OPINION
Currently before the Court for disposition are three motions: (1) a Motion to Dismiss (Doc. No. 9) filed by Defendants Mellon Bank, N.A., Mellon Financial Corporation, The Bank of New York Mellon Corporation, Corporate Benefits Committee, and Sheila Miller (the “Mellon Defendants”); (2) a Motion to Dismiss (Doc. No. 23) filed by Life Insurance Company of North America (“LINA”) and CIGNA Corporation (“CIGNA”) (together the “Insurance Defendants”); and (3) a Motion for Leave to File an Amended Complaint (Doc. No. 34) filed by Plaintiff, Arlene Miller. This case is brought pursuant to Section 502(a)(1)(B) of the Employee Retirement Income Security Act of 1974, as amended (“ERISA”), 29 U.S.C. §§ 1001, 1132(a)(1)(B), for review of a denial of long-term disability benefits and determination of her rights to past and future benefits under the terms of her employer’s long-term disability plan. This Court has subject matter jurisdiction over this action pursuant to 29 U.S.C. § 1132(e)(1). Venue in this District is proper under 29 U.S.C. § 1132(e)(2).
I. FACTUAL BACKGROUND/PROCEDURAL HISTORY
Because this action comes before the Court on a motion to dismiss, the Court must accept as true all of Plaintiffs allegations of fact and must view the facts in the light most favorable to her. The relevant facts are as follows.
Arlene Miller (hereinafter “Plaintiff’) is a participant in the Defendant Mellon Long-Term Disability Plan (hereinafter “Plan”), 1 an employee welfare benefit plan that provides disability benefits. (Mellon Long-Term Disability Plan Summary Plan Description dated January 2004 (“SPD”) at 25. 2 ) Thus, the Plan constitutes an “employee welfare benefit plan” within the meaning of 29 U.S.C. § 1002(1). The Plan is funded through a trust established by Mellon Bank, N.A., to make long-term disability (“LTD”) benefit payments. (SPD at 26; Plan at Preamble.) The trust constitutes the sole source of benefits under the Plan. (Plan at Preamble.)
Defendant Corporate Benefits Committee (hereinafter “CBC”) was the Plan Administrator of the Mellon Long-Term Disability Plan until July 2009, when it was dissolved. 3 (Plan at § 5.1; SPD at 25.) Defendant Sheila Miller acted as the “Plan Manager” and, as such, was responsible for the day-to-day administration of the Plan. (Plan at § 1.25.)
Defendant Mellon Bank, N.A., is named as the “Plan Sponsor” in § 1.3 of the Plan, as well as in the SPD.
4
Defendant Mellon Financial Corporation is described in the Plan Document as a Pennsylvania Corporation of which the CBC is a part. (Plan at §§ 1.9, 1.12.) Defendant The Bank of New York Mellon Corporation (“BNY Mellon Corp.”) was created in May 2007 as a result of a merger between Mellon Financial Corporation and The Bank of New York Company, and, by virtue of which, is the successor-in-interest to Mellon Financial Corporation. Thus, Mellon Financial Corporation ceased to exist on July 1, 2007 when BNY Mellon Corp. was formed. In addition, Mellon Bank, N.A. changed its name to BNY Mellon, National Association, effective July 1, 2008. Thus, the Plan Sponsor at the time this litigation was
Defendant LINA was retained by the Plan to provide ministerial services, such as information collection on an as-requested basis. (Comply 7.) Defendant CIGNA Corporation was designated as the claims administrator and, as such, performed certain claims administrative functions for the Plan. (SPD at 25.)
On or about February 2004, the Plaintiff began receiving short-term disability benefits. Upon the expiration of her eligibility for short-term benefits, the Plaintiff applied to the Plan for long-term disability (“LTD”) benefits. Plaintiffs claim was initially denied. However, on June 20, 2005, the Plaintiff was advised by letter, that the CBC had reversed the denial, and directed that monthly benefits be paid in the amount of $2,210.83. The monthly benefits would continue for a period of two years, retroactive to August 30, 2004. The letter also advised the Plaintiff that CIGNA would be conducting a subsequent review of her claim to determine whether she would be entitled to receive benefits as of August 30, 2006, the two year anniversary of her initial benefit eligibility date.
Section 2.3 of the Plan provides that a participant is considered “Totally Disabled” following the two year anniversary if she is “wholly and continuously unable” to engage in any occupation or perform any work for compensation or profit for which he is or may become reasonably fitted by education, training, or experience. (Plan at 8.) 5
On September 22, 2006, CIGNA recommended that the Plan deny further benefits because of a purported failure by the Plaintiff to provide further medical evidence. Defendant Sheila Miller, by letter dated October 12, 2006, advised the Plaintiff that no benefits were payable as of October 15, 2006, based on her failure to provide further medical evidence indicating that as of August 30, 2006, she was disabled within the meaning of the “any occupation” standard set forth in § 2.3(b) of the Plan. In response, on March 15, 2007, Plaintiff appealed the determination to the CBC. By letter dated April 17, 2007, Sheila Miller indicated that the CBC had received the Plaintiffs appeal. On October 29, 2007, the CBC advised the plaintiff that her appeal was denied and that her claim for benefits was deemed terminated as of October 12, 2007.
On August 28, 2009, Plaintiff instituted the present litigation, pursuant to Section 502(a)(1)(B) of ERISA, 29 U.S.C. § 1132(a)(1)(B), seeking payment of monies allegedly due to her under the terms of the Plan, and judgment directing Defendants to honor the Plaintiffs alleged entitlement to future disability benefits under the terms of the Plan. The Plaintiff specifically contends that Defendants’ determination terminating disability benefits ignored lay and medical evidence in Plaintiffs administrative file; contradicted defendants’ own previous determination that the medical evidence was sufficient to establish that Plaintiff was entitled to benefits; ignored and disregarded the debilitating effect plaintiffs disability had on her ability to respond to requests for medical information and to provide medical information; ignored medical evidence establishing that plaintiff was disabled within the meaning of the “any occupation” standard set forth in § 2.3(b) in the Plan Document; failed to request Plaintiff submit to medical, psychological, or functional capacity examinations; and, ignored additional indicia of disability as evidenced by the award of
In response, the Mellon Defendants filed a Motion to Dismiss and supporting brief on January 12, 2010. The Insurance Defendants also responded by separately filing a Motion to Dismiss and supporting brief on February 12, 2010. 6 In essence, the Mellon Defendants and Insurance Defendants (collectively, the “non-Plan Defendants”) contend that they are improper parties in a denial of benefits claim under 29 U.S.C. § 1132(a)(1)(B), and therefore, request that the Complaint as to them be dismissed with prejudice. The non-Plan Defendants, as well as Defendant Mellon Long Term Disability Plan, also move the Court to dismiss the Plaintiffs demand for a jury trial, contending that Plaintiff has no right to a jury trial under ERISA. The Plaintiff filed briefs in opposition to both motions to dismiss on March 3, 2010. The Defendants filed reply briefs in support of their respective motions to dismiss on March 23, 2010.
While the motions to dismiss were pending, Plaintiff filed a Motion for Leave to File an Amended Complaint (Doc. No. 34) on April 2, 2010, which attempts to address the arguments raised by the Defendants in their motions to dismiss. Defendants have filed a response objecting on the basis that it would be futile to allow the proposed amendments. The motions, having been fully briefed and responded to, are now ripe for disposition.
II. MOTION FOR LEAVE TO FILE AN AMENDED COMPLAINT
A. Standard of Review
Rule 15(a) of the Federal Rules of Civil Procedure provides that leave to amend a pleading “shall be freely given when justice so requires.” In
Foman v. Davis,
the Supreme Court delineated the grounds that would justify denying leave to amend: “undue delay, bad faith or dilatory motive on the part of the movant, repeated failure to cure deficiencies by amendments previously allowed, undue prejudice to the opposing party by virtue of allowance of the amendment, [and] futility of amendment”.
