Kenneth CHUCK, Plaintiff-Appellant, v. HEWLETT PACKARD CO., a foreign corporation; The Hewlett Packard Company Deferred Profit Sharing Retirement Plan; John Corcoran, in his capacity as the Plan Administrator; Jane and John Does, 1–10, in their capacity as Plan Administrators and/or Trustees, Defendants-Appellees.
No. 04–36094.
United States Court of Appeals, Ninth Circuit.
Argued and Submitted Dec. 6, 2005. Filed July 25, 2006.
455 F.3d 1026
Joseph P. Busch, III, of Gibson, Dunn & Crutcher, Irvine, CA; and Richard F. Liebman and Allyson Krueger, of Barran Liebman, Portland, OR, for the defendants-appellees.
Before: D.W. NELSON and O‘SCANNLAIN, Circuit Judges, and BURNS,* District Judge.
D.W. NELSON, Senior Circuit Judge:
Kenneth Chuck appeals the district court‘s grant of the summary judgment motion put forward by several Hewlett Packard Company defendants (collectively, “HP“). Chuck‘s principal claim is that the Hewlett Packard Company Deferred Profit-Sharing Retirement Plan (the “Plan“), which is governed by the Employee Retirement Income Security Act of 1974 (“ERISA“),
At the heart of this case, we are faced with an issue of first impression in this circuit: whether ERISA‘s statute of limitations may bar a claim for benefits notwithstanding a plan‘s failure to fulfill its disclosure and review obligations under
I
Chuck worked for HP from 1968 to 1972, and then again from 1974 to 1980. In 1978 and 1979, HP appears to have calculated Chuck‘s pension credit and provided him with annual benefit statements as though there had been no break in his service with HP. Shortly before Chuck‘s resignation from HP in December 1980, however, HP recalculated Chuck‘s accrual of pension benefits in light of the gap in his employment with HP. The result was a significant decrease in the benefits that had vested to Chuck under the Plan. Chuck promptly brought to HP‘s attention his dispute with the benefits recalculation. According to Chuck, he was entitled to the original, higher benefits calculation as a condition of his agreement to return to HP in 1974.
In late December 1980, soon after Chuck‘s resignation, HP sent Chuck a “Retirement Benefit Claim Form” with instructions regarding the election of a method for pension benefit payment. The option to receive a lump sum payment had been pre-selected for Chuck, and every other option had been crossed out. The form also noted that “[o]nce a lump sum benefit payment has been elected or approval for lump sum payment obtained, the choice is irrevocable.” Chuck never returned the form, because, as Chuck alleges, instructions on the form signaled that an annuity commencing at age 65 would be the default method of payment to Chuck if no timely election were made. Chuck then wrote a letter to an HP administrator asking that the amount of his vesting as announced on that form be corrected to reflect his original hire date with HP in 1968.
A Plan administrator sent a letter to Chuck dated January 28, 1981, in which she re-affirmed the decrease in Chuck‘s vested benefits and explained that the change was “due to the fact that from September, 1972 to August, 1974 you were not an HP employee.” This letter also declared that “corrected” trust statements for 1978 and 1979 were attached and that Chuck would be receiving shortly his “final trust statement for the October 31, 1980 quarter.” Chuck admits that he was aware at this time that HP was going to take the position that he was not eligible for any further pension benefits. Soon afterward, Chuck received a lump sum payment of $3,269.06, which in HP‘s view constituted a full and complete distribution of Chuck‘s benefits under the plan.
In late 1991 and early 1992, Chuck sent a series of letters to HP seeking clarification of the benefits he could anticipate receiving when he retired. HP replied in a letter dated March 6, 1992, noting that Chuck had been paid the $3,269.06 in 1981 and that “[n]o further retirement benefits are payable from our U.S. plans.” For the next several years, and then again starting in early 2001, Chuck sent numerous letters to HP seeking to reestablish his entitlement to a benefits calculation based on continuous service with HP. Some of these letters also requested basic Plan documentation, which HP had never given Chuck. HP did not respond to many of these letters and did not provide Chuck with the Plan documentation.
