instrument (the RAA) required by
the terms of the plans. Under the plans, that delivery constituted
delivery in full of the policy proceeds to the person(s) entitled
to those proceeds.
analysis
also
explains
why
the
plaintiffs'
-25-
F.3d at 426.
2.
Cf. 29
The
plaintiffs'
reach
exceeds
their
grasp.
Gillette
Co.,
524
F.3d
24,
29
(1st
Cir.
2008).
In
the
relate
to
plan
management
but,
rather,
related
to
the
725 F.3d at 106, and the setting of an interest rate for use in
connection with the RAAs thus did not implicate any ERISA-related
fiduciary duty, see Edmonson, 725 F.3d at 424 n.14; cf. DOL
Guidance at 8 (indicating that the determination of whether the
discretionary setting of an interest rate implicates ERISA depends
in significant part on whether the interest-earning assets are plan
assets).
This conclusion follows inexorably from our holding that
the establishment of an RAA constitutes payment under the terms of
the plans.
beneficiary by establishing an RAA, no other or further ERISArelated fiduciary duties attach. Thus, the insurer's setting of an
interest rate for the RAAs does not implicate ERISA; rather, its
setting of the interest rate must be viewed as part of the
management of the RAAs, governed by state law.6
There, the
benefits.
In
holding that the employer was acting in the former capacity, the
Court noted that "[t]here is more to plan (or trust) administration
than simply complying with the specific duties imposed by the plan
documents or statutory regime."
Id. at 504.
The
Court's
acknowledgment
that
plan
The objective
No
fairness,
or
social
-28-
of
retained
asset
accounts.
The
CONCLUSION
We need go no further.7
All
So Ordered.