Lead Opinion
This appeal addresses whether, under ERISA § 502(a)(3), 29 U.S.C. § 1132(a)(3), “other appropriate equitable relief’ permits recovery of extracontractual, or “make-whole,” damages in the form of payment of life insurance benefits that would have accrued to a plan beneficiary but for a plan fiduciary’s breach of fiduciary duty. Constrained by the Supreme Court’s decision in Great-West Life & Annuity Insurance Co. v. Knudson,
I. BACKGROUND
During Mr. Amschwand’s medical leave for a bout with cancer that he did not survive, his employer Spherion switched insurance companies, replacing Prudential with Aetna Life Insurance Company (“Aet-na”) as the new provider of basic and supplemental life insurance benefits under the company Plan. A “special provision” of Aetna’s group insurance policy covering Spherion employees was entitled the “Active Work Rule” and provided:
If the employee is ill or injured and away from work on the date any of his or her Employee Coverage (or any increase in such coverage) would become effective, the effective date of coverage (or increase) will be held up until the date he or she goes back to work for one full day.
This provision was expressly noted in the “Summary of Coverage” Aetna prepared for Spherion employees.
Spherion, an ERISA fiduciary and plan administrator, notified its employees that they could elect to participate in the Aetna Plan during an “open enrollment” period, which commenced in March 2000. Mr. Amschwand duly enrolled and was informed by Spherion that he could maintain his existing $248,000 basic coverage and his $142,000 level of supplemental coverage under the Policy. On November 6, 2000, a representative of Spherion’s Human Resources Department orally confirmed to Mr. Amschwand that all of his life insurance was convertible under the Policy and that he remained eligible for all benefits.
As his condition deteriorated, Mr. Amschwand repeatedly contacted Spherion to confirm that he was fully covered under the Aetna Policy. Each time, Spherion representatives failed to mention the Active Work Rule requirement and incorrectly assured him that the full spectrum of coverage he enjoyed under the pre-Aetna Plan remained valid. Moreover, in spite of the Amschwands’ repeated oral requests for documentation of the Policy terms and the corresponding Summary of Coverage, Spherion either maintained that informational booklets were not yet available for employees, or simply failed to provide any paperwork describing the conditions of the Policy. Believing himself covered, Mr. Amschwand timely paid the basic and supplemental life insurance premiums while on disability leave until his death in February, 2001. Mr. Amschwand diligently sought to ensure that his wife would be provided for under the Plan. Both parties agree, however, that Spherion never informed him that in order for the Policy to take effect he was required to return to work for at least one full day.
Shortly after her husband’s death, Mrs. Amschwand filed a claim with Aetna only to be informed that because her husband had not satisfied the Active Work Rule, he was ineligible for benefits under the Policy. After being denied recovery in Aet-na’s administrative appeals process, Mrs. Amschwand filed suit seeking relief under ERISA § 502(a)(3) in the form of “monetary losses caused by [the Spherion Defendants’] breach of fiduciary duty.”
This court reviews the district court’s summary-judgment grant de novo, applying the same standard used below. Chacho v. Sabre, Inc.,
III. DISCUSSION
Section 502(a)(3) allows a plan participant, beneficiary, or fiduciary to obtain, inter alia, “appropriate equitable relief’ to enforce the terms or to remedy violations of an employee-benefit plan. The scope and nature of relief available to aggrieved parties under this statutory provision has been circumscribed by a line of Supreme Court decisions beginning with Mertens v. Hewitt Associates,
The spectrum of § 502(a)(3) relief contracted further in Great-West Life & Annuity Insurance Co. v. Knudson,
The freshest of Mertens’s progeny, Sereboff v. Mid Atlantic Medical Services, Inc., — U.S. —,
This appeal, in contrast to the Supreme Court cases, is a suit by a beneficial seeking relief under § 502(a)(3) from a plan fiduciary for breach of fiduciary duty.
Amschwand’s proposed distinction among defendants has been rejected by many of our sister circuits. There is no textual argument for drawing this distinction under § 502(a)(3). Under Greaf-West, only the nature of the claim and the relief sought — not the status of the litigants — determine the scope of available § 502(a)(3) recovery.
Amschwand further repeats the unsuccessful argument that because monetary damages for breach of fiduciary duty were sometimes awarded against trustees in courts of equity, they are automatically available under § 502(a)(3). See, e.g., Davila,
A defendant’s possession of the disputed res is central to the notion of a restitution-
Obtaining the lost policy proceeds, as Amsehwand requests, is simply a form of make-whole damages.
IV. CONCLUSION
For the aforementioned reasons, the judgment of the district court is AFFIRMED.
Notes
. The Summary of Coverage provision stated: "Active Work Rule: If you happen to be ill or injured and away from work on the date your coverage would take effect, the coverage will not take effect until you return to full-time work for one full day. This rule also applies to an increase in your coverage.”
. Amschwand already has recovered statutory damages in the amount of $100 per day from the date of Spherion’s failure to timely provide policy documentation, as well as attorney’s fees, pursuant to ERISA §§ 502(c)(1)(B) and (g)(1), 29 U.S.C. §§ 1132(c)(1)(B), (g)(1), respectively. The present appeal concerns only the availability of a monetary remedy under § 502(a)(3).
. This court has held similarly. See Rogers v. Hartford Life & Accident Ins. Co.,
. As the pleadings demonstrate, this action can alternatively be characterized as a demand for damages from the breach of Thomas Amschwand’s life insurance policy. Contrary to Spherion’s insistence, breach of contract, although historically not an action brought in equity, does not put equitable recovery under § 502(a)(3) out of Amsch-wand's reach. See Sereboff,
. On its face, § 502(a)(3) defines who may bring an action; it does not condition the scope of recovery on the identity of the defendant. This is not true of other ERISA remedial provisions. See, e.g., Bombardier Aerospace Employee Welfare Benefits Plan v. Ferrer, Poirot & Wansbrough,
. Cf. Langbecker v. Elec. Data Sys. Corp.,
. Amschwand's alternative characterization of the remedy she seeks under § 502(a)(3) as injunctive relief that would preclude Spher-ion’s withholding payment of the make-whole damages is essentially indistinguishable from a demand for payment. Such attempts to recharacterize a desired § 502(a)(3) remedy as a purely equitable form of relief, like an injunction, have been consistently rejected. See Great-West,
. This court has explicitly rejected language from our pre-Mertens decisions which speculates that such relief could be available under § 502(a)(3). See, e.g., Rogers,
Concurrence Opinion
concurring:
The facts as detailed in Chief Judge Jones’s opinion scream out for a remedy