Foman v. Davis,
B. Analysis
Plaintiff seeks leave of Court to file an amended complaint to address the arguments raised in the two motions to dismiss. Specifically, Plaintiff seeks to plead additional facts to further demonstrate that each of the non-Plan Defendants acted in a fiduciary capacity with regard to her claim for denial of LTD benefits. Plaintiff also seeks to plead additional facts to demonstrate the liability of Defendant CIGNA Corporation as the alter ego of its subsidiary, LINA. Plaintiffs proposed amended complaint adds four new claims: (1) a
For the reasons that follow, the Court finds that the proposed amendments would not establish plausible claims against the non-plan Defendants, nor is there any support under either ERISA or federal common law for adding the four new claims and four new parties proposed by Plaintiff. Thus, permitting the proposed amendments would be futile.
1. Plaintiffs Proposed Third Claim for Equitable Relief Under 29 U.S.C. § 1132(a)(3)
Plaintiff seeks to assert four new claims in her proposed amended complaint, the first of which is a claim for equitable relief against all Defendants in the form of an order directing the payment of future benefits under 29 U.S.C. § 1132(a)(3), designated as “A Third Claim For Which Relief Can Be Granted” in the proposed amended complaint. The factual allegations offered in support of this claim consist of the assertion that the administrative record establishes that she was disabled at all relevant times and continues to be disabled under the “any occupation” standard. Prop. Am. Compl., ¶ 99. Plaintiff further asserts that pursuant to sections 2.3 and 3.1 of the Plan, she is entitled to continue receiving LTD benefits until she reaches age 65. Id. at ¶ 101. Consequently, Plaintiff asserts that under Section 1132(a)(3), she is entitled to “injunctive, equitable and remedial relief (a) directing defendants, as fiduciaries of the Plan, to continue to pay to plaintiff Plan benefits based on plaintiffs’ [sic] ongoing disability and entitlement to benefits within the meaning of the Plan; until such time as there has been a determination by the defendants, in accordance with the procedures set forth in the Plan for rendering such determinations, that plaintiff is no longer disabled.” Id. at ¶ 102.
In response, Defendants counter that the relief requested in paragraph 102 of the proposed amended complaint, on its face, is the very relief that a claim under Section 1132(a)(1)(B) already authorizes solely from an ERISA plan. Defendants further contend that Plaintiffs attempt to distinguish between legal relief, in the form of an award of benefits, or equitable relief, in the form of an injunction ordering the payment of benefits, is unavailing based on the Supreme Court’s decision in
Great-West Life & Annuity Company v. Knudson,
The Court agrees with the Defendants that under Varity and Knudson, Plaintiffs proposed Third Claim for equitable relief under Section 1132(a)(3) is inappropriate. In Varity, the Supreme Court explained:
[Section 502(a)(3)] of ERISA authorizes “appropriate” equitable relief. We should expect that courts, in fashioning “appropriate” equitable relief, will keep in mind the “special nature and purpose of employee benefit plans,” and will respect the “policy choices reflected in the inclusion of certain remedies and the exclusion of others.” Pilot Life Ins. Co. [v. Dedeaux,481 U.S. 41 , 54,107 S.Ct. 1549 ,95 L.Ed.2d 39 (1987) ]. See also [Mass. Mut. Life Ins. Co. v.] Russell, 473 U.S. [134, 147,105 S.Ct. 3085 ,87 L.Ed.2d 96 (1985)]; Mertens [v. Hewitt Assoc.,508 U.S. 248 , 263-264,113 S.Ct. 2063 ,124 L.Ed.2d 161 (1993)]. Thus, we should expect that where Congress elsewhere provided adequate relief for a beneficiary’s injury, there will likely be no need for further equitable relief, in which case such relief normally wouldnot be “appropriate.” Cf. Russell, supra, at 144, 105 S.Ct. 3085 .
“Almost invariably ... suits seeking (whether by judgment, injunction, or declaration) to compel the defendant to pay a sum of money to the plaintiff are suits for ‘money damages,’ as that phrase has traditionally been applied, since they seek no more than compensation for loss resulting from the defendant’s breach of legal duty.”
Knudson,
When the Court looks past the label here, it is clear that the equitable relief requested by Plaintiff is essentially “a claim for benefits expressed in equitable language.”
Clark v. Feder Semo & Bard, P.C.,
Moreover, contrary to Plaintiffs argument, courts have held that Section 1132(a)(1)(B) does provide a mechanism for ordering a plan to pay benefits due.
See, e.g., Clark, supra; Mass. Mut. Life Ins. Co. v. Russell,
In so concluding, the Court does not find the authority relied upon by Plaintiff to be persuasive for several reasons.
Benamara
was decided
pre-Twombly,
9
and thus, the court applied a less stringent pleading standard in ruling on the Rule 12(b)(6) motion. Thus, query whether the district court in
Benamara
would have reached the same conclusion had it applied
Twombly.
Second, the issue raised in the motion to dismiss filed by the defendant in
Benamara
was whether the plan administrator and employer were improper parties,
not
whether plaintiff could maintain a claim under the catchall provision, Section 1132(a)(3). Thus, the holding in
Benamara
regarding prospective relief is really
dictum.
10
Finally, unlike in the case at bar, the Section 1132(a)(3) claim in
Benamara
was supported by an allegation suggesting a breach of fiduciary duty. Equally unpersuasive is
Reinert.
That case was before the court on cross-motions for summary judgment, and the question for resolution was whether the claims administrator was a proper party, not whether equitable relief was appropriate where Section 1132(a)(1)(B) provides an adequate remedy.
Because Plaintiffs attempt to add the proposed Third Claim for Equitable Relief under Section 1132(a)(3) fails as a matter of law, it would be futile to allow Plaintiff to amend her complaint to add this claim.
2. Plaintiffs Proposed Fourth and Fifth Claims for Breach of Fiduciary Duty against Expanded Mellon Defendants
Next, Plaintiff proposes to add two claims for breach of fiduciary duty under 29 U.S.C. §§ 1104(a)(1), 1109 and 1132(a)(2) — one for imprudent investment and management of Plan assets, and the other for failure to act in accordance with documents and instruments governing the Plan-against the following Defendants” Mellon Long-Term Disability Plan, Sheila Miller, Mellon Bank, N.A., Mellon Financial Corporation, BNY Mellon Corp., and the CBC, as well as proposed new defendants, the BIC and John Doe (collectively referred to by Plaintiff as the “Mellon defendants”, but as noted above, the Court will refer to this group as the “Expanded Mellon Defendants”). In support of her claim for imprudent investment and management of Plan assets, Plaintiff alleges:
The actions of the Mellon defendants in engineering the Buyout and leaving a de minimus corpus in the existing funded trust were subject to the [fiduciary duties set forth in 29 U.S.C. § 1104(a)(1) ]. By their acts and omissions in connection with the decision to divest the Plan of virtually all of its assets in order to obtain an insurance policy which, upon information and belief, would not provide for the payment of benefits and other appropriate relief in the event plaintiff were to prevail, theMellon defendants breached each of these fiduciary duties by failing to insure that the Plan possessed and possesses sufficient assets to comply with a judgment entered in this action directing the Mellon defendants to pay benefits and additional relief to plaintiff in conformity with the terms of the Plan.
