OPINION
Thоmas J. Manahan, the father of appellants Scott and Heather Manahan, was employed by Haworth, Inc. (Haworth). Safeco Life Insurance Company (Safeco) issued a group life insurance policy to Haworth covering its employees that insured Manahan’s life for $67,000. While hospitalized two days before his death, Manahan changed the beneficiary of the policy. He removed his two minor children, appellants, as beneficiaries and designated his fiancee, Kimberly Meyer. Safeco paid the policy proceeds to Mеyer.
Appellants sued Meyer, Haworth,- and Safeco, alleging the change of beneficiary was invalid because Manahan lacked mental capacity and was unduly influenced by Meyer, and that Haworth acted with Meyer to change the beneficiary, breached its fiduciary duty by failing to investigate the change in beneficiary, and negligently processed the claim and delivered the proceeds to Meyer. Appellants alleged Haworth and Safeco had notice the change of beneficiary was invalid before paying Meyer. Further, аppellants alleged Safeco mishandled the claim and that Haworth was Safeco’s agent in processing and paying the claim. Alternatively, appellants alleged a cause of action under ERISA, 1 claiming they were “beneficiaries” seeking recovery of money Haworth and Safeco had wrongfully paid Meyer.
The trial judge granted summary judgment for Haworth and Safeco, concluding that ERISA preempted appellants’ claims. The claims against Meyer were tried, and the jury verdict favored appellants. The trial judge entered a judgment fоr appellants, but then entered a judgment n.o.v. for Meyer, based solely on ERISA preemption. This appeal followed.
In points of error one through eight, appellants contend their claims against Safeco and Haworth were not preempted by ERISA. 2
*133 Is This an Employee Welfare Benefit Plan under ERISA?
Appellants argue neither Haworth nor Safeco proved this benefit plan was governed by ERISA. We disagree. Appellants’ pleadings judicially admitted the facts necessary to establish ERISA’s application.
ERISA applies to employee benefit plans maintained by employers engaged in activity affecting interstate commerce. 29 U.S.C. § 1003(a) (1988). Appellants pled that Ha-worth, a Michigan corporation with a home office in Michigan, bought insurance from Safeco, whose home office is in Washington, to cover Manahan and other Haworth employees working in Texas. Thus, interstate commerce by Haworth was admitted. An employee welfare benefit plan is “any plan, fund, or program ... established or maintained for the purpose of providing for its participants or their beneficiaries, through the purchase of insurance or оtherwise, (A) medical, surgical or hospital care or benefits, or benefits in the event of sickness, accident, disability, death or unemployment....” 29 U.S.C. § 1002(1) (1988). Appellants, in their third amended petition, asserted that: (1) Haworth furnished its employees a group life insurance policy issued by Safeco; (2) that Thomas Manahan was an employee of Ha-worth; (3) that Safeco’s group policy insured his life; and (4) that after Manahan’s death, Haworth processed the claim and the payment through its employees relations administrator. These facts establish an employеe welfare benefit plan under ERISA.
See
29 U.S.C. § 1002(1);
Hansen v. Continental Ins. Co.
Assertions of fact in live pleadings, not pled in the alternative, are formal judicial admissions.
Houston First Am. Sav. v. Musick,
The judicial admissions here distinguish this case from those relied on by appellants,
Burghart v. Connecticut General Life Insurance Co.,
Subject-Matter Jurisdiction of Claims Against Haworth and Safeco
Appellants next argue that even if this was an ERISA plan, summary judgment was improper because state and federal courts have concurrent jurisdiction under 29 U.S.C. § 1132(e)(1) of suits brought to recover ERISA benefits.
Sections 1132(a)(1)(B) and (e) of ERISA grant concurrent jurisdiction of suits by a beneficiary: 1) to recover рlan benefits; 2) to enforce plan rights; or 3) to clarify rights to future benefits. Any other ERISA action is within the exclusive jurisdiction of the federal courts. 29 U.S.C. § 1132(e)(1);
Gorman v. Life Ins. Co. of North America,
Appellants pled state law causes of action against Haworth and Safeco seeking damages for the alleged negligence and breach of fiduciary duty in the handling, processing, and administration of Manahan’s death benefits under the employee group plan. When a state law claim relates to an employee benefit plan, Texas courts will construe the petition as favorably as pоssible for the pleader and will retain jurisdiction over those claims that may be characterized as ERISA claims falling within the scope of the three categories in 29 U.S.C. § 1132(a)(1)(B) (1988).
