Mead Vest v. Resolute FP US Inc.
Opinion
Plaintiff Mead Vest contends defendant Resolute FP US Inc. breached its fiduciary-duty obligations set forth in the Employee Retiree Income Security Act when it failed to notify her late husband of his right to convert a group life insurance policy to an individual life insurance policy after he ceased employment and began drawing long-term disability benefits. The district court ruled plaintiff did not adequately plead a breach-of-fiduciary-duty cause of action. We agree and affirm.
I.
Arthur Vest worked nearly forty years for Resolute. During his employment, Resolute offered group life insurance benefits ("the Plan") to its employees in the form of base and optional life insurance coverage; Resolute provided coverage equal to an employee's annual salary and permitted employees to purchase additional optional coverage. Arthur purchased an additional $300,000 of coverage.
Due to complications arising from diabetes, Arthur ceased working in September 2015, and began drawing short- and then long-term disability benefits. Under the Plan, employees maintained base life insurance coverage when receiving long-term disability benefits, but lost optional coverage. However, employees had "the right to port or convert" the expiring additional group coverage to individual coverage within 31 days of ending active employment. Accordingly, Resolute ended Arthur's optional coverage on May 18, 2016. Resolute did not, however, provide him "with any information concerning his right to port or convert the coverage that ended." He died in October 2016, and Resolute's life insurance carrier paid Vest's beneficiary, plaintiff here, only the base coverage amount.
Mead Vest commenced this one-count ERISA action thereafter. She alleges Resolute breached its fiduciary duty by failing to inform Arthur of his right to port or convert the optional life insurance coverage and requests "appropriate equitable relief" under ERISA § 502(a)(3),
II.
We review de novo a district court's dismissal of a complaint under
*987
Rule 12(b)(6).
Giasson Aerospace Science, Inc. v. RCO Eng'g Inc.
,
III.
ERISA "establish[es] standards of conduct, responsibility, and obligation for fiduciaries of employee benefit plans, and ... provid[es] for appropriate remedies, sanctions, and ready access to the Federal courts."
"[T]he contours of an ERISA fiduciary's duty to disclose information to beneficiaries" are well defined.
Haviland v. Metro. Life Ins. Co.
,
(1) an early retiree asks a plan provider about the possibility of the plan changing and receives a misleading or inaccurate answer or (2) a plan provider on its own initiative provides misleading or inaccurate information about the future of the plan or (3) ERISA or its implementing regulations required the employer to forecast the future and the employer failed to do so.
Haviland
,
In dismissing plaintiff's complaint, the district court drew heavily from-and ultimately distinguished-our decision in
Krohn v. Huron Memorial Hospital
,
Krohn
illustrates how a fiduciary may be liable for providing misleading or inaccurate information. An automobile accident left Margaret Krohn permanently disabled.
[O]nce an ERISA beneficiary has requested information from an ERISA fiduciary who is aware of the beneficiary's status and situation , the fiduciary has an obligation to convey complete and accurate information material to the beneficiary's circumstance, even if that requires conveying information about which the beneficiary did not specifically inquire. ... [T]he duty to inform is a constant thread in the relationship between beneficiary and trustee; it entails not only a negative duty not to misinform, but also an affirmative duty to inform when the trustee knows that silence might be harmful.
We then held "Krohn's failure to specifically request information from Huron Memorial about long-term disability benefits did not relieve the hospital of its fiduciary duty to provide complete information about her disability insurance options."
In plaintiff's view, Krohn dictates the outcome of this case. After all, the argument goes, Resolute should have known conversion rights were important to Arthur Vest because he purchased extra life insurance during his employment and had to go on long-term disability leave due to his diabetes, which "mad[e] it more likely that he might, in fact, die." We disagree.
Plaintiff's allegation that Resolute was required to disclose life insurance conversion information falls outside all three of Sprague 's conditions for fiduciary liability. Her claim plainly does not fall within Sprague condition three (not receiving future forecasts required by ERISA or its implementing regulations). Nor does it satisfy, like the claim in Krohn , Sprague condition one-receiving a misleading or inaccurate answer in response to a question. As discussed, Krohn dealt with an affirmative request for information, which was met with an affirmative omission. Here, plaintiff does not contend her breach of *989 fiduciary duty claim rests on a request to Resolute. In the district court's words, plaintiff's complaint lacks specific allegations concerning communications between the Vests and Resolute to show the Vests "requested information regarding [Arthur's] benefits until after his death or that they communicated an interest in maintaining certain benefits prior to his death," or that Resolute "knew of specific facts related to his health condition ... or that he would never return to work."