Chuck filed his complaint in the district court on December 5, 2003. HP moved for summary judgment, and the district court granted the motion. The district court
II
Our jurisdiction arises under
III
A
We first address Chuck‘s claim that HP has wrongfully denied him benefits to which he is entitled. HP argues that this claim is time-barred because it was filed after the expiration of ERISA‘s statute of limitations. Chuck contends that his cause of action never accrued, and therefore that the statute of limitations never began to run, because HP failed to provide him with adequate information regarding either his benefits denial or his rights to an internal review of that denial. We hold that a plan‘s violation of its notification and review obligations under ERISA is a highly significant factor, but not a dispositive one, in determining whether a claim has accrued for benefits under ERISA. In this case, an unusual combination of circumstances indicates that Chuck‘s claim is time-barred notwithstanding HP‘s failure to provide proper notification and review.
Chuck brings his benefits claim under
Federal law, however, governs the issue of when a cause of action accrues and thereby triggers the start of the limitations period. Wetzel, 222 F.3d at 646. We have earlier established that “an ERISA cause of action accrues either at the time benefits are actually denied or when the insured has reason to know that the claim has been denied.” Id. at 649 (citations omitted). A participant need not file a formal application for benefits before having “reason to know” that his claim has been finally denied. See Martin v. Construction Laborer‘s Pension Trust, 947 F.2d 1381, 1384–85 (9th Cir. 1991). Instead, a cause of action accrues when a pension plan communicates “a clear and continuing repudiation” of a claimant‘s rights under a plan, id. at 1385, such that the claimant could not have reasonably believed but that his benefits had been “finally denied.” Wetzel, 222 F.3d at 650.
B
Chuck argues that there could not have been a clear and continuing repudiation of his claim for further benefits if the Plan failed to provide Chuck with proper notice of that denial or with an opportunity to exhaust the Plan‘s internal review procedures. Cf. Martin, 947 F.2d at 1385 (relying on both the denial of a claim and the exhaustion of internal remedies to find a clear and continuing denial). We agree that the record demonstrates that the Plan violated its ERISA obligations to provide Chuck with adequate justification for its denial of benefits and with a reasonable opportunity for review. We do not agree, however, that these failures necessarily mean that Chuck lacked reason to know that the denial of his benefits claim was final.
As a preliminary matter, we hold that the Plan clearly breached its duties of notification and review under ERISA. Under
- (1) The specific reason or reasons for the denial;
- (2) Specific reference to pertinent plan provisions on which the denial is based;
- (3) A description of any additional material or information necessary for the claimant to perfect the claim and an explanation of why such material or information is necessary; and
- (4) Appropriate information as to the steps to be taken if the participant or beneficiary wishes to submit his or her claim for review.
Accepting that the Plan clearly fell short of these obligations, we must now inquire into the effect of such a breach on the application of a time bar.
Although many considerations remain constant across both contexts, we are persuaded of three slight but relevant distinctions between statutory and contractual time bars in the ERISA context. Because of these distinctions, we hold that a plan‘s violation of
First, as we have discussed above, the trigger for ERISA‘s statute of limitations on a claim for benefits (unlike the trigger for the contractual limitations period in a given plan) is well-established by federal law, requiring in cases such as this one simply that we examine whether a claimant “could have reasonably believed his benefits had not been finally denied,” or whether instead he had “reason to know” of a “clear and continuing repudiation” of his claim. Wetzel, 222 F.3d at 649–50; Martin, 947 F.2d at 1385.
A plan‘s failure to comply with its disclosure and review obligations under
Nevertheless, in unusual circumstances, a claimant may well have reason for such knowledge notwithstanding a plan‘s violation of its notification and review obligations under
A second relevant distinction between the enforcement of contractual and statutory limitations periods relates to the policies underlying those limitations periods. With regard to a contractual limitations period, we have determined that “holding that inadequate notice does not trigger a ... time bar will not create a significant problem of stale claims,” for plan administrators would have just as much capacity and incentive “to avoid the contingent liability of stale claims by ceasing to rely on benefit termination form letters and giving adequate, specific notice.” White, 896 F.2d at 352. To a large extent, this reasoning is applicable in the statutory context as well, for plans have the identical capacity and incentives to avoid stale claims. But it is also apparent that the ongoing passage of time elevates both the burden imposed by a stale claim and the difficulty of resolving it. This effect is why, despite ERISA‘s goal of providing ready access to courts, and despite the absence of any express statute of limitations for benefits claims under ERISA, the federal courts have long applied a statute of limitations to such claims as a matter of federal common law. See, e.g., Martin, 947 F.2d at 1384; see also Flanagan v. Inland Empire Elec. Workers Pension Plan & Trust, 3 F.3d 1246, 1252 n. 4 (9th Cir. 1993) (collecting cases). We have found that the “policy of finality and repose” has particular traction against allowing ERISA claims after potentially extreme delays, given their increased “negative effects on the availability of witnesses and evidence.” Martin, 947 F.2d at 1385 (citation omitted).
