Moon v. BWX Technologies, Inc.
Moon v. BWX Technologies, Inc.
Opinion of the Court
Memorandum Opinion
This matter is before the court on Defendants’ Motion to Dismiss Plaintiffs First Amended Complaint, as well as
I. Background
This case represents Plaintiffs attempt to recover insurance benefits that Defendants allegedly owe her on account of her deceased husband (“Mr. Moon”), a former employee of Babcock & Wilcox Company and Babcock & Wilcox Power Generation Group, Inc.
Soon after, on January 13, 2006, BWX mailed Mr. Moon an alleged offer to provide certain ongoing benefits in exchange for payments. That offer, identified as the “2006 Confirmation Statement” by the Fourth Circuit, indicated that Mr. Moon had previously , selected a variety of benefits that were to be effective on January 2, 2006. Among those benefits was the $200,000 life insurance benefit, at an annual employee coverage cost of $804. The 2006 Confirmation Statement stated that the total annual cost of benefits, including long-term disability, vision, and personal ■accident insurance, was $3,269.76.
Over the course of that year, Mr. Moon and his family paid some, but not all of the premiums set forth in the 2006 Confirmation Statement. Payments were made directly to BWX. Mr. Moon passed away on November 18, 2006. On November 29, 2006, Plaintiff sent a letter to BWX and enclosed a check for $1,173.36, which represented the entire balance due on her deceased husband’s benefits.
Plaintiff then made a claim directly to BWX requesting payment of the $200,000 life insurance benefit. BWX sent a reply by letter, stating that Mr. Moon had lost his employee group life insurance benefit when he became unable to work, and that he failed to convert his group employee policy with MetLife after he ceased work
On remand, on February 12, 2013, Defendants filed a supplemental memorandum in support of its motion to dismiss Plaintiffs first amended complaint. On March 15th, Plaintiff filed a motion for leave to file a second amended complaint, which would amend Counts One and Two of her first amended complaint.
II. Legal Standard
A. Plaintiffs Motion to Amend
Rule 15(a)(2) of the Federal Rules of Civil Procedure provides that once certain deadlines have passed, as they have here, “a party may amend its pleading only with the opposing party’s written consent or the court’s leave.” Fed.R.Civ.P. 15(a)(2). Leave should be freely given “when justice so requires.” Id. Indeed, leave to amend a pleading should be denied only when “the amendment would be prejudicial to the opposing party, there has been bad faith on the part of the moving party, or the amendment would be futile.” Edwards v. City of Goldsboro, 178 F.3d 231, 242 (4th Cir. 1999).
B. Defendants’ Motion to Dismiss
In order to survive a motion to dismiss pursuant to Rule 12(b)(6), a complaint must contain facts sufficient “to raise a right to relief above the speculative level” and “state a claim to relief that is plausible on its face.” Bell Atl. Corp. v. Twombly, 550 U.S. 544, 555, 570, 127 S.Ct. 1955, 167 L.Ed.2d 929 (2007). A claim is plausible if the complaint contains “factual content that allows the court to draw the reasonable inference that the defendant is liable for the misconduct alleged,” and if there is “more than a sheer possibility that a defendant has acted unlawfully.” Ashcroft v. Iqbal, 556 U.S. 662, 678, 129 S.Ct. 1937, 173 L.Ed.2d 868 (2009). When considering a Rule 12(b)(6) motion, a court must accept all factual allegations in the complaint as true, and must draw all reasonable inferences in favor of the plaintiff. Erickson v. Pardus, 551 U.S. 89, 94, 127 S.Ct. 2197, 167 L.Ed.2d 1081 (2007). However, a court is not required to “accept the legal conclusions drawn from the facts,” or “accept as true unwarranted inferences, unreasonable conclusions, or arguments.” Eastern Shore Markets, Inc. v. J.D. Assocs. Ltd. P’ship, 213 F.3d 175, 180 (4th Cir. 2000) (citations omitted).
