Geoffrey MOYLE, an individual, on behalf of themselves; Pauline Arwood, an individual, on behalf of themselves; Thomas Rollason, an individual, on behalf of themselves; Jeannie Sanders, an individual, on behalf of themselves, Plaintiffs-Appellants/Cross-Appellees, v. LIBERTY MUTUAL RETIREMENT BENEFIT PLAN; Liberty Mutual Retirement Plan Retirement Board; Liberty Mutual Insurance Company, a Massachusetts company; Liberty Mutual Insurance Group Inc., a Massachusetts company, Defendants-Appellees/Cross-Appellants.
Nos. 13-56330, 13-56412.
United States Court of Appeals, Ninth Circuit.
Filed May 20, 2016.
As Amended on Denial of Rehearing and Rehearing En Banc Aug. 18, 2016.
823 F.3d 948
Because the ALJ gave specific, supported, and germane reasons for discounting Beeson‘s opinion, the Commissioner‘s decision denying benefits should be affirmed. Even assuming possible merit in the majority‘s requirement when an ALJ divides “other source” testimony into “distinct parts,” that situation is not present in this case. Here, the ALJ correctly determined that the mental impairment assessments from a non-physician treatment provider were unsupported by objective medical evidence.
Argued and Submitted Oct. 19, 2015.
Ashley Abel (argued), Jackson Lewis P.C., Greenville, SC, for Defendants-Appellees/Cross-Appellants.
Before: HARRY PREGERSON and CONSUELO M. CALLAHAN, Circuit Judges and STANLEY ALLEN BASTIAN,* District Judge.
OPINION
PREGERSON, Circuit Judge:
Appellants are former employees of Old Golden Eagle Insurance Company (“Golden Eagle“). Golden Eagle did not offer a retirement plan to its employees. When Liberty Mutual Insurance Company (“Liberty Mutual“) purchased Golden Eagle through a conservatorship sale, Appellants became employees of Liberty Mutual. Appellants state that while the sale was underway, Liberty Mutual told Appellants that they would receive past service credit for the time they worked with Golden Eagle under Liberty Mutual‘s retirement plan. But, after Liberty Mutual purchased Golden Eagle, Liberty Mutual denied Appellants’ claims for past service credit. Liberty Mutual argues that it never made any representation to Appellants that they would receive past service credit for their time with Golden Eagle. Liberty Mutual also argues that under the terms of the retirement plan, Appellants are entitled only to past service credit for purposes of eligibility, vesting, early retirement, and spousal benefits, and not for retirement benefits accrual.
Appellants filed this class action against Liberty Mutual for violating the Employee Retirement Income Security Act (“ERISA“). At the district court, Appellants asserted four claims for relief: (1) Appellants are entitled to past service credit under the terms of the retirement plan, under
The district court granted summary judgment in favor of Liberty Mutual on all four claims. Appellants appealed on claims (1), (2), and (4). Liberty Mutual cross-appealed, alleging that Appellants’ suit is time-barred and that class certification was improper.
We reverse the district court‘s ruling as to claim (2). Appellants can seek equitable relief under
FACTUAL BACKGROUND
I. Liberty Mutual‘s Bid for Golden Eagle
On January 31, 1997, the California Department of Insurance placed Golden Ea
However, many Golden Eagle employees—worried that their jobs were in jeopardy—began to look for different employment opportunities. From January 1997 to the summer of that year, nearly fifty percent of Golden Eagle employees left the company, and their departure had already cost Golden Eagle about a half million dollars.
In April 1997, Liberty Mutual was in a bidding war with American International Group, Inc. (“AIG“) for the acquisition of Golden Eagle. To win the bidding war, Liberty Mutual needed to not only match AIG‘s bid, it also needed to add enhancements to secure the Conservation Court‘s approval. On April 6, 1997, Liberty Mutual submitted its enhanced bid, which included improved employee benefits such as a retirement plan, a benefit not offered by Golden Eagle. Including improved employee benefits for Golden Eagle‘s former employees served to benefit Liberty Mutual in two ways: by retaining Golden Eagle‘s employees, and by increasing the likelihood that the court would approve Liberty Mutual‘s bid.
