Jаmes E. STILTNER, Plaintiff-Appellant, v. BERETTA U.S.A. CORPORATION, Defendant-Appellee.
No. 94-1323.
United States Court of Appeals, Fourth Circuit.
Argued Sept. 27, 1995. Decided Feb. 2, 1996.
74 F.3d 1473
Such a lawsuit, which is not atypical of many filed in analogous contexts, is precisely the type of litigation that every day threatens to undermine, rather than advance, the laudable objectives of the antidiscrimination laws by causing the courts and the public alike to view even the most meritorious claims with suspicion. The district court obviously recognized this lаwsuit for what it was, and we do, as well.
Accordingly, the judgment of the district court is affirmed.
AFFIRMED.
Before ERVIN, Chief Judge, RUSSELL, WIDENER, HALL, MURNAGHAN, WILKINSON, WILKINS, NIEMEYER, HAMILTON, LUTTIG, WILLIAMS, and MICHAEL, Circuit Judges, and PHILLIPS, Senior Circuit Judge, sitting en banc.
OPINION
HAMILTON, Circuit Judge:
Appellant, James E. Stiltner (Stiltner), appeals an order granting summary judgment in favor of his former employer, Beretta U.S.A. Corp. (Beretta), on Stiltner‘s ERISA and state law claims against Beretta. A divided panel of this court affirmed the summary judgment as to Counts I, II, and IV of Stiltner‘s complaint, but vacated and remanded as to Count III of the complaint. See Stiltner v. Beretta U.S.A. Corp., No. 94-1323, 1995 WL 25643 (4th Cir. January 18, 1995) (designated for publication, but not reported). On Beretta‘s suggestion, we vacated the panel decision and reheard the case en banc. Having considered the briefs and the arguments of the parties, we now affirm in toto the district court‘s grant of summary judgment.
I.
On November 21, 1988, Stiltner began working as a tool rоom supervisor for Beretta, a Maryland arms manufacturer. Frank Valorose, a Beretta employee, helped Stiltner obtain the job. Valorose had been Stiltner‘s manager at Stiltner‘s former job with FN Manufacturing (FN).
Stiltner‘s initial employment status was that of an independent contractor. Although he was not entitled to the fringe benefits that regular employees received, Stiltner received free housing from Beretta, as well as an allowance to pay for his COBRA coverage under FN‘s health insurance plan.1
On February 28, 1989, Beretta offered Stiltner a job as a regular employee. The terms of the offer were described in a letter given to Stiltner by Peter Axelrod, Beretta‘s human resources manager. Stiltner and Axelrod reviewed the letter together, and Stiltner signed the letter to indicate that he found the terms of the offer acceptable. Among the benefits described in the letter were the following:
Medical Insurance: Company paid hospitalization and medical insurance for you and your dependents....
Long Term Disability: Pays 60% of salary after six months of disability (after one year of employment). Payable to age 70.
(J.A. 83). Axelrod agreed to make Stiltner‘s regular employment date retroactive to November 21, 1988, for purposes of his eligibility for vacation and benefits.
Stiltner enrolled in two welfare benefit plans that Beretta provided for its employees. The first of these plans, Beretta U.S.A. Health Plan #501 (the Health Plan) provided group health insurance for all full-time employees and their eligible dependents. The Health Plan provided that coverage would cease at the end of the month in which an employee stopped active work on a full-time basis.
