Liberty Mutual Insurance v. Health, Welfare & Retirement Trust Funds Board
Liberty Mutual Insurance v. Health, Welfare & Retirement Trust Funds Board
Opinion of the Court
This bill in equity for declaratory relief under G. L. c. 231A seeks to have determined whether a regulation issued by the defendant board (the board) under the purported authority of G. L. c. 151D, the Health, Welfare and Retirement Funds Act, inserted by St. 1958, c. 655, § 4, applies to the plaintiffs, and, if so, whether such regulation is valid. Review of the regulation is authorized by the State Administrative Procedure Act, G. L. c. 30A, § 7.
The dispute arises out of an outstanding group life insurance policy, issued in 1927 by the plaintiff John Hancock Mutual Life Insurance Company (Hancock) to the plaintiff Liberty Mutual Insurance Company (Liberty) for the benefit of employees of Liberty.
Liberty gives to all its full time employees with over three months’ service a basic insurance coverage under the Hancock policy the cost of which is paid solely by Liberty. Certain employees may secure additional coverage under the policy by paying the extra cost themselves. The whole premium for both types of coverage is paid annually in advance by Liberty and Liberty deducts every two weeks, from the salary of each employee who receives additional coverage, one twenty-sixth of the yearly premium required of that employee. Adjustments between the companies are made in arrears to include new insurance and terminations. Dividends on account of the policy are received by Liberty and deposited in its own general bank account and apportioned among the contributing employees at the end of the policy year. More than twenty-five employees are covered in each category of insurance.
The statute (G. L. c. 151D), inter alla, imposes duties and prohibitions upon the “trustees,” as defined, of certain “trusts,” with penalties for violation. 'Section 1 of the act reads in part as follows:
“The following words ... as used in this chapter shall have the following meanings . . .
“ ‘Trust’, all funds derived in whole or in part from contributions from employers or employees or both, and designed for the purpose of paying or providing for medical
“ ‘Trustee’, person, board or committee charged ¡with the overall management and administration of the plans under which funds of a trust are derived or for which such funds are provided .... If any such funds are operated as a corporation, the officers and directors thereof shall be trustees . . ..”
The board, established by Gr. L. c. 23, § 10D, inserted by St. 1958, c. 655> § 3, has under § 10E the power to issue such rules and regulations as may be necessary for the enforcement of c. 151D. In July, 1959, the board, purporting to act under such authority, issued a regulation, still in effect, which provides that the term ‘1 trust(s)” means inter alla “all funds of any kind, e.g. sums of money or other assets,” and a “fund, plan, program or contract . . . whether or not . . . separately identified ... or segregated in any way as involving a corpus or res in the usual sense . . . designed for the purpose of . . . providing . . . life insurance . . ..”
The regulation, if valid, applies to the Liberty-Hancock policy and plan. The statute, however, does not speak in these plain terms, and it must be construed. The issue is whether the words “all funds” are used in G. L. c. 151D, § 1, only in the limited sense of funds “separately identified . . . or segregated . . . involving a corpus or res,” or in the broad sense asserted in the regulation.
The creation of a trust fund in the strict sense is one of the means by which provision is made by employers or employers and unions to pay welfare benefits and pensions. See Lewis v. Jackson & Squire, Inc. 86 F. Supp. 354 (D. C. W. D. Ark.), opp. dism. 181 F. 2d 1011; Fourth In
But it does not follow that the statute has used “fund” in this broad sense. We turn to its text. As noted above the statute says (§ 1) that it is concerned with trusts which are “all funds derived . . . from contributions.” The trustees are those who administer the plans “under which funds of a trust are derived or for which such funds are provided .” “If any such funds are operated as a corporation, the officers and directors thereof shall be trustees.” The required registration (§ 2) is of copies of the “trust indentures, contracts, corporate by-laws and any and all other documents creating or relating to the organization and operation of such trusts.’ ’ The annual report 3 [a]) must include “the value of the fund . . . [and] the salaries and fees paid by or charged to the fund.” The board “may upon application to, and after notice to the trust, with the approval of a judge of a probate court . . . examine the books and records and investigate the administration of any trust . . .” (§ 3 [b]). By § 3 (c) certain payments “in connection with the solicitation, sale, service or administration of a contract providing benefits for such trust” are prohibited. ‘If . . . the board finds that any trust has been depleted” by negligence or wrong it may by § 3 (e) “bring an action or intervene in an action brought . . . against the person, whether or not the trustee whose act or omission has caused such depletion . . ..” Penalties
All of this wording reads with precision as the regulation of a specific fund. Not all of it, particularly the words italicized above, fits as well the concept of regulating also such a resource or asset as an insurance policy.