Prop. Am. Compl., ¶ 106. Section 1104(a)(1) provides, in relevant part:
... a fiduciary shall discharge his duties with respect to a plan solely in the interest of the participants and beneficiaries and—
(A) for the exclusive purpose of:
(i) providing benefits to participants and their beneficiaries; and
(ii) defraying reasonable expenses of administering the plan;
(B) with the care, skill, prudence, and diligence under the circumstances then prevailing that a prudent man acting in a like capacity and familiar with such matters would use in the conduct of an enterprise of a like character and with like aims;
(C) by diversifying the investments of the plan so as to minimize the risk of large losses, unless under the circumstances it is clearly prudent not to do so; and
(D) in accordance with the documents and instruments governing the plan insofar as such documents and instruments are consistent with the provisions of this subchapter and subchapter III of this chapter.
29 U.S.C. § 1104(a)(1). In support of her claim that the Expanded Mellon Defendants failed to act in accordance with the documents and instruments governing the Plan, Plaintiff alleges:
The Plan Document required that the decision to divest the Plan of virtually all of its assets and to purchase a policy of insurance which, upon information and belief, would only provide benefits for disabilities occurring after the policy went into effect, be undertaken only upon sufficient provision being made to secure the Plan’s ability to pay benefits to plaintiff or, for that matter, any other participant or beneficiary whose claim might give rise to an entitlement to benefits which could not be paid under the insurance policy. The decision of the Mellon defendants to divest the Plan of virtually all of its assets without making sufficient provision for payment of benefits not covered by insurance, violated the terms of the documents governing the plans.
Prop. Am. Compl., ¶ 115. 11 In addition, Section 1109 provides, in relevant part:
Any person who is a fiduciary with respect to a plan who breaches any of the responsibilities, obligations, or duties imposed upon fiduciaries by this subchapter shall be personally liable to make good to such plan any losses to the plan resulting from each such breach, and to restore to such plan any profits of such fiduciary which have been made through use of assets of the plan by the fiduciary, and shall be subject to such other equitable or remedial relief as the court may deem appropriate, including removal of such fiduciary.
29 U.S.C. § 1109(a). Section 1132(a)(2) authorizes the Secretary of Labor, a participant, beneficiary, or fiduciary to bring a civil action for appropriate relief under Section 1109.
In order to maintaining a breach of fiduciary duty claim against the non-Plan Defendants under ERISA, it is axiomatic that Plaintiff must first establish that each is a fiduciary. Section 3(21)(A) of ERISA provides the following definition of a fiduciary:
[A] person is a fiduciary with respect to a plan to the extent (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, ... or (iii) he has any discretionary authority or discretionary responsibility in the administration of such plan. Such term includes any person designated under section 1105(c)(1)(B) of [title 29].
29 U.S.C. § 1002(21)(A).
13
ERISA further provides that a corporation may be a “person” under the definition of fiduciary. 29 U.S.C. § 1002(9). It is well established that a determination about whether a claimant is entitled to benefits under the terms of the plan documents is a fiduciary act connected to plan administration.
Aetna Health Inc. v. Davila,
With these precepts in mind, the Court will address the viability of the proposed Fourth and Fifth Claims against each of the Expanded Mellon Defendants,
a. Mellon Long Term Disability Plan
The breach of fiduciary duty claims against the Plan are completely unavailing. Section 1132(a)(2) allows a claim to be brought by the Secretary, a participant, beneficiary, or fiduciary for appropriate relief under 29 U.S.C. § 1109. However, it is well settled that recovery under Sections 1109 and 1132(a)(2) inures to the plan, not the individual.
Leckey v. Stefano,
Even if plaintiffs could establish that a fiduciary duty owed to them has been breached, it is unclear whether they could recover from defendants in their fiduciary capacity. The liability of fiduciaries is governed by § 409 of ERISA, which provides that “[a]ny person who is a fiduciary with respect to a plan who breaches any of the ... duties imposed upon fiduciaries by [ERISA] shall be personally liable to make good to such plan any losses to the plan resulting from each such breach.” 29 U.S.C. § 1109(a) (emphasis added). This liability accrues only to the plan itself, not to participants suing in their individual capacities. See Massachusetts Mutual Life Ins. Co. v. Russell, 473 U.S. 134 , 140,105 S.Ct. 3085 , 3089,87 L.Ed.2d 96 (1985). Section 502(a)(2) of ERISA entitles individual participants to sue “for appropriate relief’ under § 409. 29 U.S.C. § 1132(a)(2). Because § 409 liability accrues only to the plan itself, § 502(a)(2) in effect allows individual participants to sue “in a representative capacity on behalf of the plan as a whole.” Russell,473 U.S. at 142 n. 9,105 S.Ct. at 3090 n. 9. Because plaintiffs here seek to recover benefits allegedly owed to them in their individual capacities, their action is plainly not authorized by either § 409 or § 502(a)(2).
Hozier v. Midwest Fasteners, Inc.,
b. The “Bank Defendants”
In the case at bar, the Bank Defendants submit that the allegations in the proposed amended complaint do not establish that any of them is a fiduciary under ERISA. In support of this argument, the Bank Defendants submit that the proposed amended complaint does not contain any well-pleaded facts to the effect that any of them exercised or had actual control over, influenced or dictated the actions, decisions or operations of the CBC or BIC in any manner or respect, or any control over the decision of the LTD Plan to deny Plaintiffs appeal seeking LTD benefits. In response, Plaintiff contends that the facts clearly demonstrate the Bank Defendants maintained actual control over the operations of the CBC to a degree which warrants a finding that t hey were fiduciaries. In support, Plaintiff points to paragraph 14 of the proposed amended complaint, wherein she asserts that Mellon Financial Corp. and BNY Mellon Corp. had the authority to remove members of the CBC and/or CIB.
The Court agrees with the Bank Defendants. In her proposed amended complaint, Plaintiff acknowledges the statement of Defendant Sheila Miller that Defendant Mellon Financial Corporation ceased to exist on July 1, 2007, when BNY Mellon Corp. was formed. Plaintiff also acknowledges that Mellon Bank, N.A. changed its name to BNY Mellon, N.A. Yet, Plaintiff continues to name Mellon Bank, N.A. and Mellon Financial Corporation as defendants in the proposed amended complaint. Moreover, none of the factual allegations in the proposed amended complaint vis a vis BNY Mellon, N.A. or BNY Mellon Corp., shows that either entity (or their predecessors-in-interest) had actual control or influence over, or dictated, the decisions or operations of the CBC in any manner
Consequently, the proposed amended complaint fails to plead a factual basis to show a plausible claim against Defendants
Mellon Bank, N.A., Mellon Financial Corporation, or BNY Mellon Corp.
c. Sheila Miller
Likewise, the Court finds that the factual allegations in the proposed amended complaint do not establish that Sheila Miller, the Plan Manager, is a fiduciary. In reaching this conclusion, the Court is guided by the decision of the Court of Appeals for the Third Circuit in
Taylor v. Peoples Natural Gas Company,
[Individuals, whose activities are limited “within a framework of policies, interpretations, rules, practices, and procedures made by other persons, fiduciaries with respect to the plan,” cannot be individually liable as fiduciaries under ERISA, since they fail to exercise “the discretionary authority or discretionary control” over the plan required for the direct imposition of fiduciary liability. See ERISA § 3(21)(A), 29 U.S.C.A. § 1002(21)(A)(West Supp.1993).
