[PUBLISH]
IN THE UNITED STATES COURT OF APPEALS
FOR THE ELEVENTH CIRCUIT FILED
________________________
U.S. COURT OF APPEALS
ELEVENTH CIRCUIT
No. 02-12409 March 16, 2005
________________________ THOMAS K. KAHN
CLERK
D. C. Docket No. 98-02607-CV-JTC-1
JAMES P. COTTON, JR.,
GERALD EICKHOFF,
Plaintiffs-Appellees
Cross-Appellants,
versus
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY,
a Massachusetts Corporation,
Defendant-Appellant
Cross-Appellee.
________________________
Appeals from the United States District Court
for the Northern District of Georgia
_________________________
(March 16, 2005)
Before TJOFLAT and ANDERSON, Circuit Judges, and STAFFORD*, District
Judge.
*
Honorable William H. Stafford, Jr., United States District Judge for the Northern
District of Florida, sitting by designation.
TJOFLAT, Circuit Judge:
Defendant Massachusetts Mutual Life Insurance Co. appeals the judgment
of the district court in favor of the plaintiffs, James Cotton and Gerald Eickhoff,
on their claim for breach of fiduciary duty under the Employee Retirement Income
Security Act (ERISA), 29 U.S.C. §§ 1001 et seq. The district court entered
judgment for the plaintiffs after striking Mass Mutual’s answer and entering a
default as a sanction for discovery violations. On appeal, Mass Mutual makes
three arguments: first, that the entry of a default was an abuse of discretion;
second, that the well-pleaded factual allegations in the amended complaint fail to
establish liability under ERISA; and, third, that the district court impermissibly
awarded individualized, extra-contractual damages that are not available under
ERISA. We agree with Mass Mutual that the amended complaint fails to establish
liability under ERISA. Accordingly, we reverse and remand with instructions that
the plaintiffs’ ERISA claims be dismissed with prejudice. As we explain in Part
II, infra, the plaintiffs are unable to establish liability under ERISA because Mass
Mutual simply is not a fiduciary for any purpose related to the misconduct they
allege.1 Indeed, as we explain in Part III, infra, our review leads us to conclude
1
Because we reverse on this ground, we do not address Mass Mutual’s additional
arguments.
2
that this was never really an ERISA case at all, that it never should have been
litigated in federal court, and that the plaintiffs’ motion to remand should have
been granted at the outset. In Part IV, infra, we briefly address the other
discovery-related sanctions that the district court imposed in its order entering a
default.
I.
After entering a default, the district court adopted as true the well-pleaded
factual allegations contained in the amended complaint. Our statement of the case
is, in turn, drawn primarily from the district court’s summary of these allegations.
Cotton and Eickhoff were executive officers of BEI Holdings, Inc. (now
known as AMERSCO, Inc.). In 1982, Cotton and Eickhoff entered into a
“Wealth-Op Deferred Compensation Agreement” with BEI. Under the agreement,
BEI agreed to pay Cotton and Eickhoff, or their beneficiaries, $250,000 annually
for fifteen years beginning at age 65 or upon their death.
In December 1986, Mass Mutual agents Ronald Hilliard and Gary Martin2
proposed arrangements between Cotton and BEI and between Eickhoff and BEI
whereby BEI and the employee would split premiums and death benefit proceeds
2
Mass Mutual maintains that Hilliard, Martin, and the other former co-defendants in this
case were not its legal agents, but rather were simply independent agents authorized to sell Mass
Mutual products. We assume that they were in fact Mass Mutual agents.
3
on a permanent whole life insurance policy issued on the employee. Under the
proposal, BEI would pay all premiums on each policy. A portion of the premiums
would be taxable as compensation to Cotton and Eickhoff, while the remainder
would be treated as loans from BEI to Cotton and Eickhoff. According to the
proposal, the cash value of each whole life policy would continue to grow until it
would cover the annual premium payments—that is, until the premiums would
“vanish.” This was projected to occur after only seven years in Eickhoff’s case
and only ten years in Cotton’s case. Cotton and Eickhoff are required to repay the
portion of the premiums treated as loans at a certain time from the cash value of
the policies. This was referred to as the “rollout.” At the rollout, the cash values
of the policies will be reduced by the amount of premiums repaid to the employer.
Based on this proposal, Cotton, Eickhoff, and BEI agreed to establish what the
amended complaint and the district court refer to as the “Split-Dollar Employee
Welfare Benefit Plan Sponsored by AMRESCO, Inc.”
As part of the plan, Mass Mutual issued two whole life insurance policies to
Cotton in early 1987. Each had a face amount of $5,715,500 and a stated annual
premium of $119,697. Eickhoff was also issued two policies, one of which was
later divided into two, leaving him with three policies, one with a face amount of
$5,327,500 and a stated annual premium of $76,426, one with a face amount of
4
$3,350,729 and a stated annual premium of $48,079, and one with a face amount
of $1,976,771 and a stated annual premium of $28,376. BEI and its successor,
AMRESCO, paid the premiums on the policies.
In 1990, the plan’s primary objective was changed to use the insurance
policies as the primary source of retirement income for the plaintiffs and to
provide greater cash and payout values by committing BEI to continue to pay
premiums for additional periods of time—seventeen years, beginning in 1990, in
Cotton’s case, and eighteen years, also beginning in 1990, in Eickhoff’s case. In
return, Cotton and Eickhoff relieved BEI of its obligations under the “Wealth-Op
Deferred Compensation Agreement.” The plaintiffs claim that in making these
amendments they relied substantially on the policy projections Mass Mutual and
its agents provided, as well as the agents’ similar oral representations. These
analyses projected significant death benefits and cash surrender values and annual
retirement income of $250,000.
In 1992, Cotton and Eickhoff took out substantial loans against their
policies. Cotton borrowed $910,000, and Eickhoff borrowed $571,000—the
maximum amounts the two were permitted to borrow against their policies. They
allege that they did so in reliance upon representations made by Mass Mutual and
its agents that the policies were sufficiently strong and had sufficient value to
5
support the loans while still generating retirement income after the rollout. Cotton
and Eickhoff also changed the policies’ dividend option at this time so that
dividends would be used to pay interest and principal on the loans rather than to
purchase additional insurance, as had been the case previously.
In February 1996, Alexander & Alexander Benefit Services, another Mass
Mutual agent,3 notified Cotton and Eickhoff that the policy illustrations provided
in December 1995 overstated their policies’ cash surrender values and death
benefits because they did not take into account the rollout—i.e., the repayments
due AMRESCO in 2006 in Cotton’s case and in 2007 in Eickhoff’s case. The
plaintiffs allege that illustrations provided to them in 1986, 1990, 1992, 1993, and
1994 included the same error. Whereas analyses provided in 1994 and 1995
projected death benefits of several million dollars and annual retirement income of
at least $200,000, new analyses predict that Cotton would receive only nominal
retirement income and death benefits of less than $600,000, and that Eickhoff
would receive virtually no retirement income and death benefits of no more than
$1,000,000. Moreover, the new analyses project that Cotton and Eickhoff will
have to pay post-rollout premiums in order to keep the policies in force. In other
3
Mass Mutual also denies that Alexander & Alexander was its agent; again, though, we
assume that it was.
6
words, premiums have not “vanished.”4 In addition, the plaintiffs allege that Mass
Mutual (a) concealed the existence of “modal penalties” that resulted from their
4
This scenario, unfortunately, is not uncommon. Vanishing premium plans are a product
of the soaring interest rates of the late 1970s and early 1980s. During this time, “the economics
of traditional whole life insurance policies turned unattractive” because the policies generally
“earned a rate of return based on the average interest rate of the predominately fixed-rate
securities in the company’s investment portfolio, which generally had interest rates that were
much lower than the rates then available to consumers.” Daniel R. Fischel & Robert S. Stillman,
The Law and Economics of Vanishing Premium Life Insurance, 22 Del. J. Corp. L. 1, 5 (1997).
The industry responded to this phenomenon by offering consumers several new types of interest-
sensitive policies. These new policies differed from traditional whole life insurance in that their
returns were based on current interest rates rather than the interest and dividend income produced
by the insurance company’s historical investments. Id. at 5-6. The vanishing premium plan was
one common payment option for these new types of policies; Professors Daniel R. Fischel and
Robert S. Stillman describe the economics of its rise and fall as follows:
In a vanishing premium plan, the policyholder pays higher-than-normal premiums
in the early years of the policy. By making higher payments in early years, a
higher fraction of premium dollars is distributed into the policy’s savings account
(i.e., accumulation fund), allowing the cash value of the policy to accumulate
faster. The goal of a vanishing premium plan is to set premiums at a level where,
after a certain number of years, enough cash value has accumulated within the
policy so that future administrative and insurance costs can be paid out of the
accumulation fund, with no further out-of-pocket payments by the policyholder.
In the mid-1980s, when the new policies were marketed most aggressively, the
assumption of most vanishing premium “illustrations” was that no further
out-of-pocket premiums would be required after five or ten years.
Vanishing premium plans have not worked out as initially contemplated.
For many, vanishing premiums have not vanished. The primary cause of this
problem has been low interest rates. . . . Although rates rose to as high as twelve
percent in the mid-1980s, the early 1990s reflected a low of three percent. These
declining rates upset the economics of vanishing premium plans. With the
economy-wide decline in interest rates, interest-credit rates have also dropped and
cash value has not grown as assumed in the initial illustrations. In many cases,
cash value in vanishing premium plans has become insufficient to pay expected
future insurance and administrative costs. As a result, many consumers who
bought insurance on a vanishing-premium basis will soon be forced to make
additional out-of-pocket premium payments or else have their insurance
terminated or death benefits reduced.
Id. at 7-8 (footnotes omitted).
7
employer paying premiums on a monthly rather than annual basis; (b) used
methods of allocating premium payments between income to the plaintiffs and
loans from their employer that were less favorable to the plaintiffs than those used
in policy projections; (c) understated the policies’ sensitivity to changes in interest
and dividend rates; and (d) generally obscured actual policy performance by
consistently presenting reports in different and misleading formats.
