Jo Ann Johnson v. State Mutual Life Assurance Co. Of AmericaJo Ann Johnson v. State Mutual Life Assurance Co. Of America
Lead Opinion
jоined by LAY, Chief Judge, and ARNOLD, BOWMAN, WOLLMAN and MAGILL, Circuit Judges.
Plaintiff Jo Ann Johnson appeals from a district court order dismissing her Complaint for group life insurance benefits.
In October 1979, Cleveland Johnson died of a gunshot wound. At the time of his death, Mr. Johnson was a policyholder under a group policy issued by defendant State Mutual Life Assurance Co. of Amer-ica to his employer, Terminal Railroad Association of St. Louis. Plaintiff, Johnson’s wife, was the policy beneficiаry. The employer promptly gave defendant proof of death and demanded payment to plaintiff as beneficiary of the amount owing in the case of accidental death. Thereafter, defendant paid plaintiff the death benefits under a second policy but refused to pay the $44,000 owing in the case of an accidental death under this policy on the ground that Mr. Johnson’s death resulted from an altercation in which he was the aggressor and which he should have foreseen would put his life in danger.
In May 1989, plaintiff commenced this action in Missouri state court to recover the unpaid $44,000.
I.
ERISA contains no statute of limitations for actions to recover benefits under
Judge Beam in dissent urges a result not considered by the parties or the district court, namely, that this action should be characterized as a suit against a trustee for breach of trust for statute of limitations purposes, and that the five year limitations period in
Second, it is important to note that ERISA contains an express federal statute of limitаtions for suits claiming breach of an ERISA trust,
Third, we think the dissent’s quest for statute of limitations uniformity does not warrant creating judicially what Congress intentionally did not provide in the statute. The Supreme Court’s decision in Wilson v. Garcia,
Finally, we question whether adoption of state breach-of-trust limitations law would achieve the dissent’s objective of ending confusion and inconsistency. In Missouri, for example, it is unlikely that
For the above reasons, we agree with those federal courts that have held, without exception to our knowledge, that a suit for ERISA benefits under
II.
For more than a century, Missouri has had two contract statutes of limitations.
There are numerous Missouri cases deciding which of these two statutes of limitations applies to a particular contract claim. Many decisions applying the five-year statute contain dictum that, in our view, is inconsistent with the holdings in many other cases applying the ten-year statutе. Therefore, our task is to decide which of two parallel inconsistent lines of cases the Supreme Court of Missouri would apply to the facts of this case.
The key statutory language is that limiting the ten-year statute of limitations to “an action upon any writing ... for the payment of money.” Early on, the Supreme Court of Missouri rejected a narrow interpretation of this phrase:
Defendants claim that an instrument for the payment of money or property, such as is meant by the 10 years’ statute of limitations, should acknowledge an obligation to pay which is neither conditional nor contingent.... If this position be corrеct, then all instruments other than notes, bonds, bills of exchange, and other written promises or obligations to pay, unconditionally, specified sums of money would be embraced by the 5 years’ statute of limitations. To this we are unable to assent.
State ex rel. Enterprise Milling Co. v. Brown,
In Enterprise Milling, plaintiff sued upon an attachment bond; the Missouri Supreme Court held that the ten-year statute applied despite the fact that the promise to pay was conditional at the time the bond was written. The same result was reached in Missouri, K. & T. Ry. v. American Sur. Co. of N.Y,
Like a bond, an insurance policy typically contains a written promise to pay money upon the occurrence of a specified future condition, such as death. The Missouri courts have consistently applied the ten-year statute of limitations to suits upon
Under these cases, the only relevant question is whether a plaintiffs contract claim is based upon a written promise to pay money. In this case, plaintiffs claim plainly satisfies that test, for defendant’s written policy provides in part: “Upon receipt of due proof that an employee has ... sustained bodily injury ... solely through external violent and accidental means ... the Company agrees to pay ... FOR LOSS OF ... Life ... The Principal Sum [$44,-000].”
The district court ignored these insurance and bond cases and focused instead on restrictive language found in Missouri cases applying the fivе year-statute of limitations. First, some decisions have stated that, “[T]he essence of a promise to pay money is that it is an acknowledgment of an indebtedness, an admission of a debt due and unpaid.” Martin v. Potashnick,
However, we do not believe that these restrictive tests accurately reflect Missouri law. In the first place, we note that Martin, Silton, and Superintendent of Insurance did not involve written promises to pаy money and thus were correctly decided even under a broader construction of the ten-year statute. Second, it seems obvious to us that a rigorous application of these restrictive dicta would effectively limit the ten-year statute to promissory notes, bonds and similar instruments that contain, within the four corners of the document, an admitted obligation to pay money. Yet that is precisely what the Supreme Court of Missouri rejected in Enterprise Milling, and it is clear that in recent years the Missouri courts have continued to apply the ten-year statute to written promises to pay money on the condition that future events occur. See, e.g., St. Louis University v. Belleville,
This result is consistent with every Missouri case that has involved a claim on an insurance policy or a bond. These cases are the most analogous to the case at bar factually. We cannot conclude that the Supreme Court of Missouri, if presented with this case, would overrule this long line of authority on the basis of dicta in factually distinguishable cases such as Martin, Silton and Superintendent of Insurance.