While the bid was going on, several Golden Eagle employees approached George Kaerth, Senior Vice President of Underwriting at Golden Eagle, and asked him if they would get past service credit for their time with Golden Eagle under Liberty Mutual‘s retirement benefits program. Kaerth, in turn, had about twenty conversations with David Long from Liberty Mutual, and about ten to twelve conversations with Tim Sweeney, also from Liberty Mutual, about the Liberty Mutual benefits package for Appellants. Kaerth repeatedly told Long and Sweeney that the Golden Eagle employees were confused about past service credit. Kaerth asked Long and Sweeney pointedly whether or not service with Golden Eagle would count under the Liberty Mutual benefits program, and, every time, Long and Sweeney separately responded that this issue was still under negotiation.
On May 29, 1997, the Conservation Court held an evidentiary hearing to evaluate Liberty Mutual‘s and AIG‘s competing bids. Among the exhibits that Liberty Mutual submitted to the court, one exhibit expressly stated that the value that Liberty Mutual added was to “increase employee benefits (credit for prior year‘s of service and participation in the benefits plan).” Liberty Mutual also told the Conservation Court that Golden Eagle employees would have the rights that Liberty Mutual employees had with “X years of service.” This representation was later repeatedly made to Golden Eagle employees.1
Liberty Mutual‘s representations at the May 29 hearing were shared with Golden Eagle employees. At the time of the hearing, Golden Eagle employees preferred Liberty Mutual‘s proposal because it was perceived that Liberty Mutual would treat its employees better than AIG. On May 30, 1997, the Conservation Court approved Liberty Mutual‘s bid.
II. Golden Eagle Transitions to Liberty Mutual
Following the approval of Liberty Mutual‘s bid, Liberty Mutual drafted a Rehabil
Helen Sayles, Liberty Mutual‘s Senior Vice President of Human Resources and Administration, oversaw the development of Article 5 as well as all Summary Plan Descriptions (“SPD“) 2. Sayles testified that it was “important to be explicit at each agreement, including this one, what people got and what people didn‘t get.”
The Conservator in charge of the transition of Golden Eagle to Liberty Mutual was not required to send notification of the Rehabilitation Agreement to Golden Eagle employees. Liberty Mutual never provided a copy of the Rehabilitation Agreement to Golden Eagle employees.
During August 1997, Liberty Mutual hosted a series of benefits enrollment meetings so that Golden Eagle employees could discuss and obtain information about the transition to Liberty Mutual. Liberty Mutual developed a uniform “Facilitator Guide” that presenters used as a script at these meetings to convey information about the terms and conditions of employee benefits, including retirement benefits. There was no mention in the Facilitator Guide that past service credit with Golden Eagle would not be credited for benefit accrual, or that benefit accrual would begin on the plan entry date of October 1, 1997.
During the enrollment meetings, Liberty Mutual failed to indicate that there were any limitations to the treatment of past service credit. Paula Tonsky, who organized new hire orientations, testified that her understanding from attending some of these meetings was that “previous years with Golden Eagle would count towards ... service with Liberty Mutual.”
Golden Eagle employees Geoffrey Moyle, Pauline Arwood, Thomas Rollason, and Jeannie Sanders also testified that this was their understanding after attending the meetings, as well as the understanding of other Golden Eagle employees. When asked if his understanding was that he would get past service credit for his time with Golden Eagle for all purposes under the Liberty Mutual retirement plan, Moyle stated, “I know that was my understanding, because everybody was quite happy after the meeting, that [sic] what they were going to receive.” Similarly, Sanders testified, “[B]ecause of the meeting ... we all were told that our years of service with Golden Eagle would be counted towards our retirement benefit, meaning that our check we would receive, the money, the years we worked for Golden Eagle, would be calculated for that.”