III. Discussion
A. Plaintiff’s Motion to Amend
In her motion, Plaintiff requests permission to amend Counts One and Two of her
The Fourth Circuit specifically instructed this court “to address anew [Plaintiffs] claims of equitable estoppel and breach of fiduciary duty in light of Amara and McCravy II.” Moon, 498 Fed.Appx. at 276. Defendants note that the Fourth Circuit was aware of the existence of reformation and surcharge as potential remedies for ERISA plaintiffs, but was silent as to those remedies when it remanded this ease.
Still, given the Fourth Circuit’s citation to Amara and McCravy II, I will consider the merits of Plaintiffs proposed amendments, along with her remanded claims for equitable estoppel and breach of fiduciary duty. In Count One of her proposed second amended complaint, Plaintiff requests that the court reform the 2006 Confirmation Statement into an enforceable contract. Specifically, Plaintiff contends that, “[h]aving made a post-employment offer of life insurance benefits to Mr. Moon in January 2006 which was accepted through the receipt and acceptance of plaintiffs’ premium payments.... [T]his Court should reform the agreement between the parties to require these [Defendants] to honor their obligation to plaintiff to pay her $200,000 as a result of the death of Mr. Moon in 2006.” Pl.’s Proposed 2d Am. Compl. ¶¶ 42, 42a. (Docket No. 78-1).
After Amara, it is clear that reformation is an equitable remedy available to some ERISA plaintiffs. In Amara, the employee-plaintiffs filed a class action against an employer and pension plan, claiming that the employer had misled them about the benefits of converting their defined benefit retirement plan into a “cash balance” plan. 131 S.Ct. at 1874-75. The trial court agreed, and' reformed the plan under ERISA’s recovery-of-benefits-due provision, § 502(a)(1)(B), 29 U.S.C. § 1132(a)(1)(B), which authorizes beneficiaries to sue to the enforce the terms of a plan. Id. at 1875. The Supreme Court remanded the case, holding that the plaintiffs’ claim should instead be brought as a request for equitable relief under § 502(a)(3), 29 U.S.C. § 1132(a)(3). Id. at 1876-78. The Court discussed several eq
However, a contract may be reformed only on grounds of (1) mutual mistake, or (2) unilateral mistake plus fraudulent conduct. See Larchmont Properties v. Cooperman, 195 Va. 784, 791, 80 S.E.2d 733, 737 (1954). In Amara, the district court specifically found that the defendant had intentionally misled the employees, and it reformed the terms of the new plan. 131 S.Ct. at 1874-75. Conversely, Plaintiff has failed to sufficiently allege any type of fraudulent conduct (or a “deliberate nondisclosure designed to prevent another from learning the truth”) in her proposed second amended complaint. See Van Deusen v. Snead, 247 Va. 324, 328, 441 S.E.2d 207, 209-10 (Va. 1994).
Plaintiff does allege that “the defendants,” through the 2006 Confirmation Statement and their acceptance of payments, “either negligently or intentionally, misrepresented unto Mr. Moon and plaintiffs that their 2006 payments to BWXT would include all the specified benefits, including the life insurance benefits.” Pl.’s Proposed 2d Am. Compl. ¶ 27. Regarding that 2006 Confirmation Statement (among other documents), the Fourth Circuit found the following: “Far from indicating an independent, post-employment contract for benefits, the documents on which [Plaintiff] relies all plainly demonstrate that her claims stem from nothing more than Mr. Moon’s enrollment in a run-of-the-mill employee benefit plan weeks before his retirement.” Moon, 498 Fed.Appx. at 274. The court continued that it was “undisputed that life insurance coverage under the Plan continued only while the employee remained in ‘Active Work,’ ” and noted the “straightforward language” relating this fact in the Summary Plan Description. Id. at 274-75. On remand, I find that the 2006 Confirmation Statement, which confirmed Mr. Moon’s earlier benefit selections, cannot be used to support an allegation of fraud in this case.
