IN THE SUPREME COURT OF THE STATE OF NEW MEXICO
Opinion Number: 2010-NMSC-014
Filing Date: March 4, 2010
Docket No. 31,329
STELLA R. KIRBY,
Plaintiff-Petitioner,
v.
GUARDIAN LIFE INSURANCE COMPANY
OF AMERICA,
Defendant-Respondent.
ORIGINAL PROCEEDING ON CERTIORARI
Ralph D. Shamas, District Judge
Mettler & Lecuyer, P.C.
Earl R. Mettler
Shiprock, NM
for Petitioner
Modrall, Sperling, Roehl, Harris & Sisk, P.A.
Donald A. Decandia
Albuquerque, NM
for Respondent
OPINION
BOSSON, Justice.
{1} Wrongfully denied her disability benefits, a former employee obtained a judgment
against her employer’s long-term disability plan based on rights accorded under the federal
Employee Retirement Income Security Act of 1974 (ERISA), 29 U.S.C. §§ 1001 to 1461
(2000). The employee seeks to enforce that judgment by way of a writ of garnishment
against the insurer whose insurance policy funded the employer’s disability plan. The
district court granted the writ of garnishment against the insurance company, but the Court
1
of Appeals reversed, concluding that the employee’s case did not fit its understanding of the
proper scope of garnishment under state law. We reverse the Court of Appeals, uphold the
writ of garnishment against the insurer, and remand to the Court of Appeals for further
proceedings.
ERISA AND THE PARTIES
{2} This case involves four parties: the plaintiff and former employee Stella Kirby
(Kirby); the former employer Adecco (Adecco); the long-term disability plan established by
Adecco to provide benefits to eligible employees (the Plan); and the defendant in this appeal
(Guardian), who is the insurer and claims fiduciary of the Plan. The present action is one
for enforcement of a writ of garnishment, but it follows a lengthy and complex procedural
history that originated almost eleven years ago with Kirby’s claim for wrongful denial of
disability benefits under ERISA. We summarize the procedural history below, but first
examine the relationship of the parties under ERISA.
{3} Congress enacted ERISA
to protect . . . the interests of participants in employee benefit plans and their
beneficiaries, by requiring the disclosure and reporting to participants and
beneficiaries of financial and other information with respect thereto, by
establishing standards of conduct, responsibility, and obligation for
fiduciaries of employee benefit plans, and by providing for appropriate
remedies, sanctions, and ready access to the Federal courts.
Section 1001(b); see also Pilot Life Ins. Co. v. Dedeaux, 481 U.S. 41, 44 (1987) (citing §
1001(b)). The statute was Congress’s response to the growing problem of employer-funded
pension plans failing to provide promised benefits to employees, most notably in the case
of the Studebaker bankruptcy, which left thousands of current and former employees without
pension benefits after years of service. Colleen E. Medill, Introduction to Employee Benefits
Law: Policy and Practice 15 n.2 (2d ed. 2007).
{4} The statute establishes a legal entity called the “employee benefit plan,” which is
designed to be independent of the employer, and is charged with managing plan funds in the
sole interest of plan participants and beneficiaries. See Boggs v. Boggs, 520 U.S. 833, 845-
46 (1997); see also § 1001(b) (stating purpose of ERISA). Employee benefit plans are of
two types: welfare benefit plans that provide for health, vacation or training, and pension
benefit plans that provide retirement income. Mackey v. Lanier Collection Agency & Serv.,
Inc., 486 U.S. 825, 827 n.1 (1988); § 1002(1)-(3). The Plan in this case is a “welfare benefit
plan,” which is defined under ERISA as a plan “established or maintained by an employer
. . . for the purpose of providing for its participants or their beneficiaries, through the
purchase of insurance or otherwise, . . . benefits in the event of sickness, accident, disability,
death or unemployment.” Section 1002(1).
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{5} ERISA allows flexibility in the exact arrangement of welfare benefit plans. For
example, under ERISA, a plan may be self-funded or funded by an insurance policy, or by
some combination thereof. Id.; see also FMC Corp. v. Holliday, 498 U.S. 52, 54 (1990)
(providing self-funded benefits to employees and their dependants). A self-funded plan
collects premiums and maintains those funds in a trust account, paying benefits from this
account to eligible plan beneficiaries. Cent. States, Se. & Sw. Areas Pension Fund v. Cent.
Transp., Inc., 472 U.S. 559, 580-82 (1985). Under an insured plan arrangement, the
insurance company collects premiums and pays benefits directly to eligible employees.
{6} In the present case, the Plan is funded by an insurance policy (hereinafter, the
“Policy”) issued by the Plan’s insurer, Guardian. Under the Policy, Guardian is responsible
for paying benefits directly to eligible beneficiaries. Under the present plan arrangement,
Guardian also serves as the claims fiduciary of the Plan with sole discretion to determine
eligibility for disability benefits. ERISA outlines the role of a fiduciary as follows:
[A] fiduciary shall discharge his duties with respect to a plan solely in the
interest of the participants and beneficiaries and . . . for the exclusive purpose
of . . . providing benefits to participants and their beneficiaries . . . with the
care, skill, prudence, and diligence under the circumstances then prevailing
that a prudent man acting in a like capacity . . . would use.
Section 1104(a)(1)(A)-(B). As fiduciary, Guardian is also responsible for complying with
ERISA’s fiduciary requirements provisions. See §§ 1002(21)(A), 1144.
{7} The employer, now Adecco,1 purchased the Policy from Guardian, which served to
establish the Plan. See Kirby v. TAD Res. Int’l, Inc., 2004-NMCA-095, ¶ 17, 136 N.M. 148,
95 P.3d 1063 (Kirby I) (stating that purchase of long-term disability insurance establishes
an ERISA plan, and citing § 1002(1)). Adecco is the plan sponsor and administrator with
the responsibility to perform various administrative functions on behalf of the Plan, but it
does not retain any discretion to make determinations on claims for benefits. Kirby I, 2004-
NMCA-095, ¶ 44. Due to its limited role in the ERISA plan arrangment, Adecco has been
properly dismissed from this case. At this stage, only Kirby, Guardian and the Plan remain
parties to the dispute.
THE PROCEDURAL HISTORY
{8} This case comes to us after more than a decade of litigation in state and federal
courts, originating with Guardian’s decision to deny Kirby’s disability benefits in 1997. In
all these years, the issue of Kirby’s eligibility for benefits under the Plan has been
1
Kirby’s employer was initially TAD Technical Services Corporation, Inc. Its name
was changed to TAD Resources International, Inc. in 1994, and that company was acquired
by Adecco in 1997.
3
overshadowed by procedural issues regarding the nature of the litigation itself. A detailed
account of the early procedural history of this case can be found in the first Court of Appeals
opinion it generated, Kirby I, 2004-NMCA-095. We highlight here only the most critical
early developments, and the progression of the case following remand by the Kirby I court.
{9} After 16 years of service to Adecco, Stella Kirby was first approved for long-term
disability benefits in 1996. In May 1997, Guardian informed Kirby that she would no longer
receive benefits, and promptly ceased making disability payments. Kirby filed her first
complaint in April 1999, in the Fifth Judicial District Court of New Mexico, naming
Guardian and Adecco as defendants, and alleging seven state-law causes of action. In
December 1999, the district court dismissed the complaint with leave to amend, on the
ground that it was preempted by ERISA, §§ 1001 to 1461. No appeal was taken from that
dismissal.
{10} Kirby timely filed a second amended complaint in December 1999, now properly
alleging a cause of action under ERISA. Critical to subsequent developments, however,
Kirby failed to name Guardian as a defendant in the second amended complaint. In
November 2000, while the second amended complaint was pending, Kirby’s first counsel
withdrew from representation on the basis of irreconcilable differences. Kirby retained new
counsel and, in February 2001, entered into a stipulation with Adecco, whereby the parties
agreed that Kirby would file a third amended complaint based on ERISA.