In August 1998, Cotton and Eickhoff filed suit in the Superior Court of
Dekalb County, Georgia. The state-court complaint asserted state-law claims of
innocent misrepresentation, negligent misrepresentation, fraud, and promissory
estoppel and sought equitable relief requiring the defendants to ensure that their
policies performed as described in policy analyses. All defendants—i.e., Mass
Mutual, Martin, Hilliard, Alexander & Alexander, and several other alleged Mass
Mutual agents—joined in removing the case to federal court on the theory that the
plaintiffs’ claims were completely preempted by ERISA. The plaintiffs moved to
remand the case to state court, arguing that the claims were not completely
preempted because the policies and agreements did not constitute an ERISA plan
and because the complaint did not seek relief available under ERISA.
On May 1999, the district court denied the plaintiffs’ motion to remand. It
first held that an ERISA plan existed under the test established in Donovan v.
8
Dillingham, 688 F.2d 1367, 1371 (11th Cir. 1982) (en banc). Relying primarily on
our decision in Engelhardt v. Paul Revere Life Ins. Co., 139 F.3d 1346 (11th Cir.
1998), it also held that the complaint sought relief available under ERISA. As
such, it determined that the plaintiffs’ state-law claims were completely preempted
so that removal based on federal question jurisdiction was permissible.
In a subsequent order, the court granted the plaintiffs’ motion to file an
amended complaint asserting claims under ERISA. The plaintiffs’ amended
complaint asserted four ERISA claims: a § 502(a)(1)(B) claim to enforce the terms
of the plan, a § 502(a)(2) claim for breach of fiduciary duty, a § 502(a)(3) claim
for appropriate equitable relief,5 and a claim under the ERISA federal common law
doctrine of equitable estoppel. The amended complaint also reasserted the state-
law claims that comprised the plaintiffs’ original complaint. The same day the
plaintiffs filed the amended complaint, they also filed a motion to compel Mass
Mutual to produce a number of items that they claimed Mass Mutual had
improperly withheld in response to legitimate discovery requests, namely, the
computer software and data used to produce the various policy analyses presented
to them and, in general, all documents issued or in effect during the preceding
fourteen years or so that in any way related to the sale or promotion of, or policies
5
These ERISA sections are at 29 U.S.C. §§ 1132(a)(1)(b), (a)(2), and (a)(3).
9
or practices regarding, any Mass Mutual split-dollar whole life insurance plan or
policy and also, more particularly, the specific type of plan sold to them. In
response, Mass Mutual argued that this information was not discoverable because
it was relevant only, if at all, to the plaintiffs’ completely preempted—and,
therefore, no longer viable—state-law claims. At a hearing on February 11, 2000,
the court granted the motion to compel.
This order, however, did not put an end to discovery-related disputes, and in
July 2000, the plaintiffs moved for sanctions against Mass Mutual under Fed. R.
Civ. P. 37(b),6 claiming that Mass Mutual had failed to comply with the compel
order. That same day, they also filed a brief in response to Mass Mutual’s motion
for summary judgment in which they appear to have abandoned all of their state-
law claims. In a December 28, 2000 order, the district court concluded that Mass
6
Fed. R. Civ. P. 37(b)(2) provides in relevant part:
If a party . . . fails to obey an order to provide or permit discovery, including an
order made under subdivision (a) of this rule . . . , the court in which the action is
pending may make such orders in regard to the failure as are just, and among
others the following:
....
(C) An order striking out pleadings or parts thereof, . . . or dismissing the
action or proceeding or any part thereof, or rendering a judgment by default
against the disobedient party;
....
In lieu of any of the foregoing orders or in addition thereto, the court shall
require the party failing to obey the order or the attorney advising that party or
both to pay the reasonable expenses, including attorney’s fees, caused by the
failure, unless the court finds that the failure was substantially justified or that
other circumstances make an award of expenses unjust.
10
Mutual had “acted in bad faith and abused the discovery process” by “delay[ing]
the production of responsive documents, only to produce them subsequently in a
piecemeal fashion; fail[ing] to produce knowledgeable [Fed R. Civ. P.] 30(b)(6)
representatives; and attempt[ing] to conceal a history of vanishing premium
litigation.” The court further determined that Mass Mutual had “engaged in a
systematic effort to frustrate Plaintiffs legitimate attempts at discovery and . . .
failed to obey” the earlier compel order. The court found that these violations had
prejudiced the plaintiffs because—despite bringing the dispute before the court on
two separate occasions—the plaintiffs had yet to receive the relevant information
to which they were entitled and had incurred the trouble and expense of traveling
outside the state to depose unqualified Rule 30(b)(6) witnesses. Finally, the court
determined that imposing sanctions less significant than a default would not
sufficiently deter future litigants from engaging in similar conduct. As such, it
ordered, among other things, that Mass Mutual’s answer be stricken and a default
entered against it, and that Mass Mutual pay all reasonable costs and attorney’s
fees incurred by the plaintiffs in connection with litigation against Mass Mutual
since the February 11 compel order.7
7
In June of 2001, the court denied Mass Mutual’s motion to set aside the default under
Fed. R. Civ. P. 55(c).
11
In May 2001, the plaintiffs settled with all defendants other than Mass
Mutual and claims against them were accordingly dismissed.
On October 3, 2001, following a bench trial held to examine the legal
sufficiency of the amended complaint’s well-pleaded factual allegations and to
address the issue of damages, the district court issued an opinion detailing its
findings of fact and conclusions of law. First, the court rejected the plaintiffs’
claim under ERISA § 502(a)(1)(B), which permits a beneficiary “to recover
benefits due to him under the terms of his plan, to enforce his rights under the
terms of the plan, and to clarify his rights to future benefits under the terms of the
plan.” The court determined that the various policy projections presented to the
plaintiffs were neither “plan documents” nor “summary plan descriptions”; rather,
the only such documents at issue were the insurance agreements and insurance
policies. And because these documents were clear and unambiguous, there was no
plan term that needed to be “clarified” or “enforced.”8 Therefore, the plaintiffs’ §
8
On cross-appeal, the plaintiffs contest the district court’s determination that the policy
projections were neither plan documents nor summary plan descriptions (SPDs). However, the
projections certainly are not plan documents of the type described in ERISA § 402(b), 29 U.S.C.
§ 1102(b), as they do not (1) “provide a procedure for establishing and carrying out a funding
policy,” (2) “describe . . . the operation and administration of the plan,” (3) “provide a procedure
for amending [the] plan” or “for identifying the persons who have authority to amend the plan,”
or (4) “specify the basis on which payments are made to and from the plan.” See, e.g., Cinelli v.
Sec. Pac. Corp., 61 F.3d 1437, 1442 (9th Cir. 1995). Nor are they “other instrument[s] under
which the plan was established or is operated.” ERISA § 104(b)(2), 29 U.S.C. § 1024(b)(2); see,
e.g., Faircloth v. Lundy Packing Co., 91 F.3d 648, 653 (4th Cir. 1996) (“the language ‘other
12
502(a)(1)(B) claim failed as a matter of law.
instruments under which the plan is established or operated’ encompasses formal or legal
documents under which a plan is set up or managed”). The policy projections do not govern plan
management, amendment, or administration; rather, they simply project future benefit levels
based on certain economic assumptions. Therefore, they are not plan documents and provide no
basis for a § 502(a)(1)(B) claim unless they can qualify as summary plan descriptions.
In Hicks v. Fleming Cos., 961 F.2d 537 (5th Cir. 1992), the Fifth Circuit held that to
qualify as a summary plan description a document must “contain[] all or substantially all
categories of information required under 29 U.S.C. § 1022(b) and the DOL’s regulations at 29
C.F.R. § 2520.102-3.” Hicks, 961 F.2d at 542; accord Palmisano v. Allina Health Sys., Inc., 190
F.3d 881, 887-88 (8th Cir. 1999); Pisciotta v. Teledyne Indus., Inc., 91 F.3d 1326, 1329-30 (9th
Cir. 1996) (“[I]t is undisputed . . . that neither . . . booklet contained all twelve of the required
statutory elements. Accordingly, the district court correctly concluded . . . that, as a matter of
law, the booklets did not constitute SPDs.”); see also Coleman v. Nationwide Life Ins. Co., 969
F.2d 54, 62 n.3 (4th Cir. 1992) (“ERISA provides a lengthy, detailed list of what must be
included in a summary plan description. 29 U.S.C. § 1022(b). An agreement to provide a
description of ‘the main benefits and requirements’ cannot be reasonably regarded as the
equivalent of the summary plan description, which the statute requires to be far broader in scope
and detail.”). The Third Circuit appears to hold that additional factors may be relevant to this
issue, but it does agree that a document that is missing significant statutorily required information
is unlikely to qualify as an SPD. See Gridley v. Cleveland Pneumatic Co., 924 F.2d 1310, 1316-
17 (3d Cir. 1991). One district court, in contrast, has stated,
We do not believe that Congress intended to exclude from the term
“summary plan description” every document which lacks some of the information
required in section 1022(b). Rather, any document a plan distributes to its
participants which contains all or substantially all of the information the average
participant would deem crucial to a knowledgeable understanding of his benefits
under the plan shall be deemed a summary plan description.
Kochendorfer v. Rockdale Sash and Trim Co., 653 F. Supp. 612, 615 (N.D. Ill. 1987).
We have perhaps suggested that we would adopt the majority view stated in Hicks, but
we have never unequivocally said so. In Alday v. Container Corp. of Am., 906 F.2d 660 (11th
Cir. 1990), we concluded that a benefit summary booklet did “not fulfill the requirements . . . set
out at 29 U.S.C. § 1022” was not an SPD. Alday, 906 F.2d at 665. The plaintiff there argued
that Kochendorfer’s broader SPD definition was the correct one, but “[w]ithout endorsing the
holding in Kochendorfer,” we simply noted that the benefit summary booklet “hardly reache[d]
the level of specificity required by the Kochendorfer court.” Id. at 665 n.14. We can do the same
here. The district court correctly concluded that the policy projections at issue are “merely . . .
informal communications” that “do not satisfy any of the requirements found in 29 U.S.C. §
1022” (emphasis added). Accordingly, they do not qualify as summary plan descriptions under
Hicks, Gridley, or Kochendorfer.
13
Second, the court addressed the plaintiffs claim under ERISA § 502(a)(2)
claim “for appropriate relief” based on Mass Mutual’s alleged breach of fiduciary
duty under ERISA § 409(a), 29 U.S.C. § 1109(a). Accepting the amended
complaint’s well-pleaded factual allegations as true, it concluded (a) that the
plaintiffs sought relief on behalf of the plan, (b) that Mass Mutual was a fiduciary
with respect to the plan, (c) that Mass Mutual had breached a fiduciary duty to the
plan, and (d) that such breach had caused a loss to the plan.9 As such, it concluded
that the amended complaint established liability under § 502(a)(2).
