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Sherfel v. Gassman
2012 WL 4499245
S.D. Ohio
2012
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Background

  • ERISA plan status challenged: Nationwide Plan argued to be an ERISA welfare benefit plan funded via a Trust; the Plan’s administrator is the Benefits Administrative Committee.
  • WFMLA substitution provision in Wisconsin law allows substitution of paid leave for unpaid WFMLA leave, potentially requiring STD benefits to be paid by plan assets.
  • Gerum v. Nationwide (ERD case) held Nationwide’s STD benefits could be substituted for WFMLA leave, ordering payment from the Trust; this prompted nationwide pre-emption questions.
  • ERD/ALJ proceedings and Wisconsin administrative process involved determinations that affect plan administration and eligibility decisions under the Plan.
  • Nationwide and Committee filed this federal action seeking declaratory and injunctive relief to prevent WFMLA substitution from overriding Plan terms and ERISA fiduciary duties.
  • Court already determined standing and jurisdiction; trial on the merits concluded with findings that the WFMLA substitution provision pre-empts ERISA and that an injunction is appropriate.

Issues

Issue Plaintiff's Argument Defendant's Argument Held
ERISA plan existence Plan is an ERISA plan No ERISA plan under scheme Plan qualifies as ERISA plan
Eleventh Amendment immunity Ex parte Young allows prospective relief Eleventh Amendment bars suit Eleventh Amendment does not bar claims in this context
ERISA pre-emption of WFMLA substitution WFMLA substitution is pre-empted when it forces ERISA-plan benefits WFMLA substitution operates independently of ERISA WFMLA substitution pre-empted under ERISA §1144(a) and conflict pre-emption
Saving clauses (2651(b) and 1144(d)) Saving clauses protect state law rights Saving clauses save WFMLA substitution from pre-emption Saving clauses do not save WFMLA substitution from ERISA pre-emption
Permanent injunction Injunction necessary to prevent ongoing ERISA-preemption harm No injunction needed or appropriate Permanent injunction granted to prevent substitution claims against the Plan

Key Cases Cited

  • Shaw v. Delta Air Lines, Inc., 463 U.S. 85 (U.S. 1983) (ERISA pre-emption scope and relation-to/federal-regulation considerations)
  • Davila v. Metropolitan Life Insurance Co., 542 U.S. 200 (U.S. 2004) (ERISA pre-emption and saving clauses; exclusive remedial scheme)
  • Egelhoff v. Egelhoff, 532 U.S. 141 (U.S. 2001) (prohibited connection where state law dictates plan beneficiary status)
  • Travelers Health v. Blue Cross & Blue Shield Plans, 514 U.S. 645 (U.S. 1995) (interpretation of 'relate to' and pre-emption breadth)
  • Massachusetts v. Morash, 490 U.S. 107 (U.S. 1989) (ERISA pre-emption and funding/plan structure considerations)
Read the full case

Case Details

Case Name: Sherfel v. Gassman
Court Name: District Court, S.D. Ohio
Date Published: Sep 28, 2012
Citation: 2012 WL 4499245
Docket Number: Case No. 2:09-cv-871
Court Abbreviation: S.D. Ohio