{11} In March 2001, Kirby filed a third amended complaint alleging a proper cause of
action under ERISA, § 1132(a)(1)(B), once again including Guardian along with Adecco,
and for the first time, the Plan, as the named defendants. Guardian moved to dismiss the
third amended complaint, arguing that Kirby had failed to name Guardian within 15 days of
the district court’s December 1999 dismissal of the first-amended complaint, as directed in
that order of dismissal. The district court granted the motion, and, in September 2001, the
third amended complaint against Guardian was dismissed with prejudice on res judicata
grounds.
{12} In February 2002, Kirby served Guardian for the first time in its capacity as
administrator of the Plan, by way of an alias summons on the third amended complaint.
Kirby also served the Plan itself by alias summons, through service upon the Secretary of
Labor. The court granted Adecco leave to amend its answer to include a third-party
complaint against Guardian, which sought indemnification from Guardian in the event
Adecco should suffer an adverse judgment.
{13} Kirby argued that re-service on Guardian as plan administrator was made only to
perfect service on the Plan. Kirby stated in the same pleading, as well as in a letter to
Guardian’s counsel, that Kirby understood and accepted the fact that Guardian was not
directly liable and that Guardian had been properly dismissed. However, this position
changed once again in November 2002, when Kirby asserted that Guardian, as insurer of the
Plan, should in fact be responsible for any judgment against the Plan.
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{14} In July 2002, the district court granted Guardian’s motion to dismiss the third-
amended complaint against it, on grounds that the complaint was barred by res judicata and
collateral estoppel. The complaint against Guardian was dismissed with prejudice.
Notwithstanding, Guardian remained a part of the litigation as a third-party defendant to the
claim against Adecco.
{15} Kirby filed a motion for default judgment against the Plan in December 2002.
Guardian defended the Plan entirely on res judicata grounds, not in defense of the Plan on
the merits. In February 2003, the district court ruled on the various motions submitted by
the parties, granting Adecco’s motion for summary judgment against Kirby, and denying
Kirby’s motion for default judgment against the Plan.
{16} In dismissing the claim against the Plan with prejudice, the court found that
[i]n reality, there is no such entity [as the Plan]. Guardian had full
discretionary authority over benefit claims, and by virtue of failing to assert
any claims against Guardian in her Second Amended Complaint, Kirby is
unable to obtain benefits from Guardian. I decline to enter a judgment
against the Plan when Kirby is precluded from recovering against the party
that funds the Plan.
Kirby appealed, resulting in the Court of Appeals Kirby I opinion.
{17} With regard to the Plan, the appellate court reversed the district court, holding that
under ERISA, Guardian and the Plan are distinct entities, such that suit could proceed
against the Plan despite Guardian’s res judicata dismissal from the case. Kirby I, 2004-
NMCA-095, ¶¶ 26-28. The court declined to decide, however, how any judgment against
the Plan would be enforced if Kirby should prevail on remand. Id. ¶ 38. As to Adecco, the
Court of Appeals affirmed its dismissal from the case, holding that since it lacked
discretionary authority to approve or deny benefits payments, it was not a proper defendant.
Id. ¶¶ 45-46. Adecco is no longer a party to this lawsuit.
{18} Kirby proceeded against the Plan, now as the sole named defendant, by way of a
September 2004 Renewed Motion to Reverse ERISA Plan Benefits Denial. Guardian was
served with a copy of this pleading, but elected not to appear at the hearing on the Motion.
The district court entered a default judgment in Kirby’s favor and against the Plan, ordering
the Plan to reinstate and pay benefits, retroactive from 1997 to the date of the order. The
judgment and order contained several findings, including that Kirby was totally disabled,
that she was entitled to benefits, and that Guardian’s denial of benefits was arbitrary and
capricious. The court also awarded attorney fees and costs against the Plan. The Plan
administrator submitted this judgment to Guardian for payment, which Guardian refused to
honor.
{19} Kirby proceeded to file suit in federal district court under ERISA, § 1132(a)(1)(B)
5
(wrongful denial of benefits) and § 1132(a)(3) (breach of fiduciary obligations), naming the
Plan, Adecco, and Guardian as defendants. See Kirby v. Long-Term Disability Plan of TAD
Res. Int’l, Inc., No. Civ. 05-402, slip op. (D.N.M., filed May 1, 2006) (“Kirby-Federal”).
The basis for all counts against Guardian was its refusal to pay Kirby in accordance with the
state default judgment. Kirby-Federal, slip op. at 7-8. The federal district court dismissed
all counts against Guardian, reasoning that in reality Kirby’s claims were not claims against
Guardian under ERISA, but rather, they were claims against Guardian to enforce the default
judgment against the Plan—a purely state law issue not implicating ERISA. See Kirby v.
Long-Term Disability Plan of TAD Res. Int’l, 2008-NMCA-154, ¶ 6, 145 N.M. 264, 196
P.3d 965 (Kirby II). Kirby appealed this decision to the U.S. Court of Appeals for the Tenth
Circuit, and that appeal was stayed, pending resolution of the present state court proceedings.
{20} In July 2006, Kirby returned once again to state court, filing an application for a writ
of garnishment against Guardian, describing the subject of garnishment as the Policy. The
district court issued the writ on August 3, 2006. Guardian submitted a form answer to the
writ, and contested Kirby’s motion for summary judgment on the garnishment claim,
arguing, inter alia, that Guardian held no property of, and owed no money to, the judgment
debtor, the Plan.
{21} In March 2007, the district court entered judgment in Kirby’s favor, granting her
motion for summary judgment on the garnishment claim, and ordering Guardian to pay all
sums awarded in the November 2004 and December 2004 awards. The court concluded that
prior orders concerning Guardian as the individual party defendant did not have preclusive
effect on the claim against Guardian as garnishee, and that the “[p]olicy imposes an
obligation on Guardian Life to pay the benefits awarded to Plaintiff.” The court found that
Kirby was entitled to “garnishment of the . . . [p]olicy.”
{22} Guardian filed a notice of appeal in March 2007, and that appeal resulted in the Court
of Appeals’ second opinion (herein referred to as “Kirby II”). The Kirby II court reversed
the district court, holding that the Guardian insurance Policy is neither an asset of, nor a debt
owing to the Plan, and thus the garnishment order did not comport with the New Mexico
garnishment statute. Kirby II, 2008-NMCA-154, ¶ 2. Kirby petitioned this Court for
certiorari, which we granted to resolve a novel question of garnishment under our state law.
DISCUSSION
{23} We granted certiorari to determine whether garnishment is an appropriate mechanism
to enforce a money judgment issued against an ERISA plan, where the subject of
garnishment is an insurance policy obligating the insurer to pay disability benefits directly
to eligible plan beneficiaries. The present dispute between Kirby and Guardian involves the
district court’s ruling granting Kirby’s motion for summary judgment on her garnishment
claim; it is not an appeal of the default judgment on the merits of her claim for wrongful
denial of benefits, which Kirby secured against the Plan under ERISA. ERISA law remains
relevant to certain portions of our analysis, but any dispute over Kirby’s eligibility for
6
disability benefits as determined in the default judgment will not be revisited here.
{24} When our Court of Appeals first heard this case, it held that the Plan was a proper
defendant to Kirby’s claim for wrongful denial of benefits. The court was not tasked with
deciding if, or how, Kirby might enforce a judgment secured against the Plan, and it rightly
avoided the question, stating,
We render no opinion on whether [Kirby], were she to obtain a judgment
against the Plan, can succeed in some action or proceeding to enforce the
judgment. That will need to be determined at the time [Kirby] attempts to
enforce any judgment she may obtain. We therefore leave for another day the
issue of whether a judgment against the Plan can ultimately be satisfied in
this case.
Kirby I, 2004-NMCA-095, ¶ 38. Nearly five years later, that “day” has finally arrived, and
in this Opinion we answer the question left open by the Court of Appeals as to “whether a
judgment against the Plan can ultimately be satisfied in this case.” Id.
