Case Information
*1 Before REAVLEY, PRADO, and ELROD, Circuit Judges.
REAVLEY, Circuit Judge:
Plaintiff Aaron Gearlds, Jr. appeals from the district court’s dismissal of his suit alleging claims of equitable estoppel and breach of fiduciary duties pursuant to the Employee Retirement Income Security Act of 1974 (“ERISA”). The district court dismissed the suit under Federal Rule of Civil Procedure 12(b)(6). Because we conclude that Gearlds stated a claim for relief that is cognizable under ERISA, we REVERSE the district court’s judgment for Entergy Services, Inc.
I.
According to the complaint, the facts of which we accept as true, Gearlds was employed by Defendant Entergy Mississippi and participated as a beneficiary of an ERISA plan administered by Defendant Entergy Services, Inc. (henceforth only “Entergy”). Gearlds worked for Entergy Mississippi from 1976 until 1994 when he began collecting long term disability benefits. Those benefits ended in 2002 because he was deemed no longer disabled. Although Gearlds’s employment was not terminated, Entergy Mississippi did not pay Gearlds from that point on. In 2005, Gearlds took early retirement at the age of 55, receiving a reduced pension and full medical, dental, and vision benefits. Gearlds alleged in his complaint that he agreed to retire early because the defendants told him orally and in writing that he was covered by Entergy’s Medical Benefits Plus Plan and would continue to receive medical benefits. At some point, Gearlds waived medical benefits available under his wife’s retirement plan when she retired from her employment because of the assurances he had received from Entergy.
In 2010, however, Entergy notified Gearlds that it was discontinuing his medical benefits. Apparently, when Entergy determined the benefits to which Gearlds was entitled upon retirement in 2005, it believed that Gearlds was still receiving long term disability benefits, which had actually ended three years earlier, and it therefore included the time from 2002 to 2005 when computing Gearlds’s service time under the retirement plan. This error caused Entergy to determine that Gearlds was eligible for medical coverage and that his monthly retirement benefit would be $800.65. Entergy informed Gearlds that he was actually not entitled to medical benefits and that his monthly benefit should have been $305.68. Entergy did not seek reimbursement of any over payments, and it further stated that it would allow Gearlds to continue to receive the same $800.65 monthly benefit. It indicated, however, that Gearlds’s medical coverage would cease.
Gearlds filed the instant suit, alleging that Entergy negligently induced him to take early retirement insofar as it promised him health care benefits. He asserted claims for (1) breach of fiduciary duty pursuant to ERISA § 502(a)(3), now codified as 29 U.S.C. § 1132(a)(3), and (2) equitable estoppel. Gearlds sought as damages past and future medical expenses, interest, attorneys fees, costs, and any other damages, equitable or otherwise, to which he may be entitled.
Upon motion by Entergy, the district court dismissed the complaint for failure to state a claim. The district court reasoned that Gearlds sought only compensatory money damages, which was not an available equitable remedy under § 502(a)(3). The court further held that Gearlds’s claim for equitable estoppel failed because Gearlds had not alleged the kind of extraordinary circumstances necessary under our precedent. Gearlds now appeals.
II.
The district court’s dismissal for failure to state a claim is reviewed de
novo.
Turner v. Pleasant
,
As relevant to the instant case, § 502(a)(3) permits a plan beneficiary to
bring a civil action to obtain “other appropriate equitable relief” for ERISA
violations. 29 U.S.C. § 1132(a)(3). Until recently, it was accepted in this and
other circuits that “other appropriate equitable relief” was limited to the kinds
of remedies typically available at equity, such as injunctions, mandamus, or
restitution, and that so-called “make-whole” monetary damages were not within
the scope of the statute.
See Amschwand v. Spherion Corp.
,
The Supreme Court recently stated an expansion of the kind of relief
available under § 502(a)(3) when the plaintiff is suing a plan fiduciary and the
relief sought makes the plaintiff whole for losses caused by the defendant’s
breach of a fiduciary duty.