Furthermore, reformation under § 502(a)(3), 29 U.S.C. § 1132(a)(3) is an equitable remedy that lies only against a plan fiduciary.
For the reasons discussed infra, none of the Defendants were acting as fiduciaries when they performed the allegedly wrongful acts giving rise to this action. Regarding Plaintiffs proposed amendments to Count Two (“Surcharge for Breach of Fiduciary Duty”), surcharge in this context is a remedy that lies only against fiduciaries as well. Id. at 1880 (“The surcharge remedy extended to a breach of trust committed by a fiduciary encompassing any violation of a duty imposed upon that fiduciary.”).
B. Defendants’ Motion to Dismiss
As discussed, Mr. Moon ceased any involvement in active work with BWX when he retired on December 1, 2005, at least one month before the disputed MetLife Plan coverage purportedly went into effect. Accordingly, the Fourth Circuit held that “[bjecause Mr. Moon was clearly never eligible for benefits under the Plan during 2006, [Plaintiff] cannot recover under the Plan’s plain terms.” Moon, 498 Fed.Appx. at 275. However, the Fourth Circuit remanded this case “to permit the district court to address anew [Plaintiffs] claims of equitable estoppel and breach of fiduciary duty in light of Amara and McCravy II.” Id. at 276.
1. Plaintiff’s Breach of Fiduciary Duty Claim
Plaintiffs claim for breach of fiduciary duty fails because none of -.the defendants were acting as fiduciaries under the MetLife Plan, with respect to the, allegations in this case. “Before one can conclude that a fiduciary duty has -been violated, it must be established that the party charged with the breach meets the statutory definition of ‘fiduciary.’ ” Adams v. The Brink’s Co., 420 F.Supp.2d 523, 551 (W.D.Va. 2006) aff’d, 261 Fed.Appx. 583 (4th Cir. 2008) (quoting Coleman v. Nationwide Life Ins. Co., 969 F.2d 54, 60-61 (4th Cir. 1992)). Under ERISA, a person is a fiduciary:
to the extent that (i) he exercises any discretionary authority or discretionary control respecting management of such plan or exercises any authority or control respecting management or disposition of its assets, (ii) he renders inestment advice for a fee or other compensation, direct or indirect, with respect to any moneys or other property of such plan, or has any authority or responsibility to do so, or (iii) he has any discretionary authority or discretionary responsibility in the administration of such plan.
Wilmington Shipping Co. v. New England Life Ins. Co., 496 F.3d 326, 343 (4th Cir. 2007) (quoting 29 U.S.C. § 1002(21)(A)). “The definition is couched in terms of functional control and authority over the plan, thus necessitating that courts ‘examine the conduct at issue when determining whether an individual is an ERISA fiduciary.’ ” Id. (quoting Hamilton v. Carell, 243 F.3d 992, 998 (6th Cir. 2001)).
Because accepting payments and advising participants about their eligibility do not qualify as discretionary acts, Plaintiffs breach of fiduciary duty claim cannot stand. Under the Department of Labor’s (DOL) regulation titled “Questions and an-' swers relating to fiduciary responsibility under the Employee Retirement Income Security Act of 1974”, persons who do not have power to make decisions regarding ERISA plans, and only perform “administrative functions,” are not fiduciaries under 29 U.S.C. § 1002(21)(A). 29 C.F.R. § 2509.75-8(D-2). Includéd among the (non-fiduciary) administrative functions listed are the “collection of contributions” and “advising participants of their rights and options under the plan.” Id. The regulation goes on to explain that a person who performs the type of functions described above (including “collection of contributions” and “advising participants of their rights and options under the plan”) is not a fiduciary because “such person does not have discretionary authority or discretionary control respecting management of the plan, does not exercise any authority or control respecting management or disposition of the assets of the plan, and does not render investment advice with respect to any money or other property of the plan and has no authority or responsibility to do so.” Id.