On the issue of damages, the court ordered Mass Mutual to restore annually
the “missing” death benefits and cash surrender values—i.e., the difference
between those shown in the 1990 illustrations and the current policy values—less
any portion of the missing values attributable to (a) the 1990 changes in the
dividend option, (b) the 1992 loans, or (c) changes in dividend scales/interest
rates. The court reasoned that the adjustment for dividend scale/interest rate
changes was necessary because Cotton and Eickhoff “were knowledgeable
businessmen who took an active role in monitoring the practices governing the
Plan and understood that the interest rates and scales would fluctuate over time.”
The parties were directed to draft and file an injunction requiring Mass Mutual to
9
On appeal, Mass Mutual contests all four of these determinations.
14
pay damages in accordance with the order.
Third, the court addressed the plaintiffs claim for relief under ERISA §
502(a)(3), which permits beneficiaries to bring suit “(A) to enjoin any act or
practice which violates any provision of this subchapter or the terms of the plan, or
(B) to obtain other appropriate equitable relief (i) to redress such violations or (ii)
to enforce any provisions of this subchapter or the terms of the plan.” The
Supreme Court has described § 502(a)(3) as a “safety net, offering appropriate
equitable relief for injuries caused by violations that § 502 does not elsewhere
adequately remedy.” Varity Corp. v. Howe, 516 U.S. 489, 512, 116 S. Ct. 1065,
1078, 134 L. Ed. 2d 130 (1996). In Katz v. Comprehensive Plan of Group
Insurance, 197 F.3d 1084 (11th Cir. 1999), we held that a plaintiff who has an
available claim under another subsection of § 502(a) cannot proceed under §
502(a)(3), and, moreover, that “the availability of an adequate remedy under the
law . . . does not mean, nor does it guarantee, an adjudication in one’s favor.” Id.
at 1089. In other words, a plaintiff who can state a cognizable claim under either
(a)(1)(b) or (a)(2) may not also rely on the (a)(3) “safety net” even if he is
ultimately unable to prevail under both (a)(1)(b) and (a)(2). Relying on Katz, the
district court held that the plaintiffs’ (a)(3) claim was barred as a matter of law.
Finally, the district court addressed the plaintiffs’ federal common law
15
equitable estoppel claim. “This circuit has created a very narrow common law
doctrine under ERISA for equitable estoppel. It is only available when (1) the
provisions of the plan at issue are ambiguous, and (2) representations are made
which constitute an oral interpretation of the ambiguity.” Id. at 1090 (citations
omitted). As it had already determined that the terms contained in the plan
document were not ambiguous, the district court held that the plaintiffs were not
entitled to recover under this doctrine.
Although the court’s order included what it thought were “straightforward”
instructions regarding the calculation of damages, the parties could not agree as to
how the order would be implemented. Thus, after the plaintiffs filed a proposed
injunction and Mass Mutual filed extensive objections to it, the parties ended up
back before the court for another hearing on the issue of damages. Shortly
thereafter, the court issued a short order requiring Mass Mutual to restore to the
plan the rollout amounts—i.e., the amounts the plaintiffs’ employer is due to be
repaid under the insurance agreements. This appeal followed.
II.
To establish liability for a breach of fiduciary duty under any of the
provisions of ERISA § 502(a), a plaintiff must first show that the defendant is in
fact a fiduciary with respect to the plan. Baker v. Big Star Div. of the Grand
16
Union Co., 893 F.2d 288, 289 (11th Cir. 1989) (“non-fiduciaries cannot be held
liable under ERISA”). ERISA provides that
a person is a fiduciary with respect to the 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, (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.
ERISA § 3(21)(A), 29 U.S.C. § 1002(21)(A). Significantly, under this definition,
a party is a fiduciary only “to the extent” that it performs a fiduciary function. As
such, fiduciary status under ERISA is not an “all-or-nothing concept,” and “a court
must ask whether a person is a fiduciary with respect to the particular activity at
issue.” Coleman v. Nationwide Ins. Co., 969 F.2d 54, 61 (4th Cir. 1992). Here,
although “Mass Mutual has conceded that it is a fiduciary for the limited purpose
of making death benefit determinations under the policies,” it maintains that the
amended complaint fails to establish that it is “a fiduciary for any other purpose”
(brief p.43). The question whether a party is an ERISA fiduciary is a mixed
question of law and fact. In this case, because the district court accepted as true
all of the amended complaint’s well-pleaded factual allegations, there are no
“findings of fact” in the ordinary sense. Our review of the district court’s legal
17
conclusions is de novo, and we accord no deference to its legal analysis. Reich v.
Lancaster, 55 F.3d 1034, 1045 (5th Cir. 1995).
The district court concluded that the plaintiffs had sufficiently alleged that
Mass Mutual was wearing its fiduciary hat when the alleged misconduct occurred:
The factual allegations in the Complaint clearly state that Mass
Mutual and its agents helped establish the Plan and “administered,
managed and controlled [the insurance policies governing the Plan]
since they were first issued.” Mass Mutual retained “discretionary
authority to administer[,] manage and control” policy assets. It also
exercised discretionary authority with respect to plan management
and administration. Finally, Mass Mutual and its agents provided
policy projections upon which Plaintiffs relied.
D. Ct. Op. at ¶ 41 (quoting First Am. Compl.) (citations omitted). As a result of
the discovery sanctions the district court imposed, it accepted all of the well-
pleaded factual allegations in the amended complaint as true. But even assuming
for the purpose of this appeal that the district court’s sanction was appropriate, the
amended complaint does not state a set of facts under which Mass Mutual is a
fiduciary for the purposes of this case. Therefore, we must reverse.
The passage from the district court’s opinion reprinted above summarizes
the plaintiffs’ basic allegations regarding Mass Mutual’s fiduciary status. In other
words, the amended complaint simply recites portions of the statutory definition.
The plaintiffs argue that this is enough to establish Mass Mutual’s fiduciary status
18
because the factual allegations of their admitted complaint are deemed admitted.
But while a defaulted defendant is deemed to “admit[] the plaintiff’s well-pleaded
allegations of fact,” he “is not held to admit facts that are not well-pleaded or to
admit conclusions of law.” Nishimatsu Constr. Co. v. Houston Nat’l Bank, 515
F.2d 1200, 1206 (5th Cir. 1975).10 Therefore—again, assuming for the sake of the
argument that a default was an appropriate sanction—although Mass Mutual “may
not challenge the sufficiency of the evidence, [it] is entitled to contest the
sufficiency of the complaint and its allegations to support the judgment.” Id.
Plaintiffs allege that Mass Mutual (a) “sold Policies and helped establish the
Plan,” (b) “administered, managed, and controlled such Policies,” (c) exercised
discretionary authority over plan assets, and (d) “exercised discretionary authority
with respect to plan management and administration.” Simple allegations that
Mass Mutual falls within the statutory definition of fiduciary, however, are not
well-pleaded factual allegations sufficient to establish liability in the wake of an
entry of default. Indeed, because the plaintiffs do not otherwise explain from
whence this discretion came or how specifically Mass Mutual “administered,
managed, and controlled” the plan, their allegations are really no more than a
10
In Bonner v. City of Prichard, 661 F.2d 1206, 1209 (11th Cir.1981) (en banc), this
court adopted as binding precedent all decisions of the former Fifth Circuit handed down prior to
October 1, 1981.
19
conclusory assertion that Mass Mutual is an ERISA fiduciary. Thus, the plaintiffs’
“well-pleaded factual allegations” regarding Mass Mutual’s fiduciary status are
not well-pleaded factual allegations at all; rather, they are merely the plaintiffs’
own conclusions of law, which Mass Mutual is not deemed to have admitted as a
result of default. Cf. Oxford Asset Mgmt. v. Jaharis, 297 F.3d 1182, 1188 (11th
Cir. 2002) (“[On a motion to dismiss,] [t]he plaintiff’s factual allegations are
accepted as true. . . . However, . . . legal conclusions masquerading as facts will
not prevent dismissal.”).
“Simply urging the purchase of its products does not make an insurance
company an ERISA fiduciary with respect to those products.” Am. Fed’n of
Unions Local 102 Health & Welfare Fund v. Equitable Life Assurance Soc’y, 841
F.2d 658, 664 (5th Cir. 1988). This is all that the plaintiffs here really allege.
Specifically, they allege that in 1987 they purchased a set of Mass Mutual life
insurance policies as a means of funding the split-dollar plan. They claim that the
purchase was the result of a presentation by Martin and Hilliard that projected that
the policies would yield substantial retirement and death benefits and that
premiums would “vanish” within ten years. They allege that in 1990 the plan was
amended and that they relieved BEI of its obligations to them under a separate
deferred compensation agreement in exchange for BEI’s promise to pay additional
20
premiums under the plan. They claim that in making this decision they again
relied on analyses prepared by Martin and Hilliard. Then, in 1992, the plaintiffs
took out substantial loans against the policies—indeed, they borrowed all that the
policies permitted. They allege that they did so “in reliance on the representations
of Mass Mutual and its agents that the Policies were sufficiently strong and had
sufficient value to support the loans while still generating substantial retirement
income after rollout.” Finally, they claim that even after 1992, Mass Mutual
continued to provide inaccurate or misleading policy analyses showing that the
plan was continuing to perform as projected.