{25} The federal district court in Kirby-Federal also had good reasons to avoid the
ultimate question of Guardian’s obligations to satisfy the Plan’s adverse judgment.
Concluding that ERISA made no provision for enforcement of judgments secured under §
1132, the Kirby-Federal court deferred to our state courts to determine, in accordance with
state judgment enforcement law, who has the responsibility to pay the judgment against the
Plan. Kirby-Federal, slip op. at 16-17.
{26} Now that the question is properly before our state courts, we hold that the provisions
of the Policy require Guardian to pay benefits when there is a judicial determination that a
participant/beneficiary is eligible. The Court of Appeals below held that the Policy is not
a garnishable asset of the Plan. We hold that while the Policy itself is not a garnishable
asset, the Policy imposes a legally binding obligation on Guardian, the violation of which
gives the Plan a valid right of action against Guardian. Because that right of action is not
subject to any contingency nor defeated by any defense, it may properly be garnished by
Kirby, standing in the shoes of the Plan against Guardian, to satisfy the Plan’s liability to
Kirby.
I. Under the law of garnishment the garnishor/judgment creditor acquires the
judgment debtor’s right of action against the garnishee.
{27} The district court concluded that garnishment was appropriate in this case because
the Policy is an asset of the Plan, imposing an obligation on Guardian to pay benefits
awarded to Kirby in the default judgment. Guardian contends that the garnishment statute
does not allow the Policy to be garnished in this manner, because it is neither a debt owed
to the Plan nor personal property of the Plan held by Guardian. The Court of Appeals agreed
with Guardian’s interpretation of the garnishment statute, limiting its analysis to whether the
7
Policy was a debt or personal property. Kirby II, 2008-NMCA-154, ¶ 9. In our view, this
interpretation of our state garnishment statute was unnecessarily restrictive.
{28} We turn to New Mexico garnishment law. Under NMSA 1978, Section 35-12-3
(1969), “service of a garnishment on the garnishee has the effect of attaching all personal
property, money, wages . . . rights, credits . . . and other choses in action of the defendant in
the garnishee’s possession or under his control at the time of service.” The garnishee may
contest the subject of garnishment in his answer, and if the plaintiff/garnishor fails to
controvert the answer, the garnishee will prevail by default judgment. NMSA 1978, §§ 35-
12-4, -5 (1968, as amended through 1969). If the garnishee does not dispute the
garnishment, default judgment is entered in favor of the garnishor. Section 35-12-4. The
court issuing the writ of garnishment will decide any remaining dispute between the parties
in a garnishment proceeding. Jemko, Inc. v. Liaghat, 106 N.M. 50, 53, 738 P.2d 922, 926
(Ct. App. 1987).
{29} The effect of garnishment is that the garnishor (here Kirby) is subrogated to the rights
of the judgment debtor (the Plan) as against the garnishee (Guardian), and the garnishor
cannot prevail against the garnishee unless the judgment debtor could do so. See id. at 53-
54, 738 P.2d at 926-27; Gallegos v. Espinoza , 2002-NMCA-011, ¶ 8, 131 N.M. 487, 39
P.3d 704 (citing Carpenters S. Cal. Admin. Corp. v. Mfrs. Nat’l Bank of Detroit, 910 F.2d
1339, 1341 (6th Cir. 1990)). In order to be garnishable, the subject of garnishment must be
mature, not subject to any contingency. See Gallegos, 2002-NMCA-011, ¶ 9 (citing Garland
v. Sperling, 6 N.M. 623, 632, 30 P. 925, 927 (1892), aff’d, 7 N.M. 121, 32 P. 499 (1893));
see also Beaufort Transfer Co. v. Fischer Trucking Co., 357 F. Supp. 662, 667 (D. Mo.
1973) (holding that “a debt which is conditional or dependent for its existence upon some
contingency is not a subject of garnishment”). Finally, the garnishee may assert any
defenses against the garnishor that he could have asserted in a direct action against the
judgment debtor. Gallegos, 2002-NMCA-011, ¶ 9.
{30} In support of its narrow interpretation of the statute, Guardian relies on references
in the garnishment statute, and relevant judicial rules and forms of this Court, to
“indebtedness” or “personal property,” in the hands of the garnishee. See NMSA 1978, §
35-12-1(D) (1969) (plaintiff’s affidavit must state that garnishee “is indebted to defendant
. . . or holds personal property belonging to the defendant”); Rule 4-805 NMRA (application
for writ of garnishment must state that garnishee “holds or controls money or personal
property which belongs to the judgment debtor”).
{31} While Guardian is correct to state that debts owed to, and personal property of, the
judgment debtor are proper subjects of garnishment, they are not exclusive. If we were to
limit garnishment to these two subjects, we would miss a critical analytical step: a debt or
personal property is garnishable only if the judgment debtor has a mature right of action
against the garnishee for the same. See Jemko, 106 N.M. at 55, 738 P.2d at 925 (“The test
as to whether funds in the hands of another are subject to garnishment is whether the
defendant in the original action could recover such funds directly against the garnishee.”).
8
Indeed, a “debt owed” or “personal property” could never automatically be deemed a proper
subject of garnishment, because the garnishee is free to contest the assertion that such debt
exists or is owing, or that such property in fact belongs to the judgment debtor. See § 35-12-
4.
{32} In contrast to Guardian’s restrictive reading, the garnishment statute explicitly
permits, in addition to debts and personal property, attachment of rights, credits, and other
choses in action of the Plan in Guardian’s possession. See § 35-12-3. “A chose in action is
a debt owed to a debtor or a right of action of a debtor.” Cent. Sec. & Alarm Co. v. Mehler,
1998-NMCA-096, ¶ 19, 125 N.M. 438, 963 P.2d 515 (internal quotation marks omitted)
(emphasis added); see also In re Lucas, 107 B.R. 332, 337 n.4 (D.N.M. 1989) (“A chose in
action is a thing in action, meaning the right of bringing an action or right to recover a debt
or money. It is a personal right . . . recoverable by a law suit. Blacks Law Dictionary 219
(5th ed. 1979).”).
{33} In other words, the object of garnishment is the Plan’s right of action against
Guardian for performance under the Policy. It is of no consequence that language of “rights”
and “choses in action” is not repeated throughout the statute, because once a court
determines the merits of the judgment debtor’s right of action, it is, like any judgment,
transformed into a presently owing debt (or personal property that must be surrendered,
depending on the nature of the asserted action). See Brunskill v. Stutman, 8 Cal. Rptr. 910,
915-16 (Cal. App. 2d Dist. 1960) (declaring, where liability can be determined as a matter
of law, that liability is a “debt” owing to the judgment debtor). Thus, the primary test for
whether garnishment is appropriate is whether the judgment debtor, the Plan, has a valid
right of action against the garnishee, Guardian, for the subject sought to be garnished.
II. Garnishment is limited by the requirement that the judgment debtor’s right of
action not be subject to any contingency or defense.
{34} Garnishment focuses on the right of action between the judgment debtor and the
garnishee, and is limited by the rule that a proper subject of garnishment must be presently
owing, not subject to any contingency or defense. Gallegos, 2002-NMCA-011, ¶ 9; see also
NMSA 1978, § 35-12-6 (1968) (“Debts not yet due to the defendant may be garnished, but
no execution shall be awarded against the garnishee for such debts until they become due.”).
The garnishment statute contemplates some litigation of rights in the garnishment action, as
long as those rights are mature at the time of service of garnishment. See Jemko, 106 N.M.
at 52, 738 P.2d at 924 (“The court issuing the garnishment may determine any controversy
between the parties when it can be done without prejudice to the rights of others . . . .”); §
35-12-3 (garnishment attaches all subjects of garnishment in garnishee’s possession or
control between the time of service and the filing of the answer); see also Gallegos, 2002-
NMCA-011, ¶ 9 (holding that the debt must be “‘absolutely, and unconditionally owing and
payable at the present or some future time’ when the writ is served” (quoting Garland, 6
N.M. at 632, 30 P. at 927)).
