Lead Opinion
¶ 1 As originally certified, the question certified provides:
Does Oklahoma’s cause of action for breach of the implied covenant of good faith and fair dealing allowing for recovery of consequential and (when appropriate) punitive damages, as adopted in Christian v. American Home Assurance Co.,1977 OK 141 ,577 P.2d 899 , apply only to contracts of insurance such that it can be said to “regulate insurance” as that term is used in Pilot Life Ins. Co. v. Dedeaux,481 U.S. 41 [107 S.Ct. 1549 ,95 L.Ed.2d 39 ] (1987) and Unum Life Ins. Co. of America v. Ward, 527 [526] U.S. 358 [119 S.Ct. 1380 ,143 L.Ed.2d 462 ] (1999) (requiring that to “regulate insurance” a regulation must, as a matter of common sense, “home [ ] in on the insurance industry and [ ] not just have an impact on that industry”). If Oklahoma’s cause of action for the breach of the implied obligation of good faith and fair dealing “regulates insurance,” it avoids preemption pursuant to ERISA’s saving clause under UNUM and Lewis v. Aetna U.S. Healthcare, Inc.,78 F.Supp.2d 1202 (N.D.Okla.1999). If it does not “regulate insurance,” the cause of action is no longer available in the ERISA context and Lewis is no longer good law.
¶ 2 In Kentucky Ass’n of Health Plans, Inc. v. Miller,
whether Oklahoma’s cause of action for breach of the implied covenant of good faith and fair dealing is a “law which regulates insurance” within the mean of 29 U.S.C. § 1144(b)(2)(A) and as that term is defined by Kentucky Ass’n of Health Plans, Inc. v. Miller,538 U.S. 329 ,123 S.Ct. 1471 ,155 L.Ed.2d 468 (2003)?
¶ 3 Pursuant to Miller, a law which substantially affects the risk pooling arrange
FACTS
¶ 4 The plaintiff, Rod Hollaway, M.D. (Hollaway/insured), filed suit in the . District Court of Tulsa to recover benefits funded through a group long term disability insurance policy issued by the defendant, UNUM Life Insurance Company of America (UNUM/insurer), to Hollaway’s former employer. Hollaway also asserted a claim for bad faith breach of the implied covenant of good faith and fair dealing seeking consequential and punitive damages. Subsequently, the cause was removed to federal court.
¶ 5 It is undisputed that the insurance benefits arise out of and are related to an employee welfare benefit plan governed exclusively by ERISA. It is also agreed that any claim for benefits is preempted by ERISA and is governed by federal law. Nevertheless, Hollaway claims that Oklahoma’s common law cause of action for bad faith breach of an insurance contract is exempted from ERISA preemption as a state law which “regulates insurance” under 29 U.S.C. § 1144(b)(2).
¶ 6 Recognizing that state law is determinative of the preemption issue on the bad
¶ 7 On February -25th and 28th, 2003, respectively, Hollaway and UNUM filed a notice and response to recent authority following the Tenth Circuit’s decision in Conover v. Aetna U.S. Health Care, Inc.,
I.
¶ 8 THE TEST FOR ERISA PREEMPTION ALTERED WITH THE SUPREME COURT’S DECISION IN Kentucky Ass’n of Health Plans, Inc. v. Miller, MAKING ANY PREVIOUSLY PROMULGATED TENTH CIRCUIT DECISIONS OF LITTLE ASSISTANCE. UNDER THE AUTHORITY OF 20 O.S.2001 § 1602, WE ANSWER A QUESTION WHICH MAY BE DETERMINATIVE OF AN ISSUE IN THE CAUSE.
¶ 9 The federal court recognized that Oklahoma law would govern the preemption issue. It certified the preemption question over the objections of the insurer. UNUM urges us to refrain from answering the certified question. The insurer opposed certification in the federal court on grounds that federal case law. was determinative of the preemption issue and that any resolution we might provide to the dispute would not be determinative of a material issue in the cause. Although the answer to the question certified may not resolve the cause, we answer because no Oklahoma law exists on a determinative issue and because tests applied by the Tenth Circuit have been altered by a recent Supreme Court decision.
