District of Columbia v. Greater Washington Board of Trade
Opinion of the Court
delivered the opinion of the Court.
The District of Columbia requires employers who provide health insurance for their employees to provide equivalent health insurance coverage for injured employees eligible for
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ERISA sets out a comprehensive system for the federal regulation of private employee benefit plans, including both pension plans and welfare plans. A “welfare plan” is defined in §3 of ERISA to include, inter alia, any “plan, fund, or program” maintained for the purpose of providing medical or other health benefits for employees or their beneficiaries “through the purchase of insurance or otherwise.” §3(1), 29 U. S. C. § 1002(1). Section 4 defines the broad scope of ERISA coverage. Subject to certain exemptions, ERISA applies generally to all employee benefit plans sponsored by an employer or employee organization. § 4(a), 29 U. S. C. § 1003(a). Among the plans exempt from ERISA coverage under § 4(b) are those “maintained solely for the purpose of complying with applicable workmen’s compensation laws or unemployment compensation or disability insurance laws.” § 4(b)(3), 29 U. S. C. § 1003(b)(3).
ERISA’s pre-emption provision assures that federal regulation of covered plans will be exclusive. Section 514(a) provides that ERISA “shall supersede any and all State laws insofar as they may now or hereafter relate to any employee benefit plan” covered by ERISA. § 514(a), 29 U. S. C. § 1144(a). Several categories of state laws, such as generally applicable criminal laws and laws regulating insurance, banking, or securities, are excepted from ERISA preemption by § 514(b), 29 U. S. C. § 1144(b), but none of these exceptions is at issue here.
Effective March 6,1991, the District of Columbia Workers’ Compensation Equity Amendment Act of 1990,37 D. C. Register 6890 (Nov. 1990), amended several portions of the District’s workers’ compensation law, D. C. Code Ann. §§36-301
“Any employer who provides health insurance coverage for an employee shall provide health insurance coverage equivalent to the existing health insurance coverage of the employee while the employee receives or is eligible to receive workers’ compensation benefits under this chapter.” D. C. Code Ann. § 36-307(a-l)(l) (Supp. 1992).
Under § 2(c)(2), the employer must provide such health insurance coverage for up to 52 weeks “at the same benefit level that the employee had at the time the employee received or was eligible to receive workers’ compensation benefits.” § 36-307(a-l)(3).
Respondent Greater Washington Board of Trade, a nonprofit corporation that sponsors health insurance coverage for its employees, filed this action against the District of Columbia and Mayor Sharon Pratt Kelly seeking to enjoin enforcement of § 2(c)(2) on the ground that the “equivalent” benefits requirement is pre-empted by § 514(a) of ERISA. The District Court granted petitioners’ motion to dismiss. App. to Pet. for Cert. 21a. Petitioners conceded that § 2(c)(2) “relate[s] to” an ERISA-covered plan in the sense that the benefits required under the challenged law “are set by reference to covered employee benefit plans.” Id., at 22a. Relying on our opinion in Shaw v. Delta Air Lines, Inc., 463 U. S. 85 (1983), however, the District Court held that § 2(c)(2) is not pre-empted because it also relates to respondent’s workers’ compensation plan, which is exempt from ERISA coverage, and because respondent could comply with § 2(c)(2) “by creating a ‘separate administrative unit’ to administer the required benefits.” App. to Pet. for Cert. 24a (quoting Shaw, supra, at 108).