Thus, there is at least some difference between allowing a claim to be filed several years after the expiration of a plan‘s time bar but before the expiration of ERISA‘s statute of limitations (at least in cases in which ERISA‘s limitations period ends later), and allowing a claim to be filed in perpetuity. While plan administrators have the capacity and the incentive to avoid stale claims of either sort, perpetual liability opens a door more widely to claims whose underlying events have long passed, elevating concerns regarding the plan‘s abilities to anticipate its financial obligations adequately. Cf. Veltri, 393 F.3d at 325 (“We share the concern that to allow tolling of the statute of limitations ‘in perpetuity,’ would thwart actuarial prediction of plan liability and thereby threaten the ability of pension plans to prepare in advance to meet financial obligations simultaneously to both beneficiaries and adverse litigants.“). Most significant, such concerns are particularly elevated once a claimant has clear reason to know that a denial of benefits is final, for at that point there is diminished justification for indefinitely allowing the claimant to sit on the matter rather than bring his suit in federal court.
A third reason to differentiate statutory and contractual limitations periods involves claimants’ access to meaningful remedies. Clearly, ensuring the availability of both administrative and judicial remedies is a central purpose of the ERISA regime. We have previously noted that adequacy of notice is “important to [claimants‘] ability
One of the most significant remedial concerns regarding the enforcement of contractual limitations periods, however, is somewhat mitigated in the context of enforcing ERISA‘s statute of limitations. If, despite a plan‘s insufficient notification to the claimant, ERISA‘s limitations period is enforced—unlike the enforcement of contractual limitations periods—plan boards still would not be entirely capable of “deter[ring] claimants from timely appealing by sending vague and inadequate appeal notices.” White, 896 F.2d at 351; cf. Chappel v. Lab. Corp. of America, 232 F.3d 719, 726 (9th Cir. 2000) (noting that missing the deadline for invoking a plan‘s administrative procedures would “entirely foreclose[]” judicial review). After all, a claimant could still potentially seek a remedy in federal district court by filing a timely claim under
Granted, the availability of federal courts to hear such suits provides only a very limited safety valve for claimants. After all, these suits effectively require claimants to learn independently of their internal appeal rights, when Congress and the Department of Labor have, to the contrary, explicitly placed the burden on plans
We recognize that, as between the enforcement of contractual and statutory time bars, these distinctions are not great. Nevertheless, we find it significant that they are all relatively salient in the case of a claimant who, despite the
C
The facts of this case convince us that, despite the Plan‘s failure to notify Chuck of his appeal rights or of the full justification for its denial of benefits, Chuck nevertheless had reason to know of the Plan‘s final repudiation of his claim by no later than March 1992, such that his claim is time-barred. In particular, we note a number of factors that, taken together, close off any possibility that Chuck could have reasonably believed the denial
First, Chuck admits that he knew even before resigning in 1980 that HP was going to take the position that he was not eligible for further pension benefits beyond those to which he was entitled at the decreased vesting rate. A claimant in such a position is clearly on heightened notice that communications from the plan may reflect a final denial of eligibility for the benefits claimed.
Second, the Plan then did consistently communicate to Chuck that it was taking the position he expected. As early as January 1981, a Plan administrator sent Chuck a letter affirming the decrease in his vesting credit, and HP did not subsequently waver in its position with respect to the benefits due to Chuck under the pension plan at issue.
Third, Chuck had actual notice that a lump sum payment, if made, would constitute his only payment option. The Retirement Benefit Claim Form that Chuck received in December 1980 can only be read as providing Chuck with at most two options: a lump sum payment payable soon after his termination, or a life annuity commencing at age 65.4 In his own declaration, however, Chuck acknowledges that he reads the instructions on this form as informing him that if he were to receive a life annuity at age 65, he “would not be eligible for ... a lump sum payment.” Chuck therefore admits that receipt of a lump sum payment would preclude his eligibility for further benefits at age 65.
Fourth, Chuck had notice that his acceptance of payment by lump sum would be irrevocable. The same Retirement Benefit Claim Form prominently notified Chuck that “[a]fter termination, the options are restricted as follows: ... Once a lump sum benefit payment has been elected or approval for lump sum payment obtained, the choice is irrevocable.”