Gorman,
Here, appellants’ state law claims against Haworth and Safeco do not fall within the scope of section 1132(a)(1)(B). The claims do not seek to recоver benefits under a plan, seek to enforce rights under a plan, or seek clarification of rights to future benefits. Instead, appellants’ state law claims allege improper administration of an employee benefit plan. Thus, they are within the exclusive jurisdiction of the federal court.
See Pilot Life Ins. Co. v. Dedeaux,
For their concurrent jurisdiction claim, appellants rely on
Burghart,
A state lawsuit asserting imрroper processing under an ERISA-regulated plan is preempted by federal law.
Pilot Life,
Points of error one through eight are overruled.
Appellants’ Claim Against Safeco under Article 3.48 of the Texas Insurance Code
In point of error nine, appellants claim their cause of action against Safeco under TexIns.Code Ann. art. 3.48 (Vernon 1981) was not preempted by ERISA.
ERISA “preempts” state laws that “relate to” covered employee benefit plans. 29 U.S.C. § 1144(a) (1988). ERISA has a savings provision that excludes from preemption state laws that regulate insurance. 29 U.S.C. § 1144(b)(2)(A) (1988);
Metropolitan Life Insurance Co, v. Massachusetts,
Appellants argue article 3.48 is not preempted because it regulates insurance. Article 3.48 provides:
Whenever any person shall procure the issuance of a policy of insurance on his or her life in any legal reserve life insurance company, and designate in writing filed with the company the beneficiary to receive the proceeds thereof, the company issuing the policy shall, in the absence of the receipt by it of notice of an adverse сlaim to the proceeds of the policy from one having a bona fide legal claim to such proceeds or a part thereof, pay such proceeds becoming due on the death of the insured to the person so designated as *135 beneficiary, and such payment so made, in the absence of such notice received by the insurance company prior to the date of the payment of the proceeds, shall discharge the company from all liability under the policy.
Tex.Ins.Codb Ann. art. B.48 (Vernon 1981).
Assuming that árticle 3.48 regulates the business of insurance, aрpellants’ claim under article 3.48 is still preempted. The saving clause cannot save from preemption a state law that provides remedies not provided by ERISA.
Cathey v. Metropolitan Life Insurance Co.,
Here, appellants alleged Safeco violated article 3.48 by paying Meyer after receiving notice of an adverse claim. Appellants’ suit under article 3.48 was therefore one for improper claims processing. That claim is preempted by ERISA.
Cathey,
We overrule point of error nine.
Appellants’ State Law Claim Against Meyer
After Haworth and Safeco obtained summary judgments, a trial was held on the undue influence claim against Meyer. The jury found that Manahan lacked mental capacity to change the beneficiary and that Meyer secured the change by undue influence. The jury awarded $40,000 in exemplary damages. The trial judge first granted judgment for appellants, but then granted a judgment n.o.v. on the sole ground that the claim against Meyer was preempted by ERISA, and thus, the trial court lacked subject matter jurisdiction.
In points of error 10 through 15, appellants assert the judgment n.o.v. was erroneous because ERISA does not preempt their claim against Meyer.
Initially, appellants claim Meyer failed to prove this was an ERISA plan. We disagree. As outlined above, appellants pled facts that established an ERISA plan. See 29 U.S.C. § 1003(a). Moreover, appellants have not filed a statement of facts. We must presume, absent a statement of facts, that the evidence at trial supported the judgment n.o.v.
The preemption clause of ERISA provides: Except as provided in subsection (b) оf 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.
29 U.S.C. § 1144(a). Thus, we must decide whether the claim against Meyer “relates to” an employee benefit plan.
The Supreme Court has broadly interpreted the “relates to” language of the ERISA preemption provision.
Shaw v. Delta Air Lines,
Nevertheless, some state laws “may affect employee benefit plans in too tenuous, remote, or peripheral a manner to warrant a finding that the law ‘relates to’ the plan.”