Thus, reduced to the size of a pea, this case is really about claims of fraud
and misrepresentation in the sale of some life insurance policies. The plaintiffs
attempt to match these allegations with ERISA’s definition of a fiduciary, but they
are unable to do so. Mass Mutual has never exercised discretionary authority or
control over plan management or the administration of plan assets because the
decisions to purchase, amend, and borrow against the policies were made by the
plaintiffs themselves. Cases holding that insurers like Mass Mutual are not
ERISA fiduciaries are numerous. See, e.g., Flacche v. Sun Life Assurance Co. of
Can., 958 F.2d 730, 733-35 (6th Cir. 1992) (insurer did not act as a fiduciary by
supplying annuity contracts to fund a plan and performing ministerial services for
21
the plan); Consol. Beef Insus., Inc. v. N.Y. Life Ins. Co., 949 F.2d 960, 965 (8th
Cir. 1991) (insurer was not acting as a fiduciary when, through its agent, it “simply
sold . . . annuities” and “did not recommend specific investments beyond its
products”); Gallagher Corp. v. Mass. Mutual Life Ins. Co., 105 F. Supp. 2d 889,
893-97 (N.D. Ill. 2000) (insurer did not act as a fiduciary by persuading an
employer to purchase its whole life insurance policies to fund a prototype plan it
designed and providing record-keeping and actuarial services to the plan); Fechter
v. Conn. Gen. Life Ins. Co., 800 F. Supp. 182, 196-206 (E.D. Pa. 1992) (insurer
did not act as a fiduciary by supplying fund assets and actuarial calculations);
Assocs. in Adolescent Psychiatry v. Home Life Ins. Co. of N.Y., 729 F. Supp.
1162, 1191 (N.D. Ill. 1989) (insurer was not acting an a fiduciary because “all [it]
did was talk the plans into buying its insurance products as a means of funding
retirement benefits” and “design . . . the prototype plan [the employer] adopted”)
aff’d 941 F.2d 561 (7th Cir. 1991); Bozeman v. Provident Nat’l Assurance Co.,
1992 WL 328804, at *1-4 (W.D. Tenn. 1992) (insurer did not act as a fiduciary by
supplying annuity contracts to fund a plan and giving actuarial advice).
The plaintiffs argue that they have alleged that Mass Mutual did more than
just sell its insurance products to the plan because it (along with various alleged
agents and delegatees) was also responsible for allocating premium payments
22
between the portion counted as loans from their employer and the portion treated
as income to them, analyzing policy performance, and communicating with them
regarding policy performance. The performance of such ministerial policy-related
services, however, does not render an insurer such as Mass Mutual a fiduciary if it
does not otherwise occupy that status. See, e.g., Gallagher, 105 F. Supp. 2d at
895-96; Fechter, 800 F. Supp. at 204-06. Nor does the performance of multiple
duties, none of which in and of itself creates fiduciary status, render one a
fiduciary. See, e.g., Bozeman, 1992 WL 328804, at *4 (rejecting the suggestion
“that a ‘package deal’ of services and products, none of which separately creates
fiduciary status, necessarily betokens an unusual degree of influence because of
their variety and number”).
Moreover, the plaintiffs’ claims that Mass Mutual acted fraudulently, even
if true, do not alter the fact that they have failed to allege facts from which we
could infer that Mass Mutual is in fact a fiduciary. “Congress took a functional
approach to defining an ERISA fiduciary.” Fechter, 800 F. Supp. at 205.
Therefore, while “[w]rongful motivation and conduct” is certainly relevant once a
plaintiff demonstrates that a defendant is a fiduciary with respect to the plan, it is
23
“insufficient to establish fiduciary responsibility” to begin with. Id.11 And,
finally, because the plaintiffs have not shown that Mass Mutual itself ever had any
fiduciary duty with respect to the plan, their additional allegation that, “[d]uring
relevant times, Mass Mutual delegated certain discretionary authority” is also of
no help.
In sum, because the plaintiffs cannot establish that Mass Mutual is a
fiduciary for any purpose that is relevant to the misconduct they allege, they
cannot recover under ERISA § 502(a).
III.
Our determination that Mass Mutual is not a fiduciary for any purpose
implicated by the amended complaint is reinforced by our additional conclusion
that the plaintiffs’ original state-law claims were not completely preempted; thus,
removal was improper, as federal question jurisdiction was lacking, and the
plaintiffs’ motion to remand should have been granted at the outset. On appeal,
11
In their briefs to this court, the plaintiffs point us to no case that suggests that an insurer
performing functions akin to those performed by Mass Mutual is an ERISA fiduciary. Instead,
they rely solely on the default and argue that “the analysis whether a person is a fiduciary is
inherently factual” and that “Mass Mutual lost its opportunity to make . . . fact-based arguments”
by committing the discovery violations that led to the default. In holding that Mass Mutual is not
a fiduciary, however, we need only look to the amended complaint and plan documents; it is,
therefore, unnecessary for us to make any fact-based determinations.
24
neither party has raised this issue.12 Ordinarily, if removal was improper, the court
lacks subject matter jurisdiction and must raise the issue sua sponte and then
dismiss on that ground, see Rembert v. Apfel, 213 F.3d 1331, 1333 (11th Cir.
2000) (“As a federal court of limited jurisdiction, we must inquire into our subject
matter jurisdiction sua sponte even if the parties have not challenged it.”);
however, because the post-removal amended complaint asserted claims under
ERISA, we have jurisdiction even if removal was initially improper, see Pegram v.
Herdrich, 530 U.S. 211, 215 n.2, 120 S. Ct. 2143, 2147 n.2, 147 L. Ed. 2d 164
(2000) (“[The plaintiff] does not contest the propriety of removal before us, and
we take no position on whether or not the case was properly removed. . . . [The]
amended complaint alleged ERISA violations, over which the federal courts have
jurisdiction, and we therefore have jurisdiction regardless of the correctness of the
removal.”); see also Grubbs v. Gen. Elec. Credit Corp., 405 U.S. 699, 700, 92 S.
Ct. 1344, 1346, 31 L. Ed. 2d 612 (1972) (holding that when a district court has
jurisdiction at the time it enters judgment “the validity of the removal procedure
12
This is not surprising. It was Mass Mutual who removed the case, and presumably it
continues to prefer federal court and ERISA law to state court and state law. And although they
originally moved to remand the case to state court, the plaintiffs now have a judgment in their
favor that they would like affirmed.
25
followed may not be raised for the first time on appeal”).13 We nonetheless
address this issue here because it helps to clarify that Mass Mutual was not
wearing its fiduciary hat when it allegedly misled the plaintiffs regarding future
benefits under their policies.
Under 28 U.S.C. § 1441, a defendant may remove a state-court case to
federal court only if the district court would have had jurisdiction over the case
had it been brought there originally. As this case was originally filed, diversity
jurisdiction was lacking because both plaintiffs and four of the seven defendants
were citizens of Georgia. Therefore, if the case was removable it must have been
because the plaintiffs’ claims “arise under” federal law for the purposes of federal
question jurisdiction. See 28 U.S.C. § 1331. But because the original complaint
asserted only state-law claims, this case also does not arise under federal law
under the ordinary operation of the well-pleaded complaint rule. See Kemp v.
Int’l Bus. Mach. Corp., 109 F.3d 708, 712 (11th Cir. 1997) (“A case does not arise
under federal law unless a federal question is presented on the face of the
plaintiff’s complaint.”). Therefore, if the case arises under federal law, it must be
because it falls within the special category of federal question jurisdiction created
13
Thus, once the plaintiffs asserted ERISA claims, the district court had subject matter
jurisdiction over the case even though the removal itself was improper. As a result, it also had
jurisdiction to enter discovery sanctions against Mass Mutual.
26
by the doctrine of complete preemption. “Under that doctrine, Congress may
preempt an area of law so completely that any complaint raising claims in that area
is necessarily federal in character and therefore necessarily presents a basis for
federal court jurisdiction.” Id. “Congress has accomplished this ‘complete
preemption’ in [ERISA § 502(a)], which provides the exclusive cause of action for
the recovery of benefits governed by an ERISA plan. State law claims seeking
relief available under [§ 502(a)] are recharacterized as ERISA claims and therefore
‘arise under’ federal law.” Id. (citations omitted).
This court’s clearest statement of the ERISA complete preemption rule is
found in Butero v. Royal Maccabees Life Insurance Co., 174 F.3d 1207 (11th Cir.
1999), where we explained that complete preemption
exists only when the plaintiff is seeking relief that is available under
[ERISA § 502(a)]. Regardless of the merits of the plaintiff’s actual
claims (recast as ERISA claims), relief is available, and there is
complete preemption, when four elements are satisfied. First, there
must be a relevant ERISA plan. Second, the plaintiff must have
standing to sue under that plan. Third, the defendant must be an
ERISA entity. Finally, the complaint must seek compensatory relief
akin to that available under [§ 502(a)]; often this will be a claim for
benefits due under a plan.
Id. at 1212 (internal citations and quotation marks omitted). Complete preemption
is thus narrower than “defensive” ERISA preemption, which broadly “supersede[s]
any and all State laws insofar as they . . . relate to any [ERISA] plan.” ERISA §
27
514(a), 29 U.S.C. § 1144(a) (emphasis added). Therefore, a state-law claim may
be defensively preempted under § 514(a) but not completely preempted under §
502(a). In such a case, the defendant may assert preemption as a defense, but
preemption will not provide a basis for removal to federal court.
Although we address complete preemption in this Part, we will also discuss
several defensive preemption cases. These cases are helpful because claims that
are completely preempted are also defensively preempted. Butero, 174 F.3d at
1215 (“If the plaintiff’s claims are [completely preempted], then they are also
defensively preempted.”). Thus, if it appears that a claim is not even defensively
preempted, then it will not be completely preempted either.14 As such, defensive
14
ERISA § 514(b)(2)(A), 29 U.S.C. § 1144(b)(2)(A), exempts “any law of any State
which regulates insurance, banking, or securities” from § 514(a)’s broad (defensive) preemption
provision. In Ervast v. Flexible Products Co., 346 F.3d 1007 (11th Cir. 2003), we suggested that
claims based on such laws “might appropriately be completely preempted, but defensive
preemption may not apply.” Id. at 1013 n.7. In other words, if a claim is completely preempted
under Butero’s four-part test, the case may be removable even though § 514(b)(2)(A) explicitly
provides that ERISA does not provide a defense to the state-law claim; in such a case, the federal
court simply has jurisdiction over the state-law claim. In the same footnote in Ervast, we also
explained:
Defensive preemption may not be a prerequisite for complete preemption,
but they usually co-exist. Naturally, if a claim were for the recovery or
clarification of benefits under an ERISA plan, then the claim will “relate to” the
plan. . . . [T]he “relate to” analysis and the law interpreting such can[] inform the
issue facing a court that must determine whether state law claims are completely
preempted, however, complete preemption is not dependent on the existence of
defensive preemption. Moreover, a decision regarding complete preemption does
not decide the issue of defensive preemption. As we stated defensive preemption
is a substantive issue that must be decided by a court with competent jurisdiction.
