Dаniel P. SOEHNLEN; Bill Reeves; Superior Dairy, Inc., Plaintiffs-Appellants, v. FLEET OWNERS INSURANCE FUND; Robert Kavalec; Charlie Alferio; Victor Collova, Defendants-Appellees.
No. 16-3124
United States Court of Appeals, Sixth Circuit.
Argued: October 18, 2016; Decided and Filed: December 21, 2016
Rehearing En Banc Denied January 25, 2017
844 F.3d 576
Before: KEITH, BATCHELDER, and CLAY, Circuit Judges.
OPINION
CLAY, Circuit Judge.
Plaintiffs Daniel Soehnlen, Bill Reeves, and Superior Dairy, Inc. filed suit alleging that Defendants Fleet Owners Insurance Fund, Robert Kavalec, Charlie Alferio and Victor Collova, breached a range of obligations under the Employee Retirement Security Act of 1974 (“ERISA“),
BACKGROUND
Factual Background
Plaintiff Superior Dairy, Inc. (“Superior Dairy“) is an Ohio Corporation that engages in the manufacture and processing of milk-based products. Plaintiff Daniel P. Soehnlen is President and Chief Executive Officer of Superior Dairy. Plaintiff Bill Reeves is an hourly employee of Superior Dairy, who also serves as a union steward on behalf of the International Brotherhood of Teamsters, Chauffeurs, Warehousemen, and Helpers of America, General Trucker Drivers and Helpers, Local Union No. 92. As the parties concede, Defendant Fleet Owners Insurance Fund (“Fleet Owners” or the “Plan“) is a multi-employer “welfare benefit plan” within the meaning of ERISA,
According to Plaintiffs, notwithstanding the ACA‘s statutory requirement mandating that all group health plans eliminate per-participant and per-beneficiary pecuniary caps for both annual and lifetime benefits, the Plan maintains such restrictions. Consequently, Superior Dairy purchased supplemental health insurance benefits to fully cover its employees. Defendants do not, at this time, dispute the existence of benefit caps within the plan, but instead argue that the Plan is exempt from such requirements because it is a “grandfathered” plan.
Procedural History
Plaintiffs filed their complaint against Defendants alleging violations of the ACA, ERISA, Taft-Hartley Act, and various provisions of the Trust Agreement and Participation Agreement that govern the Plan. The action was brought both on behalf of individual named Plaintiffs, Soehnlen and Reeves, and the company Superior Dairy, and on behalf of a class of similarly situated employees. The district court dismissed all seven counts alleged in Plaintiffs’ complaint. Plaintiffs appeal every one of the district court‘s conclusions; we therefore consider each argument below.
DISCUSSION
Standard of Review
This Court reviews de novo both a district court‘s decisiоn to dismiss the complaint for lack of subject matter jurisdiction and to dismiss for failure to state a claim. See Gaylor v. Hamilton Crossing CMBS, 582 Fed.Appx. 576, 579 (6th Cir. 2014); In re Carter, 553 F.3d 979, 984 (6th Cir. 2009) (“Where a district court rules on a 12(b)(1) motion to dismiss that attacks the claim of jurisdiction on its face, this Court reviews the decision de novo.“) To avoid dismissal under Rule 12(b)(6), a complaint must provide sufficient facts to state a claim that is plausible on its face. See Bell Atl. Corp. v. Twombly, 550 U.S. 544, 570 (2007). And where a plaintiff‘s Article III standing is at issue, the plaintiff must allege facts sufficient to establish the requisite individualized harm. See Keener v. Nat‘l Nurses Org. Comm., 615 Fed.Appx. 246, 251 (6th Cir. 2015).