The Fourth Circuit’s decision in Estate of Weeks v. Advance Stores Co., Inc., 99 Fed.Appx. 470 (4th Cir. 2004) provides a helpful illustration. In that case, an employee resigned from his employment with an automotive-parts distribution center. Under the terms of his medical plan, his medical coverage ended a week later if he failed to continue coverage within thirty-one days of his termination as an employee. Under his life insurance plan, the former employee ceased being covered on the same day of his resignation if he failed to continue coverage within the applicable period. Id. at 473-74. Days after leaving his position, the former employee suffered a relapse of leukemia. However, when his family contacted his former employer about his benefits, a human resources manager told them (incorrectly) that all of his benefits had ceased on his last day of employment, and failed to mention the continuation option under the health and life insurance plans. Id. at 473. The former employee died a few months later, and his family brought suit in another court in this district, contending that the defendants ' breached their fiduciary duties by misinforming the family that the former employee was not entitled to any continuation of his benefits. Id. at 474.
Judge Wilson concluded that the human resource manager’s job activities did not
In the present case, Plaintiff alleges that Defendants had a duty to inform Mr. Moon about his lack of life insurance coverage when they accepted his payments over the course of 2006. According to Plaintiff, the failure to provide that information constituted a breach of Defendants’ fiduciary duty. However, the cited DOL regulation clearly states that the “collection of contributions” and “advising participants of their rights and options under the plan” are administrative, rather than discretionary, acts. See 29 C.F.R. § 2509.75-8(D-2). Because Plaintiff has failed to establish Defendants’ fiduciary status with respect to the particular activities at issue in this case, see Coleman, 969 F.2d at 61, her breach of fiduciary duty claim must be denied.
2. Plaintiffs Equitable Estoppel Claim
Because Plaintiff cannot show that Defendants were fiduciaries in this case, Plaintiff cannot recover under a theory of equitable estoppel either. Along with reformation and surcharge, the Supreme Court cited equitable estoppel as a potential equitable remedy available to the Amara beneficiaries. See McCravy II, 690 F.3d at 181 (“In sum, the portion of Amara in which the Supreme Court addressed Section 1132(a)(3) stands for the proposition that remedies traditionally available in courts of equity, expressly including estoppel and surcharge, are indeed available to plaintiffs suing fiduciaries under Section 1132(a)(3).”). The Fourth Circuit emphasized that “estoppel is ‘a traditional equitable remedy’—i e., a remedy available to plaintiffs suing a fiduciary under Section 1132(a)(3).” Id. at 182 (quoting Amara, 131 S.Ct. at 1880).
In order to assert a claim for equitable estoppel, Plaintiff must identify some basis for equity jurisdiction. See Drexel v. Berney, 122 U.S. 241, 253, 7 S.Ct. 1200, 30 L.Ed. 1219 (1887) (“[I]t is necessary to show some ground of equity other than the estoppel itself....”). If Plaintiff cannot show any independent ground for equity jurisdiction, her § 1132(a)(3) claim must fail as a matter of law. In both Amara and McCravy II, the jurisdictional basis for plaintiffs’ equitable claim was the defendants’ status as plan fiduciaries. See Amara, 131 S.Ct. at 1869; McCravy II, 690 F.3d at 182-83. Likewise, Plaintiff contends that Defendants are plan fiduciaries in this case, and Plaintiff should be able to proceed on her claim for equitable estoppel relief. In support, Plaintiff notes
However, Defendants alleged “handling and denial” of Plaintiffs claim has nothing to do with their silent acceptance of Mr. Moon’s payments, which is the action that Plaintiff contends constituted the breach of fiduciary duty in this case. Again, according to the Fourth Circuit, “a party is a fiduciary [under ERISA] only as to the activities which bring the person within the definition.” Coleman, 969 F.2d at 61. The alleged breach of fiduciary duty in this case occurred when Defendants accepted payments without informing Mr. Moon that he was no longer eligible for life insurance benefits, rather than due to the April 12, 2007 letter that BWX sent. Specifically, Plaintiff alleges that, “[a]s fiduciaries under ERISA for such Plan, defendants had a duty to Mr. Moon to truthfully and accurate advise Mr. Moon if he was ineligible for life insurance benefits within a reasonable time after receiving monthly payments from Mr. Moon for said benefits .... ” Pl.’s Am. Compl. ¶ 34. Plaintiff alleges that the Defendants “negligently or intentionally breached the duty they owed to Mr. Moon under ERISA to advise him of his ineligibility for life insurance benefits and their conduct, in fact, caused Mr. Moon to believe he had procured said benefits.” Id. at ¶ 36. As discussed, “advising participants of their rights and options under the plan” and the “collection of contributions” are not fiduciary actions under § 1002(21)(A).