¶ 10 Pursuant to 20 O.S.2001 § 1602,
¶ 11 UNUM objected to certification on grounds that under the Supreme Court’s decision in Rush Prudential HMO, Inc. v. Moran,
¶ 12 The federal court was unconvinced that Rush was dispositive of the issue certi
“Although we have yet to encounter a forced choice between the congressional policies of exclusively federal remedies and the ‘reservation of the business of insurance to the States,’ ... we have anticipated such a conflict, with the state insurance regulation losing out if it allows plan participants ‘to obtain remedies ... that Congress rejected in ERISA ... ’ ” [Citations to authority omitted.]
¶ 13 Apparently, the federal court was convinced that although the insured might not ultimately prevail, it remained in need of direction on state law relating to a material issue — whether Oklahoma’s law of bad faith regulates insurance within the meaning of 29 U.S.C. § 1144(b)(2)(A).
¶ 14 The Tenth Circuit has on three occasions addressed the issue of whether state-law bad faith claims were laws regulating insurance and thus avoiding preemption under 29 U.S.C. § 1144(b)(2)(A). In a case decided before certification, Moffett v. Halliburton Energy Serv., Inc.,
¶ 15 Although the trial court here might normally consider itself bound by the Tenth Circuit’s pronouncement in Conover concerning the state of Oklahoma’s bad faith cause of action,
¶ 17 The United States Supreme Court decided Kentucky Ass’n of Health Plans, Inc. v. Miller,
“... We believe that our use of the McCarran-Ferguson case law in. the ERISA context has misdirected attention, failed to provide clear guidance to lower federal courts, and, as this case demonstrates, added little to the relevant analysis....
... Today, we make a clean break from the McCarran-Ferguson factors and hold that for a state law to be deemed a ‘law ... which regulates insurance’ under § 1144(b)(2)(A), it must satisfy two requirements. First, the state law must be specifically directed toward entities engaged in insurance.... Second, as explained above, the state law must substantially affect the risk pooling arrangement between the insurer and the insured....” [Citations omitted.]
It is with the Supreme Court’s pronouncement in mind that we have reformulated the certified question. In answering the question, we will apply the test mandated by the high court in Miller.
H.
¶ 18 OKLAHOMA’S CAUSE OF ACTION FOR THE BAD FAITH BREACH OF THE IMPLIED COVENANT OF GOOD FAITH AND FAIR DEALING DOES NOT AFFECT THE RISK POOLING ARRANGEMENT BETWEEN INSURERS AND INSUREDS SO AS TO AVOID ERISA PREEMPTION PURSUANT TO 29 U.S.C. § 1144(b)(2) AND THE SUPREME COURT’S PRONOUNCEMENT IN Kentucky Ass’n of Health Plans, Inc. v. Miller.
¶ 19 Hollaway argues that Oklahoma’s cause of action for bad faith breach of the covenant of good faith and fair dealing meets the two-part Miller test and is exempted from ERISA preemption. He asserts that actions based on a breach of the covenant of good faith and fair dealing affect the risk pooling arrangement between insurers and their insureds ■ and that they are specifically directed towards the insurance industry. UNUM disagrees with both these contentions.
¶ 20 Under Kentucky Ass’n of Health Plans, Inc. v. Miller,
¶ 21 “Risk” within the meaning of the insurance industry and as it relates to the insurer-insured relationship involves the event or happening for which the insurance company has specifically contracted to reimburse its insured — the actual risk transferred from the insured to the insurer.
¶22 Risk pooling is an essential characteristic of the insurance industry.
¶23 The Supreme Court has previously determined that although bad faith actions may concern the policy relationship between the insurer and insured, they do not effect a spreading of policyholder risk.