Arwood testified that the question of past service credit was asked at least three times during one meeting. She then stat
Rollason testified that Mike Plavnicky from Liberty Mutual told Golden Eagle employees during an enrollment meeting that “[y]ou accrue, this, that.” Rollason went on to state, “Plavnicky came out and said, yes, you will get pension, pension for your Golden Eagle time through Liberty Mutual. He said it point blank range.” Rollason testified that he was looking for another job at that time: “[T]hen they said that we would get the benefit—the pension and I said, well, at my age ... I will just stay here then.”
Also during the enrollment period, Golden Eagle employees had two information documents available to them: the operative 1987 Plan (“87 Plan“) and the Summary Plan Descriptions. The 87 Plan, however, did not address past service credit or any credit for vesting, eligibility, or participation. Similarly, the Summary Plan Description, which was dated 1996, did not address past service credit.
III. Golden Eagle Formally Becomes Part of Liberty Mutual
On October 1, 1997, Liberty Mutual officially acquired Golden Eagle and formed Golden Eagle Insurance Company, a subsidiary of Liberty Mutual. Golden Eagle employees who stayed on were now Liberty Mutual employees. For the next four years, Liberty Mutual did not amend the 87 Plan to address past service credit. Liberty Mutual‘s Summary Plan Descriptions from 1997 to 2001 also did not address past service credit.
In 2001, Liberty Mutual finally amended the Liberty Mutual Retirement Benefit Plan (“the Retirement Plan“) to include provisions that specifically addressed Golden Eagle employees. The Summary Plan Description dated 2002 also addressed Golden Eagle employees. Both the Retirement Plan and the 2002 Summary Plan Description stated that past service credit for Golden Eagle employees would be “credited for eligibility, vesting, early retirement, and spouse‘s benefits ...;” in 2009, the word “solely” was added to this clause.
Between 2002 and 2006, the Liberty Mutual Retirement Benefit Plan Retirement Board (“Liberty Mutual Board“), the Retirement Plan‘s administrator, denied the claims of almost a dozen former Golden Eagle employees who sought past service credit, including the claims of Moyle, Arwood, Rollason, and Sanders. Liberty Mutual‘s justification for the denials was that it had informed former Golden Eagle employees about when past service credit applied and therefore, former Golden Eagle employees should have known when past service credit did not apply.
PROCEDURAL BACKGROUND
On March 14, 2005, Moyle filed an action against Golden Eagle Insurance Company and Liberty Mutual in district court, seeking benefits payment for his past service credit with Golden Eagle. Moyle amended the complaint on August 23, 2005 to include the Retirement Plan as a defendant. On November 14, 2005, the district court granted the defendants’ motion to dismiss for failure to exhaust administrative remedies. Moyle appealed and this court affirmed the district court‘s dismissal on August 23, 2007.
On January 26, 2008, Moyle filed a claim with Liberty Mutual. On July 18, 2008,
Moyle, Rollason, Arwood, and Sanders consolidated their claims and sought administrative review with Liberty Mutual. On October 23, 2009, Helen Sayles, Senior Vice President of Human Resources and Administration, denied Appellants’ appeal on behalf of the Liberty Mutual Board.
On October 19, 2010, Moyle, Rollason, Arwood, and Sanders filed the instant class action complaint against the Retirement Plan, the Liberty Mutual Board, Liberty Mutual Group, Inc., and Liberty Mutual (collectively, “Liberty Mutual“) for violations of ERISA. The district court granted Appellants’ motion for class certification on April 10, 2012. On April 24, 2012, Liberty Mutual filed a petition with this court for permission to appeal the district court‘s order granting class certification. This court denied Liberty Mutual‘s petition for permission to appeal on July 11, 2012.
On October 12, 2012, Appellants filed a third amended complaint which alleged the following four causes of action: (1) payment of benefits under the Retirement Plan pursuant to
On July 1, 2013, the district court granted Liberty Mutual‘s motions for summary judgment on all four claims and denied all of Appellants’ motions for summary judgment. On July 30, 2013, Appellants timely filed a notice of appeal in this court. Liberty Mutual filed their notice of cross-appeal on August 13, 2013, arguing that Appellants’