The Court of Appeals reversed. 292 U. S. App. D. C. 209, 948 F. 2d 1317 (1991). The court held that pre-emption of
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We have repeatedly stated that a law “relate[s] to” a covered employee benefit plan for purposes of § 514(a) “if it has a connection with or reference to such a plan.” Shaw, supra, at 97. E. g., Ingersoll-Rand Co. v. McClendon, 498 U. S. 133, 139 (1990); FMC Corp. v. Holliday, 498 U. S. 52, 58 (1990); Mackey v. Lanier Collection Agency & Service, Inc., 486 U. S. 825, 829 (1988); Pilot Life Ins. Co. v. Dedeaux, 481 U. S. 41, 47 (1987); Metropolitan Life Ins. Co. v. Massachusetts, 471 U. S. 724, 739 (1985). This reading is true to the ordinary meaning of “relate to,” see Black’s Law Dictionary 1288 (6th ed. 1990), and thus gives effect to the “deliberately expansive” language chosen by Congress. Pilot Life, supra, at 46. See also Morales v. Trans World Airlines, Inc., 504 U. S. 374, 383 (1992). Under § 514(a), ERISA preempts any state law that refers to or has a connection with
Section 2(c)(2) of the District’s Equity Amendment Act specifically refers to welfare benefit plans regulated by ERISA and on that basis alone is pre-empted. The health insurance coverage that § 2(c)(2) requires employers to provide for eligible employees is measured by reference to “the existing health insurance coverage” provided by the employer and “shall be at the same benefit level.” D. C. Code Ann. §§36-3Q7(a-l)(l) and (3) (Supp. 1992). The employee’s “existing health insurance coverage,” in turn, is a welfare benefit plan under ERISA § 3(1), because it involves a fund or program maintained by an employer for the purpose of providing health benefits for the employee “through the purchase of insurance or otherwise.” § 3(1), 29 U. S. C. § 1002(1).
It makes no difference that §2(c)(2)’s requirements are part of the District’s regulation of, and therefore also “relate to,” ERISA-exempt workers’ compensation plans. The exemptions from ERISA coverage set out in §4(b), 29 U. S. C. § 1003(b), do not limit the pre-emptive sweep of § 514 once it is determined that the law in question relates to a covered plan. See Alessi v. Raybestos-Manhattan, Inc., 451 U. S. 504, 525 (1981) (“It is of no moment that New Jersey intrudes indirectly, through a workers’ compensation law, rather than directly, through a statute called ‘pension regulation’”). Shaw v. Delta Air Lines, Inc., 463 U. S. 85 (1983), does not support petitioners’ position. Shaw dealt, in relevant part, with a New York disability law that required employers to pay weekly benefits to disabled employees equal to “‘one-half of the employee’s average weekly wage.’” Id., at 90, n. 4 (quoting N. Y. Work. Comp. Law §204.2 (McKinney Supp. 1982-1983)). We held that this law was not pre
Petitioners nevertheless point to Metropolitan Life Ins. Co. v. Massachusetts, 471 U. S. 724 (1985), in which we described Shaw as holding that “the New York Human Rights Law and that State’s Disability Benefits Law ‘relate[d] to’ welfare plans governed by ERISA.” Id., at 739. Relying on this dictum and their reading of Shaw, petitioners argue that § 514(a) should be construed to require a two-step analysis: If the state law “relate[s] to” an ERISA-covered plan, it may still survive pre-emption if employers could comply with the law through separately administered plans exempt under § 4(b). See Tr. of Oral Arg. 16-17. But Metropolitan Life construed only the scope of § 514(b)(2)(A)’s safe harbor for state laws regulating insurance, see 471 U. S., at 739-747; it did not purport to add, by its passing reference to Shaw, any further gloss on § 514(a). And although we did conclude in Shaw that both New York laws at issue there related to “employee benefit plan[s]” in general, 463 U. S., at 100, only the Human Rights Law, which barred discrimination by ERISA plans, fell within the pre-emption provision. See id., at 100-106. As we have explained, the Disability Benefits Law up
The judgment of the Court of Appeals is accordingly
Affirmed.
Pre-emption does not occur, however, if the state law has only a “tenuous, remote, or peripheral” connection with covered plans, Shaw v. Delta Air Lines, Inc., 463 U. S. 85, 100, n. 21 (1983), as is the case with many laws of general applicability, see Mackey, 486 U. S., at 830-838, and n. 12; cf. Ingersoll-Rand, 498 U. S., at 139.