*136
Shaw,
Meyer argues that appellants’ undue influence claim directly relates to the ERISA plan because it would determine the beneficiary under the ERISA plan. We disagree.
Meyer relies on
MacLean v. Ford Motor Co.,
Clearly, a state law which would change a beneficiary designated by the terms of an employee benefit plan is a law relating to the plan and as such would be superseded by ERISA.
Id. at 725. That did not haрpen here. The designated beneficiary under Manahan’s plan was paid. The MacLean court stated that a holding that ERISA preempted state testamentary law furthered the congressional goal of avoiding “[a] patchwork scheme of regulation,” because the law governing testamentary transfers varies from state to state. Id. That is not so here because the suit against Meyer imposes no regulation, patchwork or otherwise, on the plan. A judgment against Meyer would have no effect on the plan, on the employer, or on the administrator. Finаlly, the court concluded that allowing a plan’s beneficiary designation to be replaced by state testamentary law would frustrate the congressional objective of preventing inconsistent state laws from regulating employee pension plans. Id. That gives us no concern for two reasons. First, the judgment against Meyer does not regulate any plan or any fiduciary. It affects no one except Meyer. Second, we are not here dealing with a state testamentary law that varies from state to state. We have found no state that reсognizes changes in beneficiary designations made by mental incompetents and none that recognizes changes caused by undue influence. These doctrines of state law do not threaten inconsistent federal regulation of anyone.
An increasing number of cases has held that ERISA is not a magic word that makes all state regulation go away. Some have upheld state laws that stripped designated plan beneficiaries of money and gave it to someone else. One such statute has been upheld even though it took millions of dollars away from an ERISA plan and gave it to the state government.
In
Aetna Life Insurance Company v. Borges,
We find that laws that have been rulеd preempted are those that provide an alternative cause of action to employees to collect the benefits protected by ERISA, refer specifically to ERISA plans and apply *137 solely to them, or interfere with the calculation of benefits owed to an employee. Those that have not been preempted are laws of general application — often traditional exercises of state power or regulatory authority — whose effect on ERISA plans is incidental....
What triggers ERISA preemption is not just аny indirect effect on administrative procedures but rather an effect on the primary administrative functions of benefit plans, such as determining an employee’s eligibility for a benefit and the amount of that benefit.... The escheat law has no effect on Aetna’s original determination of an employee’s eligibility for benefits. The indirect economic and administrative impact is of a kind similar to a garnishment law, which allows creditors to seize benefits before an employee ever receives them.
Id.
The court acknowledged that the statute wоuld have a significant economic impact, would affect relations with principal ERISA entities, and would impose a different and more elaborate procedure on beneficiaries to collect their claims from the state. Nevertheless, it found that indirect economic impact alone was not sufficient and that the intrusion in the relationship between Aetna and its plan beneficiaries was no greater than that already approved in earlier eases from the second circuit and from the United States Supreme Court. Id. at 148. The impact of the escheat statute upheld in Borges far exсeeds any possible effect from allowing appellants to have a judgment against Meyer.
Other cases that allowed state laws to deprive ERISA beneficiaries of their money include
Mackey v. Lanier Collection Agency & Service Inc.,
Appellants are also strongly supported by
Fort Halifax Packing Co. Inc. v. Coyne,
ERISA’s preemption provision does not refer to state laws relating to “employee benefits,” but to state laws referring to “employee benefit plans ”_ [Preemption of the Maine statute would not further the purpose of ERISA preemption.... We have not hesitated to enforce ERISA’s preemption where state law created the prospect that an employer’s administrative scheme would be subject to conflicting re-quirеments_ Congress intended preemption to afford employers the advantages of a uniform set of administrative procedures governed by a single set of regulations. This concern only arises, however, with respect to benefits whose provision by nature requires an ongoing administrative program to meet the employer’s obligation. It is for this reason that Congress preempted state laws relating to plans rather than simply to benefits. Only a plan embodies a set of administrative practices vulnerable to the burden that would be imposed by a patchwork scheme of regulation.... The requirement of a one-time, lump-sum payment triggered by a single event requires no administrative scheme whatsoever to meet the employer’s *138 obligation. The employer assumes no responsibility to pay the benefits on a regular basis, and thus faces no periodic demands on its assets that create a need for financial coordination and control.... To do little more than write a check hardly constitutes the operation of a benefit plan. Once this single event is over, the employer has no further respоnsibility. The theoretical possibility of a one time obligation in the future simply creates no need for an ongoing administrative program for processing claims and paying benefits.