The second plan, Beretta U.S.A. Life and Disability Plan #502 (the Disability Plan), provided long-term disability benefits to full-time employees who became disabled after one year of employment. At the time Stiltner enrolled, American Bankers Life Assurance Company (American Bankers) provided the coverage under this plan. American Bankers issued a disability plan insurance policy that expressly excluded coverage for disabilities caused by pre-existing conditions. Although the certificate of insurance/benefits booklet that American Bankers issued to participants in the disability plan clearly disclosed this pre-existing condition limitation, the summary plan description then in effect
In February 1990, Beretta changed the insurer of its disability plan to the Guardian Life Assurance Company of America (Guardian). The Guardian policy, like the American Bankers policy, had an express pre-existing condition limitation. The new certificate of insurance/benefits booklet issued by Guardian clearly disclosed the pre-existing condition limitation. Beretta sent copies of the new booklet to participating employees, along with a memo entitled “Summary Plan Description Supplement to Certificate for the Beretta U.S.A. Health and Welfare Plans” (the SPD Supplement). The SPD Supplement stated that “[t]his supplement and your certificates of insurance/benefits booklets constitute the Summary Plan Description as required by [ERISA].” (J.A. 566). Stiltner claims that he did not receive a copy of either the new certificate of insurance/benefits booklet or the SPD Supplement until after he became disabled.
Stiltner suffered from a heart condition when he began working for Beretta. On February 6, 1990, he had a heart attack. After the heart attack, he worked sporadically until June 9, 1990. Since that date, he has not worked for Beretta or anyone else because of his heart problems.
To assist Stiltner in filing a disability insurance claim, Beretta sent Stiltner the new Guardian certificate of insurance/benefits booklet, the original SPD for the Disability Plan, and the SPD Supplement for that plan. Stiltner applied to Guardian for long-term disability benefits under the Disability Plan, and to the Social Security Administration for Social Security disability benefits. Guardian denied Stiltner‘s claim because his disability arose out of a pre-existing condition.
Beretta attempted to help Stiltner in several ways. First, Beretta wrote Guardian, urging it to reconsider its decision to deny Stiltner‘s claim for disability benefits. Second, although it was clear that Stiltner would never be able to return to work after June 9, 1990, Beretta kept paying Stiltner his full salary until October 1990, when Stiltner began receiving Social Security disability benefits. Third, despite a provision in the Health Plan stating that coverage would end when he ceased active work on a full-time basis, Beretta kept paying Stiltner‘s health insurance premiums while Guardian was considering his claim for disability benefits.
In June 1992, Guardian informed Stiltner that its decision to deny his claim for long-term disability benefits was final. Subsequently, Stiltner demanded that Beretta pay him more than $330,000 in long-term disability benefits. He claimed that he was entitled to the benefits under the terms of his employment contract and the Disability Plan, regardless of the exclusions in the insurance policies. Beretta, which was still gratuitously paying Stiltner‘s health insurance premiums, refused Stiltner‘s demand. Stiltner then informed Beretta that he intended to assert аn ERISA claim for long-term disability benefits and offered to settle that claim for approximately $332,000. Although Beretta did not believe it was legally obligated to pay Stiltner the disability benefits, it offered to pay him $3,000 and to continue paying his health insurance premiums for an additional 18 months, if he would agree to release it from all liability arising from his claim for disability benefits. Beretta added that if Stiltner refused to accept this settlement, it would cease paying any further health insurance premiums on Stiltner‘s behalf.2
Stiltner filed this action against Beretta, raising four claims. In Count I of his complaint, Stiltner alleged that he was entitled to recover long-term disability benefits from Beretta under
Stiltner also sought a temporary restraining order and preliminary injunction to prevent Beretta from terminating his health insurance benefits, expelling him from the Health Plan, severing his employment relationship, or otherwise retaliating against him for exercising his rights under the Disability Plan and
Stiltner appealed the district court‘s denial of his request for preliminary relief. While his appeal was pending before this court, the district court granted summary judgment in favor of Beretta on all of Stiltner‘s claims. We, therefore, sua sponte, dismissed Stiltner‘s appeal involving the denial of his request for a preliminary injunction. Stiltner v. Beretta U.S.A. Corp., No. 93-1247 (4th Cir. March 28, 1994). Stiltner now appeals the district court‘s grant of summary judgment in favor of Beretta.3
II.