That leaves us with the plan provider's own-initiative condition (
Sprague
condition two) but the complaint fails to allege either a misrepresentation or inaccurate statement by Resolute regarding Arthur Vest's conversion rights.
See, e.g.
,
James
,
Finally, plaintiff's complaint contains no specific facts indicating Resolute knew the ability to convert the optional life insurance would be important to Arthur Vest.
Krohn
requires distinct factual allegations showing Resolute knew "that [its] silence might be harmful,"
Accordingly, we agree with the district court that plaintiff did not adequately plead an ERISA breach-of-fiduciary-duty claim.
IV.
We affirm the district court's judgment.
DISSENT
JANE B. STRANCH, Circuit Judge, dissenting.
I agree with much of the majority opinion's description of the facts and of the fiduciary duties imposed by ERISA. But because I believe that the district court failed to correctly analyze one of the conditions for fiduciary liability that we established in Sprague , I respectfully dissent.
At issue here is the second
Sprague
condition, which applies where a plan provider
*990
"on its own initiative provide[s] misleading information."
Sprague v. Gen. Motors Corp.
,
I conclude that Mrs. Vest has stated a plausible claim for breach of fiduciary duty under
Sprague
's own-initiative condition because Resolute's omission rendered the Report misleading. The majority opinion states that Mrs. Vest's claim for breach of fiduciary duty cannot fall within the own-initiative category because she does not "allege either a misrepresentation or inaccurate statement by Resolute regarding Arthur Vest's conversion rights." (Maj. Op. at 989) That is one way to violate
Sprague
's second condition. But we have also explained that a material omission qualifies as misleading information.
See
Krohn v. Huron Mem'l Hosp.
,
The majority opinion also concludes that Sprague 's second condition does not apply because there was no requirement for Resolute to provide a conversion notice beyond what was set forth in the Summary Plan Description (SPD). (Maj. Op. at 989) But Sprague 's own-initiative condition is exactly that-an action of the employer's own initiative, not one required by ERISA. And nothing in Sprague or its progeny indicates that the second condition applies only where there is a disclosure requirement. Indeed, James v. Pirelli Armstrong Tire Corp. , our circuit's primary case on the own-initiative condition, says otherwise:
Turning back to Sprague , although we found that there was no breach of fiduciary duty where GM had issued booklets containing a reservation of rights clause, Sprague does not stand for the proposition that a reservation of rights provision in a SPD necessarily insulates an employer from its fiduciary duty to provide "complete and accurate information" when that employer on its own initiative provides inaccurate and misleading information about the future benefits of a plan. Indeed, Sprague explicitly allows for a breach of fiduciary duty claim under such a circumstance. Were it otherwise, an employer or plan administrator could provide, on its own initiative, false or inaccurate information about the future benefits of a plan without breaching its fiduciary duty under ERISA, simply because of the existence of a reservation of rights provision in the plan. However, this would be contrary to the basic concept of a fiduciary duty, which "entails not only a negative duty not to misinform, but also an affirmative *991 duty to inform when the trustee knows that silence might be harmful." Krohn ,173 F.3d at 548 ; see also Mullins v. Pfizer, Inc. ,23 F.3d 663 , 668 (2d Cir. 1994) (noting that "when a plan administrator speaks, it must speak truthfully").
Finally, the majority concludes that Mrs. Vest did not satisfy
Krohn
's requirements because her complaint does not include "factual allegations showing Resolute knew 'that [its] silence might be harmful.' " (Maj. Op. at 989 (quoting
Krohn
,
The majority opinion affirms the decision of the district court to dismiss Mrs. Vest's complaint for failure to state a claim upon which relief can be granted. At this stage of the case, I would hold that Mrs. Vest has stated a claim for which Sprague provides the possibility of relief. Therefore, I respectfully dissent.
We, like the district court, may consider the Summary Plan Description at this stage because it was referred to in the complaint and central to plaintiff's claim.
See
Berry v. U.S. Dep't of Labor
,
Reference
- Full Case Name
- Mead VEST, Plaintiff-Appellant, v. RESOLUTE FP US INC., Defendant-Appellee.
- Cited By
- 11 cases
- Status
- Published