Here, we have less than a theoretical possibility of a one-time future payment. There is no possibility of any future payment. Full payment has already been made, and it was made in accordance with the plan. The court concluded:
There is no occasion to determine whether a ‘plan’ is ‘operated’ in the interest of its beneficiaries, because nоthing is ‘operated.’ _ It would make no sense for preemption to clear the way for exclusive federal regulation, as there would be nothing to regulate. Under such circumstances, preemption would in no way serve the overall purpose of ERISA.
In language that could have been written for this case, the court stated:
ERISA preemption analysis must be guided by respect for the separate spheres of governmental authority preserved in our federalist system.... The argument that ERISA preempts state laws relating to certain employee bеnefits, rather than to employee benefit plans, is refuted by the express language of the statute, the purposes of the preemption provision, and the regulatory focus of ERISA as a whole. If a state creates no prospect of conflict with a federal statute, there is no warrant for disabling it from attempting to address uniquely local social and economic problems.
It is hard to imagine a more local social problem than that which this judgment seeks to cure: two minor children deprived of their father’s life insurance benefits as a result of undue influence exercised upon him during a period of mental incapacity.
For other authorities that have found no preemption where state law was more intrusive than here,
see Perkins v. Time Insurance Co.,
It has also been held, with compelling logic, that ERISA did not preempt a state statute preventing a murderer from receiving the life insurance proceeds of her victim.
Mendez-Bellido v. Board of Trustees of Div. 1181, A.T.U. New York Employees Pension Fund and Plan,
We need not presently address the legal aspects of extreme fact situations or of instances where the beneficiary has obtained the proceeds through fraudulent or illegal means, as for example, where the named beneficiary murders the insured service member_ Our ruling on a situation of that kind is reserved for another day.
Points of error 10 through 14 are sustained. Point of error 15, alleging that appellants have a claim for proceeds in state court under ERISA, is overruled.
Meyer’s Cross Points
In her first two cross-points, Meyer contends there was no evidence to support the jury’s finding of lack of mental capacity and undue influence.
Meyer claims she should prevail because appellants had the duty to file the statement of facts and none was filed. None was necessary, however, for us to review appellants’ contention that their claim was not preempted by ERISA. On the other hand, a statement of facts is necessary to review Meyer’s contention that there was no evidence showing undue influence and lack of capacity. Both the judge and the jury found against Meyer on these points. The jury found that Manahan lacked mental capacity and that Meyer used undue influence, and the trial judge rendered a judgment against Meyer. If Meyer sought to attack the jury’s verdict and the judge’s approval of the evi-dentiary basis for that verdict, it was was her duty to file a statement of facts. Without one, we cannot determine whether the evidence was legally sufficient.
Cross-points of error one and two are overruled.
In cross-point of error three, Meyer contends the trial judge correctly granted the judgment n.o.v. because Manahan “waived any right to complain based on the fact that the plan was an ERISA plan.” Meyer contends appellants never denied this plan was an ERISA plan, and the issue was therefore tried by consent.
We have assumed and held throughout this opinion that the plan was an ERISA plan. Therefore, Meyer has received all the relief she is entitled to under this point of error.
Cross-point error three is overruled.
The judgment n.o.v. is reversed, and judgment is rendered that appellants recover in accordance with the trial court’s original “final judgment” of November 19, 1991, which is found at pages 187-89 of the transcript and grants appellants relief based on the jury verdict.
Notes
. The federal Employee Retirement Income Security Act of 1974, 29 U.S.C. § 1001 et seq. (1988) (ERISA).
. The summary judgment for Haworth was expressly based solely on ERISA. The summary judgment for Safeco does not state a specific ground. When a summary judgment does not state its grounds, it will be affirmed if any ground urged in the motion is meritorious.
Insurance Co. of N. Am. v. Security Ins. Co.,