In Count I of his complaint, Stiltner alleged that he was entitled to recover long-term disability benefits from Beretta under
We find no fault in the district court‘s disposition of this claim. It is certainly true that the original SPD was inconsistent with the other official plan documents, in that it failed to reveal the existence of the pre-existing condition limitation. But, as the district court recognized and Stiltner now concedes, to secure relief under ERISA based on representations in a summary plan description that are inconsistent with provisions of the other official plan documents, an ERISA claimant must demonstrate that he either relied upon or was prejudiced by those representations. Aiken, 13 F.3d at 141; Pierce, 979 F.2d at 27. As the district court pointed out, the summary judgment record contained undisputed evidence that Stiltner did not see a copy of the original SPD until after he suffered the disability for which he now seeks to recover benefits. (J.A. 286-87).5 On this record, we agree with the
III.
In Count II of his complaint, Stiltner alleged that Beretta had breached the terms of its February 28, 1989 offer letter, which he characterized as a contract of employment, by refusing to pay him the disability benefits he sought. Stiltner alleged that because the letter stated that Beretta would provide Stiltner with long-term disability insurance that “pays 60% of salary after six months of disability (after one year of employment),” without mentioning a pre-existing condition limitation, it imposed upon Beretta a legally enforceable obligation to pay him long-term disability benefits if he became disabled after one year of employment, whether or not the disability in question was caused by a pre-existing condition.
The district court held that Beretta was entitled to summary judgment on this claim. The court thought that the claim was probably preempted by
The district court did not err in entering summary judgment for Beretta on Stiltner‘s contract claim.
IV.
In Count IV of his complaint, Stiltner alleged that Beretta‘s conduct in refusing to pay him disability benefits and threatening to cut off his health insurance benefits if he did not drop his claim for disability benefits constituted intentional infliction of emotional distress under Maryland law. The district court held that Beretta was entitled to summary judgment on this claim on two independent, alternative grounds: because it was preempted by
Stiltner attempts to distinguish these cases by arguing that his emotional distress claim is not based on allegаtions that Beretta wrongfully denied or terminated benefits to which he was entitled under its ERISA plans, but on allegations that it wrongfully denied or terminated benefits to which he was entitled under his employment contract. This argument is without merit. Count IV of Stiltner‘s complaint asserts a state-law emotional distress claim based on Beretta‘s conduct in “refusing to pay [him] agreed-upon disability benefits and [in] threatening him with discontinuance of his family health insurance benefits to coerce him into abandoning his disability claim.” Complaint ¶ 39. Count IV expressly incorporates by reference paragraphs 1 through 37 of the complaint, id. ¶ 38, which in turn assert that Beretta is obligated to pay Stiltner disability benefits under the terms of both its Disability Plan and his employment contract. Id. ¶¶ 27, 31. For this reason, Stiltner‘s claim that Beretta acted wrongfully in refusing to pay him the “agreed-upon disability benefits” cannot be resolved without reference to the Disability Plan. This in turn means that the claim “relates to” an ERISA plan within the meaning of ERISA‘s preemption clause, and is therefore preempted. See Thomas, 768 F.Supp. at 506; Lennon, 798 F.Supp. at 849; Parisi, 711 F.Supp. at 61-62.