The board says that the provisions of c. 151D which relate to insurance policies point to a broad meaning of “funds” in that statute. It is provided in § 3 (a) that “ [i]f some or all of the benefits under the fund are provided by an insurance carrier ...” the annual report shall contain information as to premium or subscription charges, number of persons covered, claims incurred and paid, dividends, commissions, service or other fees, and services rendered therefor, and retentions, by the insurance carrier. Section 3 (c) prohibits the receipt by persons in certain categories of any thing of value from an insurance company, agent or broker in connection with the solicitation, sale, service or administration of “a contract providing benefits for such trust,” or such receipt “from such trust, . . . [dividends, rate credits and other policy adjustment excepted]. ’ ’ The making of such payments by insurance companies, agents and brokers is also prohibited. It is true that the abuses to which these provisions are addressed may arise in connection with any insurance policy for any pension plan, and be of the same significance however the funds to pay for the insurance are provided. Also it may be said that the “trust fund” construction of the statute will result in partial regulation arbitrarily applied. Thus, in this case, if the contributions were first paid to trustees, so that a pension trust fund were created, and payments periodically made to the insurance company, there would be regulation even on the strict construction for which the plaintiffs contend, while payments directly from the employer to the insurer would free the plan from regulation.
The board relies also on the Federal statute which is referred to in the preamble of iSt. 1958, c. 655. It is there stated that the purpose of the act “is in part to defer the operation of . . . [St. 1957, c. 778, the precedent act] until similar federal legislation takes effect” on January 1,1959. The Fourth Interim Report, 1957 Senate Doc. No. 675, pp. 31-32, took note of pending Federal legislation. The Federal act regulates employee welfare and pension benefit plans and expressly defines an “employee welfare benefit plan” in terms which are unquestionably inclusive of the Liberty-Hancock group policy.
The power in the board under § 7 of G. L. c. 151D to waive the requirements of the statute “[w]here a trust or its trustees . . . comply with the requirements of the law of any other state or of the United States” is not a significant aid to construction as, under the requirements of any construction, G. L. c. 151D will in many instances overlap those of the Federal and State statutes.
The wording of § 6 by which the statute is made inapplicable to “any retirement fund, plan or program or any health and welfare fund, plan or program” of public and certain other agencies is not such as to imply that except for the section the statute would apply to all such plans or pro
Section 5, in making it a crime to embezzle or misappropriate “trust funds, securities or other property entrusted to . . . [the] care or custody [of any trustee],” tends to suggest that the statute may apply to a “fund” which is not a strict trust fund. The definition of ‘ ‘trust” to include “all funds” suggests the meaning “trust funds and other funds.” But we think these references are also inconclusive.
In the circumstances we examine the statutory history. The form of legislation which the commission first recommended was plainly a regulation only of the trust funds. 1957 Senate Doe. No. 690, Fifth Interim Report. The proposed statute, summarized in the margin,
There are statements in the Fourth Interim Report which unquestionably show that the need of regulating plans and programs as well as funds was recognized by the commission. The proposal for legislation as filed by the commission serves, however, to lessen the significance of these earlier statements. Also the report (pp. 32-34) appears to recognize the greater need of regulation of trust funds than of insurance plans.
The statute adopted pursuant to the Fifth Interim Report (St. 1957, c. 778, § 2) was changed from that recommended so as to be more like c. 151D as now inserted by St. 1958, c. 655, § 4, but later comment by the commission suggests that it was continuing to think of the legislation as a regulation only of trust funds. In its Sixth Interim Report (1958 Senate Doc. No. 845) in the course of stating recommended changes- in St. 1957, c. 778, the commission said that the change in the definition of trustees (G. L. c. 151D, § 1) “is intended to designate as trustees the persons having the information required by the disclosure sections of the act, namely, those persons having the over-all management of employee benefit plans as distinguished from those persons who are simply charged with the administration of the funds refered to in the definition of ‘trusts’ ” (emphasis supplied) (p. 8). The definition of trust is the same in St. 1957, c. 778, § 2, and in St. 1958, c. 655, § 4.