In Fort Halifax Packing Co. v. Coyne, 482 U. S. 1 (1987), we construed the word “plan” to connote some minimal, ongoing “administrative” scheme or practice, and held that “a one-time, lump-sum payment triggered by a single event” does not qualify as an employer-sponsored benefit plan. Id., at 12. Petitioners do not contend that employers in the District of Columbia provide health insurance for their employees without thereby administering welfare plans within the meaning of ERISA, and petitioners concede that the existing health insurance sponsored by respondent constitutes an ERISA plan. Tr. of Oral Arg. 14.
ERISA does not pre-empt § 2(e)(2) to the extent its requirements are measured only by reference to “existing health insurance coverage” provided under plans that are exempt from ERISA regulation, such as “governmental” or “church” plans, see ERISA §§ 4(b)(1) and (2), 29 U. S. C. §§ 1003(b)(1) and (2).
“Welfare plans” include plans providing “benefits in the event of sickness, accident, [or] disability.” § 3(1), 29 U. S. C. § 1002(1).
Dissenting Opinion
dissenting.
The basic question that this case presents is whether Congress intended to prevent a State from computing workers’ compensation benefits on the basis of the entire remuneration of injured employees when a portion of that remuneration is provided by an employee benefit plan. By converting unnecessarily broad dicta interpreting the words “relate to” as used in § 514(a) of the Employee Retirement Income Security Act of 1974 (ERISA), 29 U. S. C. § 1144(a), into a rule of law, and by underestimating the significance of the exemption of workers’ compensation plans from the coverage of the Act, the Court has reached an incorrect conclusion in an unusually important case.
In today’s world the typical employee’s compensation is not just her take-home pay; it often includes fringe benefits such as vacation pay and health insurance. If an employee loses her job, by reason of either a wrongful discharge or a negligently inflicted physical injury, normal contract or tort principles would allow her to recover damages measured by her entire loss of earnings — including the value of fringe benefits such as health insurance. If I understand the Court’s reasoning today, a state statute that merely announced that basic rule of damages law would be pre-empted
Workers’ compensation laws provide a substitute for tort actions by employees against their employers. They typically base the amount of the compensation award on the level of the employee’s earnings at the time of the injury. In the District of Columbia’s workers’ compensation law, for example, an employee’s “average weekly wages” provide the basic standard for computing the award regardless of the nature of the injury. D. C. Code Ann. § 36-308 (1988 and Supp. 1992). Because an employee who receives health insurance benefits typically has a correspondingly reduced average weekly wage, the District decided to supplement the standard level of workers’ compensation with a component reflecting any health insurance benefits the worker receives. The Court seems to be holding today that such a supplement may never be measured by the level of the employee’s health insurance coverage — at least if the state statutes or regulations specifically refer to that component of the calculation.
It is true, as the Court points out, that in Shaw v. Delta Air Lines, Inc., 463 U. S. 85, 96-97 (1983), we stated that a law “related to” an employee benefit plan, “in the normal sense of the phrase, if it has a connection with or reference to such a plan.” It is also true that we have repeatedly quoted that language in later opinions.
Given the open-ended implications of today’s holding and the burgeoning volume of litigation involving ERISA preemption claims,
After explaining why the two New York statutes at issue related to benefit plans, we noted:
“Some state actions may affect employee benefit plans in too tenuous, remote, or peripheral a manner to warrant a finding that the law ‘relates to’ the plan. Cf. American Telephone and Telegraph Co. v. Merry, 592 F. 2d 118, 121 (CA2 1979) (state garnishment of a spouse’s pension income to enforce alimony and support orders is not pre-empted). The present litigation plainly does not present a borderline question, and we express no views about where it would be appropriate to draw the line.” Id., at 100, n. 21.
I would not decide this case on that narrow ground, however, because both the legislative history of ERISA and
The statute at issue in this case does not regulate any ERISA plan or require any ERISA plan administrator to make any changes in the administration of such a plan. Although the statute may grant injured employees who receive health insurance a better compensation package than those who are not so insured, it does so only to prevent a converse windfall going to injured employees who receive high weekly wages and little or no health insurance coverage.