It is important to note that defendants can, at least in some respects, be fiduciaries without being named as an administrator in plan documents. See Wilmington Shipping, 496 F.3d at 343 (“[Fiduciary status under ERISA is not an all-or-nothing concept.”) (citation and internal quotations omitted). Furthermore, “an individual or entity can still be found liable as a ‘de facto’ fiduciary if it lacks formal power to control or manage a plan yet exercises informally the requisite ‘discretionary control’ over plan management and administration .... ” Wright v. Or. Metallurgical Corp., 360 F.3d 1090, 1101-02 (9th Cir. 2004). Still, “[a] defendant’s fiduciary status under ERISA may be decided on a motion to dismiss.” Carr v. Int’l Game Tech., 770 F.Supp.2d 1080, 1088 (D.Nev. 2011) (citing Wright, 360 F.3d at 1101-02).
As discussed, Defendants were not acting as fiduciaries in this case, given the breach of duty that Plaintiff alleged in her first amended complaint. Furthermore, Defendants in this case neither possessed nor exercised any authority to administer the MetLife Plan, or resolve any disputes regarding Plan benefits. As the Plan and Summary Plan Description make clear, sole responsibility for processing claims lies with MetLife, which is not a party to this suit. See Docket No. 54-1 at 9-10.
Because Defendants were not acting as fiduciaries in this case, Plaintiffs proposed amendments seeking reformation and surcharge remedies are futile. Similarly, Plaintiffs breach of fiduciary duty and equitable estoppel claims on remand must fail.
IY. Conclusion
For the foregoing reasons, Plaintiffs Motion for Leave to File a Second Amended Complaint is DENIED. Defendants’ Motion to Dismiss Plaintiffs First Amended Complaint is GRANTED. An appropriate order accompanies this memorandum opinion.
The clerk of the court is hereby directed to send a certified copy of this memorandum opinion to all counsel of record.
Order
This matter is before the court on Defendants’ Motion to Dismiss Plaintiffs First Amended Complaint, as well as Plaintiffs Motion for Leave to File a Second Amended Complaint. For the reasons stated in the accompanying memorandum opinion, Plaintiffs Motion for Leave to File a Second Amended Complaint (docket no. 78) is DENIED. Defendants’ Motion to Dismiss Plaintiffs First Amended Complaint (docket no. 53) is GRANTED.
The clerk of the court is hereby directed to send a certified copy of this order and the accompanying memorandum opinion to all counsel of record.
. Both are predecessor companies to defendant BWX Technologies, Inc. ("BWX”), which is a subsidiary of defendant McDermott International, Inc. ("McDermott”).
. It is unclear exactly when in 2005 Mr. Moon made his selections, though it was at some point prior to November 29, 2005, the date on which BWX confirmed Mr. Moon’s selected coverage.
. In that April 12, 2007 letter, in conclusion, BWX stated the following: "At this time, we can find no evidence that Mr. Moon converted his active employee life insurance benefit to that of a disabled employee. Therefore, regrettably, there is no life insurance coverage for Mr. Moon.” Docket No. 23-1 at 10.
. The Fourth Circuit noted that Amara has "clarified that remedies beyond mere refunds—including the surcharge and equitable estoppel remedies ... are indeed available to ERISA plaintiffs suing fiduciaries under Section 1132(a)(3).” Moon, 498 Fed.Appx. at 275 (quoting McCravy II, 690 F.3d at 182-83). The Supreme Court decided Amara on May 16, 2011, a month before I heard oral arguments on Defendants' first motion to dismiss, and nearly two months before I issued my previous memorandum opinion in this case.