In addition, none of the factual allegations set forth in the proposed amended complaint regarding Defendant Sheila Miller shows that she is a fiduciary. For example, in paragraph 6 of the proposed amended complaint, Plaintiff asserts that at all relevant times Sheila Miller acted as the Plan Manager as defined in Section 1.25 of the Plan. In paragraph 36, Plaintiff asserts that Section 2.2 of the Plan “states that a participant will be eligible for benefits under the Plan provided that, among other things, the Plan Manager determines that the participant is Totally Disabled within the meaning of § 2.3.” Proposed Am. Compl., ¶ 36. In actuality, Section 2.2 of the Plan states that a “[participant shall be initially eligible for benefits under the Plan if he satisfies the application requirements of Section 6.2” and if all five enumerated conditions are met, one of which is that the Plan Manager determines that the participant is totally disabled as defined in Section 2.3. 16 (Emphasis added.) This allegation does not establish any discretionary authority on Sheila Miller’s part, but rather, shows merely that she was acting within the “framework of the policies, interpretations, practices, and procedures” established by the Plan Administrator, the CBC, specifically Section 2.3 of the Plan, in determining whether a participant is totally disabled. The authority given to the Plan Manager, Sheila Miller, is indistinguishable from that in Taylor, which was found to be ministerial in nature.
In newly added paragraph 41 (i), Plaintiff alleges that the Plan Manager sent her a letter on July 24, 2007, advising her that her appeal would be delayed because not all of her doctors had responded to CIGNA’s request for information. Proposed Am. Compl., ¶ 41(i). In paragraph 44, Plaintiff asserts that on October 12, 2006, Sheila Miller sent a letter to Plaintiff (“Initial Determination”) in which Defendant Miller informed Plaintiff that the
Plan
determined that no benefits were payable as of October 15, 2006.
Id.
at ¶ 44. (Empha
Similarly, the allegations in paragraphs 73, 86, and 87 of the proposed amended complaint again describe ministerial tasks of the Plan Manager (such as ordering IMEs) and demonstrate that Sheila Miller was acting solely in a ministerial capacity when she wrote to Plaintiff on September 21, 2004 informing her of the CBC’s decision to initially deny her claim for benefits and on April 17, 2007. Therefore, Plaintiff has failed to allege any facts to suggest, let alone show, that Defendant Sheila Miller was acting in a fiduciary capacity with regard to her handling of Plaintiffs claim for LTD benefits. Accordingly, the proposed amended complaint fails to state a plausible claim for breach of fiduciary duty against Sheila Miller.
d. CBC
The proposed amended complaint also fails to establish a plausible claim for breach of fiduciary duty as to the CBC. The allegations set forth in paragraphs 12, 13, 14 of the proposed amended complaint, as well as Sections 5.1 and 5.3, establish that the CBC
was
a fiduciary to the extent it exercised discretionary authority or control with respect to the administration of the Plan. In this regard, it appears that when the CBC made a final determination denying Plaintiffs claim for LTD benefits, it was acting in a fiduciary capacity. Plan, § 5.3(a)(i). However, the CBC was dissolved in July 2009 and, thus, no longer exists.
17
In any event, under the Plan, the CBC was not authorized to engage in the acts that form the basis of Plaintiffs Fourth and Fifth Claims; those powers are expressly reserved to the BIC. Nor does the proposed amended complaint set forth any allegations of fact showing that the CBC engaged in any conduct involving the management or investment of Plan assets. “Fiduciary duties under ERISA attach not just to particular persons, but to particular persons performing particular functions” that ERISA has defined as fiduciary in nature.
Hozier,
e. BIC
As with the CBC, the Plan establishes that the BIC is a named fiduciary when exercising certain powers granted thereunder. Specifically, the BIC is vested with discretionary authority in the management of the Plan assets and investment decisions. However, the BIC’s discretionary authority does not include the power to adopt, amend, or terminate the Plan, as said power is expressly reserved to the Plan Sponsor, Mellon Bank, N.A.
18
Plan, § 5.3(a) (vi). In support of her breach of fiduciary duty claims, Plaintiff alleges that the Expanded Mellon Defendants engaged in imprudent investment and management
These factual allegations do not support a breach of fiduciary duty claim with regard to a self-funded welfare benefit plan. Instead, the alleged withdrawal of funds from the Trust represents a change in the way the Plan is funded, which is not a fiduciary act, but a business decision made by the Plan Sponsor, not BIC.
Lockheed Corp. v. Spink,
To support her argument that the Expanded Mellon Defendants breached their fiduciary duties by substantially reducing funding in the Trust, Plaintiff relies on Sections 1.23 and 8.1 of the Plan, as well as on
Frulla v. CRA Holdings Inc.,
[A]ny rights created hereunder shall be considered to be non-contractual.... The Participants have no vested or nonforfeitable rights to any benefits created under this Plan, including but not limited to benefits that are in pay status.... The claims of Participants under the Plan are confined to and are collectible solely from the assets of the Fund which are attributable to the Plan Account.
Plan, § 8.1. In addition, § 8.2 provides that the plan sponsor “has the right, in its sole discretion, to cease making contributions under and to the Plan.” Plan, §
8.2.
Ac
Thus, the Fourth Claim against BIC fails for two reasons. First, in the ease at bar, the Plan Sponsor’s decision to significantly reduce the amount of the assets in the Trust and purportedly purchase an insurance policy with the funds clearly constitutes a business decision regarding how the Plan would be funded, and the carrying out of that decision resulted in an amendment of the Plan, neither of which is a fiduciary act. Second, the decision to reduce the funding in the Trust established for the Plan was not made by any of the named Defendants, nor was it made by the BIC. The Plan expressly reserves that power to the Plan Sponsor, BNY Mellon, N.A., who is not a named party.
And lest Plaintiff attempt to amend her complaint to add BNY Mellon, N.A., such attempt would also be futile because the termination or amendment of a welfare plan is not a fiduciary act as defined under ERISA.
Lockheed,
With regard to her Fifth Claim in particular, Plaintiff alleges in paragraph 115 of the proposed amended complaint that the Plan document required that the decision to divest the Plan of virtually all of its assets and to purchase a policy of insurance be undertaken only upon sufficient provision being made to secure the Plan’s ability to pay benefits to Plaintiff and any participant or beneficiary whose claim might give rise to entitlement to benefits which could not be paid under the insurance policy, and in failing to make a sufficient provision for payment of benefits not covered by insurance, the Mellon defendants violated the terms of the documents governing the plans. Prop. Am. Comph, ¶ 115. However, Plaintiff fails to identify the section(s) of the Plan Document or other documents which purportedly contain this provision, and the Court’s perusal of the Plan Document failed to locate any such provision. Thus, Plaintiffs argument does not find support in the record. At best, Plaintiffs allegations in support of her Fifth Claim are conclusory and thus do not have to be accepted as true in considering a 12(b)(6) motion.
Accordingly, for all of the above reasons, the Court finds the proposed amended complaint fails to state a plausible claim
f. John Doe
Finally, the proposed amended complaint also fails to establish a plausible claim for breach of fiduciary duty as to John Doe, in his capacity as the Global Head of Compensation and Benefits of the BNY Mellon Corp. and as Plan Administrator of the Mellon Long-Term Disability Plan. According to the proposed amended complaint, counsel for the Expanded Mellon Defendants informed Plaintiffs counsel via correspondence that following the dissolution of the CBC in July 2009, the Plan Administrator is the Global Head of Compensation and Benefits of the BNY Mellon Corp. Prop. Am. Compl., ¶ 23. Plaintiffs attempt to add John Doe is futile because the Plan simply does not authorize the Plan Administrator, whoever that person or entity is, to make decisions regarding the management and/or investment of plan assets, or to amend or terminate the Plan. Moreover, none of the factual allegations in the proposed amended complaint show or event suggest that the Global Head of Compensation and Benefits breached a fiduciary duty owed to Plaintiff in administering the Plan and/or in exercising any of the Plan Administrator’s duties set forth in Section 5.3(a) of the Plan, nor could it, since the CBC was the Plan Administrator at all relevant times.
See Pegram v. Herdrich,
However, the current Plan Administrator may be named in its official capacity as a defendant in a § 1132(a)(1)(B) claim for recovery of benefits.