The commission in 1958 proposed to eliminate § 3 (b) of c. 151D, inserted by St. 1957, c. 778. Section 3 (b) had provided that “trustees . . . shall be responsible in a fiduciary
The words “‘Trust,’ all funds” were, as noted, in the first draft act. 1957 Senate Doc. No. 690, p. 11. Attempts to cause the Legislature to be more specific, either by expressly including life insurance contracts or explicitly excluding from the operation of the proposed statute agencies subject to regulation by the commissioner of insurance, failed.
Five other States have enacted similar legislation in this field.
Our conclusion is that, notwithstanding the broad use of the word “fund” in discussions of welfare and pension plans, there is insufficient showing in the statute or the legislative history of an intent to regulate such a plan as is disclosed in this record. Perhaps regulation was intended; if so, the intent must be more clearly shown. This can be done by simple express statements like those in the Federal and California statutes.
It would not help the board, we think, to say that Liberty is under a trustee’s obligation in respect to the deductions from payroll or other sums which it obliges itself to pay. We intend no suggestion but note that the usual construction appears otherwise. McKee v. Paradise, 299 U. S. 119. Continental Cas. Co. v. Powell, 83 F. 2d 652 (4th Cir.). Restatement 2d: Trusts, § 12, comment j. Scott on Trusts (2d ed.) § 12.2, pp. 113-114. See State v. Atlantic City Elec. Co. 23 N. J. 259, 266-267. Compare State v. United States Steel Co. 12 N. J. 51. We think the statute is not addressed to regulating such fractional parts of an overall plan and
A fund or a trust fund may include an aggregate of miscellaneous assets. We think it is often so used in trust instruments. Compare Salter v. Salter, 338 Mass. 391, 393. Undoubtedly an insurance policy could be an asset of a trust fund. Indeed, the definition of the statute, with the interpolation of the word “or” at one point, could be read to define an insurance policy as a trust. In the following repetition of the definition we add also two letters as an aid to reading: “‘Trust,’ [a] all funds derived in whole or in part from contributions . . . and designed for the purpose of paying or providing for . . . care, pensions, annuities, benefits on retirement or death or unemployment of beneficiaries, compensation for injuries or illness, [or] insurance to provide any of the foregoing, or [b] life insurance, disability and sickness insurance or accident insurance for the benefit of beneficiaries or their dependents.” 'The board does not urge this construction and the inability, sensibly, to read “insurance policy” in place of “fund” or trust” at some places in the statute speaks effectively against it.
The Liberty plan is an aggregate of contractual obligations to make deductions and pay money and an insurance policy. That aggregate is not a fund designed to pay for or provide insurance.
A decree is to enter in the Superior Court construing the statute as inapplicable to the Liberty-Hancock contract and plan, and the regulation invalid so far as it purports to require compliance with the statute in respect of such contract and plan.
So ordered.
See Am. Law Inst., Basic Pension and Profit-Sharing Plans (Rice and Sehlaudt) pp. 62-64; Clark, Profit Sharing and Pension Plans, p. 104; Isaac-son, Employee Welfare and Pension Plans: Regulation and Protection of Employee Rights, 59 Col. L. Rev. 96, 100.
For discussion of abuses in connection with the purchase of insurance see 59 Col. L. Eev. 96, 103, 107-108.
29 U. S. C. (1958) § 302 (a) (1) defines “employee welfare benefit plan” as “any plan, fund, or program which is communicated to or its benefits described in writing to the employees, and which was heretofore or is hereafter established by an employer or by an employee organization, or by both, for the purpose of providing for its participants or their beneficiaries, through the purchase of insurance or otherwise, medical, surgical, or hospital care or benefits, or benefits in the event of sickness, accident, disability, death, or unemployment.” See also 29 U. S. C. (1958) § 302 (a) (2) for a corresponding definition of 1 ‘ employee pension benefit plan. ’ ’
“Section 1. . . . (a) ‘Trust,’ all funds derived in whole or in part from contributions by employers or employees or both, designed to create a class of beneficiaries or dependents of beneficiaries determined by the relationship of employer and employee, (b) ‘Trustee,’ those persons having the right to administer funds . . ., by whatever title they are described in any document creating or providing for the management of the fund. If any such funds are operated as a corporation, the officers and directors thereof shall be trustees .... Section 2. The trustees of all trusts . . . shaU register such trusts with the director .... If such documents ... in the opinion of the director, make adequate provision for the investment and operation of the fund and the interests of the beneficiaries thereof, and for accounting of such funds ... he shaU approve them. . .. Section 3. (a) The trustees of any such fund shaU file each year in the probate court ... an account . . . [which] shall be in the form required for trust accounts . . . [and additional schedules shall show] the amount contributed by the employer or employers; the amount contributed by the employees; the amount of benefits paid; the number of employees covered; the salaries and fees paid by or charged to the plan or fund; to whom paid, in what amount, and for what purposes. If some or aU of the benefits under the fund are provided by an insurance carrier or service or other organization, such report shaU include . . . [additional specified information], . . . (b) The trustees of such funds shall not be required to file any bond in the probate court .... (c) . . . The probate court may . . . appoint a guardian ad litem to represent beneficiaries of the trust . . . and may make such aUowance for his services, payable from the trust fund, as it shaU deem reasonable. . . . (d) The funds of aU trusts on which an accounting is required by the provisions of this act shall be invested and administered in accordance with the prudent man rule .... Section 5 (a) Any trustees ... or other person who is convicted of embezzling or misappropriating health and welfare trust funds, securities or other property entrusted to his care or custody shaU be . . . [penalties stated].” 1957 Senate Doc. No. 690, pp. 11-14.
