Judy L. MOON, individually; Judy L. Moon, Executor of the Estate of Leslie W. Moon, Plaintiffs-Appellants, v. BWX TECHNOLOGIES, INCORPORATED; McDermott International, Incorporated; Babcock & Wilcox Company; Babcock & Wilcox Power Generation Group, Incorporated, Defendants-Appellees.
No. 13-1888
United States Court of Appeals, Fourth Circuit
Decided: July 2, 2014
577 Fed. Appx. 224
AFFIRMED.
ARGUED: Sidney Harold Kirstein, Lynchburg, Virginia, for Appellants. Joseph Michael Rainsbury, Leclairryan, Roanoke, Virginia, for Appellees. ON BRIEF: Kevin P. Oddo, Leclairryan, Roanoke, Virginia, for Appellees.
Affirmed and remanded with instructions by unpublished PER CURIAM opinion.
Unpublished opinions are not binding precedent in this circuit.
PER CURIAM:
Judy L. Moon, individually and as executor of the estate of Leslie W. Moon (“Appellant“), appeals the district court‘s order granting a motion to dismiss pursuant to
Because Appellant has failed to sufficiently allege that Appellees were acting as fiduciaries under the Employee Retirement Income Security Act (“ERISA“) at the time of their allegedly wrongful conduct, we conclude that Appellant has failed to state a claim for breach of fiduciary duty and equitable estoppel. Similarly, with respect to Appellant‘s motion for leave to file a second amended complaint, the fact that Appellees were not ERISA fiduciaries renders Appellant‘s proposed amendment futile. Therefore, we affirm the district court‘s orders and, for the reasons stated below, remand with instructions.
I.
A.
We set forth the factual underpinning of this case in detail in our previous opinion disposing of the initial appeal in this case. See Moon v. BWX Techs., Inc. (”Moon I“), 498 Fed.Appx. 268, 270-72 (4th Cir. 2012). Therefore, we provide only a brief recitation of the relevant facts here.
Appellant is the widow of Leslie Moon (“Mr. Moon“) and is the executor of his estate. Mr. Moon was employed full-time by BWXT and its predecessor corporations from 1969 until 2005. On June 1, 2005, Mr. Moon was unable to continue working due to a severe heart condition, and he received short-term disability benefits until November 30, 2005. He later applied for long-term disability benefits, and his application was approved on December 1, 2005. As of that date, Mr. Moon was no longer employed with BWXT.
Sometime during his employment in 2005, Mr. Moon enrolled in various employee benefit programs offered by BWXT, including life insurance with coverage in the amount of $200,000.00. The coverage was to become effective January 1, 2006. BWXT verified Mr. Moon‘s selection of benefits in a November 29, 2005 confirmation statement (“2005 Confirmation Statement“). The 2005 Confirmation Statement, issued several days before Mr. Moon went on long-term disability, identified the relevant coverage as “Employee Life Insurance” under the heading “Plan Name.” J.A. 45.2 The overall group insurance plan in which BWXT participated, titled “Group Insurance Plan for Employees of McDermott Incorporated and
The MetLife Plan is an ERISA-qualified life insurance plan for BWXT employees. According to the MetLife Plan‘s Summary Plan Description (“SPD“), McDermott Incorporated is the “Plan Sponsor and Administrator,” and MetLife is the “Claims Administrator.” J.A. 42. The SPD states that the benefit under the plan “is administered by MetLife pursuant to a contract with the Plan Sponsor.” Id. Moreover, in a section entitled “Plan Administration,” the SPD states, “MetLife has the right to carry out responsibilities and use maximum discretionary authority permitted by law.” Id. at 39.
On January 13, 2006, BWXT printed, and Mr. Moon sometime thereafter received, a second benefit confirmation statement (“2006 Confirmation Statement“) confirming that Mr. Moon had selected certain employee benefits effective during 2006, including a $200,000.00 life insurance benefit. Notably, the 2006 Confirmation Statement did not indicate that Mr. Moon was no longer an employee of BWXT.
In her first amended complaint, Appellant alleged that, in reliance on the 2006 Confirmation Statement, Mr. Moon and his family paid life insurance premiums directly to BWXT during 2006 and that BWXT accepted the payments without objection. According to Appellant‘s complaint, Mr. Moon and Appellant “reasonably believed that BWXT would provide the benefits including life insurance benefits” if Mr. Moon made his premium payments to BWXT. J.A. 51. On November 18, 2006, Mr. Moon passed away. At the time of his death, the 2006 premium payments death were in arrears. On November 29, 2006, 11 days after Mr. Moon‘s death, Appellant sent a letter to BWXT and enclosed a check for $1,173.36, paying the entire balance due.