¶ 25 We align ourselves with the jurisdictions which have applied the Miller test determining that state-law based bad faith claims are preempted under ERISA. Further, we note that the overwhelming majority of pre-Miller decisions considering the bad faith issue also determine the claims are subject to ERISA preemption.
CONCLUSION
¶ 26 Although this Court will not answer a certified question in the guise of appellate review,
¶ 27 The result here may seem harsh. However, it is a consequence of a federal statute which contains one of the broadest preemption clauses ever enacted by Congress.
Notes
. Title 29 U.S.C. § 1144 provides in pertinent part:
"(a) Supersedure; effective date
(1) Except as provided in subsection (b) of this section, the provisions of this subchapter and subchapter III of this chapter shall supersede any and all State laws insofar as they may now or hereafter relate to any employee benefit plan described in section 1003(a) of this title and not exempt under section 1003(b) of this title. This section shall take effect on January 1, 1975.
(b) Construction and application
... (2)(A) Except as provided in subparagraph (B), nothing in this subchapter shall be construed to exempt or relieve any person from any law of any State which regulates insurance, banking or securities.... ”
. Title 20 O.S.2001 § 1602 provides:
"Power to Answer. The Supreme Court and the Court of Criminal Appeals may answer a question of law certified to it by a court of the United States, or by an appellate court of another state, or of a federally recognized Indian tribal government, or of Canada, a Canadian province or territory, Mexico, or a Mexican state, if the answer may be determinative of an issue in pending litigation in the certifying court and there is no controlling decision of the Supreme Court or Court of Criminal Appeals, constitutional provision, or statute of this state."
.Following certification, the United States Supreme Court promulgated its decision in Kentucky Ass’n of Health Plans, Inc. v. Miller,
. ERISA, like the provisions of the Federal Railroad Safety Act of 1970, recently considered in Hightower v. Kansas City Southern Railway Co.,
. The dissent charges that the majority has failed to garner a passing mark in Federalism 101. — at the same time conceding that the answer provided to the question certified is correct. [V 1 of the dissenting opinion provides in pertinent part: "... Even though I do not dispute the soundness of the court's legal counsel to the certifying tribunal, I cannot countenance today’s incursion into the orbit of exclusive federal forensic competence ... ”] Furthermore, the minority writing indicates that the opinion rendered can be nothing other than advisory. The allegation stems from an argument that we somehow have moved into the realm of providing "advice” to the federal court. The charge is interesting in light of an opinion recently released by the Court for publication.
In Delk v. Market American Insurance Co.,
The difference between Delk and the situation here is that we make no attempt to provide any advice to the certifying court on what scenarios might render an insured the ability to recoup against an insurer. Rather, we answer a pure question of law, applying Oklahoma law to the standards enunciated by the United States Supreme Court in Kentucky Ass'n of Health Plans, Inc. v. Miller, see note 3, supra, to determine whether this State's law is one which regulates insurance under 29 U.S.C. § 1144(b)(2). See note 1, supra. We do not hypothecate on whether Oklahoma's law of bad faith meets the second prong of the test established in Kentucky — a resolution of which might well be considered extrajudicial in that the Supreme Court has made it clear that both prongs must be satisfied to avoid preemption.
. Title 29 U.S.C. § 1144(b)(2), see note 1, supra. The cause differs significantly from McDermott v. Sentry Life Ins. Co., Inc.,
. Title 29 U.S.C. § 1144(b)(2), see note 1, supra.
. Id.
. Title 20 O.S.2001 § 1602, see note 2, supra.
. See, 29 U.S.C. § 1144(b)(2)(A), note 1, supra.
. Various penalties for delay in payment are . provided in 29 U.S.C. § 1132(a), none of which include the award of punitive damages.
. This cause differs significantly from Cray v. Deloitte Haskins & Sells,
. Title 20 O.S.2001 § 1602, see note 2, supra.