Graden v. Conexant Systems Inc.,
3. Plaintiffs Proposed Sixth Claim for Vicarious Liability Against the Bank Defendants under Doctrine of Respondeat Superior
The crux of Plaintiffs proposed Sixth Claim in which she seeks to hold the Bank Defendants vicariously liable under the doctrine of respondeat superior, is that CBC and/or BIC, as the agents of the Bank Defendants, through their constituent members, acted within the scope of their authority as employees of the Bank Defendants while engaged in the performance of their duties as designated members of the CBC and/or BIC and while employed by and acting in furtherance of the business of the Bank Defendants. Proposed Am. Compl., ¶ 120. Consequently, Plaintiff submits the Bank Defendants are vicariously liable for the actions of the CBC and BIC as set forth in the proposed amended complaint. Id. at ¶ 121.
Plaintiff and the Bank Defendants dispute whether
respondeat superior
is a viable theory of recovery in ERISA actions. Plaintiff maintains that it is and submits that based on controlling precedent in this circuit, a participant may recover damages for the benefit of the plan directly from
The Bank Defendants advance several arguments in opposition. First, the Bank Defendants contend that because Plaintiff has failed to adequately plead a breach of fiduciary duty claim against any Defendant for the Settlor’s/Plan Sponsor’s decision to modify its manner of self-funding the LTD Plan, no respondeat superior liability can be asserted against any Defendant in Plaintiffs proposed Sixth Claim.
Second, the Bank Defendants submit that when the members of the CBC and BIC were acting within the scope of their authority as set forth under the terms of the LTD Plan, the employee-members were wearing their fiduciary hats and not acting as employees. Consequently, when acting as a fiduciary, the Bank Defendants posit that the employee-members are liable only under ERISA because the employee’s duty to act on behalf of his or her employer is replaced with a fiduciary duty owed only to the plan. Stated another way, under the “two hats” theory, when an employee takes actions regarding the plan, he or she is not acting within the scope of his authority granted by the employer, but rather, is acting within the scope of authority granted by the plan or plan fiduciary. 22 Thus, the Bank Defendants maintain that liability for the members’ alleged breaches of fiduciary duty under ERISA cannot be imputed to them on the basis of respondeat superior liability, citing several district court cases in support. 23 The Bank Defendants further submit that respondeat superior liability does not arise simply because they appointed their officers, directors or employees to fiduciary positions regarding ERISA plans. 24
For their third argument, the Bank Defendants submit that ERISA preempts common law theories of liability that are not expressly set forth in ERISA’s comprehensive and reticulated enforcement scheme, § 514(a) and (c)(1), 29 U.S.C. § 1144(a) and (e)(1). Consistent with Supreme Court precedent,
25
the Bank Defendants maintain that no reason exists for recognizing an implied ERISA cause of action based on the doctrine of
respondeat superior,
as ERISA’s “carefully crafted and detailed enforcement scheme provides ‘strong evidence that Congress did not in
Finally, the Bank Defendants submit that Plaintiff fundamentally misconstrues the court of appeals decision in McMahon, in that the court of appeals was not talking about holding the employer liable for the breach of the fiduciary’s duties. Rather, the Bank Defendants posit that what the court of appeals meant by the statement, “if a beneficiary or participant can show that the plan fiduciaries breached their duties, he may also be able to recover damages, for the benefit of the plan, directly from the employer”, was that if the participants can establish that the fiduciaries breached their duties in failing to pursue the employer for breach of contract for nonpayment of pension contributions, then the participants may stand in the shoes of the plan fiduciaries and maintain a derivative action against the employer for unpaid contributions. In any event, the Bank Defendants point out that McMahon was decided one year before the Supreme Court’s decision in Pilot Life, which was the first Supreme Court decision on preemption that clearly rejected the assumption that an expansive interpretation of the enforcement provisions under § 502 of ERISA was permitted or that common law principles could be easily imported.
Although there appears to be some conflict among the various courts of appeals as to whether
respondeat superior
may be invoked to impose liability against a non-fiduciary employer/plan sponsor under ERISA for a breach of fiduciary duty by the employer’s/plan sponsor’s agenVemployee, the majority of circuits, including the Third Circuit, appear to allow such theory of recovery, but apply slightly different tests.
See, e.g., McMahon,
Whether
respondeat superior
liability may be invoked to hold the employer/plan sponsor liable for its employee-fiduciaries’ breach of fiduciary duties is a question this Court need not reach because, as discussed above, Plaintiff has failed to show that CBC and BIC breached a fiduciary duty in the first instance. Thus, there is simply no underlying violation/liability upon which to hold the Bank Defendants vicariously liable, assuming such a claim is viable.
See McMahon,
4. Insurance Defendants
In her proposed amended complaint, Plaintiff seeks to add new allegations which purportedly establish that named Defendants LINA and CIGNA Corp., as well as newly added Defendants Connecticut General Corporation and CIGNA Holdings, Inc., are fiduciaries. However, the Court finds that the factual allegations do not establish that any of the
In reaching this conclusion, the Court is guided by the court of appeals decision in
Confer v. Custom Engineering Company,
Since discretionary authority, responsibility or control is a prerequisite to fiduciary status, it follows that persons who perform purely ministerial tasks, such as claims processing and calculation, cannot be fiduciaries because they do not have discretionary roles. See Dep’t of Labor Interpretative Bulletin, 75-8, 29 C.F.R. § 2509.75-8 (1991). [The third-party administrator] had no discretion to deny or allow Confer’s claim. [It] had an obligation to follow the written plan instrument and to follow instructions of the [plan] administrator.
Id. Moreover, the court of appeals found no basis in the plan documents or anywhere else in the record to support Confer’s assertion that the third-party administrator exercised discretionary authority or control. Id.
In the case at bar, the new allegations Plaintiff seeks to add regarding the Insurance Defendants purportedly establish three main points: (1) that the four Insurance Defendants constitute an integrated enterprise, each acting on behalf of the others, such that each acted as the alter ego of the others and as a mere fagade for the operations of the others sufficient to pierce the corporate veil of each (Prop. Am. Compl., ¶ 33); (2) by engaging in a pattern and practice of employing a series of logos and service marks, the Insurance Defendants misled and confused lay persons into concluding CIGNA was an actual entity and not merely a service mark (id. at ¶ 34); and (3) that CIGNA was vested with discretionary authority in the administration of the Plan (id. at ¶¶ 32, 41, 43). The allegations contained in paragraphs 28 through 31, 33 and 34 are simply immaterial to Plaintiffs claim for LTD benefits under § 1132(a)(1)(B), nor do those allegations have any relevancy to CIGNA’s or LINA’s status as a fiduciary, or any of the other new claims asserted in the proposed amended complaint.
Likewise, the allegations contained in paragraphs 32, 41 and 43 do not establish that any of the existing or proposed new Insurance Defendants acted as fiduciaries vis a vis plan administration. Rather, the new allegations state merely that the Insurance Defendants provided claims administration services, including collecting medical records from doctors and information from Plaintiff regarding her inability to work, scheduling medical evaluations, and making
recommendations
regarding a determination of claims for benefits both initially and on administrative appeal. Prop. Am. Compl., ¶¶ 32, 41(a)-(k), 43. The conduct described by Plaintiff in paragraphs 32 and subparagraphs (a) through (k) of paragraph 41 all constitute ministerial acts similar to those engaged in by the third party administrator in
Confer
whom
Accordingly, as none of the allegations in the proposed amended complaint suggests that any of the existing or proposed new Insurance Defendants acted in a fiduciary capacity with regard to administration of the Plan, or provided the insurance policy to fund the Plan, allowing Plaintiff leave to file the proposed amended complaint to add Connecticut General Corporation and CIGNA Holdings, Inc. as party-defendants, as well as the new allegations regarding all of the Insurance Defendants, would be futile.