9
{35} An obvious example of a right of action subject to a contingency is a claim in tort
where damages would depend on litigation of that tort claim before any consideration of
garnishment could become ripe. See Clapper v. Petrucci, 497 S.W.2d 120, 122 (Tex. Civ.
App. 1973). Liability at the time of service is impossible to determine because the facts of
the case must be developed by the litigants and decided by a jury. See McNeilly v. Furman,
95 A.2d 267, 272 (Del. 1953) (holding that wrongful death claim, unlike a contract claim,
is not garnishable because it is not liquidated or capable of liquidation). A claim for breach
of contract may also be contingent if the claim for damages depends on a factual
determination or if performance is not substantially complete. See Able Distrib. Co. v.
Lampe, 773 P.2d 504, 510 (Ariz. Ct. App. 1989); Clapper, 497 S.W.2d at 122. However,
the garnishee’s mere denial of the judgment debtor’s right of action does not render that right
contingent. See Able Distrib. Co., 773 P.2d at 508; 6 Am. Jur. 2d Attachment &
Garnishment § 508 (2008).
{36} Unlike a tort claim, a right of action based on breach of contract is not always
contingent, because breach can sometimes be determined as a matter of law. The Arizona
opinion in Lampe involved the garnishment of a contractual right to payment, where the
garnishee asserted that the judgment debtor had not performed, and thus was not entitled to
payment. 773 P.2d at 506-07. The court deferred to the ruling of the trial court in the
garnishment action, which had concluded that the contract was substantially complete and
liability for breach could be determined as a matter of law in the garnishment proceeding.
Id. at 509. There was no future, uncertain event that would affect liability, so garnishment
was appropriate. Id.; see also Attachment & Garnishment § 98 (“A ‘contingent liability,’
which is not subject to garnishment, is one that is not certain or absolute, but hinges on some
independent event.”); Hometown Bank v. Acuity Ins., 748 N.W.2d 203, 206 (Wis. Ct. App.
2008) (“[T]he test is whether [judgment debtor] had at or since service of the writ, or in the
future certainly will have, such a cause of action . . . .”).
{37} A judgment debtor’s right of action must also survive any defense that the garnishee
might assert. See Gallegos, 2002-NMCA-011, ¶ 9. In Gallegos, the judgment debtor was
a subcontractor, and the judgment creditor sought to garnish the payment due the
subcontractor under its contract with the prime contractor. Id. ¶ 1. The subcontractor had
completed performance, so it had a mature right of action against the prime contractor for
payment. Nevertheless, the prime contractor asserted a statutory defense, arguing that
garnishment was prohibited by NMSA 1978, Section 13-4-28 (1995, repealed 2001). That
statute required subcontractors to pay their subcontractors from payment received from the
prime. Gallegos, 2002-NMCA-011, ¶ 13. The purpose of the statute was to protect all
subcontractors along the chain of payment, because attachment of any one subcontractor’s
right to payment would impact its ability to pay contractors lower on the chain. The Court
of Appeals determined that the statutory defense was valid and applicable as a matter of law,
thereby defeating the garnishment action. Id. ¶ 20.
{38} To sum up, under our garnishment statute, the garnishor steps into the shoes of the
judgment debtor as against the garnishee. Whatever the subject of garnishment, the primary
10
focus is on the right of action that the judgment debtor itself could assert against the
garnishee, in light of any contingencies or defenses. In the present case, Kirby stands in the
shoes of the Plan as against Guardian, seeking to garnish any right of action that the Plan
could claim against Guardian under the Policy. Whether garnishment is appropriate in this
case turns on the maturity of the Plan’s right of action against Guardian, and whether any
contingency of defense defeats that right of action. Because the Court of Appeals operated
from an overly restrictive premise, we perform our own analysis of how garnishment law
applies in this case.
III. The Plan’s right of action against Guardian for breach of the Policy may be
garnished.
A. Because Guardian is in breach of the Policy as a matter of law, the Plan has a
valid right of action against Guardian.
{39} Kirby seeks to enforce her judgment against the Plan by attaching its only asset: the
Policy. See Midwest Cmty. Health Serv., Inc. v. Am. United Life Ins. Co., 255 F.3d 374, 377
(7th Cir. 2001) (stating contract of insurance issued by insurer for benefit of plan is plan
asset). The Court of Appeals concluded that the Policy could not be garnished because it is
not a debt or personal property of the Plan and, in any event, requires payment of benefits
directly to plan beneficiaries, not to the Plan. Kirby II, 2008-NMCA-154, ¶¶ 9-11. We
disagree with the Court of Appeals on this first point because the analysis is incomplete; it
does not address the validity of the Plan’s right of action against Guardian. The next
argument does not persuade us because it focuses on the flow of benefits payments
established by the Policy, not on the flow of liability for breach of the Policy.
{40} We turn first to an evaluation of the Plan’s right of action against Guardian. The
Court of Appeals relied entirely on ERISA law in evaluating the Plan’s right of action
against Guardian, presumably in accordance with ERISA preemption. See id. ¶ 11; §
1144(a). The Court reasoned that the Plan does not have standing to sue under § 1132(a)(3),
and even if it did, § 1132(a)(3) only allows for equitable relief (not legal relief in the form
of damages). Kirby II, 2008-NMCA-154, ¶ 11. Thus, the Court failed to decide whether
Guardian had breached its obligations under the terms of the Policy. We do so here. In
subsection (1), we explain why ERISA does not preempt the application of our garnishment
law. In subsection (2), we analyze the present dispute under our garnishment law and
explain why Guardian’s refusal to pay benefits following the default judgment constituted
a breach of the Policy, creating a valid right of action in the Plan subject to Kirby’s writ of
garnishment.
1. An action by our state courts to enforce the default judgment is an action under
state law.
{41} ERISA is a comprehensive statute, preempting all state laws relating to employee
benefits plans. See § 1144(a); see also § 1144(c)(1) (“The term ‘State law’ includes all laws,
11
decisions, rules, regulations, or other State action having the effect of law . . . .”). ERISA
also retains original jurisdiction almost exclusively in the federal district courts to adjudicate
employee benefits disputes; concurrent state court jurisdiction extends only to claims for
wrongful denial of benefits under § 1132(a)(1)(B). See § 1132(e)(1). Kirby’s suit against
the Plan was one for wrongful denial of benefits, and so was properly prosecuted in state
court, resulting in the default judgment in Kirby’s favor. However, given the broad scope
of ERISA’s preemption provision, we first inquire whether application of our garnishment
statute is rendered inappropriate by ERISA.2 We conclude that ERISA does not preempt
Kirby’s garnishment action.
{42} ERISA preemption analysis must operate from “the starting presumption that
Congress does not intend to supplant state law.” N.Y. State Conference of Blue Cross & Blue
Shield Plans v. Travelers Ins. Co., 514 U.S. 645, 654 (1995). As the Supreme Court has held
on several occasions, “to determine whether a state law has the forbidden connection, we
look both to ‘the objectives of the ERISA statute as a guide to the scope of the state law that
Congress understood would survive,’ as well as to the nature of the effect of the state law
on ERISA plans.” Egelhoff v. Egelhoff, 532 U.S. 141, 147 (2001) (quoting Cal. Div. of
Labor Standards Enforcement v. Dillingham Constr., N.A., Inc., 519 U.S. 316, 325 (1997)).
In enacting § 1144 of ERISA, Congress intended
to ensure that plans and plan sponsors would be subject to a uniform body of
benefits law; the goal was to minimize the administrative and financial
burden of complying with conflicting directives among States or between
States and the Federal Government [and to prevent] the potential for conflict
in substantive law . . ., requiring the tailoring of plans and employer conduct
to the peculiarities to the law of each jurisdiction.