Analysis
I. ERISA Claims
1. Count I and II: Monetary and Injunctive Relief under 29 U.S.C. § 1132 (a)(1)(B)
Plaintiffs allege that by failing to comply with the ACA provisions enjoining annual and life-time limitations on benefits, Defendants violated their ERISA rights. Consequently, Plaintiffs seek monetary and injunctive relief under
As has been reaffirmed countless times, there are two components to any given standing inquiry: constitutional and statutory. The Suprеme Court has recently clarified, however, that what has been called “statutory standing” in fact is not a standing issue, but simply a question of whether the particular plaintiff “has a cause of action under the statute.” Am. Psychiatric Ass‘n v. Anthem Health Plans, Inc., 821 F.3d 352, 359 (2d Cir. 2016) (citing Lexmark Int‘l, Inc. v. Static Control Components, Inc., 572 U.S. 118, 128 (2014)). Defendants do not oppose, and we assume without considering, that Plaintiffs have a valid cause of action under ERISA in order to bring their
“Article III limits the judicial power of the United States ... and ‘Article III standing ... enforces the Constitution‘s case-or-controversy requirement. ‘” Hein v. Freedom From Religion Found., Inc., 551 U.S. 587, 597-98 (2007) (quoting Elk Grove Unified Sch. Dist. v. Newdow, 542 U.S. 1, 11 (2004)). Consequently, it must be determined whether Plaintiffs have ” ‘such a personal stake in the outcome of the controversy’ as to warrant [their] invocation of federal-court jurisdiction and to justify exercise of the court‘s remedial powers on [their] behalf.” Warth v. Seldin, 422 U.S. 490, 498-99 (1975) (quoting Baker v. Carr, 369 U.S. 186, 204 (1962)). Plaintiffs bear the burden of establishing standing. See Lujan v. Defenders of Wildlife, 504 U.S. 555, 561 (1992). To satisfy Article III‘s standing requirements, a plaintiff must show: “(1) [he] has suffered an ‘injury-in-fact’ that is (a) concrete and particularized and (b) actual or imminent, not conjectural or hypothetical; (2) the injury is fairly traceable to the challenged action of the defendant; and (3) it is likely, as opposed to merely speculative, that the injury will be redressed by a favorable decision.” Loren, 505 F.3d at 606-07 (quoting Friends of the Earth, Inc. v. Laidlaw Envtl. Servs., 528 U.S. 167, 180-81 (2000)).
We scrutinize the “injury-in-fact” element of standing in order to determine not just whether Plaintiffs have sufficiently pleaded a statutory injury, but a constitutional one as well. As the Supreme Court recently affirmed in Spokeo, Inc. v. Robins, 578 U.S. 330 (2016), an injury-in-fact contains the two distinct elements of particularization and concreteness. Id. at 339-40. For an injury to be particularized, “it must affect the plaintiff in a personal and individual
Pointing specifically to Spokeo, Plaintiffs contend that the Supreme Court has radically altered the landscape for pleading injury-in-fact. Consequently, they believe that by merely alleging a violation of ERISA rights, they satisfy their obligation under Article III. We disagree on both points. While we recognize that the Supreme Court acknowledged that nontangible injuries, including violations of statutоry rights, may satisfy the constitutional showing of an injury-in-fact, we also take the Court at its word when it cautions that “Congress’ role in identifying and elevating intangible harms does not mean that a plaintiff automatically satisfies the injury-in-fact requirement whenever a statute grants a person a statutory right and purports to authorize that person to sue to vindicate that right.” Id. at 341. “Article III standing requires a concrete injury even in the context of a statutory violation.” Id. Therefore, even if we assume the injury is sufficiently particularized, Plaintiffs must 1 still show that the deprivation of a right created by statute is accompanied by “some concrete interest that is affected by the deprivation.” Id. at 340 (quoting Summers v. Earth Island Inst., 555 U.S. 488, 496 (2009)). A “concrete” intangible injury based on a statutory violation must constitute a “risk of real harm” to the plaintiff. Id. at 341.
Plaintiffs argue, in extreme generality, that certain members of their class suffer from conditions that have previously required medical expenses in excess of the benefit caps imposed by the Plan. They also claim that some of their employees will choose to delay important medical procedures in order to avoid exceeding the cap. We again reiterate, Plaintiffs are not absolved of their individual obligation to satisfy the injury element of Article III just because they allege сlass claims. We previously made clear that potential class representatives must demonstrate “individual standing vis-a-vis the defendant; [they] cannot acquire such standing merely by virtue of bringing a class action.” Fallick v. Nationwide Mut. Ins. Co., 162 F.3d 410, 423 (6th Cir. 1998). Individual Plaintiffs never show precisely what concrete harm they suffer as a result of Defendants’ violations of their ERISA rights. By merely arguing, as Plaintiffs do, that the pecuniary limitations imposed by the Plan exist, without anything further, Plaintiffs cannot hope to satisfy the concreteness prong of the injury-in-fact requirement of Article III.1 See Lee v. Verizon Commc‘ns, Inc., 837 F.3d 523, 529-31 (5th Cir. 2016)
To the extent thаt Plaintiffs claim they personally suffer a constitutional injury by remitting money towards a non-compliant plan, they cannot state a claim. This Court has already determined that under
2. Count III: Monetary and Injunctive Relief under § 1132(a)(1)(B) and § 1132(a)(3)
In Count III of their complaint, Plaintiffs, without introducing any additional facts, allege that Defendants have refused to provide benefits and coverage mandated by the ACA and ERISA. They seek to enjoin future violations and obtain appropriate monetary, declaratory, and equitable relief to redress the violations under
a civil action may be brought ... by a participant, beneficiary, or fiduciary (A) to enjoin any act or practice which vio-2lates any provision of this subchapter or the terms of the plan, or (B) to obtain other appropriate equitable relief (i) to redress such violations or (ii) to enforce any provisions of this subchapter or the terms of the plan.