III.
The district court’s analysis was also based, in large part, on prior federal court cases which have sought to apply these confusing Missouri precedents to the ERISA arena. Initially, there were a series of district court decisions holding that the five-year Missouri statute governed suits for unpaid contributions to ERISA-regulated plans. See Robbins v. Newman,
While Fogerty was pending on appeal, this court reversed the district court in Central States S.E. & S.W. Areas Pen. Fund v. King Dodge, Inc.,
Shortly after King Dodge was decided, this court affirmed the district court in Fogerty v. Metropolitan Life Ins. Co.,
Defendant argues, and the district court concluded, that this case is controlled by
This court has considerable reservations about the wisdom of a ten-year statute of limitations for a claim such as this that appears to turn upon a tragic event that occurred long ago. However, subject to whatever laches principles may apply under state law, that is a legislative question. Either Congress, by amending ERISA, or the Missouri Legislature is free to modify thе statute of limitations. Until such legislative action, we are required to hold, consistent with Missouri law, that plaintiffs claim to enforce defendant’s written promise for the payment of money is governed by the ten-year statute of limitations in
The judgment of the district court is reversed and the cause remanded for further proceedings consistent with this opinion.
Notes
. Under Missouri case law, plaintiff pleaded a prima facie case for accidental death benefits by alleging that the insured met his death by violence; defendant then had the burden of proving that its policy exclusion for "loss which is caused or contributed to by intentionаlly self-inflicted injury” applies. See Stogsdill v. General Amer. Life Ins. Co.,
The record does not reveal why plaintiff waited nearly ten years to commence this action. Defendant has not alleged any prejudice resulting from the delay, although counsel for defendant stated at oral argument that the witnesses to the altercation had become unavailable by the time this action was commenced. The opinion in one Missouri case stated that laches may bar a claim for insurance benefits even if it is filed within the ten-year statute of limitations. See Crawford v. Metropolitan Life Ins. Co.,
. The reference to "this part” is to "Part 4— Fiduciary Responsibility" of Subtitle B, Sub-chapter I, of ERISA.
. Defendant argues that King Dodge is distinguishable because the defendant did not deny its liability for future contributions and thus only the amount of the debt, not the fact of the debt, was uncertain. Although it is possible to parse some of the Missouri cases in this fashion, we do not find the distinction consistent with the Enterprise Milling line of decisions.
Dissenting Opinion
dissenting, with whom JOHN R. GIBSON, Circuit Judge, joins.
It may well be that insurance policies are “promises for the payment of money” within the meaning of
The Missouri case law is subject to differing interpretations. Unlike the majority opinion, however, I read State ex rel. Enterprise Milling Co. v. Brown,
“It is the evolved principle of [Missouri] decisions that, in order for the ten-year limitations periоd of
I would distinguish Enterprise Milling and American Surety as cases involving
With respect to the cases applying the 10-year statute of limitations to insurance policies, each case аpplies the 10-year statute of limitations, without analysis, only after deciding an unrelated question of statutory interpretation. In Liebing v. Mutual Life Insurance Co.,
Adams v. Metropolitan Life Insurance Co.,
The 10-year statute of limitations was applied with little analysis in Crenshaw v. Great Central Insurance Co.,
Finally, I do not think Central States, Southeast & Southwest Areas Pension Fund v. King Dodge, Inc.,
I would hold that the 10-year statute of limitations does not apply and would accordingly affirm the order of the district court.
Dissenting Opinion
with whom FAGG, Circuit Judge, joins.
Because I disagree that this action for ERISA benefits should be governed by either of Missouri’s contract statutes of limitation, I respectfully dissent. I would hold instead that the Missouri statute of limitation most analogous to an action brought by a plan participant or beneficiary seeking ERISA benefits pursuant to
The Supreme Court has already considered thе problem with which we now struggle in a different context. Prior to Wilson v. Garcia,
I think that choosing the most analogous state statute of limitation for an ERISA cause of action seeking benefits by focusing on the particular benefit at issue can only produce, as this case shows, the same sort of “confusion and inconsistency” and “time-consuming litigation” that the Supreme Court sought to avoid in
For purposes of borrowing a state statute of limitation for a federal claim, the characterization of the federal cause of action “ ‘is ultimately a question of federal law.’ ” Wilson,
This action was removed from state court because it was, apparently without dispute among the parties, an ERISA claim by a beneficiary of an employee benefit plan. ERISA,
The trustee requirement under
Under the statutory scheme, an action for benefits, other than insurance benefits, would be brought against the
In my view, it is anomalous to carve out a separate category, for statute of limitations purposes, for an ERISA claim for the payment of money or property. When plan money is used to purchase insurance from a qualified carrier, the premium money is paid to the carrier to hold, invest and pay out under the terms of the policy, which policy is, in turn, an asset of the employee benefit plan. For ERISA plan purposes, the carrier is a fiduciary, Eversole v. Metropolitan Life Ins. Co.,
Thus, I would hold that the most analogous state statute of limitation, if we choose to apply state law,
. The Third Circuit has applied the federal limitations found in