. In Conover v. Aetna U.S. Health Care, Inc.,
. See, Conover v. Aetna U.S. Health Care, Inc., note 14, supra.
. Bogart v. CapRock Communications Corp.,
. Bogart v. CapRock Communications Corp., see note 16, supra; Akin v. Missouri Pacific Railroad Co., see note 16, supra.
. Id.
., See, Hathaway v. State ex rel. Medical Research & Technical Auth.,
. Kentucky Ass’n of Health Plans, Inc. v. Miller, see note 3, supra, and quotation from the opinion in ¶ 17, supra.
. Title 29 U.S.C. § 1144(b)(2), see note 1, supra.
. Cramer v. Association Life Ins. Co., see note 36, infra.
. Union Labor Life Ins. Co. v. Pireno,
. Securities & Exchange Comm’n v. Life Partners, Inc.,
. Delta Holdings, Inc. v. National Distillers & Chemical Corp., see note 24, supra.
. WR Enterprises, Inc. v. Department of Labor & Industries,
. AIU Ins. Co. v. Superintendent of Ins.,
. Pilot Life Ins. Co. v. Dedeaux,
. Elliot v. Fortis Benefits Ins. Co.,
. Title 29 U.S.C. § 1144(b)(2), see note 1, supra.
. McGuigan v. Reliance Standard Life Ins. Co., see note 29, supra; Ercole v. Conectiv & Coventry Health Care of Delaware, Inc., see note 29, supra.
. Cramer v. Association Life Ins. Co., see note 36, infra; Morris v. Highmark Life Ins. Co., see note 36, infra; Erwin v. Texas Health Choice, see note 36, infra; Little v. UNUMProvident Corp.,
. Little v. UNUMProvident Corp.,
. Brandner v. Unum Life Ins. Co., see note 36, infra.
. Morris v. Highmark Life Ins. Co., see note 36, infra.
. Title 29 U.S.C. § 1144(b)(2), see note 1, supra. See, Pilot Life Ins. Co. v. Dedeaux, see note 28, supra; Howard v. Coventry Health Care of Iowa, Inc.,
But see, Lewis v. Aetna U.S. Healthcare, Inc., note 14, supra; Ball v. Life Planning Serv.,
. Title 29 U.S.C. § 1144(b)(2), see note 1, supra.
. Cray v. Deloitte Haskins & Sells, see note 12, supra.
. Title 20 O.S.2001 § 1602, see note 2, supra.
. Greany v. Western Farm Bureau Life Ins. Co., see note 36, supra; PM Group Life Ins. v. Western Growers Assur. Trust,
. Title 29 U.S.C. § 1144, see note 1, supra.
. Ludwig v. NYNEX Serv. Co., see note 36, supra.
. Tolton v. American Biodyne, Inc.,
. Title 29 U.S.C. § 1144(b)(2), see note 1, supra.
. Id.
Dissenting Opinion
dissenting from today’s compliance with the request to answer a certified question from a federal court.
I
¶ 1 The court flunks Federalism 101 by boosting its own expertise in federal law above that of a United States court exercising original jurisdiction over the very ease in which the certified legal issue has arisen. Even though I do not dispute the soundness of the court’s legal counsel to the certifying tribunal, I cannot countenance today’s incursion into the orbit of exclusive federal forensic competence. I hence recede from what appears as nothing more than a tender of solicited advice which the recipient tribunal is utterly free to ignore — an exercise in pure supererogation.
¶2 The court addresses itself today to a pure federal-law question. Preemption of state law by federal law, the subject dealt with in today’s response that appears packaged and disguised as an answer to a state-law query, presents a pure federal-law question.
¶3 While a state court may in a case properly before it decide federal-law issues (or even claims) that are needed for disposition of a lawsuit,
¶ 4 The Act is a clear expression of federalism’s present-day teachings.
