Shields v. Reader's Digest Ass'n
Opinion of the Court
OPINION
Plaintiff Gayle D. Shields filed a cause of action in an effort to recover survivor benefits under her deceased husband’s retirement plan. She brought her claims against QSP, Inc., the Reader’s Digest Association, Inc. (“Reader’s Digest”), the Reader’s Digest Association, Inc. Retirement Plan (the “Plan”), and the individual members of the Employee Benefits Committee that administered the Plan at the time Plaintiff made her claim, namely, Lisa Cribari, Clifford DuPree, John Gimblette, Barry Liebman, Gary Rich and George Scimone (hereinafter, the Plan and the individual defendants of the Employee Benefits Committee will be collectively referred to as “Defendants”).
I. BACKGROUND
Plaintiff is the widow of Joseph R. Shields (“Mr.Shields”), a former long-term employee of QSP, Inc., which is a subsidiary of Reader’s Digest. The Plan, which is subject to the Employee Retirement Income Security Act (ERISA), 29 U.S.C. § 1001 et seq., is a retirement plan for the
Under the Plan, the normal age of retirement is 65. An employee may elect to retire early, however, if he or she is (1) at least 60 years old or (2) at least 55 years old and his or her age plus his or her years of service equals 70. A participant electing early retirement may choose from any of the available benefit options, although the payment levels are actuarially adjusted to reflect the longer time period over which the benefits will be paid.
One option is a “life annuity benefit,” under which the retiree typically receives a fixed monthly sum paid for the rest of his or her life, but a surviving spouse receives no benefits for the balance of the spouse’s life.
Many of the day-to-day administrative functions of the Plan are handled by an outside servicing company, William M. Mercer, Inc. (“Mercer”), which performs the actuarial benefit calculations, processes the benefit paperwork, and fields telephone inquiries. In order to receive benefits, a retiring employee must notify the Plan of his or her intent to retire and request the appropriate paperwork from Mercer. Mercer then makes the necessary calculations to determine the benefits owed to the employee and sends the appropriate paperwork to the employee.
On December 9, 1997, Mercer sent Mr. Shields a letter indicating the different benefit options available to him if he were to retire as of January 1, 1998. The letter stated that the default pension payment for a married participant is the QJSA, and that a different benefit option may require spousal consent. The letter specifically stated that to select a payment other than the QJSA, “the election must be made
On January 1, 1998, at the age of 62, Mr. Shields retired from QSP after more than thirty years of service. As an early retiree, he could have deferred receiving pension payments until the age of 65. In other words, the Plan would accept Mr. Shields’s decision to begin receiving pension benefits at any time during this approximately three-year window and would begin payments at the next available date after the required paperwork was submitted.
Mr. Shields submitted his retirement forms—all dated January 21, 1998—to Mercer. Among the forms returned were an option election form specifying his selection of the life annuity benefit, and a QJSA waiver form bearing the signature “Gayle D. Shields,” terminating the Plaintiffs rights under the default QJSA option. On approximately January 22, 1998, the Plan approved payment of benefits to Mr. Shields retroactive to January 1, 1998—the date of his retirement. This retroactive payment covered the time period of January 1, 1998 to January 15, 1998, and was in the amount of $1,234.75. The Plan also arranged for regular processing of benefits to begin on February 15, with each check thereafter to be issued on the 15th of each month in the amount of $2,469.49. In a letter dated February 9, 1998, Mercer advised Mr. Shields that his checks would be paid accordingly. In total, only six monthly checks were issued to Mr. Shields prior to his death representing a total payment of $16,051.69 in benefits.
Mr. Shields died on May 17, 1998. Following his death, Plaintiff sought surviving spouse benefits from the Plan. The Plan, however, denied the claim. Following this denial, Plaintiffs former attorney, Benjamin Hoffiz, sent correspondence to the Plan suggesting that Plaintiffs signature on the waiver form had been forged by Mr. Shields. Despite the serious nature of this accusation, Hoffiz submitted no evidence to support this assertion.