Instead of mechanically repeating earlier dictionary definitions of the word “relate” as its only guide to decision in an important and difficult area of statutory construction, the Court should pause to consider, first, the wisdom of the basic rule disfavoring federal pre-emption of state laws, and second, the specific concerns identified in the legislative history as the basis for federal pre-emption. The most expansive statement of that purpose was quoted in our opinion in Shaw. As explained by Congressman Dent, the “crowning achievement” of the legislation was the “ ‘reservation to Federal authority [of] the sole power to regulate the field of employee benefit plans. With the preemption of the field, we round out the protection afforded participants by eliminating the threat of conflicting and inconsistent State and local regulation.’” Id., at 99 (quoting 120 Cong. Rec. 29197 (1974)).
The statute at issue in this case does not regulate even one inch of the pre-empted field, and poses no threat whatsoever of conflicting and inconsistent state regulation. By its holding today the Court enters uncharted territory. Where that holding will ultimately lead, I do not venture to predict. I am persuaded, however, that the Court has already taken a step that Congress neither intended nor foresaw.
Accordingly, I respectfully dissent.
Similar arguments have been considered and rejected in several cases. See Martori Bros. Distributors v. James-Massengale, 781 F. 2d 1349, 1358-1359 (CA9), modified, 791 F. 2d 799, cert. denied, 479 U. S. 949 (1986); Teper v. Park West Galleries, Inc., 431 Mich. 202, 216, 427 N. W. 2d 535, 541 (1988); Schultz v. National Coalition of Hispanic Mental Health and Human Services Organizations, 678 F. Supp. 936, 938 (DC 1988); Jaskilka v. Carpenter Technology Corp., 757 F. Supp. 175, 178 (Conn. 1991).
See Ingersoll-Rand Co. v. McClendon, 498 U. S. 133, 138-139 (1990); FMC Corp. v. Holliday, 498 U. S. 52, 58-59 (1990); Mackey v. Lanier Collection Agency & Service, Inc., 486 U. S. 825, 829 (1988); Fort Halifax Packing Co. v. Coyne, 482 U. S. 1, 11 (1987); Pilot Life Ins. Co. v. Dedeaux,
Several years ago a District Judge who had read “nearly 100 cases about the reach of the ERISA preemption clause” concluded that “common sense should not be left at the courthouse door.” See Schultz v. National Coalition of Hispanic Mental Health and Human Services Organizations, 678 F. Supp., at 938. A recent LEXIS search indicates that there are now over 2,800 judicial opinions addressing ERISA pre-emption. This growth may be a consequence of the growing emphasis on the meaning of the words “relate to,” thus pre-empting reliance on what the District Judge referred to as “common sense.”
See, e. g., Cipollone v. Liggett Group, Inc., 505 U. S. 504, 516 (1992): “Consideration of issues arising under the Supremacy Clause ‘start[s] with the assumption that the historic police powers of the States [are] not to be superseded by . . . Federal Act unless that [is] the clear and manifest purpose of Congress.’ Rice v. Santa Fe Elevator Corp., 331 U. S. 218, 230 (1947). Accordingly, ‘“[t]he purpose of Congress is the ultimate touchstone’” of pre-emption analysis. Malone v. White Motor Corp., 436 U. S. 497, 504 (1978) (quoting Retail Clerks v. Schermerhorn, 376 U. S. 96, 103 (1963)).
. . . “In the absence of an express congressional command, state law is pre-empted if that law actually conflicts with federal law, see Pacific Gas & Elec. Co. v. Energy Resources Conservation and Development Comm’n, 461 U. S. 190, 204 (1983), or if federal law so thoroughly occupies a legislative field ‘ “as to make reasonable the inference that Congress left no room for the States to supplement it.”’ Fidelity Fed. Sav. & Loan Assn. v. De la Cuesta, 468 U. S. 141, 153 (1982) (quoting Rice v. Sante Fe Elevator Corp., 331 U. S., at 230).”
One of the statute’s stated goals was “to promote a fairer system of compensation.” Preamble to District of Columbia’s Workers’ Compensation Equity Amendment Act of 1990, 37 D. C. Register 6890 (Nov. 1990).
Reference
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- DISTRICT OF COLUMBIA Et Al. v. GREATER WASHINGTON BOARD OF TRADE
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