Even if Count IV were not preempted, Beretta would still be entitled to summary judgment on it, for the conduct in question is not sufficiently “outrageous,” as a matter of law, to support a claim for intentional infliction of emotional distress under Maryland law. In Maryland, the tort of intentional infliction оf emotional distress requires proof of “extreme and outrageous” conduct by the defendant, and conduct will be found to rise to that level only if it “go[es] beyond all possible bounds of decency, and [is] to be regarded as atrocious, and utterly intolerable in a civilized community.” Harris v. Jones, 281 Md. 560, 380 A.2d 611, 614 (1977). Applying this test, the Maryland Court of Appeals has held that conduct very similar to that alleged here—the intentional refusal to pay medical and disability benefits to which the plaintiff claimed entitlement under an insurance plan—was not sufficiently “outrageous” to give rise to a claim for intentional infliction of emotional distress. Gallagher v. Bituminous Fire & Marine Ins. Co., 303 Md. 201, 492 A.2d 1280, 1284-85 (1985). As the court there noted, while it is “conceivable” that the tort of intentional infliction of emotional distress “might be committed by means of withholding benefits,” it will be “the rare case” indeed in which this is so. Id. We agree with the district court that this is not such a case. See Dickson v. Selected Risks Ins. Co., 666 F.Supp. 80, 81 (D.Md.1987) (insurer‘s refusal to provide coverage under a liability insurance policy “does not approach the level of outrageousness necessary to sustain an intentional infliction of emotional distress claim” under Maryland law); Barksdale v. St. Clair County Comm‘n, 540 So.2d 1389, 1391 (Ala.1989) (employer‘s termination of health benefits that it had been gratuitously providing to a disabled employee was not sufficiently “outrageous” to give rise to a tort claim for intentional infliction of emotionаl distress under Alabama law).
The district court did not err in entering summary judgment for Beretta on Stiltner‘s state tort claim for intentional infliction of emotional distress.
V.
In Count III of his complaint, Stiltner alleged that Beretta violated
A.
Interference with protected rights. It shall be unlawful for any person to discharge, fine, suspend, expel, discipline, or discriminate against a participant or beneficiary for exercising any right to which he is entitled under the provisions of an employee benefit plan, this subchapter [ERISA Title I], section 1201 of this title, or the Welfare and Pension Plans Disclosure Act, or for the purpose of interfering with the attainment of any right to which such participant may become entitled under the plan, this subchapter, or the Welfare and Pension Plans Disclosure Act.
To determine whether Stiltner‘s allegations create a cognizable claim, we must decide whether, under
In any case turning on statutory interpretation, our goal is to ascertain the intent of Congress. See Dole v. United Steelworkers, 494 U.S. 26, 35 (1990). To accomplish this goal, we begin by looking at the language of the statute. Adams v. Dole, 927 F.2d 771, 774 (4th Cir.), cert. denied, 502 U.S. 837 (1991). If the language is plain and unambiguous, we loоk no further. See United States v. Ron Pair Enters., Inc., 489 U.S. 235, 240-41 (1989). However, if the statutory phrase at issue is ambiguous, we may look beyond the language of the statute to the legislative history for guidance. United States v. Irvin, 2 F.3d 72, 76 (4th Cir.1993), cert. denied, 510 U.S. 1125 (1994); Adams, 927 F.2d at 774. If Congress’ intent is not readily apparent from examining the legislative history, we apply the traditional tools of statutory construction. Adams, 927 F.2d at 774; see also Stupy v. United States Postal Serv., 951 F.2d 1079, 1081 (9th Cir. 1991) (“The search for legislative intent begins with an examination of the language of the statute and then proceeds to a review of the legislative history and the application of traditional aids of statutory interpretation.“).
From the outset, we note the phrase “discriminate against” in
Turning to the legislative history of
Thus, from the legislative history, it is not at all apparent that Congress intended the revocation of gratuitous benefits to constitute discrimination for purposes of
The legislative history of
Because
Under
Additionally, in cases involving interference with the attainment of ERISA rights, numerous courts have limited “discriminate against,” as used in
B.
Our holding that
Although Congress has determined, by enacting
C.
Although
A benefit may become nongratuitous, and thus be protected under
D.
Stiltner concedes that Beretta‘s payment of his health insurance premiums after he ceased working amounted to a gratuitous benefit. Because the benefit was gratuitous, Beretta could revoke it freely without violating
E.
In summary, we can find no support for Stiltner‘s interpretation of the ambiguous phrase “discriminate against” in the language of
VI.
For the reasons stated in this opinion, the judgment of the district court is affirmed.
AFFIRMED.