Thereafter, Appellant made a claim directly to BWXT requesting payment of the $200,000.00 life insurance benefit. BWXT denied Appellant‘s claim by letter dated April 12, 2007, stating that under the terms of the MetLife Plan, because Mr. Moon had ceased active employment with BWXT as a result of permanent disability, he was no longer eligible for group life insurance coverage. Mr. Moon could have elected to convert his group policy to an individual policy, in which he would make premium payments directly to MetLife. However, he did not do so.
B.
On November 10, 2009, Appellant filed this action in Virginia state court. Appellant alleged in her original complaint that Mr. Moon and Appellees entered into an independent post-employment contract for life insurance benefits by way of the 2006 Confirmation Statement, and that Appellees (not MetLife) had an obligation to pay $200,000.00 to Appellant. Appellees timely removed the case to federal court, asserting federal question jurisdiction under ERISA. Appellant moved to remand to case to state court, and the district court denied the motion, concluding, “although the form of the pleadings suggests otherwise, the substance of [Appellant‘s] claim is revealed as an attempt to vindicate rights under the group life plan.” Moon v. BWX Techs., Inc., 742 F.Supp.2d 827, 836 (W.D.Va.2010).
After the district court denied Appellant‘s motion for remand, Appellant filed a first amended complaint containing the following four counts: 1) breach of contract; 2) breach of implied or quasi-contract; 3) estoppel; and 4) negligent breach of ERISA duties. Appellees filed a motion to dismiss the amended complaint pursuant to Rule 12(b)(6), which the district court granted. See Moon v. BWX Techs., Inc., No. 6:09-cv-00064, 2011 WL 2670075, at *6 (W.D.Va. July 7, 2011), vacated, Moon I, 498 Fed.Appx. at 276.
Appellant appealed both the district court‘s denial of the motion for remand and the district court‘s grant of Appellees’ motion to dismiss. With respect to the denial of the motion for remand, we affirmed, concluding, “the district court did not err in determining that Appellant‘s purported state law claims are actually disguised federal claims arising under ERISA‘s civil enforcement provision.” Moon I, 498 Fed.Appx. at 274. With respect to the district court‘s grant of Appellees’ motion to dismiss, we upheld the dismissal of Appellant‘s contract claims under the MetLife Plan. Id. at 274-75. But, we vacated the district court‘s dismissal of Appellant‘s claims for equitable estoppel and breach of fiduciary duty and remanded the case so the district court could “address anew Appellant‘s claims” in light of CIGNA Corp. v. Amara, 563 U.S. 421, 131 S.Ct. 1866, 179 L.Ed.2d 843 (2011), and McCravy v. Metro. Life Ins. Co. (”McCravy II“), 690 F.3d 176 (4th Cir.2012). Id. at 275-76.
C.
On remand to the district court, Appellees filed a supplemental brief in support of their motion to dismiss Appellant‘s first amended complaint (“Supplemental Brief“). In their Supplemental Brief, Appellees argued that Appellant‘s equitable estoppel and breach of fiduciary duty claims should be dismissed because Appellees were not acting as “fiduciaries,” as that term is defined under ERISA. The district court agreed. First, the district court noted that a person is an ERISA fiduciary only to the extent that he exercises discretionary authority over the plan. See Moon v. BWX Techs., Inc., 956 F.Supp.2d 711, 717 (W.D.Va.2013). The district court then outlined the allegations in the first amended complaint that related to Appellees’ alleged wrongdoing and concluded that these allegations did not involve discretionary acts. See id. at 718, 719-20. Therefore, the district court held that Appellant‘s equitable estoppel and breach of fiduciary duty claims failed because Appellees were not acting as ERISA fiduciaries at the time of the alleged wrongful conduct.
Around the time Appellees filed their Supplemental Brief, Appellant filed a motion for leave to amend her first amended complaint. In her proposed second amended complaint, Appellant sought to add claims for “reformation of contract” and “surcharge for breach of fiduciary duty,” see J.A. 119-20, as those equitable claims had recently been recognized by the Supreme Court in the ERISA context in CIGNA Corp. v. Amara, 563 U.S. 421, 131 S.Ct. 1866, 179 L.Ed.2d 843 (2011). The district court denied Appellant‘s motion, holding that such amendment would be futile. See Moon, 956 F.Supp.2d at 714-17. The district court explained that the reformation claim failed because Appellant did not sufficiently allege any type of fraudulent conduct on the part of the Appellees. Id. at 716. Further, the district court held that both the reformation and the surcharge claims were futile be-
In the present appeal, Appellant challenges both the district court‘s grant of Appellees’ motion to dismiss Appellant‘s breach of fiduciary duty and equitable estoppel claims, as well as the district court‘s denial of Appellant‘s motion for leave to amend her first amended complaint. We possess jurisdiction pursuant to
II.