III. MOTIONS TO DISMISS
Having concluded that it would be futile to allow Plaintiff leave to file the proposed amended complaint, the Court will now consider Defendants’ motions to dismiss the claims against the non-Plan Defendants as improper parties and Plaintiffs request for a jury trial.
A. Standard of Review
A motion to dismiss pursuant to Rule 12(b)(6) of the Federal Rules of Civil Procedure tests the legal sufficiency of a complaint.
Kost v. Kozakiewicz,
The plausibility standard is not akin to a “probability requirement,” but it asks for more than a sheer possibility that a defendant has acted unlawfully. Where a complaint pleads facts that are “merely consistent with” a defendant’s liability, it “stops short of the line between possibility and plausibility of ‘entitlement to relief.’ ”
Id.
(citing
Twombly
at 556-57,
After Iqbal, it is clear that conclusory or “bare-bones” allegations will no longer survive a motion to dismiss: “threadbare recitals of the elements of a cause of action, supported by mere conclusory statements, do not suffice.” Iqbal, 129S.Ct. at 1949. To prevent dismissal, all civil complaints must now set out “sufficient factual matter” to show that the claim is facially plausible. This then “allows the court to draw the reasonable inference that the defendant is liable for the misconduct alleged.” Id. at 1948. The Supreme Court’s ruling in Iqbal emphasizes that a plaintiff must show that the allegations of his or her complaints are plausible. See Id. at 1949-50; see also Twombly, 550 U.S. at 555 , & n. 3,127 S.Ct. 1955 .
Fowler v. UPMC Shadyside,
Courts generally consider only the allegations of the complaint, its attached exhibits, and matters of public record in deciding motions to dismiss.
Pension Benefit Guar. v. White Consol. Indus., Inc.,
B. Analysis
The Mellon Defendants and Insurance Defendants, by separate motion, 28 seek dismissal of the Complaint in its entirety as to all non-Plan Defendants as improper parties and request dismissal of Plaintiffs request for a jury trial.
1. The Mellon Defendants Are Improper Parties
The Mellon Defendants submit that the claims against the non-Plan Mellon Defendants should be dismissed because the only proper party defendant in a claim to recover benefits under 29 U.S.C. § 1132(a)(1)(B) is the Plan. Defendants reason that based on the plain and unambiguous language of §§ 1132(a)(1)(B), (d)(1) and (d)(2), any judgment against the Plan is enforceable only against the Plan; hence, no other party is necessary to a claim for benefits. Moreover, although ERISA does allow other parties to be held personally liable under certain exceptions specifically delineated under ERISA, such as breach of a fiduciary duty under § 1109(a), the facts here do not support an exception.
In opposition, Plaintiff contends that she is also proceeding in this case under ERISA § 502(a)(3), 29 U.S.C. § 1132(a)(3), which permits equitable relief. The Plaintiff argues that because § 1132(a)(1)(B) only permits money damages, and does not
The claims Plaintiff asserts in her Complaint are predicated solely upon § 1132(a)(1)(B), which provides in relevant part:
(a) Persons empowered to bring a civil action
A civil action may be brought—
(1) by a participant or beneficiary — ■
(B) to recover benefits due to him under the terms of his plan, to enforce his rights under the terms of the plan, or to clarify his rights to future benefits under the terms of the plan;
29 U.S.C. § 1132(a)(1)(B). With regard to the status of an employee benefit plan as an entity, Section 1132(d) provides in relevant part:
(1) An employee benefit plan may sue or be sued under this subchapter as an entity. Service of summons, subpoena, or other legal process of a court upon a trustee or an administrator of an employee benefit plan in his capacity as such shall constitute service upon the employee benefit plan....
(2) Any money judgment under this subchapter against an employee benefit plan shall be enforceable only against the plan as an entity and shall not be enforceable against any other person unless liability against such person is established in his individual capacity under this subchapter.
29 U.S.C. § 1132(d).
The issue raised by the pending motions to dismiss is whether the Plan is the only proper defendant in a suit to recover benefits under 29 U.S.C. § 1132(a)(1)(B). The courts of appeals have disagreed on whether a plan is the only proper defendant in a suit to recover benefits under § 1132(a)(1)(B). In
Gelardi v. Pertec Computer Corporation,
Similarly, in
Jass v. Prudential Health Care Plan Inc.,
Other courts of appeals have held that both the plan and plan administrator may be proper defendants in a suit to recover benefits under 29 U.S.C. § 1132(a)(1)(B). The United States Court of Appeals for the Second Circuit has held that “in a recovery of benefits claim, only the plan and the administrators and trustees of the plan in their capacity as such may be held liable.”
Chapman v. ChoiceCare Long Island Term, Disability Plan,
Although the United States Court of Appeals for the Third Circuit has not yet addressed the precise issue before this Court, it has taken the position recently that the only proper defendant in a § 1132(a)(1)(B) claim is “the plan itself (or plan administrators in their official capacities only).”
Graden v. Conexant Systems Inc.,
More recently, in a non-binding, not for publication opinion, the court of appeals ruled that “[i]n a claim for -wrongful denial of benefits under ERISA, the proper defendant is the plan itself or a person who controls the administration of benefits under the plan.”
Evans v. Employee Benefit Plan, Camp Dresser & McKee, Inc.,
In reaching this conclusion, the Evans court relied on Curdo, decided by another panel of the court of appeals, for the proposition that entities other than the plan may be proper parties in a recovery of benefits claim under § 1132(a)(1)(B). However, it appears that the Evans court gave an overly expansive construction to the holding in Curcio. See Petroff v. Verizon North, Inc., Civ. A. No. 02-318E, slip, op. at 4 (W-D.Pa. June 10, 2003) (Judge McLaughlin concluded that the district courts in the Third Circuit, which relied on Curdo for the proposition that entities other than the plan are proper defendants in a recovery of benefits claim under § 1132(a)(1)(B), had engaged in an overly expansive reading of Curdo.)
In
Curcio,
the court of appeals was asked to determine whether the employer was a fiduciary and thus a proper party against whom the plaintiff could seek equitable relief based on breach of fiduciary duty and equitable estoppel theories pursuant to §§ 1109 and 1132(a)(3)(B). Significantly,
Curdo
did not involve a claim for benefits under § 1132(a)(1)(B). Indeed, that remedy was not available because the plan did not offer any supplemental life insurance option. Therefore, Mrs. Curcio’s breach of fiduciary duty and equitable estoppel claims against her deceased spouse’s employer were predicated on affirmative misrepresentations allegedly made by the employer to her spouse regarding supplemental life insurance benefits. The employer attempted to argue that it was not a proper party because ERISA permits suits to recover benefits against the plan as an entity and against the fiduciary of the plan, and it was neither a plan nor a fiduciary.
Thus,
“Curdo
stands for the proposition, not applicable here, that a plan administrator who breaches its fiduciary duty may be sued under § 1132(a)(3)(B) under the theory of equitable estoppel or under § 1109 for breach of fiduciary duty.”
Guiles v. Metro. Life Ins. Co.,
No. CIV.A. 00-5029,
Defendants rely on a number of district court cases in support of their position that the only proper defendant is the Plan itself.
See, e.g., Petroff v. Verizon North, Inc.,
Civ. A. No. 02-318E, Slip. Op. (W.D.Pa. June 10, 2003) (listing cases);
Smith v. Duquesne Light Company,
No. 04-0714, slip op. (W.D. Pa. April 21, 2005);
Guiles, supra.