LUTTIG, Circuit Judge, concurring in the judgment:
I believe that
I ascribe no particular significance to the fact that
PHILLIPS, Senior Circuit Judge, concurring in part and dissenting in part:
I dissent from that part of the judgment which affirms dismissal оf Stiltner‘s claim of discriminatory retaliation under
I would hold, contrary to the majority, that Stiltner‘s
I
The dispute giving rise to this claim had its origins in times of apparently exemplary employment relations between Stiltner and Beretta. Stiltner, obviously a good and respected employee, had fallen on hard times with a first heart attack that forced him into intermittent work, then another attack four months later that put him in the hospital and out of work for good. While he was hospitalized, Beretta actively sought to help him through the economic difficulties brought on by his illness. The company first helped him process a claim for long-term disability benefits with the insurer of its disability-benefit plan. When the insurer initially denied the claim, Beretta urged the insurer to reconsider. During this time, Beretta continued to pay Stiltner his full salary for several months until he began to receive social security disability benefits. And, finally, although Beretta‘s separate group health insurance plan provided that its coverage normally would end when an employee stopped active work on a full time basis, Beretta kept Stiltner‘s coverage in force by paying the premiums while his claim for disability benefits was pending. Beretta was still paying them when, two years аfter Stiltner stopped work, the insurer finally denied his disability benefits claim on the basis of a pre-existing condition exclusion.
At this point, the good relations between Stiltner and Beretta began to sour. Taking the position that Beretta was liable to him under his employment contract and Beretta‘s ERISA-covered disability plan for the disability benefits its plan insurer had refused to pay, Stiltner, through counsel, made a formal written demand upon Beretta for over $330,000. When Beretta refused to pay, Stiltner notified Beretta that he intended to assert an ERISA legal claim for the disability benefits, and offered to settle that claim for around $332,000. Beretta responded by letter in which it denied any legal obligation to pay the disability benefits, but offered to settle Stiltner‘s claim by paying him a lump sum of $3,000 and continuing to pay his health insurance premiums for another eighteen months, in return for Stiltner‘s release of Beretta from all claims of liability for the disability benefits. Critically, Beretta‘s letter threatened that if Stiltner did not accept its counteroffer by a certain date, Beretta would “terminate all payments, whether for health insurance or for any other cause, on [Stiltner‘s] behalf.”
After Stiltner had refused this offer and brought this action, Beretta followed through on its threat and ceased paying premiums on Stiltner‘s group health insurance plan.
Stiltner‘s action included the
II
Neither the literal text nor the legislative history of
The same interpretive reasoning applies to the anti-retaliation provision of
This interpretation of the term “discriminate” in
I would therefore hold, at odds with the district court, that the mere fact that Beretta‘s termination of health insurance premium payments did not involve disparate treatment in relation to comparably situated other plan beneficiaries did not defeat Stiltner‘s anti-retaliation claim as a matter of law.
III
As earlier indicated, in affirming the district court‘s dismissal by summary judgment of Stiltner‘s
Such a narrow interpretation of the intended meaning of the phrase “discriminate against” in application of
As the en banc majority concedes, the statutory text is ambiguous on the question whether an employer can “discriminate against” a plan participant or beneficiary in violation of
Though the statutory text is ambiguous on the specific question, two aspects of the full text are critical in assessing the general purpose of
That this is the intended broad meaning is borne out by the legislative history which indicates that the purpose of
This interpretation—that prohibited retaliatory discrimination under
IV
Presumably because of the considerations just discussed, no court, so far as I am aware, has until now held that an employer‘s retaliatory cutting off of “gratuitously“-provided
The en banc majority purports to find suсh decisions in two sources, but both are flatly inapposite.