DISCUSSION
I. Appellants Cannot Receive Benefits for Past Service Credit with Golden Eagle under the Terms of the Retirement Plan.
A. The District Court Applied the Correct Standard of Review.
Under
If the administrator or fiduciary who is given discretionary authority operates under a conflict of interest, “that conflict must be weighed as a facto[r] in determining whether there is an abuse of discretion.” Id.3 (citing Restatement (Sec
Both parties agree that the Retirement Plan gives the Liberty Mutual Board, as administrator, discretion to interpret the Retirement Plan. However, Appellants argue that there is a structural conflict of interest because of the close connection between Liberty Mutual, who funds the Retirement Plan, and the Liberty Mutual Board, who acts as administrator of the Retirement Plan. Sayles, who approved St. Martin‘s denial of Appellants’ initial claims for benefits, was both Director of Human Resources for Liberty Mutual and a member of the Liberty Mutual Board of Directors. Appellants argue that St. Martin and Sayles were involved with the 1997 Benefit Enrollment meetings and drafted plan documents, including the Summary Plan Descriptions and Facilitator Guide. Appellants contend that St. Martin and Sayles were essentially relying on their own communications when deciding to deny Appellants’ claims, and this conflict of interest served as a bias against Appellants. Appellants argue that for these reasons, de novo review applies.
The district court found that Appellants did not provide specific evidence to show that a sufficiently serious structural conflict of interest existed as to warrant de novo review. The district court, however, did find that a conflict of interest existed based on the significant overlap between the employees who worked for both Liberty Mutual and the Liberty Mutual Board, and thus reviewed the record for an abuse of discretion, weighing the conflict of interest as a factor.
The district court‘s abuse of discretion standard of review is correct. Appellants failed to provide “material, probative evidence” that the Liberty Mutual Board engaged in “wholesale and flagrant violations of the procedural requirements of ERISA.” Gatti, 415 F.3d at 985; Abatie, 458 F.3d at 971. Additionally, Sayles testified that she had never obtained a report that analyzed the actuarial soundness of the Retirement Plan if Golden Eagle employees were given past service credit for the purpose of benefits accrual.4 Absent this information, it is difficult to prove that Sayles was motivated by the self-interest of the fiduciary when she denied Appellants’ initial claims.
B. Liberty Mutual‘s Interpretation of the Retirement Plan Was Reasonable.
Under the abuse of discretion standard, an administrator‘s denial of ben
Article 3 of the Retirement Plan lays out the various formulas for calculating accrued benefits under the normal retirement benefit. The formulas are based on a plan participant‘s “years of credited service.” According to the relevant parts of Article 1.69(c) of the Retirement Plan, “year of credited service” for full-time employees means “the period of the Participant‘s service with the Employer following his Entry Date.... [T]he following periods of time shall not be included in determining Years of Credited Service and fractional Years of Credited Service: ... any period of time during which an Employee is not an Eligible Employee.” “Entry date” is defined as “the first day of each calendar month.” Article 1.25 of the Retirement Plan. “Eligible Employee” includes “any Employee who ... is employed by a Participating Employer.” Article 1.19 of the Retirement Plan. “Participating Employer” means “any other Affiliated Employer which adopts the Plan with the approval of [Liberty Mutual].” Article 1.50 of the Retirement Plan.
Under Article 1.4 of the Retirement Plan, “Affiliated Employer” means “any corporation, trust, association or enterprise (other than [Liberty Mutual]) which is (a) required to be considered, together with [Liberty Mutual], as one employer pursuant to the provisions of Sections 414(b), 414(c), 414(m), or 414(o) of the Code; or (b) which is designated an Affiliated Employer by [Liberty Mutual].” With regard to an affiliated employer, Article 2.16 of the Retirement Plan also states:
(a) General. An individual‘s employment service with an employer prior to the date such employer becomes an Affiliated Employer shall not be considered employment service with the Employer under this Plan, unless otherwise provided by the Board of Directors, or unless otherwise required by Department of Labor or Treasury regulations. Similarly, an individual‘s employment service with an employer who is not an Affiliated Employer, or who ceases to be an Affiliated Employer, shall not be considered employment service with the Employer under this Plan, unless otherwise provided by the Board of Directors, or unless otherwise required by Department of Labor or Treasury regulations. Notwithstanding the following:
...