After sitting as the trier of fact, the district court held that the Plan did not act arbitrarily or capriciously in rejecting Plaintiffs allegations that her signature on the QJSA waiver form had been forged. In so holding, the court issued detailed factual findings that reflect careful deliberation of the extensive evidence submitted during trial. It was the district court’s conclusion that “the Plaintiff did not present any credible evidence to challenge the authenticity of the disputed form.” The court also rejected Plaintiffs legal challenges to the validity of the waiver form. Specifically, the court held that as a matter of law, “the waiver was not defective due to issues relating to the timeliness of its submission.” Accordingly, the court found that Plaintiff had waived her right to receive any survivor benefits under the Plan.
II. STANDARD OF REVIEW
A challenge to an ERISA plan’s denial of benefits is reviewed de novo “unless the benefit plan gives the administrator or fiduciary discretionary authority to determine eligibility for benefits or to construe the terms of the plan.” Firestone Tire & Rubber Co. v. Bruch, 489 U.S. 101, 115, 109 S.Ct. 948, 103 L.Ed.2d 80 (1989). If a plan grants such discretionary authority, the plan administrator’s decision to deny benefits is reviewed under the deferential “arbitrary and capricious” standard of review. See Perez v. Aetna Life Ins. Co., 150 F.3d 550, 555 (6th Cir. 1998) (en banc), cert. denied, 531 U.S. 814, 121 S.Ct. 49, 148 L.Ed.2d 18 (2000). A decision is not arbitrary or capricious if it “is rational in light of the plan’s provisions.” Yeager v. Reliance Standard Life Ins. Co., 88 F.3d 376, 381 (6th Cir. 1996) (quoting Miller v. Metropolitan Life Ins. Co., 925 F.2d 979, 984 (6th Cir. 1991)). This standard “is the least demanding form of judicial review of administrative action. When it is possible to offer a reasoned explanation, based on the evidence, for a particular outcome, that outcome is not arbitrary or capricious.” Davis v. Kentucky Fin. Cos. Ret. Plan, 887 F.2d 689, 693 (6th Cir. 1989) (internal quotation marks and citation omitted), cert. denied, 495 U.S. 905, 110 S.Ct. 1924, 109 L.Ed.2d 288 (1990).
In the instant case, the district court found, and the parties agree, that the Plan confers discretion to the Employee Benefits Committee to determine benefits and interpret the Plan.
III. ANALYSIS
A. Factual Disputes
On appeal, Plaintiff continues to steadfastly deny ever signing the waiver
B. Legal Issues
1. ERISA Analysis
We are primarily asked to decide two interrelated legal questions of first impression on appeal, namely whether: (1) the “applicable election period” within 29 U.S.C. § 1055(c)(1)(A)(i) of ERISA ends with a plan participant’s actual retirement date even when a plan is under no obligation to make benefit payments by the participant’s date of retirement; and (2) the “annuity starting date,” as that term is defined in 29 U.S.C. § 1055(h)(2)(A)(i), is statutorily mandated to always be a plan participant’s date of actual retirement. With regard to the first question, we hold that when an ERISA-governed plan is not under an obligation to make benefit payments by a plan participant’s actual retirement date, the applicable election period does not conclude with the participant’s date of actual retirement. Accordingly, we find that under certain circumstances, a plan participant who retires early may waive QJSA benefits after his or her date of actual retirement. Regarding the second issue, we hold that the annuity starting date is not statutorily required to always be a plan participant’s actual date of retirement. Thus, the annuity starting date is not the retroactive date of a voluntary and non-required benefit payment that reflects a participant’s actual retirement date; rather, it is the date that a plan is under an obligation to begin making pension payments. Accordingly, under the facts of this case, the QJSA waiver complied with the timing provisions set forth in ERISA and therefore was enforceable as a matter of law.
The principal object of ERISA is “to protect plan participants and beneficiaries.” Boggs v. Boggs, 520 U.S. 833, 845, 117 S.Ct. 1754, 138 L.Ed.2d 45 (1997) (citation omitted). In 1984, Congress amended ERISA with the Retirement Equity Act (REA), 29 U.S.C. § 1052-56, “to ensure that individuals whose spouses die before their retirement would nevertheless receive the spouses’ pension benefits.” Lefkowitz v. Arcadia Trading Co. Ltd. Benefit Pension Plan, 996 F.2d 600, 601 (2d Cir. 1993). The Supreme Court has noted that rights conferred by the REA were intended to “ensure a stream of income to surviving spouses.” Boggs, 520 U.S. at 843, 117 S.Ct. 1754.