II
RESPONSE TO THE COURT’S CRITIQUE OF THE DISSENT
¶ 5 The court errs as a matter of law when it finds inconsistency between its pronouncement in Delk v. Market American Insurance Co.
¶ 6 The court's critique of the dissent ignores and hence fails to address directly the critical point in dispute. This point is that judicial testing of state law by federal preemption standards presents for resolution a question of federal law.
. The term "supererogation” means "the act or process or an instance of performing more than is required by duty or obligation ... [or] more than is necessary to complete an undertaking.” Webstbr's Third New International Dictionary at 2293 (1961). See Patterson v. Beall,
. Dank v. Benson,
. The Supremacy Clause of Article VI of the United States Constitution provides Congress with the power to preempt state law. Allis-Chalmers Corp. v. Lueck,
. As U.S. Supreme Court jurisprudence teaches, "state courts have inherent authority, and are thus presumptively competent, to adjudicate claims [and issues] arising under the laws of the United States.” Yellow Freight System, Inc. v. Donnelly,
. We function as officious volunteers when answering (under the Revised Uniform Certification of Questions of Law Act, 20 O.S.2001 § 1600 et seq.) a federal-law question. Our intrusion into the federal-court process would not offer a binding resolution of an unsettled issue but rather gratuitous advice. On the other hand, when we answer a state-law question, our response becomes binding on the federal court for application in the process of deciding the case for which the question was submitted. Erie R.R. Co. v. Tompkins,
Officious volunteers are those who introduce themselves into matters which do not concern them and do something which they are neither legally nor ethically bound to do or which is not in pursuance of affording protection to another's interest. In re Estate of Macfarline,
. "This court needs no explicit grant of jurisdiction to answer certified [state-law] questions from a federal court; such power comes from the United States Constitution's grant of state sovereignty.” Bonner v. Oklahoma Rock Corp.,
. 20 O.S.2001 § 1601 et seq.
. The pertinent terms of 20 O.S.2001 § 1602 provide:
Power to Answer. The Supreme Court ... may answer a question of law certified to it by a court of the United States ... if the answer may be determinative of an issue in pending litigation in the certifying court and there is no controlling decision of the Supreme Court ... constitutional provision, or statute of this state.
(emphasis added).
One treatise maintains that it is "clear that a federal court cannot compel a state court to answer questions in the absence of a state procedure.” 17A C. Wright, A. Miller, E. Cooper, Federal Practice and Procedure § 4248, at 160 (2d ed.1988). See also Planned Parenthood Ass'n v. Ashcroft,
. See, e.g., Lumbermens Mut. Cas. Co. v. Belleville Industries, Inc.,
. Bradford R. Clark, Ascertaining the Laws of the Several States: Positivism and Judicial Federalism After Erie, 145 U. Pa. L.Rev. 1459, 1550 (1997) ("Certification is perhaps uniquely suited to further the principles of judicial federalism underlying the Supreme Court's decision in Erie.”).
. For the meaning of "unwritten law" see McCormack v. Oklahoma Pub. Co.,
.
. Allis-Chalmers Corp., supra note 3,
Dissenting Opinion
with whom OPALA, V.C.J. and HODGES, J. join, dissenting.
I dissent from the Court’s opinion. I would decline to answer the question. Title 20 O.S.2001, § 1602 allows this Court to answer certified questions that are “determinative” of an issue in pending litigation.
. 20 O.S.2001, § 1602 provides: "Power to Answer. The Supreme Court and the Court of Criminal Appeals may answer a question of law certified to it by a court of the United States, or by an appellate court of another state, or of a federally recognized Indian tribal government, or of Canada, a Canadian province or territory, Mexico, or a Mexican state, if the answer may be determinative of an issue in pending litigation in the certifying court and there is no controlling decision of the Supreme Court or Court of Criminal Appeals, constitutional provision, or statute of this state.”