(d) Golden Eagle. The following special rule applies to former employees of [Golden Eagle] who became employed by the Golden Eagle Insurance Corporation, a wholly owned subsidiary of the Company, on October 1, 1997, as a result of the acquisition by the Company of the assets of [Golden Eagle]. For purposes of applying the eligibility and participation provisions of Article 2 and the vesting provisions of Article 6, and for determining eligibility for early retire
ment benefits under Section 4.1 and Spouse‘s death benefit under Section 7.3, such employees’ prior employment service with [Golden Eagle] shall be considered employment service with the Employer under this Plan.
The Liberty Mutual Board, as administrator, found that under these provisions, Golden Eagle was never a Participating Employer prior to October 1, 1997. Therefore, Appellants were not Eligible Employees prior to October 1, 1997 and the time that they were employed by Golden Eagle did not count as Years of Credited Service for the purposes of calculating accrued benefits under Article 1.69(c). For these reasons, the Liberty Mutual Board denied Appellants’ claims for benefits. Liberty Mutual also contends that Article 2.16(d), which addresses Golden Eagle employees’ prior employment service, specifically enumerates eligibility, vesting, early retirement, and spousal benefits; it does not mention benefits accrual or Article 3 of the Retirement Plan.
Applying the abuse of discretion standard while weighing the conflict of interest as a factor, the district court correctly found that the Liberty Mutual Board did not construe the terms of the Retirement Plan in an arbitrary and capricious manner. Under the plain language of the Retirement Plan, it is not unreasonable to read the relevant provisions as excluding service time with Golden Eagle from benefits accrual. In particular, Article 2.16(d) pointedly contemplates what past service credit with Golden Eagle would count toward and suggests that it would be considered employment service with Liberty Mutual only for the purposes of eligibility, vesting, early retirement and spousal benefits. Our analysis is based on whether the Liberty Mutual Board‘s reading of the Retirement Plan was reasonable, and not on which party‘s interpretation is more persuasive, and we find such an interpretation to be reasonable. Canseco, 93 F.3d at 606.
II. Appellants Are Not Barred from Bringing Simultaneous Claims Under 29 U.S.C. § 1132(a)(3) and 29 U.S.C. § 1132(a)(1)(B) .
A. The Varity Rule
Under
In Varity Corp. v. Howe, the Supreme Court described
B. Equitable Relief After Amara
In CIGNA Corp. v. Amara, 563 U.S. 421, 131 S. Ct. 1866, 1879-80, 179 L. Ed. 2d 843 (2011), the Supreme Court held that
The Court, nonetheless, held that plan reformation was available under
Appellants argue that Amara authorizes them to seek relief under
Both the district court and Liberty Mutual insisted on applying Varity and gave Amara short shrift, even though the latter is controlling authority. While Amara did not explicitly state that litigants may seek equitable remedies under
If Appellants’ factual allegations are true, then the instant case is highly analogous to Amara: in both cases, there was a material lack of disclosure about the terms of a pension plan; in both cases, plaintiffs sought relief under
C. Applying Amara in Light of Varity
Applying Amara‘s conclusion that a plaintiff may seek relief under both
We agree with the Eighth Circuit‘s application of Amara in Silva v. Metro. Life Ins. Co., 762 F.3d 711 (8th Cir. 2014). There, the Eighth Circuit held that a plaintiff may seek relief under
This reading of Varity is consistent with other pre- and post-Amara cases that have held
In Rochow v. Life Ins. Co. Of N. Am., a post-Amara case, the Sixth Circuit prohibited the plaintiff from pursuing his
In Devlin v. Empire Blue Cross & Blue Shield, a pre-Amara case, the Second Circuit held that “should plaintiffs’ claim under ...
Both Rochow and Devlin support Appellants’ ability to seek relief under
Some of our pre-Amara cases held that litigants may not seek equitable remedies under
This approach not only comports with Amara and Varity, it also adheres to the
Thus, the instant case turns on a factual determination of whether Liberty Mutual breached its fiduciary duty by failing to inform Golden Eagle employees that past service credit for the purpose of benefit accrual did not include the period prior to October 1, 1997, when they were first employed by Golden Eagle. Because there are triable issues of fact, the district court erred in granting summary judgment on this claim.