As amended by the REA, ERISA provides that surviving-spouse benefits may be waived only if the participant obtains his or her spouse’s written consent for such a waiver. 29 U.S.C. § 1055(c)(2)(A). The timing provisions of ERISA provide that a plan participant “may elect at any time during the applicable election period to waive the qualified joint and survivor annuity form of benefit.” Id. § 1055(c)(1)(A)(i). The term “applicable election period” is defined to mean, in the case of an election to waive surviving-spouse benefits, “the 90-day period ending on the annuity starting date.” Id. § 1055(c)(7)(A). The term “annuity starting date” means “the first day of the first period for which an amount is payable as an annuity.” Id. § 1055(h)(2)(A)(i). Generally, “[a] sum of money is said to be payable when a person is under an obli
In the instant case, Mr. Shields retired early, effective January 1, 1998. Plaintiff insists that the “annuity starting date” was Mr. Shields’s retirement date, i.e., January 1. From this premise, Plaintiff argues that the “applicable election period”—meaning the period during which a spousal waiver could be effectuated—was the 90-day period ending on January 1, 1998. The waiver signed by Plaintiff was dated January 21, 1998. Therefore, according to Plaintiff, the QJSA waiver form was dated and submitted approximately three weeks after the close of the election period. Thus, under Plaintiffs analysis “even if Plaintiff signed the waiver, it was defective as a matter of law because it was not signed during the applicable election period.”
Although superficially persuasive, Plaintiffs analysis ignores the fact that as Mr. Shields was an early retiree, the Plan was under no obligation to begin making pension payments to him until his normal retirement date at the age of 65 (i.e., October 1, 2000), or, if before then, at the time Mr. Shields specified he wished to begin receiving pension benefits. In other words, the choice to begin receiving benefit payments belonged to Mr. Shields — not the Plan — and as such, he could postpone his election of benefits until his normal retirement date.
Furthermore, the fact that the Defendants “assumed” that January 1, 1998, was the annuity starting date or that Mercer calculated Mr. Shields’s retirement benefit options with a January 1 annuity start date does not prove that Mr. Shields’s annuity
When the Plan received Mr. Shields’s completed forms, it had two options: (1) it could process Mr. Shields’s forms and begin his payments as of February 1, 1998 (the Plan only pays in whole month cycles); or (2) it could retroactively pay Mr. Shields as of January 1, 1998. Had the Plan chosen to begin issuing payments as of February 1, it would have been required to recalculate Mr. Shields’s monthly benefits because Mercer’s benefit illustration assumed a January 1 annuity start date. Also, if the Plan decided to begin payments in February, not only would Mr. Shields lose his January payment, but his monthly payments would also have been slightly reduced due to an insurance peculiarity. Instead of taking this approach— and to Mr. Shields’s advantage — the Plan paid Mr. Shields his benefits retroactive to January 1 so that he would not forfeit his January payment and so he could receive payments at the higher rate that was illustrated on the schedule sent from Mercer. The Plan has followed this practice in the case of other participants whose forms were received mid-month.
Given these circumstances, had the Plan commenced payments as of February 1—and not made a retroactive payment for January—as it was apparently entitled to do, Plaintiff would not have been able to challenge the timeliness of the election and waiver forms because on their face, the forms would have been signed, dated and submitted (i.e., on approximately January 21, 1998) during the 90-day period ending on the annuity starting date (i.e., February 1, 1998). Misinterpreting the meaning of the operative terms governing this analysis, the parties seem to agree that because the Plan made a retroactive payment of benefits, the “technical” commencement of benefits date was prior to the date that the forms were signed and submitted and hence a technical violation of ERISA and the Plan. However, for purposes of an ERISA analysis, the pertinent
2. The Plan’s Timing Provisions
Under the terms of the Plan itself, the Defendants also did not technically violate the applicable benefits election timing provision. Section 6.2 of the Plan provides that “an election not to take a qualified joint and survivor annuity must be delivered to the Committee during the period of 90 days before the date on which payment of the benefit commences,”
C. Whether the Defendants Acted Arbitrarily or Capriciously
The Defendants did not act arbitrarily or capriciously by accepting Mr. Shields’s benefit election forms, including the QJSA waiver, as timely. As already discussed, Mr. Shields retired from QSP effective January 1, 1998, at the age of 62. As an early retiree, he was not required to start receiving benefits until his normal retirement date of October 1, 2000. When he returned his completed forms dated January 21, 1998, he did not designate a date on which he wished his benefits to commence. The Defendants’ conclusion that he wanted his benefits to begin “as soon as possible” was not arbitrary or capricious.