The decisions in these cases are predicated on the district courts’ interpretation of § 1132(d)(2), which Defendants endorse and submit should be applied here. In essence, Defendants construe § 1132(d)(2) in tandem with § 1132(d)(1) to mean that only when the non-plan entity is found liable in its individual capacity,
i.e.,
for its own conduct, can a court enforce a judgment against this non-plan entity. Defendants stress that this liability would be for the entity’s individual conduct, not for plan benefits. In response, Plaintiff attempts to discredit those decisions by arguing that the language of § 1132(d)(2) does not provide the limiting language urged by Defendants or their cited authority, and that Defendants’ reasoning is flawed.
32
According to Plaintiff, the enabling language in § 1132(d)(1), “[a]n employee benefit plan may sue or be sued under this subchapter as an entity,” does not limit a plan’s liability to actions brought pursuant to § 1132(a)(1)(B), but provides that a plan may be liable for any claims otherwise maintainable against it under subchapter l.
33
Plaintiff contends that there is no language in the statute
It appears that the court of appeals recent decision in
Hahnemann
settles this dispute. In
Hahnemann,
a patient covered by the subject health benefits plan assigned his claim to benefits under the plan to the hospital, which in turn submitted a claim to the plan administrator for reimbursement. When the plan administrator failed to reimburse the hospital for the full amount claimed, the hospital sued the plan and plan administrator to recover benefits owed under 29 U.S.C. § 1132(a)(1)(B), and the district court entered judgment in favor of the hospital and against both the plan and plan administrator. On appeal, the plan administrator argued, among other things, that the district court should not have entered judgment against it as an entity. In resolving this issue, the court of appeals started by noting that the judgment against the plan administrator was not entered against it in its official capacity, but rather, had been entered against the plan administrator in its individual capacity.
The Hahnemann court went on to explain:
The mere fact that [the hospital] established that it was entitled to benefits from the ... Plan did not make [the plan administrator] liable in an individual capacity. Indeed, ERISA states that, “[a]ny money judgment under this sub-chapter against an employee benefit plan shall be enforceable only against the plan as an entity and shall not be enforceable against any other person unless liability against such person is established in his individual capacity under this subchapter.” 29 U.S.C. § 1132(d)(2). Nevertheless, this does not necessarily mean that [the plan administrator] cannot be held individually liable. [The plan administrator] can be held liable if the facts established an individual basis against it. See id. Two possible bases appeared to arise in this case for [the plan administrator]’s liability: (1) that [the plan administrator] agreed to be financially liable for the medical expenses the patient incurred at [the hospital]; and (2) that [the plan administrator], as [such], owed a fiduciary duty which it breached by refusing to pay the claim without any justification.
When a denial of “benefits due” arises from a plan administrator’s breach of its fiduciary obligations to the claimant, Sections 1132(a)(1)(B) and (d) permit the beneficiary to seek redress for the breach directly from the plan administrator as a fiduciary. Indeed, as the Supreme Court has noted:
a fiduciary has obligations other than, and in addition to, managing plan assets .... For example ... a plan administrator engages in a fiduciary act when making a discretionary determination about whether a claimant is entitled to benefits under the terms of plan documents.... ERISA specifically provides a remedy for breaches of fiduciary duty with respect to the interpretation of plan documents and the payment of claims, one that is outside the framework of the second subsection ... and one that runs directly to the injured beneficiary. § 502(a)(1)(B).
Varity Corp. v. Howe, 516 U.S. 489 , 511—12,116 S.Ct. 1065 ,134 L.Ed.2d 130 (1996) (internal citations omitted and emphasis added). Thus, a breach of these fiduciary obligations will satisfy the limitations set forth in Section 1132(d) because there is an individual basis for recovery.
Id.
It is significant to note that in both
Graden
and
Hahnemann,
the court of appeals, in stating that a plan administrator could be a proper defendant in a § 1132(a)(1)(B) claim, emphasized that such liability attached only to the plan administrator in its
official
capacity. The significance of this distinction is that any money judgment awarded against the plan under § 1132(a)(1)(B) is not enforceable against the plan administrator; rather, the court may only order the plan administrator to pay the judgment out of the
plan assets. Hahnemann,
Thus, the following precepts can be gleaned from the court of appeals discussions in Graden and Hahnemann. First, in addition to the plan itself, a plan administrator may be sued in its official capacity in a § 1132(a)(1)(B) claim. If a participant proves entitlement to benefits under that claim against the plan, a plan administrator sued only in its official capacity can be directed to pay benefits only from the plan assets; the plan administrator cannot be held individually liable on the money judgment entered against the plan. In other words, the money judgment against the plan is not enforceable against the plan administrator individually where said administrator is sued only in its official capacity. Second, the plan administrator can be held individually liable for a money judgment against the plan under § 1132(a)(1)(B), but only if the facts establish an individual basis upon which to hold it liable, such as where the plan administrator is a fiduciary and breaches an owed duty.
Applying these precepts to the present case, the Court finds that the only proper defendants in Plaintiffs § 1132(a)(1)(B) claim are the Plan and the Plan Administrator, CBC, in its official capacity. In order to state a plausible claim against the CBC for individual liability, however, Plaintiff must allege facts to show the CBC was a fiduciary and it breached a fiduciary duty owed to Plaintiff or the Plan. It is clear from the factual allegations in the Complaint and the Plan documents that CBC was the Plan Administrator at all relevant times, and as such, was vested with and exercised all discretionary authority and control over the administration of the Plan, including making the final determination to deny benefits. Therefore, CBC was clearly a fiduciary to the Plan.
However, Plaintiff does not assert facts to show a breach of fiduciary duty owed by CBC to Plaintiff in exercising its discretionary authority to deny Plaintiffs claim for continuing LTD benefits. When a fiduciary exercises a power with which it has been vested, a mere mistake in exercising that authority will not render it liable for the resulting loss.
Leckey v. Stefano,
Even if Plaintiff had pled sufficient facts to show a plausible breach of fiduciary duty by the CBC, she would still be without recourse against the CBC, both in its official and individual capacities, because the CBC no longer exists as an entity. Therefore, even if Plaintiff is able to obtain a money judgment against the Plan and prove the CBC was individually liable as a fiduciary, she would not be able to enforce the money judgment against the CBC, as it no longer exists. For this reason alone, Plaintiff cannot maintain her § 1132(a)(1)(B) claim (or any claim for that matter) against the CBC. 34
As to the remaining non-Plan Mellon Defendants, none of them is the Plan or Plan Administrator, nor are any of them fiduciaries — see discussion, supra, at 427-30. Consequently, no basis exists for holding them individually liable to Plaintiff. Therefore, Mellon Bank, N.A., 35 Mellon Financial Corporation, BNY Mellon Corp., and Sheila Miller are not proper parties.
Accordingly, the Court will grant the Mellon Defendants’ motion to dismiss the Complaint against the non-Plan Mellon Defendants, including the CBC.
2. The Insurance Defendants
In support of their motion to dismiss, LINA and CIGNA submit that Plaintiff does not plead in her Complaint (or, for that matter, in her proposed amended complaint) any facts from which it could be inferred that either LINA or CIGNA would be liable to her for LTD benefits payable by the Plan. The Insurance Defendants further contend that the facts, as alleged, do not show that either LINA or CIGNA underwrote the LTD Plan’s benefits or issued an insurance policy under which LTD benefits of the Plan were funded or paid, nor does the Complaint allege any facts to establish that LINA or CIGNA was a plan administrator or fiduciary.
As discussed in the previous section, since Plaintiffs claim for benefits is brought exclusively under § 1132(a)(1)(B), the Plan and Plan Administrator in its official capacity are the only proper defendants. The Insurance Defendants clearly are not the Plan. Moreover, the factual allegations in the Complaint and the Plan documents make clear that the Insurance Defendants are not the designated Plan Administrator, nor did they have any discretionary authority with regard to the
3. Plaintiffs Right to a Jury Trial
All of the Defendants have moved to dismiss Plaintiffs request for a jury trial, and Plaintiff has not opposed this aspect of Defendants’ motion. The court of appeals has held a § 1132(a)(1)(B) claim for benefits is equitable in nature, and hence, the plaintiff is not entitled to a jury trial.