We review de novo a district court‘s dismissal of a complaint for failure to state a claim pursuant to
We review a district court‘s denial of a motion for leave to amend a complaint for abuse of discretion. Drager v. PLIVA USA, Inc., 741 F.3d 470, 474 (4th Cir. 2014).
III.
A.
We first consider whether the district court erred by dismissing Appellant‘s first amended complaint under
1.
Pursuant to
Here, the only alleged ERISA violation in Appellant‘s first amended complaint is Appellees’ purported breach of fiduciary duty. See
To state a claim for breach of fiduciary duty under ERISA, the threshold question is whether the plaintiff has sufficiently alleged that the defendant was a “fiduciary.” See Coleman v. Nationwide Life Ins. Co., 969 F.2d 54, 60-61 (4th Cir.1992) (“Before one can conclude that a fiduciary duty has been violated, it must be established that the party charged with the breach meets the statutory definition of ‘fiduciary.‘“). Therefore, if Appellant is unable to sufficiently allege ERISA fiduciary status as to Appellees, then there exists no ERISA violation for Appellant to redress and equitable relief under
Under ERISA, “a person is a fiduciary with respect to a plan to the extent” that:
(i) he exercises any discretionary authority or discretionary control respecting management of such plan or exercises any authority or control respecting management or disposition of its assets; (ii) he renders investment advice for a fee or other compensation, direct or indirect, with respect to any moneys or other property of such plan, or has any authority or responsibility to do so; or (iii) he has any discretionary authority or discretionary responsibility in the administration of such plan.
2.
Appellant argues that her first amended complaint sufficiently alleges that Appel-
a.
First, Appellant highlights her conclusory allegation in Paragraph 33 of the first amended complaint, which states that Appellees had “discretionary authority under ERISA to create and manage the benefit plan offered [to] Mr. Moon and that [Appellees] were therefore ERISA fiduciaries as to this Plan.” J.A. 54, ¶ 33. Critically, however, the “plan” referenced in Paragraph 33 is not the MetLife Plan. Rather, it is the “written offer to Mr. Moon” in the 2006 Confirmation Statement that, according to Appellant, “constituted a proposal for life insurance benefits separate from the MetLife Plan.” Id. ¶ 32 (emphasis supplied).
We have already addressed and rejected this line of argument in the first appeal in this case, where we held that the 2006 Confirmation Statement and Mr. Moon‘s payment of premiums directly to BWXT did not create any kind of “independent contract for benefits” between Mr. Moon and BWXT. Moon I, 498 Fed.Appx. 268, 274 (4th Cir.2012). Because we previously concluded that “Appellant‘s claims for an entitlement to benefits are governed by the language of the [MetLife] Plan,” id., Appellees’ purported status as ERISA fiduciaries must be analyzed with respect to their actions relating to the MetLife Plan. Accordingly, Appellant‘s argument that the allegation in Paragraph 33 of the first amended complaint sufficiently alleges that Appellees were ERISA fiduciaries fails.
b.
Nonetheless, Appellant contends that her first amended complaint sufficiently alleges that Appellees were “de facto” ERISA fiduciaries. As noted, because the definition of an ERISA fiduciary “is couched in terms of functional control and authority over the plan,” we must “examine the conduct at issue when determining whether an individual is an ERISA fiduciary.” Wilmington Shipping, 496 F.3d at 343 (internal quotation marks omitted). After reviewing the first amended complaint, the alleged conduct at issue that possibly raises a claim for breach of fiduciary duty is based on BWXT‘s acceptance of Mr. Moon‘s premium payments during 2006, as well as BWXT‘s failure to notify Mr. Moon that he was no longer eligible for life insurance benefits under the MetLife Plan. Specifically, the first amended complaint alleges:
34. As fiduciaries under ERISA for such Plan, [Appellees] had a duty to Mr. Moon to truthfully and accurately advise Mr. Moon if he was ineligible for life insurance benefits within a reasonable time after receiving monthly payments from Mr. Moon for said benefits, if [Appellees] knew or should have known that Mr. Moon was ineligible for life insurance benefits.
...
36. [Appellees] ... negligently or intentionally breached the duty they owed to Mr. Moon under ERISA to advise him of his ineligibility for life insurance benefits and their conduct, in fact, caused Mr. Moon to believe he had procured said benefits.
J.A. 54-55. Given these allegations, Appellant has sufficiently stated a claim for breach of fiduciary duty only if accepting payments and advising plan participants about eligibility for benefits constitute “discretionary functions with respect to the management, assets, or administration of a plan.” Custer, 89 F.3d at 1161.