Also, when Mr. Shields did not specify the date that he wanted his benefits to commence, the Plan could have either begun pension payments as of February 1, 1998, or retroactively paid him as of January 1, 1998. The latter option would avoid the difficulty of having to recalculate the monthly benefits and would also prevent Mr. Shields from losing his January payment. The district court found that the Plan followed the latter option in the case of other participants whose forms were received mid-month. Given the facts of this case, there is nothing arbitrary or capricious in the Defendants’ decision to make a voluntary retroactive payment to the advantage of Mr. Shields, a payment that did not affect the “annuity starting date” as defined by ERISA or the “benefit commencement date” as set forth in the Plan.
Our conclusion finds support in a recent decision from the Northern District of Ohio, the only federal case we have been able to locate that addresses a similar situation as the case at hand. In Weirauch v. Sprint Retirement Pension Plan,
Reviewing the plan’s decision to deny benefits under the arbitrary and capricious standard, the court found that the plain language of the applicable plan section did “not invalidate waivers that are executed after the annuity starting date.” Id. Also, because no plan term squarely addressed the issue of waiver untimeliness due to a retroactive benefit payment, the court deferred to the plan’s reliance on Revenue Procedure 2002-47, 2002-29 I.R.B. 133, 2002 WL 1378623, to interpret the plan and determine the plaintiffs claim.
AFFIRMED.
. The corporate defendants, Reader’s Digest and QSP, Inc., were dismissed as improper parties. That dismissal has not been appealed.
. A retiree will typically receive a higher monthly payment under the life annuity option than under either of the joint and surviv- or options because under the latter options, the payments are likely to continue for a longer period of time because of the survivor benefits component.
. The two options are “joint and 100% surviv- or” and “joint and 50% survivor.” Under the joint and 100% survivor approach, the surviving spouse continues receiving monthly payments in the same amount as was paid to the retiree. Under the joint and 50% survivor approach, the surviving spouse’s monthly payment is fifty percent of what the retiree was receiving.
. In the absence of the waiver, Mr. Shields would have received $2,271.93 per month during his life, and following his death, Plaintiff would have been entitled to receive $1,135.97 per month for the balance of her life. Therefore, in exchange for Mr. Shields's receiving an additional $197.56 per month, Plaintiff waived her right to receive $1,135.97 per month following his death.
. The district court found “Hoffiz's testimony to be of little credible value because of the inconsistency in his testimony and his assertions without support about matters of significance to this controversy.” In his letter to the Plan, Hoffiz had stated that "[i]t appears that her signature on her driver's license had been photocopied by Mr. Shields, who then traced it on a waiver form.” Based on trial testimony, the district court found that ”[a]t the time that Hoffiz sent his letter, he had not compared the signature on the waiver form with any other writing samples other than the Plaintiff’s driver’s license.” The court continued, "[i]nterestingly, the license that Hoffiz claims to have inspected did not exist when the waiver was signed. Instead, an earlier license was in effect. Moreover, he had not spoken to [the notary public notarizing Plaintiff's signature] to investigate the matter further.”
. Section 9.3 of the Plan states "[t]he Committee shall administer the Plan and shall have complete control in the administration thereof.... The Committee shall have all powers which are reasonably necessary to carry out its responsibilities under the Plan including ... the power to construe the Plan and to determine all questions that shall arise thereunder....” The Plan also provides that "[e]xcept as otherwise provided herein, the decision of the Committee as to any dispute or question arising hereunder, including questions of construction, interpretation and administration shall be final and conclusive.”
. By deferring his payments until a later date, Mr. Shields would avoid a reduction in his monthly payments since an early retiree’s benefits are typically reduced to adjust for the expectation that the retiree will collect payments for a longer period of time. (Plan, § 4.2).
. Plaintiff cites trial testimony from Plan administrators who apparently conceded that the election of benefits and waiver forms were not submitted during the applicable election period. On appeal, Defendants explain that these administrators were “momentarily bamboozled” into agreeing with a “bizarre” and "illogical” interpretation of ERISA and the Plan. However, because the parties have asked us to resolve legal questions on appeal, any concessions or assumptions by the Defendants are of no consequence to our analysis.
