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62 F.4th 517
9th Cir.
2023
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Background

  • RingCentral employees participated in an ERISA-governed welfare plan that joined the Tech Benefits Program (a MEWA) administered by Sequoia from 2013–2019.
  • Sequoia selected insurers, negotiated costs, paid plan benefits from the MEWA trust, and received insurer-paid commissions (e.g., 6% on primary medical), paid separately by insurers.
  • RingCentral—not Sequoia—retained broad discretion to set employee contribution amounts (subject to minimum employer-share requirements) and at times required no employee contribution.
  • Plaintiffs (RingCentral employees) sued Sequoia for alleged ERISA fiduciary breaches: accepting commissions (kickbacks) and negotiating excessive administrative fees that purportedly raised premiums.
  • Plaintiffs did not allege loss of promised benefits; they alleged higher out-of-pocket contributions and an equitable ownership interest in MEWA trust assets.
  • The district court dismissed for lack of Article III standing; the Ninth Circuit affirmed, holding plaintiffs failed to plead injury, causation, or redressability and that Thole foreclosed their trust-based standing theory.

Issues

Issue Plaintiff's Argument Defendant's Argument Held
Article III: concrete out-of-pocket injury Sequoia’s commissions/fees increased plan costs, causing plaintiffs to pay higher contributions RingCentral—not Sequoia—sets employee contributions; no pleaded link tying contributions to Sequoia’s commissions Plaintiffs failed to plead a concrete, particularized financial injury or factual causal chain to Sequoia’s conduct
Causation Eliminating commissions would lower premiums and thus employee contributions Any change in contributions is discretionary with RingCentral and not shown to depend on Sequoia’s fees Causation not established; harms not fairly traceable to Sequoia
Redressability (direct disgorgement or plan recovery) Court could impose constructive trust or require Sequoia reimburse the plan, which would result in participant refunds Even if plan recovered funds, RingCentral could retain or reallocate them; plaintiffs plead no basis to expect remittal to participants Redress speculative; Glanton controls—plan recovery would not likely inure to participants, so redressability fails
Trust-based/equitable-interest standing Plaintiffs are beneficiaries of MEWA funds and thus have trust-based standing to sue for self-dealing Thole and related precedents disallow trust-based standing where participants lack a beneficial property interest in plan assets Trust-based standing rejected under Thole: plaintiffs lack the equitable/property interest needed for Article III standing

Key Cases Cited

  • Lujan v. Defs. of Wildlife, 504 U.S. 555 (standing requires injury in fact, causation, and redressability)
  • Spokeo, Inc. v. Robins, 578 U.S. 330 (plaintiff must plead facts demonstrating each element of Article III standing)
  • TransUnion LLC v. Ramirez, 141 S. Ct. 2190 (redressability requires likely—not speculative—relief)
  • Thole v. U.S. Bank N.A., 140 S. Ct. 1615 (ERISA participants lack trust-based standing absent a property interest in plan assets)
  • Glanton ex rel. ALCOA Prescription Drug Plan v. AdvancePCS Inc., 465 F.3d 1123 (a plan’s recovery does not necessarily redress participants because employers control allocation)
  • Ashcroft v. Iqbal, 556 U.S. 662 (complaint must plead plausible—not merely consistent—facts)
  • LaRue v. DeWolff, Boberg & Assocs., Inc., 552 U.S. 248 (ERISA recognizes certain individual relief but does not create a general trust-based participant property interest)
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Case Details

Case Name: Rachael Winsor v. Sequoia Benefits & Insurance
Court Name: Court of Appeals for the Ninth Circuit
Date Published: Mar 8, 2023
Citations: 62 F.4th 517; 21-16992
Docket Number: 21-16992
Court Abbreviation: 9th Cir.
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    Rachael Winsor v. Sequoia Benefits & Insurance, 62 F.4th 517