Id. (citations omitted). This discussion of the relationship between complete and defensive
preemption is also consistent with Butero’s more general statement that claims that are
28
preemption cases may inform the complete preemption analysis. “The complete
preemption and defensive preemption doctrines are very complicated and the cases
are numerous. The facts of the instant case do not fall neatly into any category of
case law that allows for an easy or quick answer to be found from Eleventh Circuit
case law.” Wilson v. Coman, 284 F. Supp. 2d 1319, 1341 (M.D. Ala. 2003).
Therefore, we will start by briefly reviewing our significant decisions in this area
in section A. In section B, we will apply those cases to the facts of this case.
A.
In Butero, the defendant insurer issued a life insurance policy to the
husband of the plaintiff (Butero) through his employer; however, sometime after
the policy’s putative effective date, the defendant remitted all premiums paid by
the employer and informed it that its request for coverage was denied and that no
policy existed. Butero’s husband died that same day, her claim for benefits under
the policy was denied on the ground that no policy existed, and she filed suit in
state court against the insurer and an insurance agent alleging breach of contract,
bad faith refusal to pay, and fraud in the inducement. The defendants then
completely preempted are also defensively preempted; it simply explains, first, that it is not
necessary for a court addressing complete preemption to decide whether a claim is defensively
preempted in order to decide the complete preemption issue, and, second, that a federal court’s
order remanding a case to state court based on the inapplicability of the complete preemption
doctrine leaves open the question whether the plaintiff’s claims are nevertheless defensively
preempted.
29
removed the case to federal court, arguing that the state-law claims were
completely preempted. On Butero’s motion to remand, the district court held that
the claims against the agent were not preempted, and they were severed and
remanded; however, it held that the claims against the insurer were completely and
defensively preempted and accordingly dismissed them without prejudice to
Butero’s right to file a complaint stating claims under ERISA. See Butero, 174
F.3d at 1210-11.
On appeal, Butero challenged the district court’s disposition of her state-law
claims against the insurer. After stating the complete preemption rule set out
above, we held that her claims were completely and defensively preempted and
accordingly affirmed. As to the third element of complete preemption—whether
the defendant is an ERISA entity—we concluded that the insurer was a fiduciary
because “[i]t could ‘control . . . the payment of benefits’ and the ‘determination of
[the plaintiff’s] rights’ under [the plan].” Id. at 1213 (quoting Morstein v. Nat’l
Ins. Servs., Inc., 93 F.3d 715, 723 (11th Cir. 1996) (en banc)). As to the fourth
element—whether the plaintiff seeks relief available under § 502(a)—we first
noted that “we have held that claims against an insurer for fraud and fraud in the
inducement to purchase a policy are in essence claims ‘to recover benefits due to
[the beneficiary] under the terms of the plan,’” and we then concluded that the
30
plaintiffs’ additional claims for bad faith refusal to pay and breach of contract
essentially sought the same thing—payment of a life insurance benefit. Butero,
174 F.3d at 1213 (quoting ERISA § 502(a)(1)(B)).
Initially, we note two important distinctions between Butero and the instant
case. First, the basis of the plaintiff’s case in Butero was the insurer’s decision in
its capacity as an ERISA entity not to pay a death benefit. Here, in contrast, Mass
Mutual emphasizes, and we agree, that it is an ERISA fiduciary for the purpose of
making death benefit determinations only, and the plaintiffs do not challenge any
decision not to pay benefits under the terms of the plan. Rather, they allege that
Mass Mutual induced them to purchase and maintain vanishing premium life
insurance policies as a source of retirement income and death benefits by
misrepresenting the level of benefits those policies would provide. In other words,
the plaintiffs’ dispute is with Mass Mutual the seller of insurance products, not
Mass Mutual the ERISA fiduciary. The second distinction, which is related to the
first, is that while Butero’s claim was one for benefits due under the terms of an
ERISA plan, Cotton and Eickhoff claim a loss based on the difference between
Mass Mutual’s alleged misrepresentations—perhaps the most important of which
predate the formation of the plan itself—and the terms of the plan. Thus, while
Butero’s statement that “claims against an insurer for fraud or fraud in the
31
inducement to purchase a policy are in essence claims ‘to recover benefits due to
[the beneficiary] under the terms of the plan,’” id., does, as one district court in
this circuit recently put it, “immediately draw[] this court’s attention,” we agree
with that court that this generalization should not be automatically extended to
cases in which the plaintiff’s claims do not actually seek benefits under the terms
of the plan. Wilson v. Coman, 284 F. Supp. 2d 1319, 1334 (M.D. Ala. 2003).
In Morstein v. National Life Insurance Co., 93 F.3d 715 (11th Cir. 1996) (en
banc), the plaintiff (Morstein), the president/sole shareholder of a small business,
purchased health insurance for herself and her only employee from an independent
insurance agent. According to the complaint, Morstein told the agent that any
policy that did not cover any preexisting condition would be unacceptable, and the
agent assured her that the policy she purchased would cover all such conditions.
Over a year later, however, the insurer denied a claim for benefits under the policy
for the reason that it was based on an undisclosed preexisting condition. Morstein
then sued the agent and the insurer in state court for negligence, malfeasance,
misrepresentations, and breach of contract; in response, the defendants removed
the case to federal court under the complete preemption doctrine. The district
court then denied Morstein’s motion to remand and granted the defendants’
motions for summary judgment on the ground that all of Morstein’s state-law
32
claims were both completely and defensively preempted. Morstein thereafter
voluntarily dismissed her claims against the insurer and appealed the district
court’s grant of summary judgment in favor of the agent. Id. at 716-17.
On appeal, we reversed the district court’s order granting the agent’s motion
for summary judgment and held that Morstein’s state-law claims against him were
not preempted. Id. at 722-74. In so holding, we relied primarily on the Fifth
Circuit’s decision in Perkins v. Time Insurance Co., 898 F.2d 470 (5th Cir. 1990),
which held that
a claim that an insurance agent fraudulently induced an insured to
surrender coverage under an existing policy, to participate in an
ERISA plan which did not provide the promised coverage, ‘relates to’
that plan only indirectly. A state law claim of that genre, which does
not affect the relations among the principal ERISA entities (the
employer, the plan fiduciaries, the plan, and the beneficiaries) as
such, is not preempted by ERISA.
Id. at 473. The Fifth Circuit in Perkins reasoned—and we agreed—that Congress
did not intend to “immunize agents from personal liability for their solicitation of
potential participants in an ERISA plan prior to its formation.” Morstein, 93 F.3d
at 722 (quoting Perkins, 898 F.2d at 473). We therefore held that “when a state
law claim brought against a non-ERISA entity does not affect relations among
principal ERISA entities as such, then it is not preempted by ERISA.” Morstein,
93 F.3d at 722 (emphasis added). This included Morstein’s claims, as the
33
defendant agent plainly was not an ERISA entity.
In Morstein, we also explained why we thought it unlikely that Congress
intended to preempt the type of claims at issue in that case:
[E]conomic impact alone is not necessarily enough to preempt a state
law. Therefore, the possibility that insurance premiums will be
higher or that insurance will be more difficult to obtain because
independent agents will have less incentive to sell insurance to
employers whose employee benefit plans will be governed by ERISA,
does not provide a reason to preempt state laws that place liability on
agents for fraud. These same agents currently face the threat of state
tort claims if they make fraudulent misrepresentations to individuals
and entities not governed by ERISA. To hold these agents
accountable in the same way when making representations about an
ERISA plan merely levels the playing field.
Allowing preemption of a fraud claim against an individual
insurance agent will not serve Congress’s purpose for ERISA. . . .
Congress enacted ERISA to protect the interests of employees and
other beneficiaries of employee benefit plans. To immunize
insurance agents from personal liability for fraudulent
misrepresentation regarding ERISA plans would not promote this
objective. If ERISA preempts a beneficiary’s potential cause of
action for misrepresentation, employees, beneficiaries, and employers
choosing among various plans will no longer be able to rely on the
representations of the insurance agent regarding the terms of the plan.
These employees, whom Congress sought to protect, will find
themselves unable to make informed choices regarding available
benefit plans where state law places the duty on agents to deal
honestly with applicants.
Id. at 723-24 (citations omitted). This reasoning can be applied to the instant case
as well. After all, the plaintiffs allege that Mass Mutual, like the independent
agent in Morstein, made misrepresentations in the sale of an insurance policy.
34
And when an insurer is not acting in its capacity as an ERISA entity, we can see
no reason that Congress would have sought to immunize it from liability for fraud
or similar state-law torts. For conduct such as that alleged by the plaintiffs,
insurers currently face the threat of suit under state law by non-ERISA entities.15
To hold them accountable in this context, therefore, “merely levels the playing
field,” and any indirect economic impact such claims may have on plans governed
by ERISA is not by itself sufficient to establish complete preemption. Id. at 723.
Indeed, just like the judgment against the independent insurance agent in
Morstein, a judgment against Mass Mutual will have no direct economic impact on
any ERISA plan.
Finally, Engelhardt v. Paul Revere Life Insurance Co., 139 F.3d 1346 (11th
Cir. 1998), which addressed both defensive and complete preemption, is relevant
here. There, the plaintiff (Engelhardt) disclosed glaucoma as a preexisting
15
See e.g., Vos v. Farm Bureau Life Ins. Co., 667 N.W. 2d 36, 46-55 (Iowa 2003)
(upholding the denial of class certification of vanishing premium claims because the state-law
misrepresentation claims raised too many individualized questions of fact); Banks v. N.Y. Life
Ins. Co., 737 So. 2d 1275, 1283 (La. 1999) (holding that the trial court abused its discretion in
certifying a vanishing premium class action because the state-law misrepresentation claims raised
too many individualized issues); Varacallo v. Mass. Mut. Life Ins. Co., 752 A.2d 807 (N.J.
Super. A.D. 2000) (ordering class certification of vanishing premium policyholders’ state-law
fraud claims); Gaidon v. Guardian Life Ins. Co., 725 N.E. 2d 598, 608 (N.Y. 1999) (holding that
vanishing premium sales practices, as pled, “fall[] within the purview” of the state deceptive
business practices statute but do “not constitute a ‘misrepresentation or material omission’
necessary to sustain a cause of action for fraud”).