Ingersoll-Rand Co. v. McClendon, 498 U.S. 133, 142 (1990) (citation omitted). The United
States Supreme Court has further clarified that a state law is preempted by ERISA when it
“[provides] a form of ultimate relief in a judicial forum that add[s] to the judicial remedies
provided by ERISA,” because such a law undermines ERISA’s goal of “assuring a
predictable set of liabilities, under uniform standards of primary conduct and a uniform
regime of ultimate remedial orders and awards when a violation has occurred.” Rush
Prudential HMO, Inc. v. Moran, 536 U.S. 355, 379 (2002). Thus, ERISA preemption
depends on whether a state law creates “a new cause of action,” or authorizes a “new form
of ultimate relief,” in conflict with ERISA’s comprehensive enforcement scheme. Id.
2
“Under the Supremacy Clause of the United States Constitution, U.S. Constitution
article VI, clause 2, federal preemption of state law may be explicitly mandated by Congress,
compelled due to an unavoidable conflict between the state law and the federal law, or
compelled because the state law is an obstacle to the full accomplishment of congressional
objectives.” Alliance Health of Santa Teresa, Inc. v. Nat’l Presto Indus., Inc., 2005-NMCA-
053, ¶ 31, 137 N.M. 537, 113 P.3d 360 (internal quotation marks and citation omitted).
12
Application of our garnishment law to enforce Kirby’s judgment against the Plan does
neither.
{43} First, Guardian’s liability under the writ of garnishment is no greater than that of the
Plan under the default judgment, and the Plan’s liability was determined entirely under the
law of ERISA. As the Plan’s insurer, Guardian is responsible for payment of disability
benefits to eligible employees, and the writ of garnishment does nothing to alter the amount
a beneficiary may recover or the terms of eligibility provided for in the Policy in accordance
with ERISA. By enforcing Guardian’s obligations under the terms of the Policy, we impose
no more liability upon Guardian than does ERISA itself: “a fiduciary shall discharge his
duties with respect to a plan solely in the interest of the participants and beneficiaries . . . in
accordance with the documents and instruments governing the plan.” Section 1104(a)(1)(D).
That Guardian would be liable for paying benefits under the Policy, after a beneficiary
prevails on an § 1132(a)(1)(B) action against the plan, is eminently predictable.
{44} Second, application of our garnishment law does nothing to alter ERISA’s remedial
scheme or the “form of ultimate relief” that Kirby can obtain. Section 1132(a)(1)(B) allows
for reinstatement of benefits wrongly denied and § 1132(g) allows for recovery of reasonable
attorney’s fees by the prevailing party. Kirby’s ultimate relief—reinstatement of benefits
and recovery of attorney’s fees—is exactly the form of ultimate relief provided in ERISA.
Garnishment is merely a means of enforcing the remedies awarded in a separate judgment.
As such, ERISA’s remedial scheme remains unaffected by our ruling today.
{45} Guardian contends that § 1132(d)(2) expressly prohibits imposing liability on anyone
other than the Plan. That provision states: Any money judgment under this subchapter
against an employee benefit plan shall be enforceable only against the plan as an entity and
shall not be enforceable against any other person unless liability against such person is
established in his individual capacity under this subchapter. Section 1132(d)(2). While
there is some authority supporting Guardian’s interpretation, the federal courts are divided
both as to the meaning and the effect of § 1132(d)(2). Compare Mote v. Aetna Life Ins. Co.,
502 F.3d 601, 610 (7th Cir. 2007) (“[Consistent with § 1132(d)(2)], in a suit for ERISA
benefits, the plaintiff is limited to a suit against the Plan.” (Internal quotation marks and
citation omitted.)), and Hackner v. Long Term Disability Plan, 81 Fed. Appx. 589, 593-94
(7th Cir. 2003) (insurer dismissed because, under § 1132(d)(2), plan was the only party
against whom a money judgment could be enforced), with Hunt v. Hawthorne Assoc., Inc.,
119 F.3d 888, 908 (11th Cir. 1997) (“[N]othing in ERISA permits the district court to issue
an injunctive order solely against the plan. . . . “[A]n order enjoining the payment of benefits
from an ERISA plan must issue against a party capable of providing the relief requested.”
(Citing § 1132(d)(2).)), and Sparks v. Duckrey Enters., Inc., No. 05-2178, 2007 WL 320260,
at *6 (E.D. Pa. Jan. 30, 2007) (citing several district courts as holding that “the proper
defendants to a claim brought under § 502(a)(1)(B) . . . are the plan itself and its
fiduciaries”).
{46} The one consistent interpretation of § 1132(d)(2) we can discern from the federal
13
cases is that the statute envisions a money judgment against the Plan as an entity, and not
against any individual representatives of the Plan in their individual capacities. See, e.g.,
Leonelli v. Pennwalt Corp., 887 F.2d 1195, 1199 (2d Cir. 1989) (barring suit against
individual corporate representatives because “[i]n a recovery of benefits claim, only the plan
and the administrators and trustees of the plan in their capacity as such may be held liable”);
Davis v. Bante, No. 07-CV-12270, 2007 WL 2875244, at *5 (E.D. Mich. Sept. 28, 2007)
(dismissing plaintiff’s suit because named defendant, in individual capacity as “Benefits
Advisor,” was an improper party under § 1132(d)(2)). This reading of § 1132(d)(2) is also
consistent with the immediately preceding provision of § 1132(d)(1), which provides:
An employee benefit plan may sue or be sued under this subchapter as an entity.
Service of summons, subpoena, or other legal process of a court upon a trustee or an
administrator of an employee benefit plan in his capacity as such shall constitute
service upon the employee benefit plan.
(Emphasis added.) Read together, the provisions of § 1132(d) authorize suit by and against
the ERISA plan, while generally protecting individual decision-makers from liability.
Critically, however, we do not read § 1132(d) as precluding a suit against another entity,
such as an insurer like Guardian.
{47} In contrast to the inconsistency between cases interpreting § 1132(d), the United
States Supreme Court has spoken clearly that state judgment enforcement mechanisms do
not violate ERISA’s preemption provision. In Mackey, the Supreme Court held that while
garnishment of ERISA benefits affects and involves ERISA plans, it is a state judgment
enforcement mechanism that does not “relate to” an ERISA plan for preemption purposes.
Mackey, 486 U.S. at 834. The Mackey court held that “state-law methods for collecting
money judgments must, as a general matter, remain undisturbed by ERISA; otherwise, there
would be no way to enforce such a judgment won against an ERISA plan.” Id. Guardian’s
approach would have this Court endorse the paradoxical result of rendering unenforceable
legitimate judgments against insured ERISA plans, an approach entirely at odds with
Congressional intent.3 Id. at 831 (indicating that “Congress did not intend to forbid the use
of state-law mechanisms of executing judgments against ERISA welfare benefit plans”). We
conclude that ERISA does not preempt or preclude a state law garnishment action against
an ERISA insurer to enforce a judgment entered against an ERISA plan.
{48} Our conclusion today also follows closely upon the direction of the federal district
3
As further evidence of Congressional intent not to preempt state judgment
enforcement mechanisms affecting welfare benefit plans, we note that Congress did
explicitly preempt such mechanisms with respect to pension benefit plans. See § 1056(d)(1)
(“benefits provided under the plan may not be assigned or alienated”). Section 1056 is
evidence that where Congress intended to preempt state judgment enforcement mechanisms
under ERISA, it did so explicitly. See Mackey, 486 U.S. at 836-38.
14
court in this very matter. Seeking to collect its judgment against the Plan, Kirby went to
federal court to assert a new claim against Guardian for wrongful denial of benefits under
ERISA, § 1132(a)(1)(B), based on Guardian’s refusal to pay the default judgment. Kirby
also asserted an additional claim against Guardian for breach of fiduciary duty under ERISA,
§ 1132(a)(3). The federal court rejected Kirby’s claims on a simple, practical ground. Since
both claims arose out of Guardian’s failure to pay the default judgment, appropriate relief
could be found in state court by way of a garden-variety judgment enforcement action under
state law. Kirby-Federal, slip op. at 15-25.