III. Liberty Mutual Failed to Notify Appellants in Its Summary Plan Descriptions that Past Service Credit with Golden Eagle Would Not Count for Benefits Accrual, But Appellants Did Not Prove Harm or Reliance on the Summary Plan Descriptions.
Under
After Amara, we held in Skinner v. Northrop Grumman Retirement Plan B that reformation under a fraud theory requires a showing that “(1) one party seeks reformation, (2) that party‘s assent was induced by the other party‘s misrepresentations as to the terms or effect of the contract, and (3) the party seeking reformation was justified in relying on the other party‘s misrepresentations.” 673 F.3d 1162, 1166 (9th Cir. 2012).
Liberty Mutual had a duty to identify in its Summary Plan Descriptions circumstances which may have resulted in the denial 7 of any benefits that Appellants might otherwise have reasonably expected the Retirement Plan to provide. In this case, Appellants had the reasonable expectation, based on the alleged oral representations made by Liberty Mutual about past service credit, that they would receive credit for the purpose of benefits accrual.
From 1997 to 2001, the Summary Plan Descriptions did not contain this information. Even when the Summary Plan Description was amended in 2002, it stated that past service credit with Golden Eagle would count toward eligibility, vesting, early retirement, and spousal benefits. In light of the alleged representations made at the enrollment meetings, these terms—particularly “eligibility” and “vesting“—lack clarity in communicating how past service credit would be used and are not “written in a manner calculated to be understood by the average plan participant,” as required by
IV. Class Certification Was Appropriate.
The standard of review for class certification on appeal is abuse of discretion. Yokoyama v. Midland Nat. Life Ins. Co., 594 F.3d 1087, 1090 (9th Cir. 2010). While review of class certification decisions is deferential, the decisions of district courts are not afforded deference upon review of their determinations of questions of law. Id. at 1091.
A. Commonality and Typicality
Liberty Mutual argues that the district court erroneously certified Appellants as a class because the second and third requirements of
Liberty Mutual‘s contention that Appellants did not receive the same alleged misrepresentations is a question of fact, and, given the standard of review, we defer to the district court‘s finding that Liberty Mutual‘s claim “is not supported by the evidence.” We need not decide whether the district court erred in presuming Appellants’ reliance to certify the class. Instead, we affirm the district court on the ground that where the defendant‘s representations were allegedly made on a uniform and classwide basis, individual issues
B. Rules 23(b)(1)(A) and (B)
Under
Liberty Mutual argues that class certification under
Liberty Mutual‘s arguments are unpersuasive. While Appellants seek monetary damages in this case, they also seek relief in the form of equitable remedies. Liberty Mutual‘s remaining two arguments are essentially the same, as they address the concern that some Appellants would receive relief while others would not. However, this seems to be an argument in favor of class certification.
CONCLUSION
For the foregoing reasons, we find the following:
- Appellants are not entitled to past service credit under the terms of the Retirement Plan. We therefore AFFIRM the district court‘s grant of summary judgment as to claim (1) under
29 U.S.C. § 1132(a)(1)(B) . - Appellants may pursue simultaneous claims under
29 U.S.C. § 1132(a)(1)(B) and§ 1132(a)(3) . We therefore REVERSE the district court‘s grant of summary judgment as to claim (2) under29 U.S.C. § 1132(a)(3) , and REMAND for determinations of fact and equitable relief in the form of reformation and surcharge. - Appellants are unable to prove harm or detrimental reliance on Liberty Mutual‘s failure to disclose information about past service credit in the Summary Plan Descriptions. We therefore AFFIRM the district
court‘s grant of summary judgment as to claim (4) under 29 C.F.R. §§ 2520.102-3(1) and2520.102-2(a) . - We AFFIRM the district court‘s grant of class certification.
AFFIRMED in part, REVERSED in part; REMANDED. Each side to bear its own costs.