35
condition in his application for disability insurance through his employer. After
reviewing Engelhardt’s application, the insurer (Paul Revere) requested that he
sign an amendment to the policy excluding disability related to “either or both
eyes.” Engelhardt, however, insisted that only glaucoma-related disability should
be excluded. The independent agent who sold the policy agreed that the exclusion
should be so interpreted, and Paul Revere sent Engelhardt a letter confirming the
same. When Engelhardt suffered a detached retina, however, Paul Revere relied
on the exclusion to deny his claim for benefits. Engelhardt then sued Paul Revere
in state court for fraudulent inducement, and Paul Revere removed the case to
federal court under the complete preemption doctrine. The district court granted
Engelhardt’s motion to remand, concluding that complete preemption did not
exist. See id. at 1348-50.16
16
For clarity, the statement of Engelhardt’s facts given in the text is somewhat simplified.
After the case was removed to federal court, Engelhardt moved to remand his fraud claim and
also amended his complaint to bring a separate ERISA claim. During discovery, Paul Revere
discovered a memo supporting Engelhardt’s claim and therefore tendered past disability benefits,
which Engelhardt accepted. Paul Revere also offered to discuss the possibility of reimbursing
Engelhardt for reasonable costs and attorney’s fees. There was no formal settlement agreement,
however. Paul Revere then moved for summary judgment on both of Engelhardt’s claims,
arguing that the parties had settled the ERISA claim and that the fraud claim was preempted.
The district court agreed that the parties had reached a “de facto settlement” of the ERISA claim
and accordingly dismissed it (although it also retained jurisdiction over the issues of attorney’s
fees and the proper interest rate on the back benefits). The district court concluded, however,
that the fraud claim was not completely preempted and therefore granted Engelhardt’s motion to
remand that portion of the case to state court. Specifically, the district court concluded that
because Engelhardt was not a “beneficiary” and therefore lacked standing to sue under ERISA.
See Engelhardt, 139 F.3d at 1348-50.
36
On appeal, we reversed and held that Engelhardt’s state-law claim was
completely and defensively preempted. On the defensive preemption issue, we
distinguished Morstein as follows: “[u]nlike the independent insurance agent and
agency in Morstein, Paul Revere is an ERISA fiduciary, and thus an ‘ERISA
entity,’ because it had the exclusive authority to determine eligibility for benefits
under the plan and to review denied claims.” Id. at 1352. We then elaborated on
this distinction:
Engelhardt’s suit “affects the relations among principal ERISA
entities as such” and “relates to” an ERISA plan for a number of
reasons. First, as noted above, Engelhardt’s suit is against an ERISA
entity. Second, Paul Revere had assumed its role as an ERISA entity
and [the] ERISA plan had been established before, albeit only shortly
before, Paul Revere made its alleged misrepresentations to an
individual regarding the scope of coverage under the ERISA plan.
Third, the impetus for Engelhardt’s suit was Paul Revere’s decision in
its role as an ERISA entity to deny Engelhardt’s claim for benefits
under the ERISA plan. Although Engelhardt initially attempted to
On appeal, we noted an “internal inconsistency” in the district court’s order—specifically,
between, on the one hand, its determination that Engelhardt lacked standing to sue under ERISA
and, on the other, its exercise of jurisdiction over the ERISA claim. We explained that there
were two ways that the district court could have resolved the jurisdictional issue: First, it might
have held that Engelhard’s fraud claim was not completely preempted, which would have meant
that it lacked jurisdiction over that claim as well as the subsequently added ERISA claim.
Alternatively, it might have found that the state-law claim was completely preempted, which
would have given it jurisdiction over both claims. By exercising jurisdiction over the ERISA
claim and then determining in essence that it lacked jurisdiction over the whole case from the
start, however, the district court improperly “merged these options.” Id. at 1350 n.3. As we
explained, the district court’s (erroneous) “conclusion . . . that Engelhardt lack[ed] standing to
bring an ERISA claim should have led [it] to conclude that complete preemption [did] not apply .
. . and that the state law fraudulent inducement claim was thus not removable to federal court.”
Id.
37
challenge the denial through Paul Revere’s appeals process,
Engelhardt ultimately abandoned that approach and filed this lawsuit.
Fourth, as a result of documents produced during the discovery
process, Paul Revere determined that its denial of benefits was
improper and decided to pay Engelhardt the ERISA benefits he had
been seeking all along.
Id. at 1352-53 (emphasis added) (footnote omitted) (quoting Morstein, 93 F.3d at
722). Thus, we emphasized that the suit was between ERISA entities “as such,”
that Paul Revere “assumed its role as an ERISA entity” prior to the alleged fraud,
and that the suit was really about Paul Revere’s denial of benefits “in its role as an
ERISA entity.” Id. In other words, we did not simply establish that Paul Revere
was an ERISA entity at some point or for some purposes; rather, we emphasized
that Engelhardt’s complaint alleged misconduct by Paul Revere in that capacity.
Having determined that Engelhardt’s suit related to an ERISA plan and was
thus defensively preempted, we also held that it was completely preempted for
three reasons: First, the parties were “ERISA entities whose relationship became
strained when Paul Revere denied Engelhardt’s claim for benefits under the
ERISA plan”—i.e., “precisely the types of parties who Congress intended to
litigate under § 1132(a)” and “precisely the type of dispute that the statute was
intended to resolve.” Id. at 1353. Second, Engelhardt’s claim was “essentially a
challenge to Paul Revere’s refusal to pay benefits.” Id. at 1354. Third, Engelhardt
38
did not seek to rescind his contract but instead sought benefits allegedly owed him
under its terms. Id. Thus, the district court had jurisdiction over Engelhardt’s
state-law claim and should have dismissed it as preempted under § 514.
Thus, again, we did not rely simply on Paul Revere’s general status as an
“ERISA entity.” Rather, we thought it necessary to show that Paul Revere was
acting in that role when the alleged fraud took place and when it subsequently
denied Engelhardt’s claim for benefits, and we noted that the dispute concerned a
denial of benefits under an ERISA plan. In contrast, in the instant case, we agree
that Mass Mutual is not a fiduciary for any purpose other than making benefit
determinations, a function that is not at issue in this lawsuit. Thus, it was not
acting “in its role as an ERISA entity” at the time the plaintiffs allege that it
fraudulently induced them to buy the vanishing premium life insurance policies at
issue here. As such, this lawsuit does not seem to “affect[] . . . relations among
principal ERISA entities as such” but instead affects only the relationship between
two policyholders and their insurer. Id. at 1352. Nor is the suit “essentially a
challenge to [a] refusal to pay benefits” under an ERISA plan. Id. at 1354.
Benefits have not yet become due under the policy, and from the plaintiffs’
perspective the problem is that the terms of the policy themselves do not match
Mass Mutual’s earlier representations.
39
Moreover, as noted above, the Engelhardt court also relied on the fact that
“Paul Revere had assumed its role as an ERISA entity and [the] ERISA plan had
been established before, albeit only shortly before, Paul Revere made its alleged
misrepresentations.” Id. at 1352. Along these lines, in Franklin v. QHG of
Gadsden, Inc., 127 F.3d 1024 (11th Cir. 1997), we commented that, “unlike the
circumstances in Morstein, [the plaintiff and the defendant] were ERISA entities at
the time the alleged fraudulent misrepresentations were made.” Id. at 1029. In
Butero, however, we described Franklin’s comment as a mere “suggest[ion] in
dicta . . . that an insurance company allegedly obligated to pay benefits under a
plan is not considered an ERISA entity if the complaint alleges pre-policy fraud.”
Butero, 174 F.3d at 1213 n.3. Furthermore, we expressed some “doubt that
ERISA status can be so cleanly switched on and off” when a plaintiff claims to be
due benefits under an ERISA plan, and the insurer’s decision denying those
benefits was plainly made in its fiduciary capacity. Id. We agree with Butero’s
statement that a plaintiff cannot avoid complete preemption simply by alleging
pre-policy fraud only. (The plaintiffs here, of course, allege that
misrepresentations were made both before and after the plan was established.)
However, we do think that the fact that misconduct is alleged to have begun at a
time when the defendant could not possibly have been acting as an ERISA
40
fiduciary at least suggests that the suit may not be against the insurer-qua-
fiduciary.17
Franklin and Hall v. Blue Cross/Blue Shield of Ala., 134 F.3d 1063 (11th
Cir. 1998), also require brief mention, but, as a district court in this circuit recently
concluded, their analyses are not altogether consistent with Butero, and they are
therefore less helpful to us here. See generally Wilson, 284 F. Supp. 2d at 1330-
42. In Franklin, the plaintiff (Franklin) alleged that she accepted a position with
the defendant hospital on the condition that her husband would continue to receive
the same home nursing care provided under her former employer’s plan. Two-plus
years later, however, the hospital informed Franklin that it was discontinuing
coverage for home nursing care; in doing so, it relied on a clause in the plan that
reserved to it the right to reduce or terminate coverage at any time. Franklin then
17
In its order denying the plaintiffs’ motion to remand, the district court noted that “the
record . . . indicates that other executive officers of BEI obtained similar benefits from other
similar policies written by Mass Mutual.” This finding relied on an affidavit submitted by Mass
Mutual that the district court later struck in its order imposing sanctions under Fed. R. Civ. P. 37.
On appeal, the plaintiffs argue that this affidavit was not only stricken, but was also false, and
that the plan is a two-beneficiary plan that covers the plaintiffs only. Mass Mutual, in contrast,
argues that the affidavit was accurate and that the plan extends to other BEI executive officers.
In any event, we note that neither the contested affidavit nor Mass Mutual’s Memorandum in
Opposition to Plaintiffs’ Motion to Remand lists a policy with an effective date prior to those of
the plaintiffs’ policies. Thus, even if the plan covers persons other than the plaintiffs, we assume
that the plaintiffs were the first participants in the plan and that the plan began on the effective
date of the first policies they purchased. This distinguishes this case from Englehardt because the
plan in that case was created before the allegedly fraudulent misrepresentations were made. See
Engelhardt, 139 F.3d at 1353 n.7.
41
sued in state court, alleging that the hospital fraudulently induced to leave her
former employment by promising to provide the same level of home nursing care
provided by her former employer’s plan. The hospital removed the case to federal
court under the complete preemption doctrine, and the district court denied
Franklin’s motion to remand and ultimately entered summary judgment in favor of
the hospital on the ground that Franklin’s state-law claims were completely and
defensively preempted. Franklin, 127 F.3d at 1026-27.