A criticism that insurance plans may not give proper assurance as to dividends has been met in a separate statute, St. 1959, c. 552, which inserts § 17835 in G. L. c. 149, and reads as follows: “If a dividend is declared or a reduction in rate is made under any group insurance policy, the excess, if any, of the aggregate dividends or rate reductions under such policy and all other group insurance policies of the policyholder over the aggregate expenditure for insurance under such policies made from funds contributed by the policyholder, or by an employer of insured persons, or by a union or association to which insured persons belong, including expenditures made in connection with administration of such policies, shall be applied by the policyholder for the sole benefit of insured employees or members.”
Among the bills filed in 1958 seeking amendment of e. 151D as enacted by St. 1957, c. 778, § 2, which were referred to the special commission was 1958 Senate Doe. No. 503 which proposed to amend the definition of trust to read “[A]ny fund established ... to provide from monies in the fund, whether through the purchase of insurance or annuity contracts or otherwise, benefits under an employee welfare plan; provided, such term shall not include any such fund where the trustee or all of the trustees are subject to supervision by any department of this commonwealth or any other state or the comptroller of the currency of the United States or the board of governors of the Federal Reserve System.’’ 1958 Senate Doc. No. 502 proposed to define “Fund” as “any trust fund or other fund established under a written instrument by an employer or employee organization, or both, designed for the purpose of paying or providing benefits [etc.].” It was the proposal also that § 2 provide that “ [n]o fund . . . shall be established or maintained unless— (a) The fund, if a trust, is a qualified trust under section 401 (a) of the Internal Revenue Code of 1954, and is held by a corporate trustee . . . which is subject to audit ... or (b) The fund, if not a trust, is part of a plan which meets the requirements of section 401 (a) of the Internal Revenue Code of 1954, and is held by a life insurance company which is subject to audit or examination by the commissioner of insurance; or (c) The fund complies with the registration and reporting requirements set forth in sections 3 (a) and 4 (a) hereof.” Section 3 (b) would have provided that the trustees of funds required to register file with the board a certified copy of ‘ ‘ (i) The trust instrument or group annuity contract under which the fund was established . . . (ii) A specimen copy of each form of annuity or insurance contract issued under the fond; and (iii) The most recent determination letter issued by the
California: Rees-Doyle Health and Welfare Program Supervision Act, St. 1957, c. 2167, § 1 (Insurance Code, § 10641), “All health and welfare programs.” Connecticut: Conn. Gen. Sts. (1958 Rev.) c. 559, § 31-78 (a), “any trust fund ... to provide from moneys in the fund, whether through the purchase of insurance or annuity contracts or otherwise.” New York: Laws of N. Y. (1956) c. 774, § 37-a, “any trust fund or other fund established or maintained jointly ... to provide employee benefits, by the purchase of insurance or annuity contracts or otherwise . . ..” Washington: Laws of Washington, Extraordinary Session, 1955, c. 8, § 1 (2), “any fund . . . for providing . . . [benefits and services] whether ... to be paid directly from such fund . . . or paid under contracts entered into by the trustees of the fund with an insurer or health care service contractor.” Wisconsin: Laws of Wisconsin, § 211.02 (1), “any trust fund or other fund established or maintained jointly . . . whether directly or through trustees, to provide employe benefits, by the purchase of insurance or annuity contracts or otherwise.”
Reference
- Full Case Name
- Liberty Mutual Insurance Company & another v. Health, Welfare and Retirement Trust Funds Board
- Status
- Published