See CIGNA Corp. v. Amara
,
As legal authority for the relief, the district court relied on ERISA
§ 502(a)(1)(B), which allows plan participants or beneficiaries to bring suit for
recovery of benefits under ERISA plans.
See id.
at 1875–76; 29 U.S.C.
§ 1132(a)(1)(B). The Supreme Court held that § 502(a)(1)(B) did not authorize
the relief because that section did not permit the district court to change or
reform the terms of the plan as they previously existed.
Amara
,
Although the district court’s remedy was in the form of money, the Supreme Court reasoned that it was not beyond the scope of traditional equitable relief because “[e]quity courts possessed the power to provide relief in the form of monetary ‘compensation’ for a loss resulting from a trustee’s breach of duty, or to prevent the trustee’s unjust enrichment.” Id. at 1880. This form of relief was commonly known as “surcharge.” The Court believed it “critical” that the Amara defendant’s position as a fiduciary was analogous to a trustee, and it concluded that “an award of make-whole relief” in the form of surcharge was within the scope of “appropriate equitable relief” for purposes of § 502(a)(3). Id.
In the instant case, Gearlds argues that is controlling. He contends that Entergy breached its fiduciary duty by representing that he was eligible for plan benefits for the remainder of his life by opting for early retirement, and that he detrimentally relied on the misrepresentations. Gearlds argues that he continued paying premiums for his benefits and lost the opportunity to obtain alternate benefits through his wife’s retirement plan. He seeks to recover the amount of insurance benefits that he has lost as a result of the defendants’ alleged breach and misrepresentations.
In
McCravy
, the Fourth Circuit addressed a somewhat similar case.
There, the plaintiff paid life insurance premiums for several years for her
dependent child only to learn upon the child’s death that the child had been
ineligible for dependent coverage.
McCravy
,
Here, we follow a similar path. The district court cited Amara but it did not consider whether surcharge was an appropriate remedy. The district court instead dismissed the suit because Gearlds sought only money damages, which is ordinarily a legal remedy. After Amara , however, that is not the end of the inquiry into equity. Gearlds’s complaint is viable in light of Amara .
Entergy characterizes
Amara
’s discussion of § 502(a)(3) as dictum. Even
assuming it is dictum, however, we give serious consideration to this recent and
detailed discussion of the law by a majority of the Supreme Court.
See McCravy
,
To be sure, Gearlds did not expressly plead or argue “surcharge,” but he
did argue that he should be made whole in the form of compensation for lost
benefits, and his complaint specifically asked for “[a]ny and all other damages
and/or relief, equitable or otherwise, to which [he] may be entitled under federal
law.” Courts must focus on the substance of the relief sought and the allegations
pleaded, not on the label used.
See Edwards v. City of Houston
,
Gearlds also sought a remedy based on equitable estoppel. The district
court dismissed that claim because “extraordinary circumstances” were not
constituted by the allegations.
See High v. E-Systems, Inc.,
Finally, Gearlds challenges the district court’s dismissal of Defendant
Entergy Mississippi. The district court dismissed Entergy Mississippi because
Gearlds did not allege that Entergy Mississippi was a proper defendant. Gearlds
argues that Entergy Mississippi was a proper and necessary defendant only
because he was employed by Entergy Mississippi and his plan benefits accrued
through his employment. Gearlds did not allege, however, that Entergy
Mississippi sponsored or administered the plan, or made any decisions with
respect to his benefits; therefore, the district court did not err.
See Musmeci v.
Schwegmann Giant Super Markets, Inc.
,
AFFIRMED IN PART AS TO ENTERGY MISSISSIPPI, REVERSED AND REMANDED AS TO ENTERGY SERVICES, INC.
Notes
[1] Entergy also argues that Gearlds’s breach of fiduciary duty claim fails because
Gearlds did not plausibly allege that it acted in a discretionary, rather than a ministerial,
manner.
See Reich v. Lancaster
,
