Faber v. Metropolitan Life InsuranceFaber v. Metropolitan Life Insurance
Plaintiffs-Appellants Carol D. Faber and the Estate of Russell E. Young (the “Estate”) appeal from a judgment of the United States District Court for the Southern District of New York (Baer,
J.)
dismissing their class-action complaint, which asserts a single claim against Defendants Appellee Metropolitan Life Insurance Company (“MetLife”) under the Employee Retirement Income Security Act of 1974 (“ERISA”),
BACKGROUND
The relevant facts are undisputed. Plaintiffs were beneficiaries of ERISAgoverned employee welfare benefit plans. Faber was a beneficiary of a plan sponsored by her late husband’s employer, the Eastman Kodak Company (the “Kodak Plan”). The Estate was a beneficiary of a plan sponsored by the late Russell E. Young’s employer, the General Motors Corporation (the “GM Plan”). Both Plans provide life insurance benefits funded by group life insurance policies issued to Kodak and GM by MetLife, the claims administrator for the Plans.
Under the Plans, if the life insurance proceeds due to a beneficiary exceed a specified amount, MetLife establishes an RAA, branded a “Total Control Account” (“TCA”), in the name of the beneficiary, credits the TCA with the amount of benefits due, аnd issues the beneficiary a “checkbook” that he can use at any time to draw on the TCA for some or all of the balance. The Summary Plan Description (“SPD”) for the Kodak Plan states:
Payment of a death benefit of $7,500 or more is made under MetLife’s Total Control Account. The death benefitamount is deposited in an interest bearing money market account and your beneficiary is provided with a checkbook to use for writing checks to withdraw funds. Other payment options are available. However, if the total death benefit is less than $7,500, a lump sum payment will be made.
Similarly, the SPD for the GM Plan states:
If the benefit from a single claim is $6,000, or more, your beneficiary may receive basic life insurance benefits under one of the several options available under the Beneficiary’s Total Control Account (TCA) Program. The TCA Program provides your beneficiary with total control of the proceeds from your life insurance. A personalized chеckbook allows your beneficiary to easily use all, or a portion, of the money. Funds left with the insurance company earn interest at competitive rates. Several investment options also are available under TCA. A separate brochure describing the TCA options is available on request from the GM National Benefit Center.
When a TCA is set up, MetLife sends the beneficiary a “Total Control Account Money Market Option Customer Agreement” (“Customer Agreement”), which lays out the terms of the TCA relationship. The Customer Agreement provides that MetLife will set the interest rate for the TCA weekly based on the performance of certain money market indices. MetLife fully guarantees both the balance of the TCA and that the annual yield on the account will be at least 1.5%. While the TCA remains open, MetLife retains the funds backing the TCA in its general account and invests those funds for its own profit, earning the spread between its return on investment and the interest paid on the TCA. When the TCA holder writes a check against the account, MetLife transfers funds sufficient to cover the draft to the bank servicing the TCA.
Faber and the Estate submitted claims for death benefits in 2004 and 2007, respectively. Once their claims were approved, MetLife established TCAs in their names and provided them with Customer Agreements and checkbooks. The opening balance of Faber’s TCA was $393,651.90, while the Estate’s was $42,765.48. The Estate withdrew all of its proceeds in 2007 and its TCA was closed. Faber has written checks against her TCA over the years, but it remains open with a positive balance.
Although Plaintiffs do not dispute that they have received the entire amount of the life insurance proceeds and interest guaranteed to them under the Plans, they brought a putative class action on behalf of all persons who were, between 2002 and 2009, beneficiaries of MetLife group life insurance рolicies that paid benefits via TCAs. The complaint alleges that by using the TCA mechanism to retain and invest the proceeds due to beneficiaries, MetLife breached section 404(a)(1) of ERISA,
In 2009, the district court granted Met-Lifе’s motion to dismiss the complaint.
Faber v. Metro. Life Ins. Co.,
No. 08 Civ. 10588(HB),
Following oral argument, we invited the Department of Labor (“DOL”) to submit its views on certain of the issues presented. In response, the DOL took the position that MetLife discharges its ERISA fiduciary duties by furnishing beneficiaries a TCA in accordance with plan tеrms and does not retain plan benefits by holding and managing the assets that back the TCA. In the DOL’s view, once MetLife creates and credits a beneficiary’s TCA and provides a checkbook, the beneficiary “has effectively received a distribution of all the benefits that the Plan promised,” and “ERISA no longer governs the relationship between MetLife and the ... account holder[].” We conclude that the DOL’s reasoning comports with ours, and we affirm.
DISCUSSION
I. Standing
We review constitutional standing de novo and, at the pleading stage, accept as true all material allegations of the complaint, which we must construe in Plaintiffs’ favor.