As the Supreme Court explained in Varity Corp. v. Howe, 516 U.S. 489, 512 (1996)
First, as a threshold matter, when bringing a suit under
However, with respect to their request for injunctive relief, Plaintiffs contend, relying upon Horvath v. Keystone Health Plan East, Inc., 333 F.3d 450 (3d Cir. 2003), subsequently cited by this Court in Loren, 505 F.3d at 609-10, that a plaintiff need not establish “actual harm” under
Plaintiffs pair their request for injunctive relief with allegations of a breach of
3. Count IV: Breach of Fiduciary Duty
Count IV of Plaintiffs’ complaint alleges that Defendant trustees Kavalec, Collova and Alferio have each breached their fiduciary obligations to the Plan, subjecting it to over $15,000,000 in taxes and penalties. In turn, they request appropriate monetary, injunctive, and equitable relief pursuant to
Nonetheless, Plaintiffs press their claim for injunctive relief, arguing they need not show individual injury to obtain injunctive relief for a breach of fiduciary duty, relying again upon Horvath and Loren. In Loren, we considered a similar argument pursuant to
We now recognize that some ambiguity may have been engendered by this decision and take this opportunity to provide clarification. There is no doubt that ERISA imposes on plan fiduciaries a duty to act in accordance with the documents and instruments governing the plan insofar as such documents and instruments are consistent with the provisions of ERISA.
4. Count V: Breach of § 1149
In Count V of their complaint, Plaintiffs argue pursuant to
Interpreting
No person, in connection with a plan or other arrangement that is [a] multiple employer welfare arrangement described in section 1002(40) of this title, shall make a false statement or false representation of fact, knowing it to be false, in connection with the marketing or sale of such plan or arrangement, to any employee, any member of an employee organization, any beneficiary, any employer, any employee organization, the Secretary, or any State, or the representative or agent of any such person, State, or the Secretary, concerning.... (2) The benefits provided by such plan or arrangement.
In instances where we have been faced with similar statutory language, we have found that a heightened pleading standard, as expressed under
Dismissal of a complaint for failure to comply with Rule 9(b) is reviewed as a dismissal for failure to state a claim. SNAPP, Inc., 532 F.3d at 502. A complaint may be dismissed if it contains “no specific information about the filing of the claims themselves—nothing, that is, to alert the defendants ‘to the precise misconduct with which they are charged and [to] protect[] defendants against spurious сharges of immoral and fraudulent behavior. ‘” Sanderson v. HCA-The Healthcare Company, 447 F.3d 873, 877 (6th Cir. 2006) (quoting United States ex rel. Clausen v. Laboratory Corp. of America, Inc., 290 F.3d 1301, 1310 (11th Cir. 2002)). To insure that a defendant has sufficient notice, a plaintiff must “allege the time, place and content of the alleged misrepresentation; the fraudulent intent of the defendants; and the injury resulting from the fraud.” United States ex rel Bledsoe v. Cmty. Health Sys., Inc., 501 F.3d 493, 502 (6th Cir. 2007).
Plaintiffs allege a violation under
In their complaint, Plaintiffs do nothing more than restate the relevant section of
Although the application of Rule 9(b) does not require formulaic compliance, we have made clear that in order to plead fraud with particularity, a plaintiff must allege among other things “the time, place, and content of the alleged misrepresentation.” Bledsoe, 501 F.3d at 504. The rule‘s purpose is to alert defendants “as to the particulars of their alleged misconduct” so that they may respond. Chesbrough v. VPA, P.C., 655 F.3d 461, 466 (6th Cir. 2011) (citing Bledsoe, 501 F.3d at 503). The heightened pleading standаrds are designed to prevent “fishing expeditions,” protect defendants’ reputation from allegations of fraud, and to narrow potentially wide-ranging discovery to relevant matters. Id. Plaintiffs’ one sentence allegation does nothing to alleviate the concerns underscored by Rule 9(b) and we, therefore, dismiss this claim and turn to Plaintiffs’ non-ERISA claims.
II. Plaintiffs’ Additional Claims
1. Count VI: The Taft-Hartley Act
Plaintiffs allege that Defendants have breached
In Demisay, the Supreme Court held thаt § 186(e), the jurisdictional component of the Taft-Hartley statute allowing a plaintiff to bring injunctive relief to enforce violations, did not extend to claims “requiring the trust funds to be administered in the manner described in
Relying upon Lipton v. Consumers Union of U.S., Inc., 37 F.Supp.2d 241, 245 (S.D.N.Y. 1999), Plaintiffs advance an alternative reading of Demisay that distinguishes between instances in which a plaintiff seeks recovery of money already contributed to the fund and the situation at hand where Plaintiffs wish to enjoin future monthly payments to the Plan. We reject such a tortured reading of Lipton and by extension Demisay. In Lipton, the plaintiffs argued that by limiting the trustee‘s power to invest in any equity security not intended to benefit the union, the fund violated the Taft-Hartley Act. See id. at 242. The court agreed, finding that such a challenge proceeded not under § 186(c) but under § 186(a) because it questioned the initial purpose for which the fund was established. The district court noted that a § 186(c) violation, while itself not cognizable, could be used as evidence to show a violation under either § 186(a) or (b).