{49} Specifically, with regard to the claim for wrongful denial of benefits, the federal
court stated: “[A]lthough the terms of the Plan related to whether Guardian should pay
benefits on behalf of the Plan will be at issue [in the state judgment enforcement action], it
is a collection and enforcement issue that only the state court can resolve.” Id. at 18. With
regard to Kirby’s claim for breach of fiduciary duty, the federal court ruled that, while
reinstatement of benefits would qualify as “equitable relief” under ERISA, such relief would
be inappropriate because state enforcement of the default judgment would provide adequate
alternative relief. Id. at 24. The federal court thus deferred to New Mexico state law for a
method of enforcing the judgment against the Plan. In doing so, the federal court
acknowledged that the terms of the Plan would be at issue, and to some extent ERISA law,
but did not find such incidental inquiry to raise preemption concerns. Thus, in issuing the
writ of garnishment our district court was, in a certain sense, simply following the very
course that the federal court had previously described for Ms. Kirby to follow.
{50} Our garnishment statute requires an evaluation of the judgment debtor’s right of
action against the garnishee. In the context of an ERISA plan arrangement, this
determination will inevitably involve the terms of the plan document, and will affect the
parties to the plan arrangement. Nevertheless, as a part of our state’s garnishment analysis,
that determination does not involve or upset the comprehensive enforcement scheme of
ERISA, § 1132. As one federal district court opinion explains, “[i]n order for pre-emption
to even come into play, there must be some express or implied provision of ERISA which
addresses the matter.” Local Union 212 Int’l Bhd. of Elec. Workers Vacation Trust Fund v.
Local 212 IBEW Credit Union, 549 F. Supp. 1299, 1302 (D. Ohio 1982). Both Mackey and
Kirby-Federal make clear that judgment enforcement mechanisms, and garnishment in
particular, are not addressed under ERISA. We agree, and in proceeding to apply state
garnishment law, we see ourselves acting in harmony with what the federal court has already
said about the role of state courts and state law in the enforcement of ERISA judgments.
2. Guardian’s present refusal to pay benefits provides the Plan a valid right of
action against Guardian for breach of the Policy.
a. The Plan’s right of action.
{51} Guardian is bound by the terms of its Policy, which obligate it to pay benefits when
disability is determined. Under the Policy, Guardian must pay benefits upon its own
15
determination of the beneficiary’s eligibility. The Policy also incorporates by reference all
rights afforded beneficiaries under ERISA, which include administrative and judicial review
of a denial by Guardian of a beneficiary’s claim for benefits. Under ERISA, a beneficiary
obtains judicial review, as Kirby has done here, by filing a claim for wrongful denial of
benefits under § 1132(a)(1)(B). See Kirby-Federal, slip op. at 24 (“Section 1132(a)(1)(B),
coupled with state court judgment enforcement mechanisms, provide [Kirby] with adequate
relief for her claim.”). The result of a judicial determination of eligibility, then, is to replace
Guardian’s decision to deny benefits, thereby triggering Guardian’s obligation to pay
benefits in accordance with the Policy.
{52} We have reviewed the Policy, and it leaves no ambiguity as to the entity charged with
making disability payments, and the circumstances triggering that obligation. Kirby properly
sued the Plan for wrongful denial of benefits under § 1132(a)(1)(B), and the result of that
litigation was a valid default judgment in Kirby’s favor. The time is long past to set aside
the default judgment. Guardian correctly points out that this judgment was entered against
the Plan, not Guardian. But the Policy imposes an obligation upon Guardian alone to make
disability payments when the insurer or a court determines that a beneficiary is eligible under
the terms of the Policy. That obligation gives rise to a legal right in the Plan to compel
Guardian to make disability payments improperly denied. It is that right of action of the Plan
against Guardian that Kirby is entitled to garnish.
{53} While Guardian’s assets are not assets of the Plan, Guardian’s legal obligation to pay
benefits under the Policy is an asset of the Plan; indeed it is the only asset of the Plan. See
Trustees of Laborers’ Local No. 72 Pension Fund v. Nationwide Life Ins. Co., 783 F. Supp.
899, 910 (D.N.J. 1992) (“It is well established that an insurance contract issued to a plan is
itself an asset of the plan, even if the assets invested with the insurance company are not.”).
That legal obligation, like all legal obligations, includes consequences for its violation. The
consequence of Guardian’s noncompliance with the terms of the Policy is that the Plan has
a valid right of action against Guardian for the liability the Plan has incurred as a result.
b. Liability flows to the Plan.
{54} We are not persuaded that it should make any difference whether the benefits from
the insurer flow to the Plan or directly to Kirby, the intended beneficiary. Below, Kirby
argued by analogy that the Policy was similar to a liability insurance policy, which
undoubtedly can be garnished by a judgment creditor. The Court of Appeals rejected this
argument, noting a fundamental difference between liability policies and ERISA disability
policies. Kirby II, 2008-NMCA-154, ¶ 8. The Court went on to explain that, regardless of
Guardian’s obligation under the Policy, the Policy requires payment of benefits directly to
the beneficiaries on behalf of the Plan. Id. ¶ 10. Since the Plan is not entitled to a direct
payment under the Policy, the Court of Appeals reasoned, there is nothing to garnish. Id.
{55} The problem with the Court of Appeals analysis is that it focuses on the flow of
payments under the Policy, instead of focusing on the rights of action that exist for non-
16
payment. Here, the Plan remains liable to Kirby, notwithstanding Guardian’s contractual
obligation to pay benefits upon a judicial determination of eligibility. Thus, the Plan’s right
of action is one resulting from Guardian’s breach of the Policy. Instead of focusing on the
flow of payments, the Court of Appeals should have focused on the flow of contractual
obligations under the Policy, because any garnishable right of action arises out of those
obligations.
{56} The same analysis applies in every garnishment action. For instance, garnishment
of wages by a third party is nothing more than garnishment of the employee’s right of action
against the employer for payment of these wages under the employment contract. Under a
garnishment statute similar to our own, the Colorado Supreme Court observed that “[f]uture
earnings are contingent because they depend upon future performance. The employee
cannot sue his employer for wages due before the employee has fulfilled his employment
contract.” Olson v. Stone (In re Stone), 573 P.2d 98, 100 (Colo. 1977) (en banc) (Groves,
J., concurring in result, Carrigan, J., not participating). Similarly in the liability insurance
context,4 if a liability insurer does not pay an injured third party in accordance with the terms
of its insurance policy with the insured, the third party can obtain a judgment directly against
the insured, at which point the insured would have a right of action against his insurer for
breach of the policy. The injured third party can garnish that right of action in a suit against
the insurer. See 16 Lee R. Russ & Thomas F. Segalla, Couch on Insurance § 232:199 (3d
ed. 2000) (“Distinct from the liability of the insurer on its contract of insurance is the
liability which may arise by virtue of its breach of that contract, the insured's claim against
the insurer for such breach being subject to attachment.”).
{57} The default judgment against the Plan was specifically for wrongful denial of
benefits, triggering Guardian’s obligation to pay benefits under the terms of the Policy.
Guardian’s continuing refusal to comply with the terms of the Policy is entirely responsible
for the Plan’s remaining liability to Kirby.
B. The Plan’s right of action against Guardian is not subject to any contingency,
and Guardian’s defense of res judicata lacks merit.
1. The Plan’s right of action is mature.
{58} As previously discussed, in order to be garnishable the right of the judgment debtor
against the garnishee must be mature, not contingent. Here, there is no future event that
could change the terms of the Policy or upset the findings of the default judgment. Indeed,
4
Despite invitation from the parties, our analysis of the availability of garnishment
in this case does not turn on whether the Policy is one of liability or indemnity insurance.