On appeal, we affirmed. This result is consistent with Butero: the hospital,
in its role as an ERISA fiduciary, discontinued benefits under an ERISA plan, and
Franklin, a beneficiary, responded by filing a lawsuit that essentially sought to
recover benefits under the terms of that plan—that is, she sought “compensatory
relief akin to that available under § 1132(a).” Butero, 174 F.3d at 1212.
Franklin’s analysis, however, focused almost entirely on § 514’s defensive
preemption test—that is, whether the plaintiff’s state-law claims “related to” an
ERISA plan. See Franklin, 127 F.3d at 1027-29. The Franklin court did begin its
analysis correctly by recognizing that “the jurisdictional issue . . . turns on whether
the plaintiffs are seeking relief that is available under [ERISA § 502(a)],” id. at
1028 (quoting Kemp, 109 F.3d at 712), but the rest of the opinion addresses only §
514’s “relate to” standard. And, after noting that a “state law relates to an
42
employee benefit plan ‘if it has a connection with or reference to such a plan,’”
Franklin, 127 F.3d at 1028 (quoting N.Y. Conference of Blue Cross & Blue Shield
Plans v. Travelers Ins. Co., 514 U.S. 645, 656, 115 S. Ct. 1671, 1677, 131 L. Ed.
2d 695 (1995)), the court held that the plaintiff’s state-law claims were completely
preempted because they had such a “direct connection to the administration of
medical benefits under an ERISA plan,” Franklin, 127 F.3d at 1029.
This analysis is not consistent with Butero’s complete preemption rule,
which holds that a state-law claim is completely preempted only where all four
“elements” of complete preemption are present. Butero, 174 F.3d at 1212.
Butero, moreover, explicitly recognizes that state-law claims may be defensively
preempted under § 514 but still not completely preempted under § 502—that is,
that defensive preemption is broader than complete preemption. Id. Thus, if a
court determines that state-law claims are not defensively preempted, it necessarily
follows that they are not completely preempted.18 But the converse is not true, so
a court cannot hold that state-law claims are completely preempted simply because
they “relate to” an ERISA plan.
18
In such a case, the court’s determination that state-law claims are not defensively
preempted would have no res judicata effect because the court would simply dismiss for lack of
subject matter jurisdiction. The defensive preemption analysis would simply assist the court in
its complete preemption analysis.
43
In Hall, the plaintiff (Hall) alleged that the defendant insurer (Blue Cross)
assured her that although known preexisting conditions would not be covered
during the first 270 days of her new medical plan, any other condition that arose
during the period would be covered; however, when Hall required surgery to
remove an ovarian mass during the 270-day period, Blue Cross denied her claim
even though the mass was not a known preexisting condition. Hall then filed suit
in state court, asserting three fraud-related claims, and Blue Cross removed on the
basis of complete preemption. The district court denied Hall’s motion to remand,
and granted Blue Cross’s motion to dismiss, holding that Hall’s claims were
defensively and completely preempted. Hall, 134 F.3d at 1064.
On appeal, we affirmed. This result is also consistent with Butero: Blue
Cross, in its role as a fiduciary, denied a claim for benefits under the terms of an
ERISA plan, and Hall, a beneficiary, responded by filing a lawsuit that essentially
sought benefits under the terms of that plan—that is, she sought “compensatory
relief akin to that available under [ERISA § 502(a)].” Butero, 174 F.3d at 1212.
The court, however, relied primarily on Franklin, and its analysis focused entirely
on § 1144’s defensive preemption standard. See Hall, 134 F.3d at 1065-66.
Thus, Hall and Franklin reach results that are consistent with Butero, but
they employ analyses that are inconsistent with the rule it established. In Wilson
44
v. Coman, 284 F. Supp. 2d 1319 (M.D. Ala. 2003), the court addressed this
inconsistency at length and concluded (a) that while Butero “provides the proper
standard for analyzing the question of complete preemption in the Eleventh
Circuit,” (b) that standard is in direct conflict with Franklin, and (c) “since
Franklin is an earlier panel decision . . . , under the prior panel rule,” he was bound
to follow Franklin and not Butero. Id. at 1329. We agree that the analysis of
Franklin, the earlier case, conflicts with that of Butero, the later one, but we do not
think that the prior panel rule obliges us to follow Franklin. The reason is that our
pre-Franklin cases are consistent with Butero. For example, in Kemp v. Int’l Bus.
Mach. Corp., 109 F.3d 708 (11th Cir. 1997), we held that the complete preemption
question “turns on whether the plaintiffs are seeking relief that is available under
[§ 502(a)]” and that “[a]n ordinary ERISA preemption defense, even if valid, is
not enough to create federal question jurisdiction,” and we analyzed the complete
preemption issue without reference to § 514’s “relate to” standard. Id. at 711-14.
Indeed, in declining the defendant’s invitation to reach the defensive preemption
issue, we explained, “We cannot decide whether the plaintiffs’ claims relate to an
ERISA plan . . . because we have no jurisdiction over this case. The defense of
ordinary ERISA preemption, by itself, does not create federal question
jurisdiction.” Id. at 714 (emphasis added). Similarly, in Brown v. Conn. Gen.
45
Life Ins. Co., 934 F.2d 1193 (11th Cir.), we distinguished defensive preemption
under § 514 and complete preemption under § 502(a). See id. at 1195-96; id. at
1197-99 (Johnson, J., dissenting). And in our most recent complete preemption
case (issued after the district court’s decision in Wilson), we again held that a
claim is not completely preempted under § 502(a) simply because it is defensively
preempted under § 514; indeed, we specifically stated that “the district court erred
in deciding the [complete] preemption issue by applying the defensive preemption
analysis.” Ervast v. Flexible Products Co., 346 F.3d 1007, 1013 (11th Cir. 2003).
Thus, we are not bound by the analyses of Franklin and Hall; rather, we will apply
the complete preemption rule set out in Butero.
B.
In this section, we state briefly what is likely clear at this point: The claims
of the plaintiffs in this case are unlike those of plaintiffs in past cases in which we
have held complete preemption to apply because they “do[] not affect . . . relations
among principal ERISA entities . . . as such,” Perkins, 898 F.2d at 473, or concern
Mass Mutual’s conduct in its capacity as an ERISA fiduciary. Nor do the
plaintiffs “seek compensatory relief akin to that available under [§ 502(a)],”
Butero, 174 F.3d at 1212, because they seek damages based on fraud in the sale of
insurance policies, not benefits alleged to be due under the terms of the plan itself.
46
Because of these differences, this case proves to be an exception to our
general rule of thumb that “claims against an insurer for fraud or fraud in the
inducement to purchase a policy are in essence claims ‘to recover benefits due to
[the beneficiary] under the terms of the plan.’” Id. at 1213 (quoting ERISA §
502(a)(1)(B)). “From the Butero opinion, it is apparent that [the plaintiff in that
case] sought to recover insurance benefits that she believed she was entitled to as a
result of [her husband’s] death.” Wilson, 284 F. Supp. 2d at 1334. In contrast,
Cotton and Eickhoff are “very much alive” and are “not seeking actual death
benefits” from Mass Mutual. Id. “In essence,” they are suing Mass Mutual for its
“alleged fraudulent and negligent conduct, which caused [them] to suffer
economic losses.” Id. at 1336. “What [they] are not suing . . . for is a refusal to
pay benefits under the terms of the . . . life insurance policies . . . . This fact
distinguishes the instant case from Butero.” Id. (emphasis added).19 It also
19
Wilson was in many respects similar to the instant case. There, the plaintiff (Wilson)
had obtained life insurance from Southern Insurance. The defendants, Loyal American Life
Insurance and its agents, persuaded her to switch to a Loyal American policy offered through her
employer as part of a plan governed by ERISA. Wilson alleged that Loyal American failed “to
advise her that her existing policies would remain in effect and that she would continue to owe
premiums on [them].” As a result, she stopped making payments to Southern, Southern began
deducting premiums from the policies’ accumulated cash surrender value, and she ultimately
suffered a loss due to the depletion of the cash value built up in those policies. She also alleged
Loyal American “failed to advise her that the new policies provided lesser benefits, but for a
higher premium because of her age” and “committed fraud in misrepresenting the length of time
that surrender charges would be applicable to her Loyal American policy,” as well as the amount
of those charges. Wilson, 284 F. Supp. 2d at 1328-29.
Based on this description of Wilson’s complaint, we agree that her core claim was that
47
distinguishes it from cases such as Engelhardt, Franklin, and Hall, because in each
of those cases the plaintiff was actually contending to be due a benefit that could
be identified within the terms of his or her policy—namely, a disability benefit
(Engelhardt), home nursing care (Franklin), and reimbursement for healthcare
expenses (Hall).
More important with respect to the ERISA claims at issue here, our case law
in this area supports our conclusion that Mass Mutual was not acting in its
fiduciary capacity for any purpose relevant to the plaintiffs’ § 502(a) claims. In
Butero, Engelhardt, Franklin, and Hall, there were actual decisions denying
benefits under the relevant plan. When an insurer makes such a decision, it is
Loyal American “caused her to suffer economic loss, neither in the form of a denial of benefits
nor in a denial of rights under her policy, but in the fact that she was worse off economically after
. . . agreeing to purchase the Loyal American policy. . . . In essence, [she sought] damages for an
agreement that she entered into based on allegedly false representations, but not for the actual
death benefits of her policy.” Id. at 1329. The district court stated that it would have held that
such a state-law claim is not completely preempted under Butero, but felt itself bound to reach
the opposite result under Franklin’s analysis. As we explain above, Franklin’s analysis was not
controlling.
In concluding that the state-law claim was not completely preempted under Butero, the
district court found Towne v. National Life of Vermont, Inc., 130 F. Supp. 2d 604 (D. Vt. 2000),
to be persuasive. In Towne, as part of a plan governed by ERISA, the plaintiffs purchased whole
life insurance policies from a National Life agent. They alleged that the agent “intentionally
deceived them about the nature of the Plan in order to induce them to invest in it.” Id. at 606.