First, the court relies on two decisions, N.L.R.B. v. Electro Vector, 539 F.2d 35 (9th Cir.1976), and N.L.R.B. v. Wonder State Mfg. Co., 344 F.2d 210 (8th Cir.1965), which, construing
The other decisions relied upon by the en banc majority, Haberern, 24 F.3d 1491, McGath, 7 F.3d 665, and Woolsey, 934 F.2d 1452, are equally inapposite for the same general reason. Each, interpreting the discriminate-by-interference-with-attainment-of-benefits prong of
Neither of these necessary limitations on conduct that can be considered discrimination under the attainment-of-benefits prong of
V
The only other basis for the en banc court‘s reading of a “gratuitous-benefit” limitation into
Laying aside any skepticism one might have about how much of private-charity impulses are actually at any risk in this area, there are firm reasons for rejecting the court‘s public policy concerns and the related implications of Congressional intent. The first, and most obvious, is that if these twin risks—of widespread frustrations of employer altruism and unjust rewarding of undeserving ERISA-plan participants—had seemed as significant to Congress as the court assumes them to be they easily could have been avoided by simple statutory drafting that did not occur. My hunch is that Congress never thought of any such policy concerns or that, if it did, it thought them too negligible to the overall operation of
Furthermore, to ascribe such weight as the court does to these concerns of possible injustices in individual cases completely misreads the fundamental purpose of this and comparable anti-retaliation provisions. They are not enacted with an eye to the relative moral worth of individual employers and those who inspire them to retaliatory action. Their fundamental purpose is in terrorem: to impose a general deterrence upon the impulse of employers to retaliate for the exercise of statutory rights against their perceived interests. Sad though it be as a commentary on human nature, it is a fact of consequence that Congress has found the retaliatory impulse sufficiently widespread and sufficiently a threat to their intended operation that it has considered anti-retaliation provisions necessary to secure the integrity of all the major employment-relations statutory schemes of recent history—the NLRA, Title VII, the ADEA, and ERISA.
To read a gratuitous-benefit limitation into this anti-retaliation provision is flatly at odds with that general deterrent purpose. For that further reason, it is not warranted as a judicial gloss on the statute.
VI
One final point deserves mention. It concerns the precedential effect of the court‘s statutory interpretation. That interpretation effectively defines the “gratuitous benefit” whose retaliatory revocation is shielded from liability as broadly including any the employer “had no duty” to provide. Ante at 1485.4
Under that interpretation, it would be of no consequence that a particular provision of benefits, though not legally obligatory, was, however, motivated wholly or to a substantial degree by provable economic self-interest rather than pure altruism. A purpose, for
Though it would still, in my view, have been an unwarranted exercise in statutory interpretation, the court would at least have been nearer its professed aim of encouraging (or not discouraging) private charity on the part of employers if it had required a purer variety than simply “not compelled by duty.” Tax law, in a not unrelated setting, might have provided a model in its definition of that which constitutes a “gift” for tax purposes. Concerned precisely with the difficulty of discerning raw economic self-interest behind ostensible “gifts” of one sort or another, tax law hit upon “detached and disinterested generosity” as the distinguishing mark of the true “gift.” See Commissioner of Internal Revenue v. LoBue, 351 U.S. 243, 246, 76 S.Ct. 800, 803, 100 L.Ed. 1142 (1956). Who knows how Stiltner‘s claim, for example, might have fared under such a definition? Because it clearly fails as a matter of law under the court‘s doubly-unwise interpretation, we will never know. We do know, however, that in this circuit from now on employers may with impunity retaliate against ERISA-plan participants who exercise statutory rights against their perceived interests by cutting off any benefits being provided them, for whatever reason, just so long as they are not legally enforceable obligations.
VII
Because it is undisputed that Beretta ceased paying Stiltner‘s insurance premiums in specifically promised retaliation for his exercise of an ERISA-given right to press a claim against Beretta, this constituted discrimination in violation of
I am authorized to state that Chief Judge ERVIN, Judge HALL, Judge MURNAGHAN and Judge MICHAEL join in this concurring and dissenting opinion.