In explaining Demisay, the district court made two important observations. Plain-
The [Supreme] Court drew also a second distinction, between establishment of a trust for a particular purpose and operation in compliance with that purpose. The exception in Section [186(c)(5)], the Court said, “relates, not to the purpose for which the trust fund is in fact used (an unrestricted fund that happens to be used for the sole and exclusive benefit of the employees does not qualify); but rather to the purpose for which the trust fund is established and for which the payments are held in trust.”
Id. at 245 (quoting Demisay, 508 U.S. at 588).
Lipton concluded that to state a claim under Taft-Hartley, thе suit must challenge the “purposes for which this fund was established” rather than the mechanisms by which the fund operates. Id. at 246. It again reaffirmed that courts do not have “jurisdiction over administration of a fund or operation in compliance with the purposes of § [186(c)(5)].” Courts, however, do “have jurisdiction over questions of the purpose for which a fund is established.” Id. at 245.
Along with our sister circuits, we have endorsed a similar reading of the Taft-Hartley Act that seeks to distinguish the purpose behind the plan‘s founding and the manner by which the plan now operates. See Myers v. Bricklayers & Masons Local 22 Pension Plan, 629 Fed.Appx. 681, 685 (6th Cir. 2015) (“[B]ecause [plaintiff] alleges no bribery, extortion, or misuse of union funds,
2. Counts VII and VIII: Breach of Contract
Finally, Plaintiffs bring breach оf contract claims. Prior to considering the merits of such state law claims, a court of appeals “must determine its own jurisdiction and is bound to do so in every instance.” Packard v. Farmers Ins. Co. of Columbus Inc., 423 Fed.Appx. 580, 583 (6th Cir. 2011) (quoting Carson v. U.S. Office of Special Counsel, 633 F.3d 487, 491 (6th Cir. 2011)). Courts may exercise supplemental jurisdiction over any state law claim that “form[s] part of the same case or controversy” as matters arising under original jurisdiction,
ERISA has one express preemption provision. It applies equally to all ERISA benefit plans, preempting all state law claims that “relate to any employee benefit plan.”
Plaintiffs argue that the breadth of ERISA‘s preemption provision is limited and that federal courts have repeatedly held that common law breach of contract claims are not preempted under ERISA where the advocate of those claims is neither a “participant” nor “beneficiary” under the statute. They claim that because Superior Dairy cannot bring an action under ERISA, but remains a party to the Trust Agreement and Participation Agreement, its contract action cannot be preempted. However, Plaintiffs’ argument is unpersuasive.
The Supreme Court has been clear that federal courts must look to the “objectives of the ERISA statute as a guide to the scope of the state law that Congress understood would survive.” N.Y. State Conference of Blue Cross & Blue Shield Plans v. Travelers Ins. Co., 514 U.S. 645, 656 (1995). The purpose of ERISA preemption is to avoid conflicting federal and state regulation and to create a nationally uniform administration of employee benefit plans. Thus, ERISA preempts state laws that (1) “mandate employee benefit structures or their administration“; (2) provide “alternate enforcement mechanisms“; or (3) “bind employers or plan administrators to particular choices or preclude uniform administrative practice, thereby functioning as a regulation of an ERISA plan itself.” Penny/Ohlmann/Nieman, Inc., 399 F.3d at 698 (quoting Coyne & Delany Co. v. Selman, 98 F.3d 1457, 1468 (4th Cir. 1996)). This has resulted, in limited scenarios, in courts concluding that breach of contract claims were not preempted by ERISA.
However, in each such case, the conduct at issue did not actually relate to the ERISA plan in question. See, e.g., Marks v. Newcourt Credit Group, Inc., 342 F.3d 444, 453 (6th Cir. 2003)
In contrast, Plaintiffs’ contract claims present a mere dupliсation of their ERISA arguments. In order to adjudicate the breach of contract claim, we would inevitably be evaluating whether or not any provision of ERISA was violated. It is impossible, therefore, to conclude that Plaintiffs’ breach of contract action is in any way distinguishable from their ERISA claims. Put another way, there is no way for us to resolve Plaintiffs’ contract claims without doubly reviewing their ERISA claims. En-6gaging in such analysis would be duplicative and thus we find the state law claims preempted.6
CONCLUSION
For the foregoing reasons, we AFFIRM the district court‘s judgment.
