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905 F.3d 985
6th Cir.
2018
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Background

  • Arthur Vest worked ~40 years for Resolute and purchased $300,000 in optional group life insurance in addition to base coverage.
  • He stopped working in September 2015 due to diabetes and began receiving long-term disability benefits; under the Plan base coverage continued but optional coverage ended when active employment ceased.
  • The Plan allowed conversion/porting of expiring optional coverage to an individual policy within 31 days; Resolute terminated Arthur’s optional coverage on May 18, 2016.
  • Resolute did not notify Arthur of his 31-day conversion right; he died in October 2016 and the beneficiary (Mead Vest) received only base coverage proceeds.
  • Mead Vest sued under ERISA § 502(a)(3), alleging Resolute breached fiduciary duties by failing to inform Arthur of conversion rights; the district court dismissed for failure to state a claim and the Sixth Circuit affirmed.

Issues

Issue Plaintiff's Argument Defendant's Argument Held
Whether Resolute breached an ERISA fiduciary duty to disclose conversion rights Vest: Resolute had a duty to inform Arthur (or knew silence might be harmful) and failed to notify him of 31-day conversion right Resolute: No duty to disclose beyond ERISA-required SPD; no misleading statement/omission that would trigger fiduciary liability Court: No. Complaint failed to plead facts fitting recognized disclosure exceptions in Sprague/Krohn; dismissal affirmed
Whether an employer’s voluntary communications that omit conversion info can create fiduciary liability under Sprague’s "own-initiative" prong Vest: Voluntary Benefits Summary omitted a material conversion deadline and thus was misleading Resolute: No obligation to provide conversion notice beyond SPD; omission not actionable absent specific misleading statement or prior inquiry Court: Plaintiff did not allege a misrepresentation or facts showing Resolute knew silence would be harmful; claim insufficiently pleaded

Key Cases Cited

  • Haviland v. Metro. Life Ins. Co., 730 F.3d 563 (6th Cir. 2013) (articulates contours of ERISA fiduciary disclosure duties and summarizes Sprague categories)
  • Sprague v. Gen. Motors Corp., 133 F.3d 388 (6th Cir. 1998) (en banc) (defines three circumstances where fiduciary disclosure duty may be breached)
  • Krohn v. Huron Mem'l Hosp., 173 F.3d 542 (6th Cir. 1999) (holds fiduciary must give complete and accurate information once beneficiary's situation is known)
  • James v. Pirelli Armstrong Tire Corp., 305 F.3d 439 (6th Cir. 2002) (applies Sprague’s own-initiative analysis; employer may be liable if it provides misleading plan information)
  • Gregg v. Trans. Workers of Am. Int'l, 343 F.3d 833 (6th Cir. 2003) (applies Krohn question-and-response pattern for disclosure duties)
  • Eddy v. Colonial Life Ins. Co. of Am., 919 F.2d 747 (D.C. Cir. 1990) (beneficiary’s known predicament triggers fiduciary duty to disclose all material facts)
  • Ashcroft v. Iqbal, 556 U.S. 662 (2009) (pleading standard: allegations must state a plausible claim)
  • Bell Atl. Corp. v. Twombly, 550 U.S. 544 (2007) (pleading requires sufficient factual matter to state a plausible claim)
Read the full case

Case Details

Case Name: Mead Vest v. Resolute FP US Inc.
Court Name: Court of Appeals for the Sixth Circuit
Date Published: Oct 10, 2018
Citations: 905 F.3d 985; 18-5046
Docket Number: 18-5046
Court Abbreviation: 6th Cir.
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    Mead Vest v. Resolute FP US Inc., 905 F.3d 985