Strictly speaking, it is neither. The unique relationship between the parties in the ERISA
plan arrangement, as well as the comprehensive body of ERISA law governing ERISA plans,
precludes rigid application of general insurance law principles.
17
the Court of Appeals prefaced its analysis by stating,
The parties do not frame their arguments so as to allege or deny the existence
of a genuine issue of material fact; rather, the question presented focuses on
the propriety of the district court’s application of our garnishment law . . . .
We therefore focus exclusively on . . . whether Plaintiff is “entitled to a
judgment as a matter of law.”
Kirby II, 2008-NMCA-154, ¶ 7. If Guardian is liable to the Plan for breaching the Policy,
it is liable immediately. The district court made the determination that Guardian was liable
as a matter of law, and we affirm its conclusion. Thus, Guardian’s liability to the Plan for
breaching the terms of the Policy is currently owing and payable. The only remaining
question is whether Guardian’s defense of res judicata defeats the Plan’s right of action.
2. Guardian’s res judicata defense lacks merit.
{59} Throughout most of this litigation Guardian has proceeded on a central theory that,
because it was dismissed from Kirby’s initial claim for wrongful denial of benefits, res
judicata (claim preclusion) bars any claim for benefits that Kirby may ultimately seek to
recover from Guardian. Our Court of Appeals in Kirby II agreed, viewing any attempt to
enforce Guardian’s obligations under the Policy as an action that Kirby could have originally
brought directly against Guardian. 2008-NMCA-154, ¶ 13. The Kirby II court found
support for this position in New Mexico case law holding that “‘a dismissal with prejudice
is an adjudication on the merits for purposes of res judicata.’” Id. (quoting Hope Cmty.
Ditch Ass’n v. N.M. State Eng’r, 2005-NMCA-002, ¶ 10, 136 N.M. 761, 105 P.3d 314)
(emphasis added).
{60} Both Guardian and the Court of Appeals interpret this proposition of law to mean that
Guardian can never be liable for paying a money judgment on Kirby’s claim for benefits,
because the merits of Kirby’s claim have been effectively decided in Guardian’s favor. If
this were true, it would make discussion of garnishment irrelevant, because Guardian would
be shielded from any action that would cause it to pay under the Policy. In our view,
however, Guardian misapplies the principles which animate res judicata theory.
{61} “Res judicata bars not only claims that were raised in the prior proceeding, but also
claims that could have been raised.” Bank of Santa Fe v. Marcy Plaza Assocs., 2002-
NMCA-014, ¶ 14, 131 N.M. 537, 40 P.3d 442 (filed Dec. 14, 2001). “Res judicata precludes
a claim when there has been a full and fair opportunity to litigate issues arising out of that
claim.” Id. (citing Myers v. Olson, 100 N.M. 745, 747, 676 P.2d 822, 824 (1984)). The
party asserting res judicata must satisfy the following four requirements: “‘(1) [t]he parties
must be the same, (2) the cause of action must be the same, (3) there must have been a final
decision in the first suit, and (4) the first decision must have been on the merits.’” City of
Sunland Park v. Macias, 2003-NMCA-098, ¶ 18, 134 N.M. 216, 75 P.3d 816 (quoting
Bennett v. Kisluk, 112 N.M. 221, 225, 814 P.2d 89, 93 (1991)). Whether the elements of
18
claim preclusion are satisfied is a legal question, which we review de novo. Blea v.
Sandoval, 107 N.M. 554, 557, 761 P.2d 432, 435 (Ct. App. 1988) (effect of prior judgment
“is a legal question that does not require a review of the facts”). As we discuss below, res
judicata is founded on principles of fairness and justice.
{62} In the present action, res judicata is not a bar because the two claims against
Guardian are not the same and could not have been brought in the same proceeding. Roybal
v. Lujan de la Fuente, 2009-NMCA-114, ¶ 25, 147 N.M. 193, 218 P.3d 879 (2009). The
initial dismissals of Guardian with prejudice were final and on the merits for res judicata
purposes, and Guardian argues that the present action is a collateral attempt by Kirby to
recover the same benefits that were disallowed in the earlier litigation. Indeed, Kirby is
seeking to recover the same benefits from the Plan that she once sought to recover directly
from Guardian. Yet, there is no escaping the fact that the present cause of action against
Guardian is for enforcement of a writ of garnishment—not for wrongful denial of benefits,
or insurer bad faith, or any of the other causes of actions precluded by Guardian’s initial
dismissal.
{63} Focusing on the subject matter giving rise to each claim, we conclude that the two
claims arose from different transactions. Under Bank of Santa Fe, one factor required for
a showing that two claims are the same is “the relatedness of the facts in time, space, origin,
or motivation.” 2002-NMCA-014, ¶ 16 (internal quotation marks and citation omitted).
Guardian’s initial decision to deny benefits was based on its conclusion that Kirby was
ineligible under the Policy, and Kirby’s initial claims against Guardian (which were
ultimately dismissed with prejudice) were motivated by that decision. In contrast, the
present garnishment action was motivated by the Plan’s failure to satisfy the default
judgment award, which, as far as we can surmise from the record, was due to its lack of
liquid assets. Thus, the subject matter giving rise to the two actions concern entirely distinct
motivations, and are separated by nearly a decade. The garnishment action could not have
been brought against Guardian at the same time as the claims that were dismissed, because
the Plan was years away from the judgment that would establish its liability to Kirby. See
id. ¶ 14. One is not required to join an enforcement claim against a garnishee in the
underlying litigation to establish liability.
{64} Even if we were to construe the present action as a collateral attempt at redress for
wrongful denial of benefits, it would be based on a new transaction: Guardian’s breach of
the Policy by refusing to pay benefits once the district court determined, by default
judgment, that Kirby was disabled. The Kirby-Federal court addressed this very point:
At the time the state court determined that [Kirby] was entitled to long-term
disability benefits under the Plan, Guardian became aware that [Kirby] was
a beneficiary of the Plan and was entitled to recover benefits. Guardian’s
failure to pay benefits after the state court’s determination that [Kirby] was
a beneficiary under the terms of the Plan is a new cause of action because
Guardian committed a new breach of the terms of the Plan. This new cause
19
of action originated at a different time and based on a new set of facts: that
[Kirby] has been judicially determined eligible for benefits and that the Plan
and [Guardian] are ignoring the judgment ordering the payment of Plaintiff’s
benefits.
Kirby-Federal, slip op. at 14. We agree with the federal district court’s analysis on this
point. As such, the present litigation is, for purposes of the “same claim” requirement of res
judicata, twice removed from the judgments that actually have any preclusive effect.
{65} Res judicata is a judicial creation ultimately intended to serve the interests of justice.
To interpret and enforce our res judicata doctrine as Guardian urges would have the opposite
result. In Computer One, Inc. v. Grisham & Lawless P.A., we observed that the underlying
purpose of res judicata is to “relieve parties of the cost and vexation of multiple lawsuits,
conserve judicial resources, . . . prevent[] inconsistent decisions, [and to] encourage reliance
on adjudication.” 2008-NMSC-038, ¶ 31, 144 N.M. 424, 188 P.3d 1175 (internal quotation
marks and citations omitted). Certainly, considerable judicial resources have been devoted
to this dispute, and no doubt both sides have incurred substantial expense. Still, the interests
of justice are hardly served by using res judicata to render a valid judgment
meaningless—and to strip a disabled employee of her entitlement to benefits— especially
where the guidelines for pursuing an ERISA claim can be so obtuse to the average claimant.