W.R. Huff Asset Mgmt. Co., LLC v. Deloitte & Touche LLP,
In the ERISA context, we have drawn a distinction between constitutional standing to seek injunctive relief and constitutional standing to seek disgorgement.
See Cent. States Se. & Sw. Areas Health & Welfare Fund v. Merck-Medco Managed Care, L.L.C.,
MetLife does not contest this conclusion, but rather argues that Faber cannot establish that an injunction is likely to redress her alleged injury because if she is displeased with her TCA, she can simply resort to the “self-help” remedy of withdrawing the balance and closing the account. MetLife’s argument misconstrues the redressability element of Article III standing, which obligates a court to consider whether judicial intervention is likely to rectify the injury, not whether the plaintiff might possess other non-legal remedies. Moreover, as the district court noted, such “self-help” would deprive Faber of the very salutary features of the TCA program that MetLife itself touts, including, for example, the accrual of interest at a guaranteed rate of at least 1.5%.
Faber,
In addition to establishing constitutional standing, an ERISA plaintiff must establish statutory standing.
Kendall,
Accordingly, we assume, without deciding, that Faber has statutory standing and proceed to the merits.
Cf. Cent. States Se. & Sw. Areas Health & Welfare Fund v. Merck-Medco Managed Care, L.L.C.,
We review de novo the dismissal of a complaint for failure to state a claim.
Selevan v. N.Y. Thruway Auth.,
The fiduciary provisions of ERISA derive from the common law of trusts,
see Firestone Tire & Rubber Co. v. Bruch,
In essence, Plaintiffs allege that MеtLife used the TCA mechanism to misappropriate plan assets. Specifically, they allege that MetLife violated
The sponsor of an employee welfare benefit plan is generally afforded wide latitude to design the plan, including the mechanism for distributing benefits, as it sees fit.
See Hughes Aircraft Co. v. Jacobson,
Nor are we persuaded by Plaintiffs’ contention that MetLife remained an ERISA fiduciary after establishing the TCAs because the funds in its general account backing them qualified as plan assets,
see
ERISA’s limited definition of “plan assets” is neither helpful nor applicable here.
See
Applying this approach, we agree with the DOL that MetLifе’s “retained assets” are not “plan assets” because the Plans do not have an ownership interest — beneficial or otherwise — in them. Nothing in the SPDs or Customer Agreements suggests that general account funds become plan assets once MetLife gives a beneficiary control of his proceeds through a TCA.
Cf. Halpin,
In arguing that those funds were plan assets, and that MetLife continued to act as an ERISA fiduciary, Plaintiffs rely primarily on the First Circuit’s decision in
Mogel v. UNUM Life Insurance Co. of America,
Plaintiffs argue that
Mogel
should be broadly interpreted as standing for the categorical proposition that an insurer can
never
invest the funds backing an RAA, regardless of the terms of the plan, because “retained assets” are, by definition, “plan assets.” They point to a few recent district court decisions that arguably support such an interpretation of
Mogel. See, e.g., Otte v. Life Ins. Co. of N. Am.,
No. 09-CV-11537-RGS,
We agree with the DOL and the district court that
Mogel
is better understood as
In sum, we conclude that in this case, MetLife discharged its ERISA fiduciary duties by establishing Plaintiffs’ TCAs in accordance with the Kodak and GM Plans, and did not retain plan assets by holding the funds backing the TCAs. Accоrdingly, the complaint fails to state a claim under
CONCLUSION
For the foregoing reasons, the judgment of the district court is AFFIRMED.
Notes
. Because, as explained herein, ERISA no longer governs the relationship between Met-Life and a beneficiary once a TCA is established in accordance with the Plans, the above-referenced "guaranteed benefit policy” exemption of § 1101(b)(2) is no longer implicated at that point.
.
.See also, e.g., U.S. Dep’t of Labor, Advisory Op. No.2005-08A (May 11, 2005); U.S. Dep’t of Labor, Advisory Op. No.2001-02A (Feb. 15, 2001); U.S. Dep’t of Labor, Advisory Op. No. 94-31A (Sept. 9, 1994); U.S. Dep’t of Labor, Advisory Op. No. 92-22A (Oct. 27, 1992).
. We note that in the course of correctly dismissing Plaintiffs’
. We reject Plaintiffs' argument, raised for the first time in a post-argument letter brief, that we should remand this case to the district court so that the Kodak and GM insurance policies and other plan documents may be added to the record. Plаintiffs have waived this argument. They never alleged in their complaint, nor argued in their initial or reply briefs on appeal, that the SPDs misrepresented or are inconsistent with the underlying Plans. In fact, they relied upon the SPDs' description of how TCAs are utilized to distribute death benefits in arguing that this form of payment constituted a breach of Met-Life’s ERISA fiduciary duties. Any claim that the form of payment described in the SPDs is inconsistent with the form of payment called for by the GM and Kodak Plans was not before either the district court or this Court.