See e.g., Cox v. Keystone Carbon Co.,
IY. CONCLUSION
For the reasons set forth above, Plaintiffs Motion for Leave to File an Amended Complaint (Doc. No. 34) will be granted in part and denied in part. Plaintiffs motion will be granted as to the addition of the current Plan Administrator in its official capacity only, and denied in all other respects. In addition, the Motion to Dismiss (Doc. No. 9) filed by the Mellon Defendants, and the Motion to Dismiss (Doc. No. 23) filed by the Insurance Defendants, will be granted. Finally, the Motion to Dismiss Plaintiffs demand for a jury trial filed by all of the Defendants will be granted.
An appropriate Order will follow.
Notes
. The Mellon Long Term Disability Plan, as amended and restated effective January 1, 2004, is attached to the Insurance Defendants' Motion to Dismiss (Doc. No. 23) as Ex. 1 to Second Declaration of Sheila Miller.
. The SPD is attached to Insurance Defendants’ Motion to Dismiss (Doc. No. 23) as Ex. 2 to Second Decl. of Sheila Miller.
. See Declaration of Sheila Miller dated 1/12/2010 at ¶ 5 (Doc. No. 9-1), attached to Mellon Defendants’ motion to dismiss.
. See also SPD at 25.
. This test has been referred to by the parties as the “any occupation” standard.
. The Insurance Defendants also incorporate by reference the arguments raised by the Mellon Defendants in their brief in support of the motion to dismiss and adopt those arguments as their own.
. Plaintiffs reference to the "Mellon Defendants” in her proposed Fourth and Fifth Claims includes the Plan, Sheila Miller, Mellon Bank, N.A., Mellon Financial Corporation, BNY Mellon Corp., the CBC, the Benefits Investment Committee of BNY Mellon Corp. ("BIC”), and John Doe, an unidentified employee of BNY Mellon Corp. Prop. Am. Compl., ¶ 27. This group includes other entities/persons (the Plan, John Doe, and BIC) which are not included in the Court's collective reference, “Mellon Defendants.” Therefore, for clarity's sake, the Court will refer to the expanded group of Mellon defendants described in Plaintiff’s proposed Fourth and Fifth claims as the "Expanded Mellon Defendants.”
. See note 7, supra.
.
Bell Atlantic Corp. v. Twombly, 550
U.S. 544, 556,
. In any event, the Court believes
Hoagland,
upon which the court in
Benamara
relied for its ruling
in dicta,
is also inapposite. Again, the court was deciding whether the plan administrator was an improper party, and in so doing, the district court in
Hoagland
failed to acknowledge the plain language of Section 1132(a)(1)(B) or to consider the Supreme Court’s decisions in
Varity
or
Knudson.
. Plaintiff fails to cite to the specific section in the Plan document where this provision purportedly appears. Upon the its own review, the Court was unable to locate any such provision in the Plan document.
. Plaintiff initially contends that she believes the facts alleged in the original complaint are sufficient to show that the non-Plan Defendants are fiduciaries but, in any event, proposes additional facts to establish their fiduciary capacities.
. Section 1105(c)(1)(B) provides in relevant part: “[The plan document] may expressly provide for procedures ... for named fiduciaries to designate persons other than named fiduciaries to carry out fiduciary responsibilities.. .." 29 U.S.C. § 1105(c)(1)(B).
. Defendants have not raised the issue of whether Plaintiff has appropriately asserted the breach of fiduciary duty claims in a representative capacity on behalf of the Plan. Because none of the parties addressed this issue, the Court refrains from doing so too.
.
See also Robco of Am., Inc. v. Ins. Co. of N. Am.,
. Section 2.3 of the Plan sets forth the criteria that shall be considered for determining whether a participant is totally disabled.
. The Court further notes that Plaintiff has named two entities with the name CBC as defendants in both the original complaint and proposed amended complaint — the CBC of Mellon Financial Corporation, as well as the CBC of the BNY Mellon Corp. However, in fact, there was only one CBC and it no longer exists.
. Mellon Bank, N.A., is now doing business under the name BNY Mellon, N.A.
. Similarly, in
Schonholz v. Long Island Jewish Medical Center,
. Indeed, welfare plans, such as the LTD Plan at issue here, are exempted from all of the funding and vesting requirements under ERISA, unlike pension plans.
Hozier,
.
In re Cardinal Health, Inc. ERISA Litig.,
. The Bank Defendants cite in support
Taylor v. Peoples Natural Gas Company,
.
In re AOL Time Warner, Inc. Sec. & ERISA Litig.,
No. MDL 1500, 02-8853,
. On this point, Defendants are correct. A violation of ERISA does not arise solely because the plan fiduciaries were employees of the plan sponsor.
McMahon,
. The Supreme Court precedent to which the Bank Defendants refer includes
Pilot Life Insurance Company v. Dedeaux,
. In
American Federation,
the court of appeals found that the employee did not breach his fiduciary duties while acting in the scope of his employment as an insurance agent for his employer, which duties included soliciting applications for life and health insurance policies and annuity contracts.
. In
Hamilton,
the court of appeals determined that the employee-fiduciary’s function of providing investment services to trust fund was not in the course and scope of his employment as comptroller of employer.
. The Insurance Defendants incorporate by reference in their brief in support of the motion to dismiss the arguments raised by the Mellon Defendants in their supporting brief.
. The Graden court explained why it was prudent for plaintiff not to bring a claim under § 1132(a)(1)(B):
Using a § 1132(a)(1)(B) suit to force the plan to use money already allocated to others' accounts to make good on [plaintiffi's loss would present a host of difficulties with which few sensible plaintiffs would want to contend. Indeed, it may be that ERISA’s fiduciary obligations prevent plans from paying judgments out of funds allocable to other participants, in which case the plan, though liable, would be judgment proof. Thus, for most plaintiffs the sensible route is to use § 1132(a)(2) to get the money in the first instance from a solvent party liable to make good on the loss, not from the plan itself. This does not, however, change the underlying nature of [plaintiffl’s claim as one for benefits; it merely changes his mechanism for recovery.
. Under this test, Plaintiff would be unable to show that the non-Plan Defendants, with the exception of the CBC, were fiduciaries, as neither the Complaint nor the Plan documents show that the non-Plan Defendants, other than the CBC, have any authority or responsibility for administration of the Plan benefits to establish fiduciary status.
.See, e.g., Carducci v. Aetna U.S. Healthcare,
. In this regard, Plaintiff submits that Defendants' reasoning is flawed, because they "rel[y] on language outlining the limited enforceability of a judgment rendered against a plan to conclude that the statute does not provide an independent basis for a finding of liability against the non-plan defendants for damages that happen to be encompassed within the judgment rendered against the plan.” Pl.'s Br. in Opp’n (Doc. 31) at 5.
. Subchapter 1 is entitled "Protection of Employee Benefit Rights,” and encompasses §§ 1001 through 1191c of Title 29.
. It should be noted that the current plan administrator also would not be a proper party to a § 1132(a)(1)(B) claim in its individual capacity because a fiduciary cannot be held liable for breaches that occurred before it became a fiduciary.
Pegram,
. Plaintiffs argument to the effect that the Plan Sponsor, Mellon Bank, N.A., is a proper defendant because there is no plan administrator, and under 29 U.S.C. § 1002(16)(A)(ii), the default administrator is the plan sponsor, is unavailing. The Plan does designate a Plan Administrator and therefore, the Court finds the default rule is not triggered here. Also, Mellon Bank, N.A. no longer goes by that name, as it was changed to BNY Mellon, N.A.