{66} For as long as Guardian has been asserting res judicata to bar Kirby’s recovery, it
has referred to its earlier dismissals as judicial determinations “on the merits.” Although the
language of our cases may be read literally to mean that a dismissal with prejudice is “an
adjudication on the merits,” see Hope Cmty. Ditch Ass’n, 2005-NMCA-002, ¶ 10 (emphasis
added), such a reading would be a distortion in this case. A dismissal with prejudice is an
adjudication on the merits only to the extent that when a claim has been dismissed with
prejudice, the fourth element of res judicata (a final valid judgment on the merits) will be
presumed so as to bar a subsequent suit against the same defendant by the same plaintiff
based on the same transaction. If this were otherwise, plaintiffs could simply ignore
dismissals and file the same claim as many times as they wished, so long as the claim never
progressed to a determination of the substantive issues.
{67} The initial judgments that Guardian claims to have been “on the merits” did not
include a judicial determination of Kirby’s eligibility. The only judgment involving the
issue of disability was the default judgment in Kirby’s favor. Her attempt to enforce that
judgment against Guardian, the party who contracted for the very responsibility to make
disability payments to employees like Kirby, hardly offends the interests of justice that the
doctrine of res judicata was designed to serve.
{68} Finally, we acknowledge Guardian’s point that garnishment will serve to impose a
liability upon Guardian that Kirby could not have secured in a direct action, and that this
liability is the result of proceedings to which Guardian was not party. In its brief to the
Court of Appeals, Guardian argued that the district court ruling failed to treat it as an
20
“innocent third party,” and that requiring Guardian to pay the default judgment violated its
Due Process rights. However, the “innocent third party” concept simply means that if the
garnishee is ordered to turn over the subject of garnishment, its liability will be no greater
to the garnishor than it would otherwise be to the judgment debtor in a direct action. See
Jemko, 106 N.M. at 54, 738 P.2d at 927. Our Opinion today has emphatically adhered to this
principle.
{69} Having made the initial decision (in good faith, we presume) to deny Kirby benefits,
we do not fault Guardian for insisting that Kirby satisfy procedural and substantive
requirements for a judicial review of that decision. Nevertheless, Guardian was well aware
that, following its loss before the Court of Appeals in Kirby I, the district court would
adjudicate the substance of Kirby’s disability claim, and yet Guardian elected not to
participate. Guardian should also have been aware of the possibility that Kirby might
ultimately seek to enforce any favorable judgment against Guardian based upon Guardian’s
commitments under the Policy. See Pecor v. Nw. Nat’l Ins. Co., 869 F. Supp. 651, 653 n.2
(E.D.Wis. 1994) (“When [entity] act[ing] in its capacity as plan administrator, it steps into
the shoes of the Plan, and is subject to any court orders restraining or directing the Plan’s
actions.”).
{70} Although it was not required to attend the proceedings, as fiduciary and insurer
Guardian had every incentive to participate in the hearing along with the Plan and justify its
decision to deny benefits, especially since its res judicata defense would have had the same
force in a subsequent enforcement action, regardless of the outcome. See Rule 1-008(E)(2)
NMRA; see also Gregg v. Transp. Workers of Am. Int’l, 343 F.3d 833, 841 (6th Cir. 2003)
(ERISA fiduciary’s duty of loyalty requires it to act as a prudent person, “for the exclusive
purpose” of providing benefits to plan beneficiaries. (Internal quotation marks and citation
omitted.)). By not attending, Guardian gave up its opportunity to contest Kirby’s eligibility,
relying thereafter entirely on res judicata to bar enforcement of the default judgment.
{71} Once Kirby secured the writ of garnishment, all due process required was that
Guardian be given notice and the opportunity to explain why it should not be held
responsible for the default judgment. See Mullane v. Cent. Hanover Bank & Trust Co., 339
U.S. 306, 314 (1950) (“An elementary and fundamental requirement of due process in any
proceeding which is to be accorded finality is notice reasonably calculated, under all the
circumstances, to apprise interested parties of the pendency of the action and afford them an
opportunity to present their objections.”); see also Moya v. DeBaca, 286 F. Supp. 606, 608
(D.N.M. 1968) (stating judgment debtor is given notice and hearing at underlying
proceeding, garnishee is given notice and hearing at garnishment proceeding). Guardian has
had the opportunity to argue its res judicata defense—and has done so vigorously—in this
Court and both courts below. For the reasons previously set forth by the federal district
court on this precise issue, as well as those discussed herein, we conclude that Guardian’s
wholesale reliance on res judicata was misguided.
IV. Attorney’s Fees and Costs
21
{72} We have explained that the default judgment outlining the Plan’s liability cannot be
revisited, but it does not necessarily follow that Kirby may recover the entire amount of the
Plan’s liability from Guardian by way of garnishment. Our holding today, that the Plan has
a garnishable right of action against Guardian, affirms that part of the district court judgment
ordering Guardian to reinstate and pay disability payments in accordance with the default
judgment, because its obligation to do so is clearly mandated by the terms of the Policy.
However, while the Policy mentions the possibility of recovering attorney’s fees and costs
if a beneficiary is successful in a suit under ERISA, that section of the Policy merely
incorporates rights provided for under ERISA; it does not constitute an independent promise
to pay such fees and costs. ERISA, § 1132(g)(1), in turn, states that “the court in its
discretion may allow a reasonable attorney's fee and costs of action to either party.”
{73} On remand, the Court of Appeals will need to review the extensive federal authority
in this area of the law to determine whether the full amount of the December 2, 2004, Award
of Attorney’s Fees and Costs can be assessed against Guardian. The court will need to
evaluate the Plan’s right of action against Guardian for the amount assessed in that award,
in the same manner that we have evaluated the Plan’s right of action for the full amount of
disability payments here. We stress that Kirby can only recover through garnishment what
the Plan would be able to recover against Guardian in its own direct action. See Jemko, 106
N.M. at 51-54, 738 P.2d at 924-27.
CONCLUSION
{74} We reverse the ruling of the Court of Appeals. We affirm the district court in part,
ordering Guardian to reinstate Kirby’s benefits and to pay all benefits it has denied in
accordance with the November 16, 2004, default judgment. We remand to the Court of
Appeals to resolve the remaining issue of attorney’s fees and costs consistent with this
Opinion.
{75} IT IS SO ORDERED.
____________________________________
RICHARD C. BOSSON, Justice
WE CONCUR:
____________________________________
EDWARD L. CHÁVEZ, Chief Justice
____________________________________
PATRICIO M. SERNA, Justice
____________________________________
PETRA JIMENEZ MAES, Justice
22
____________________________________
CHARLES W. DANIELS, Justice
Topic Index for Kirby v. Guardian Life Insurance Company of America, No. 31,329
AY AGENCY
AY-FD Fiduciary Duty
AE APPEAL AND ERROR
AE-AG Appeal and Error, General
AE-JR Judicial Review
AE-RM Remand
CP CIVIL PROCEDURE
CP-AU Actions and Defenses
CP-AR Affirmative Claims and Defenses
CP-CS Causes of Action
CP-CL Conflict of Laws
CP-DJ Default Judgment
CP-DS Dismissal
CP-DP Due Process
CP-RJ Res Judicata
CP-TA Third-party Actions
CT CONSTITUTIONAL LAW
CT-DP Due Process
CN CONTRACTS
CN-TB Third Party Beneficiaries
CN-BR Breach
EL EMPLOYMENT LAW
EL-DB Disability
EL-ER ERISA
EL-RD Reinstatement and Damages
FL FEDERAL LAW
FL-AF Attorney’s Fees
FL-FJ Federal Jurisdiction
FL-PE Preemption
IN INSURANCE
IN-DI Disability Insurance
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IN-GL General Liability Insurance
IN-IC Insurance Contract
JM JUDGMENT
JM-DF Default Judgment
JM-EJ Execution of Judgment
JD JURISDICTION
JD-FJ Federal Jurisdiction
JD-SM Subject Matter Jurisdiction
RE REMEDIES
RE-AT Attachment
RE-ET Execution
RE-GR Garnishment
RE-SB Subrogation
ST STATUTES
ST-AP Applicability
ST-CS Conflicting Statutes
24