Mary Smith v. Regional Transit Authority, e
756 F.3d 340
5th Cir.2014Background
- Transit system converted from private (NOPSI) to public ownership in 1983; RTA became sponsor and TMSEL administrator of the employee benefit plan per a 1983 Benefit Agreement.
- Plaintiffs are ~40 former NOPSI/TMSEL employees/retirees who allege benefits (Medicare premium reimbursements, deductible reimbursements, and premium-free medical insurance) were reduced or eliminated beginning in 2006.
- Plaintiffs sued in December 2012 under ERISA §§ 502(a)(1)(B) and (a)(2), naming RTA (sponsor) and TMSEL (administrator), seeking welfare and retirement benefits they claim they were entitled to.
- Defendants moved to dismiss under Fed. R. Civ. P. 12(b)(1), contending the Plan is a “governmental plan” exempt from ERISA, and the district court granted dismissal for lack of subject-matter jurisdiction.
- Fifth Circuit held the district court used the wrong procedural vehicle, vacated the dismissal, and remanded for reconsideration under Rule 12(b)(6) or Rule 56 (or trial if necessary).
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether ERISA’s "governmental plan" exclusion deprives federal courts of jurisdiction | Plaintiffs allege the Plan is covered by ERISA and so federal courts have jurisdiction to decide the claim | Defendants say the Plan is a governmental plan exempt from ERISA, so federal courts lack jurisdiction | The court held the governmental-plan question is a merits element, not a jurisdictional threshold; §1003(b)(1) is not clearly jurisdictional |
| Proper procedural vehicle to resolve governmental-plan question | Plaintiff: court should adjudicate claim on the merits (12(b)(6)/56) | Defendant relied on 12(b)(1) dismissal in district court | Court held dismissal should be via 12(b)(6) or 56 (or trial) because factual development is required; 12(b)(1) was improper here |
| Whether courts may resolve disputed facts when deciding coverage | Plaintiffs claim factual record supports ERISA coverage | Defendants argue factual record shows governmental status | Court: disputed facts matter; if facts outside pleadings are needed, use Rule 56 or trial; district court may weigh facts under 12(b)(1) but that was not the proper posture for merits resolution |
| Outcome and next step | Plaintiffs seek substantive remedy under ERISA | Defendants seek final dismissal | Court VACATED and REMANDED for reconsideration under appropriate procedural vehicle; did not decide merits |
Key Cases Cited
- Arbaugh v. Y & H Corp., 546 U.S. 500 (Sup. Ct. 2006) (distinguishes jurisdictional prerequisites from elements of a claim)
- Reed Elsevier, Inc. v. Muchnick, 559 U.S. 154 (Sup. Ct. 2010) (use term "jurisdictional" only where appropriate; registration rule not jurisdictional)
- Steel Co. v. Citizens for a Better Env’t, 523 U.S. 83 (Sup. Ct. 1998) (merits insufficiency is distinct from lack of subject-matter jurisdiction)
- Shirley v. Maxicare Tex., Inc., 921 F.2d 565 (5th Cir. 1991) (earlier Fifth Circuit decision treating governmental-plan question as jurisdictional; court explains it is no longer controlling)
- ACS Recovery Servs., Inc. v. Griffin, 723 F.3d 518 (5th Cir. 2013) (en banc) (held whether a claim is viable under ERISA is a merits question, not jurisdictional)