. Our analysis does not implicate the situation where a spouse signs a QJSA waiver form outside the applicable election period. By way of example, if a spouse signs a waiver form in June 2002, and the annuity starting date is in October 2002, then in this situation, the plain language of ERISA as well as the underlying policy of ERISA's timing provisions require such a waiver to be deemed invalid. In this hypothetical, the spouse’s waiver would have been attained approximately 120 days before the annuity starting date — well beyond ERISA's requirement that a spouse waive his or her survivor benefits during the 90-day period ending on the annuity starting date.
. The language of the timing provisions relevant to the waiver of QJSA benefits is slightly different under the terms of the Plan than under the statutory provisions of ERISA. The Plan imprecisely speaks of a benefit “commencement date” as opposed to an "annuity starting date.” Although encompassing slightly different meanings, for purposes of this analysis, the Plan’s terms are not inconsistent with requirements of ERISA, and therefore are enforceable.
. This interpretation also gives meaning to the rest of § 6.2(b), which provides that "[a]ny election made under this Section may be revoked in writing during the specified election period...." If we accept Plaintiff's argument that the applicable election period ended on January 1, 1998, then Mr. Shields and Plaintiff would have been denied their revocation right under the Plan. That is, Mr. Shields and Plaintiff obviously would be unable to revoke their designation by January 1, when they submitted their forms on approximately January 21. Under our analysis, Mr. Shields and Plaintiff would have until at least February 1, 1998, and potentially February 9, 1998, to revoke their January 21 election and waiver.
Also, by interpreting "commencement" to mean the real time date that the first payment was distributed we also give proper meaning to § 6.2(c) of the Plan, which provides that "the Committee shall furnish to the Participant, within a reasonable time no less than 30 days and no more than 90 days before the date as of which the first annuity payment is to commence ... a written explanation of [benefits].... ” The Plan sent Mr. Shields and Plaintiff a written explanation of benefits package on December 9, 1997. If the benefit commencement date was some time between January 22 and February 9, then the December 9 package would have been delivered within the time period allowed by the Plan. However, under the Plaintiff's interpretation, if January 1 was the benefit commencement date, then the Plan would not be in compliance with § 6.2(c) even though Mr. Shields and Plaintiff had in terms of "real time” at least 43 days to consider their options.
. The plan specifically provided that "[t]he waiver must be executed and consented to by the Member's spouse ... during the 90-day period ending on the Member's Annuity Starting Date...." 182 F.Supp.2d at 643 (emphasis removed).
. In Weirauch, the district court was not asked to decide the annuity starting date; instead, the court accepted at face value the plan's determination that the retroactive date of an annuity payment was the annuity starting date. See 182 F.Supp.2d at 642 ("Because the starting date was determined retroactively to be January 1, 1994, and plaintiff signed her waiver on February 11, 1994, plaintiff contends the waiver was not timely and thus under the Plan is invalid.”) (emphasis added). In the instant case, we have been asked to determine whether, as a matter of law, the annuity starting date is the date of a non-required retroactive payment that coincides with the actual retirement date. It is not. Instead, it is the date that a plan is under an obligation to begin making pension payments. Therefore, although the district court’s analysis in Weirauch was premised on an assumption we reject here, that assumption was not in dispute nor was it the product of legal analysis. Accordingly, we take no issue with the district court's analysis on the issues before it, namely, whether a QJSA waiver signed after the annuity starting date — as that date was determined by the plan — was invalid and whether the plan's corrective approach was arbitrary and capricious.
.The pertinent provision of the Revenue Procedure provides that in certain situations, "[t]he permitted correction method [for untimely or missing consents] is to give each affected participant a choice between providing informed consent for the distribution actually made or receiving a qualified joint and survivor annuity.” Rev. Proc.2002-47, 2002-29 I.R.B.App. A. at. 07.
Reference
- Full Case Name
- Gayle D. SHIELDS v. READER'S DIGEST ASSOCIATION, INC. Retirement Plan Lisa Cribari Clifford DuPree John Gimblette Barry Liebman Gary Rich George Scimone
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- 50 cases
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- Published