Based on the DOL regulation, BWXT‘s acceptance of Mr. Moon‘s premium payments during 2006, as well as its failure to notify Mr. Moon that he was no longer eligible for life insurance benefits under the MetLife Plan, were not “discretionary functions with respect to the management, assets, or administration of a plan.” Custer, 89 F.3d at 1161. Rather, these actions are more akin to “[c]ollection of contributions” and “advising participants of their rights and options under the plan,” which are purely administrative functions. See
Appellant attempts to bring Appellees’ actions within the realm of “discretionary” acts by arguing that “BWXT alone reviewed and investigated” Appellant‘s claim for life insurance benefits and “alone declined to pay the claim.” Appellant‘s Br. 18. Appellant then cites
c.
Appellant next argues that the terms of the MetLife Plan documents themselves confer ERISA fiduciary status on Appellees. Appellant notes several times in her brief that BWXT was the “Plan Administrator” and that, by virtue of this position, BWXT‘s receipt of premium payments and its failure to notify Mr. Moon of his ineligibility for group life insurance benefits was a breach of fiduciary duty.5 However, the
The SPD identifies an entity called “McDermott Incorporated“—not McDermott International, Inc. or BWXT—as “Plan Sponsor and Administrator.” See J.A. 42.6 This is directly contrary to Appellant‘s assertions that BWXT is named as “Plan Administrator.” In addition, the SPD lists MetLife as the “Claims Administrator,” and in a section called “Type of Administration,” the SPD states, “[t]his benefit is administered by MetLife pursuant to a contract with the Plan Sponsor.” Id. (emphasis supplied). Furthermore, in a section called “Plan Administration,” the SPD explicitly states that “MetLife has the right to carry out responsibilities and use maximum discretionary authority permitted by law.” Id. at 39 (emphasis supplied). The section continues, noting that these rights and responsibilities include the following:
- Interpret, construe and administer the plan;
- Make determinations regarding plan participation, enrollment and eligibility for benefits;
- Evaluate and determine the validity of benefit claims; [and]
- Resolve any and all claims and disputes regarding the rights and entitlements of individuals to participate in the plans and to receive benefits and payments pursuant to the plans.
Id. at 39-40. Based on the SPD, it could not be more clear that if the MetLife Plan itself confers discretionary authority on a particular entity, that entity is MetLife—not BWXT or any other named Appellee. Accordingly, Appellant‘s contention that BWXT is the “Plan Administrator,” and therefore an ERISA fiduciary, fails.
d.
Finally, Appellant contends the district court erred by failing to apply the equitable remedies and principles announced by the Supreme Court in CIGNA Corp. v. Amara, 563 U.S. 421, 131 S.Ct. 1866, 179 L.Ed.2d 843 (2011), when it granted Appellees’ motion to dismiss. This argument makes little sense. The Supreme Court‘s decision in Amara “stands for the proposition that remedies traditionally available in courts of equity, expressly including estoppel and surcharge, are indeed available to plaintiffs suing fiduciaries under Section 1132(a)(3).” McCravy II, 690 F.3d at 181. However, because
B.
We next consider whether the district court erred by denying Appellant‘s motion for leave to amend the complaint after concluding that the amendment would be futile. In her proposed second amended complaint, Appellant sought to add claims for “reformation of contract” and “surcharge for breach of fiduciary duty,” noting that those equitable claims had recently been recognized by the Supreme Court in the ERISA context in CIGNA Corp. v. Amara, 563 U.S. 421, 131 S.Ct. 1866, 179 L.Ed.2d 843 (2011). The district court correctly denied this proposed amendment as futile because Appellees were not ERISA fiduciaries.
Under
Again, the threshold inquiry under
C.
As for the premium payments that Mr. Moon made to BWXT for benefits under the MetLife Plan during 2006—benefits for which Mr. Moon was not eligible—counsel for Appellees acknowledged at oral argument that Appellant is entitled to an immediate return of those premium payments with interest, and agreed that BWXT would refund such payments. See Oral Argument at 16:02–16:26, 21:27-21:34, Moon v. BWX Techs., Inc., No. 13-1888 (May 13, 2014), available at http://www.ca4.uscourts.gov/oral-argument/listen-to-oral-arguments. In light of Appellees’ counsel‘s representations to this court, we will remand the case for the district court to: (1) determine the amount of premiums owed to Appellant, and (2) enter an order
IV.
For the reasons stated, we affirm both the district court‘s grant of Appellees’ motion to dismiss and the district court‘s denial of Appellant‘s motion for leave to amend her first amended complaint. We also remand the case to the district court with instructions to determine the amount of premiums owed to Appellant and to enter an order directing Appellees to repay that amount with interest.
AFFIRMED AND REMANDED WITH INSTRUCTIONS.