Specifically, they claimed that he misrepresented the effect of a decision to withdraw from the
plan. The district court held that such a claim was not completely preempted because the
plaintiffs did not seek relief available under ERISA § 502(a). That is, they did not seek any
benefit described in the plan itself. “Rather, they claim[ed] simply that [National Life]
fraudulently concealed the terms and conditions of the . . . Plan in order to induce them to invest
in it, and they [sought] only to be returned to the status quo prior to their adoption of the Plan.”
Id. at 608.
48
plainly wearing its fiduciary hat, and the beneficiary may challenge the correctness
of the decision according to the terms of the ERISA plan. Here, in contrast, as the
district court correctly concluded, the terms of the plan documents “are clear and
unambiguous,” and the plaintiffs are not entitled to relief under them. Nor do their
allegations, if properly characterized and understood, seek relief under the plan or
challenge any action by Mass Mutual in its fiduciary capacity. This distinguishes
the case from those in which we reasoned that the plaintiff was essentially
challenging an insurer’s denial of benefits.
The plaintiffs claims are instead more like those asserted against the
independent insurance agent in Morstein. We are, of course, aware that Mass
Mutual is in many respects different from such an agent and would be considered
a fiduciary for some purposes, but, as we explain above, fiduciary status under
ERISA is a functional concept, and in this case Mass Mutual was performing a
function similar to that performed by the agent in Morstein or professionals who
provided ministerial plan-related services in other cases. Therefore, it was not
wearing its fiduciary hat in any situation relevant to this lawsuit. Thus, while the
case does in one sense affect relations among parties who are ERISA entities, it
“does not affect . . . relations among the principal ERISA entities . . . as such.”
Perkins, 898 F.2d at 473. Moreover, just as in Morstein, the plaintiffs’ state-law
49
claims, if proven, should have only had an indirect economic impact on any
ERISA plan, and allowing state-law claims against Mass Mutual on the same basis
that they are permitted outside of the ERISA context “merely levels the playing
field.” Morstein, 93 F.3d at 723.
IV.
When it denied the plaintiffs’ motion to remand, the district court held that
the plaintiffs’ state-law claims were completely preempted. As a technical matter,
“a decision regarding complete preemption does not decide the issue of defensive
preemption” because “defensive preemption is a substantive issue that must be
decided by a court with competent jurisdiction.” Ervast, 346 F.3d at 1013 n.7.
Thus, if a district court remands to state court claims that are not completely
preempted, the defendant may still attempt to raise ERISA § 514 preemption as a
defense in the state court. As a practical matter, however, because defensive
preemption is significantly broader than complete preemption, a district court’s
determination that a claim is completely preempted does resolve the defensive
preemption issue. As we held in Butero, “[i]f the plaintiff’s claims are [completely
preempted], then they are also defensively preempted.” 174 F.3d at 1215. Thus,
we agree with Mass Mutual that the district court’s order denying the plaintiffs’
motion to remand is inconsistent with its subsequent decision allowing them to file
50
an amended complaint asserting all of the same state-law claims.
Mass Mutual argues that all of the discovery requests that ultimately led to
discovery sanctions related solely to the state-law claims. Therefore, the argument
goes, the earlier order to compel was itself an abuse of discretion. When a district
court imposes sanctions under Fed. R. Civ. P. 37(b), “the propriety of [the
sanctions] depends in large part on the propriety of the earlier compel order.”
Chudasama v. Mazda Motor Corp., 123 F.3d 1353, 1366 (11th Cir. 1997). Thus,
“[i]n evaluating whether a district court abuses its discretion when it imposes
severe sanctions upon a party that violates an order, we believe that an important
factor is whether the entry of that order was itself an abuse of discretion.” Id.
This is not to say, however, that sanctions based on erroneous discovery orders
will never be upheld. “Because we expect litigants to obey all orders, even those
they believe were improvidently entered, sanctions will very often be sustained,
particularly when the infirmity of the violated order is not clear and the sanctions
imposed are moderate.” Id. at 1366 n.34.
In Chudasama, we noted that a “[f]ailure to consider and rule on significant
pretrial motions before issuing dispositive orders can be an abuse of discretion.”
Id. at 1367. We also instructed that “[f]acial challenges to the legal sufficiency of
a claim or defense . . . should . . . be resolved before discovery begins,” id.,
51
especially when the challenged claim will significantly expand the scope of
allowable discovery, id. at 1368. This is so because every claim has the potential
to enlarge the scope and cost of discovery. Id. “If the district court dismisses a
nonmeritorious claim before discovery has begun, unnecessary costs to the
litigants and to the court system can be avoided.” Id. Given the relationship
between complete and defensive preemption, it was an abuse of discretion for the
district court to delay ruling on Mass Mutual’s challenges to the plaintiffs’ state-
law claims. Indeed, the court declined to resolve this issue not only when the state-
law claims reappeared in the plaintiffs’ amended complaint, but also when Mass
Mutual raised it again in the context of the later motion to compel. That we
disagree with the district court’s initial ruling that the state-law claims were
completely preempted does not alter our analysis in this Part. We assume the
correctness of that ruling for the purpose of addressing the court’s compel order
and order imposing sanctions, since those orders were entered on the assumption
that the plaintiffs’ state-law claims were, in fact, completely preempted. The
default sanction is, of course, mooted by our determination that the plaintiffs
cannot establish liability under ERISA, but the order requiring Mass Mutual to pay
a part of the plaintiffs’ reasonable costs and attorneys fees remains and should be
revisited on remand.
52
Even if the district court’s failure to rule on Mass Mutual’s preemption
defense to the state-law claims was an abuse of discretion, we do not think that
necessarily means that the compel order was also an abuse of discretion. Although
Mass Mutual has repeatedly asserted that the discovery requests that led to the
compel order related only to the state-law claims, the plaintiffs deny that this was
the case, and it does not appear that the district court ever explicitly agreed with
Mass Mutual that the ERISA claims did not by themselves justify the compel
order. If Mass Mutual had been wearing its fiduciary hat for any purpose relevant
to the plaintiffs’ allegations, the material covered by the compel order could have
been relevant to the plaintiffs’ breach of fiduciary duty claims. The central theory
of these claims is that “[l]ying is inconsistent with the duty of loyalty owed by all
fiduciaries and codified in section 404(a)(1) of ERISA.” Varity Corp. v. Howe,
516 U.S. 489, 506, 116 S. Ct. 1065, 1075, 134 L. Ed. 2d 130 (1996) (quoting
Peoria Union Stock Yards Co. v. Penn Mut. Life Ins. Co., 698 F.2d 320, 326 (7th
Cir. 1997)). In the district court, Mass Mutual argued that the only documents
relevant to the such a claim are formal plan documents and perhaps any informal
documents that the plaintiffs actually reviewed. We think that Mass Mutual’s
view of the discovery relevant to such a claim is too narrow. While it is true that
the district court could have resolved the plaintiffs’ § 502(a)(1)(B) claim solely by
53
reference to the plan documents, the plaintiffs’ breach of fiduciary duty theory
justified additional discovery into whether Mass Mutual intentionally defrauded or
misled them and thus breached the fiduciary “duty of loyalty . . . codified in
section 404(a)(1) of ERISA.”
In Varity, for example, § 502(a)(3) liability was premised on the fiduciary-
employer’s “falsely optimistic forecasts about its new venture’s prospects for
success,” which were intended to persuade its employees that they would not
undermine the security of their benefits by transferring to the newly formed
subsidiary. Varity, 516 U.S. at 537, 116 S. Ct. at 1089 (Thomas, J., dissenting).
To establish that the forecasts were in fact “falsely optimistic,” the Varity
plaintiffs apparently introduced evidence that management itself expected the new
subsidiary to fail and sought to convince them to switch employment specifically
so that the company could rid itself of its ERISA obligations to them. See Varity
Corp. v. Howe, 36 F.3d 746, 748-50 (8th Cir. 1994). To prevail on a similar
theory in this case, the plaintiffs would have needed to show that Mass Mutual,
acting in its fiduciary capacity, presented falsely optimistic policy illustrations that
it essentially knew overstated the benefits that the policies could be expected to
produce. We express no opinion as to what exactly the plaintiffs would have had
to show to prevail on such a claim, but we do not see how they could have even
54
begun to do so without discovery regarding the methodologies, assumptions, and
data Mass Mutual used to produce the policy illustrations and Mass Mutual’s
internal communications regarding the marketing and economics of vanishing
premium policies.
From the record and the orders below, it is difficult to discern the precise
basis of the compel order. Because the district court apparently thought that all of
the original state-law claims could survive even though completely preempted, it
never clarified whether the compel order related to the those claims, the new
ERISA claims, or both. On remand, the district court should revisit this issue. If,
as Mass Mutual contends, the plaintiffs had everything they needed to proceed on
a Varity/Peoria Union-type breach of fiduciary duty claim, then the compel order
must have related solely to the no longer viable (under the district court’s order
denying the plaintiffs’ motion to remand) state-law claims and was an abuse of
discretion because the failure to dismiss those claims was itself an abuse of
discretion. The question whether a finding of complete preemption compelled an
additional finding of defensive preemption was a straightforward question of law,
and the district court’s decision not to answer it cannot be justified. Thus, if the
court’s decision not to decide significantly increased the burden of discovery, then
any significant sanctions it imposed were an abuse of discretion because “the
55
infirmity of the violated order” in that case would be “clear.” Chudasama, 123
F.3d at 1366 n.34. If, however, as the plaintiffs’ claim, the compel order related
not only to the state-law claims but also to the breach of fiduciary duty claims
under ERISA, then it was not an abuse of discretion, at least to the extent that was
justified by the ERISA claims. And if the compel order was not itself an abuse of
discretion, then sanctions for a willful, “bad faith” violation of it would be well
within the district court’s “broad discretion to fashion appropriate sanctions for
violation of discovery orders.” Malautea v. Suzuki Motor Co., 987 F.2d 1536,
1542 (11th Cir. 1993).
V.
For the foregoing reasons, we REVERSE the judgment of the district court
in favor of the plaintiffs under ERISA § 502(a)(2). Because the plaintiffs cannot
establish that Mass Mutual is an ERISA fiduciary for any purpose relevant to their
amended complaint, all ERISA claims should be dismissed with prejudice. We
VACATE the district court’s order imposing sanctions under Fed. R. Civ. P. 37(b)
and REMAND with the instruction that the district court should consider what, if
any, sanctions are appropriate in light of this opinion.
56