. Regarding Count One (Breach of Contract) and Count Two (Breach of Implied or Quasi-Contract) of Plaintiff’s first amended complaint, the Fourth Circuit held that "[b]ecause Mr. Moon was clearly never eligible for benefits under the Plan during 2006, Appellant cannot recover under the Plan's plain terms.” Moon, 498 Fed.Appx. at 275. However, regarding Count Three and Count Four, the Fourth Circuit concluded that "[t]he merits of Appellant's equitable estoppel and breach of fiduciary claims are less clear.” Id.
. Plaintiff contends that "the defendants herein as ERISA fiduciaries should be obligated on their contract or agreement made with Mr. Moon to provide him or his heirs $200,000 of life insurance coverage for year 2006.” Pl.’s Proposed 2d Am. Compl. ¶ 42.
. Regarding surcharge, the Supreme Court reasoned that "the fact that this relief takes
. Under ERISA, an employer that establishes or maintains an employee benefit plan is a "sponsor.” 29 U.S.C. § 1002(16)(B). However, "[t]he mere fact that an employer is a sponsor does not mean that the employer is also a fiduciary.” Healthtek Solutions, Inc. v. Fortis Benefits Ins. Co., 274 F.Supp.2d 767, 775 (E.D.Va. 2003) (citing Coyne & Delany Co. v. Selman, 98 F.3d 1457, 1465 (4th Cir. 1996)). A plan sponsor becomes a fiduciary only to the extent "it retains or exercises any discretionary authority over the management or administration of a plan.” Id. (citation omitted). In this case, the life insurance carrier and claims administrator was MetLife, while the Plan sponsor and administrator was McDermott Incorporated. Docket no. 54-1 at
. The court also noted that the plaintiffs could have corrected any of the manager’s misstatements simply by going through the medical and life insurance plan documents that had been provided to the former employee. Id. at 477. Similarly, in this case, both the MetLife Plan and the Summary Plan Description {see Docket Nos. 54-1, 2) are clear that life insurance benefits end upon the cessation of active employment.
. While courts have found that in some § 1132(a)(3) actions a defendant's fiduciary status makes no difference, see Trustees ex rel. N. Cal. Gen. Teamsters Sec. Fund v. Fresno Bread Bakery, Inc., 2012 WL 3062174 (E.D.Cal. July 25, 2012), this is not a case where the defendant “actively and deliberately misleads the plaintiff to the plaintiff's detriment.’’ Id. at *4 (quoting Northwest Adm'rs, Inc. v. Cutter, 328 Fed.Appx. 577, 578 (9th Cir. 2009)) (equitable restitution available for medical benefits paid for woman whom defendant misrepresented as his wife).
. In Wright, the Ninth Circuit agreed with the district court’s finding that the defendants were neither fiduciaries nor de facto fiduciaries under an employee pension plan, and affirmed the district court's Fed.R.Civ.P. 12(b)(6) dismissal of plaintiffs' claims. 360 F.3d at 1103.
. In contrast, the district court in Amara found CIGNA, the defendant-employer, to be the plan administrator and proper fiduciary in that case. 131 S.Ct. at 1876. In Musmeci v. Schwegmann Giant Super Mkts., Inc., 332 F.3d 339 (5th Cir. 2003), which Plaintiff cites, the employer similarly had clear authority to dispose of claims under the benefit plan. Id. at 349-50 (finding that the defendant-employer was both plan administrator and plan sponsor, as the plan had no meaningful existence separate from the employer since the plan was funded by the employer’s owner, and the employer made the decision to terminate the plan.).
Reference
- Full Case Name
- Judy L. MOON v. BWX TECHNOLOGIES, INC.
- Cited By
- 4 cases
- Status
- Published