Fifth, Chuck subsequently accepted the Plan‘s check constituting a lump sum payment in the amount set by HP, and there is no indication in the record that Chuck‘s acceptance of that check was in any way conditioned on the reservation of his claim to greater benefits. Indeed, there is no evidence that Chuck communicated further with HP regarding this dispute for over a decade after accepting the lump sum payment.
Sixth, when Chuck did raise the issue again with HP, a Plan administrator sent Chuck a letter in March 1992 noting that the Plan had paid Chuck $3,269.06 in 1981 and unequivocally announcing that “[n]o further retirement benefits are payable from our U.S. plans.” HP offered no indication that further consideration of his claim was pending or could be invoked.5
We do not address whether fewer than all six of these factors would be sufficient to bar Chuck‘s claim. We hold only that the circumstances in this case leave little doubt that the Plan‘s failure to inform Chuck of its review procedures, or of the specific plan provisions on which the benefits denial was based, did not give Chuck any reason to believe that the denial was not final, for he was informed both before and long after accepting the lump sum payment that his acceptance of it effectively settled his account. Therefore, we hold that Chuck‘s cause of action accrued, at the latest, when he received the March 1992 letter announcing that “[n]o further retirement benefits are payable from our U.S. plans.” Since the record reflects that Chuck replied to this letter (and hence had received it) by the end of the same month, the six-year statute of limitations expired no later than the end of March 1998, well before Chuck filed his complaint in district court in December 2003. His claim for benefits is therefore time-barred under ERISA‘s statute of limitations.
IV
Chuck also brings claims seeking statutory damages under ERISA for the Plan‘s failure to provide him with Plan-related documents. We hold that Chuck is not a “participant” as defined in ERISA, as his claim for benefits is time-barred on account of his own actions, and that he therefore lacks standing to seek statutory damages under ERISA.
Chuck‘s claims arise under
If Chuck is not a “participant or beneficiary” of the Plan, however, he lacks standing to bring these claims under
The Supreme Court has held that, “[i]n order to establish that he or she ‘may become eligible’ for benefits, a claimant must have a colorable claim that (1) he or she will prevail in a suit for benefits, or that (2) eligibility requirements will be fulfilled in the future.” Firestone Tire & Rubber Co. v. Bruch, 489 U.S. 101, 117–18 (1989). Chuck does not contend that he fits into the second category, so the issue we face is whether Chuck had a colorable claim that he would prevail in a suit for benefits. Our examination concerns Chuck‘s status as of the time he filed his complaint. See McBride v. PLM Int‘l, Inc., 179 F.3d 737, 749–50 (9th Cir. 1999).
As a preliminary matter, we note that Chuck cannot bootstrap standing based on this same claim for statutory damages under
As we have discussed above, however, Chuck‘s claim for benefits was clearly time-barred when he filed this suit, in light of Chuck‘s own actions and understandings. In agreeing with the district court‘s decision on summary judgment that Chuck‘s benefits claim is time-barred, we have necessarily concluded that no reasonable trier of fact could have decided that issue in Chuck‘s favor. See, e.g., El-Hakem v. BJY Inc., 415 F.3d 1068, 1072 (9th Cir. 2005). Accordingly, it is certain that Chuck‘s claim is time-barred, and a claim that is clearly time-barred because of the claimant‘s own actions is not “colorable” for the purposes of establishing ERISA standing. See Adamson v. Armco, Inc., 44 F.3d 650, 654 (8th Cir. 1995). At the time he initiated this lawsuit, Chuck therefore was not a plan “participant” under
V
Chuck also brings claims for breach of fiduciary duty, although it is not clear from the face of the complaint or from his briefs which of several types of fiduciary claims he means. On the one hand,
VI
For the foregoing reasons, we agree with the district court that summary judgment for the defendants is appropriate. Chuck‘s claim for benefits under
AFFIRMED.
D.W. NELSON
SENIOR CIRCUIT JUDGE
Notes
The Second Circuit has allowed a tardy claim in circumstances similar to those presented here, but it did so by relying on equitable tolling grounds, thus avoiding a decision whether a cause of action had ever accrued in the first place. See Veltri, 393 F.3d at 322–26. Here, we conclude that under Ninth Circuit law a cause of action can accrue, in some circumstances, despite a plan‘s failure to comply with its obligations under
