Filed: Jul. 17, 2015
Latest Update: Mar. 02, 2020
Summary: Case: 15-10056 Date Filed: 07/17/2015 Page: 1 of 5 [DO NOT PUBLISH] IN THE UNITED STATES COURT OF APPEALS FOR THE ELEVENTH CIRCUIT _ No. 15-10056 Non-Argument Calendar _ D.C. Docket No. 8:13-cv-02847-MSS-MAP ALLENA BURGE SMILEY, D.M.D., Plaintiff-Appellant, versus HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY, d.b.a. The Hartford, SMILE BRANDS, INC., d.b.a. Valley Forge Dental of Florida, P.A., d.b.a. Bright Now! Dental, Defendants-Appellees. _ Appeal from the United States District Court for the
Summary: Case: 15-10056 Date Filed: 07/17/2015 Page: 1 of 5 [DO NOT PUBLISH] IN THE UNITED STATES COURT OF APPEALS FOR THE ELEVENTH CIRCUIT _ No. 15-10056 Non-Argument Calendar _ D.C. Docket No. 8:13-cv-02847-MSS-MAP ALLENA BURGE SMILEY, D.M.D., Plaintiff-Appellant, versus HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY, d.b.a. The Hartford, SMILE BRANDS, INC., d.b.a. Valley Forge Dental of Florida, P.A., d.b.a. Bright Now! Dental, Defendants-Appellees. _ Appeal from the United States District Court for the ..
More
Case: 15-10056 Date Filed: 07/17/2015 Page: 1 of 5
[DO NOT PUBLISH]
IN THE UNITED STATES COURT OF APPEALS
FOR THE ELEVENTH CIRCUIT
________________________
No. 15-10056
Non-Argument Calendar
________________________
D.C. Docket No. 8:13-cv-02847-MSS-MAP
ALLENA BURGE SMILEY,
D.M.D.,
Plaintiff-Appellant,
versus
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY,
d.b.a. The Hartford,
SMILE BRANDS, INC.,
d.b.a. Valley Forge Dental of Florida, P.A.,
d.b.a. Bright Now! Dental,
Defendants-Appellees.
________________________
Appeal from the United States District Court
for the Middle District of Florida
________________________
(July 17, 2015)
Before MARCUS, WILLIAM PRYOR, and ANDERSON, Circuit Judges.
PER CURIAM:
Case: 15-10056 Date Filed: 07/17/2015 Page: 2 of 5
Plaintiff Allena Smiley appeals the district court’s order granting summary
judgment in favor of Defendants Hartford Life and Accident Insurance Company
(“Hartford”) and Smile Brands, Inc. (“Smile Brands”) on Smiley’s claims for
statutory penalties and attorney’s fees pursuant to the Employee Retirement
Income Security Act of 1974, 29 U.S.C. § 1001, et seq. (“ERISA”). Generally, we
review questions of law, including orders on summary judgment, de novo. Byars
v. Coca-Cola Co.,
517 F.3d 1256, 1263 (11th Cir. 2008). However, we review a
district court’s decision whether to impose statutory penalties and attorney’s fees
under ERISA for an abuse of discretion.
Id. at 1263, 1269. Finding no error, we
affirm.
ERISA authorizes district courts to impose a daily penalty upon any plan
administrator that “fails or refuses to comply with a request for information which
such administrator is required . . . to supply to a participant or a beneficiary.” 29
U.S.C. § 1332(c)(1). Specifically, ERISA requires a plan administrator to furnish
the following upon request: “the latest updated summary, plan description, and the
latest annual report, any terminal report, the bargaining agreement, trust
agreement, contract, or other instruments under which the plan is established and
operated.” 29 U.S.C. § 1024(b)(4). A plan administrator is either “the person
specifically so designated by the terms of the instrument under which the plan is
operated,” 29 U.S.C. § 1002(16)(A)(i), or a company acting as a plan
2
Case: 15-10056 Date Filed: 07/17/2015 Page: 3 of 5
administrator, see Hunt v. Hawthorne Assocs., Inc.,
119 F.3d 888, 915 (11th Cir.
1997).
First, the district court correctly concluded that Hartford, a third-party claims
administrator, was not the plan administrator and therefore not subject to statutory
penalties under § 1132(c)(1). Smile Brands’ Long Term Disability Plan (“the
Plan”) expressly identified Smile Brands as the plan administrator. Further,
Hartford was not the de facto administrator. We have consistently rejected the use
of the de facto plan administrator doctrine “where a plaintiff has sought to hold a
third-party administrative services provider liable, rather than the employer . . . .”
Oliver v. Coca Cola Co.,
497 F.3d 1181, 1194 (11th Cir. 2007), reh’g granted,
opinion vacated in part on other grounds,
506 F.3d 1316 (11th Cir. 2007) and
adhered to in part on reh’g sub nom.,
546 F.3d 1353 (11th Cir. 2008). As in
Oliver, the record demonstrates that Smile Brands retained the authority to make
final decisions on appeal from the claims administrator, Hartford. See
id. at 1195.
Thus, Hartford was not the plan administrator, either in name or in fact, and was
not liable for failing to furnish Smiley with certain Plan documents.
Second, the district court did not abuse its discretion in refusing to impose
statutory penalties on Smile Brands. The disclosure penalty provision of § 1132(c)
“is meant to be in the nature of punitive damages, designed more for the purpose of
punishing the violator than compensating the participant or beneficiary.” Scott v.
3
Case: 15-10056 Date Filed: 07/17/2015 Page: 4 of 5
Suncoast Beverage Sales, Ltd.,
295 F.3d 1223, 1232 (11th Cir. 2002). As the
district court concluded, the facts of this case do not warrant punishing Smile
Brands because it did not refuse or fail to provide Smiley with the Plan documents.
Smiley contacted Smile Brands and received the relevant Plan documents no
later than February 29, 2012. When Smiley’s benefits were subsequently
terminated, she again requested the documents, but this time she directed her
request to Hartford, which in turn provided an outdated address for Smile Brands.
The same outdated address is listed in the Plan documents. Notwithstanding the
fact that counsel for Dr. Smiley had several times successfully contacted Smile
Brands at its correct, Irvine, California address, Smiley sought to obtain Plan
documents this second time from Smile Brands by letter addressed to the outdated
Santa Ana, California address listed in the summary plan description. The letter
was returned as undeliverable. Accordingly, Smile Brands had no knowledge that
Smiley was attempting to obtain the same Plan documents until it was served with
Smiley’s amended complaint on February 11, 2014.
In sum, there is no evidence that Smile Brands refused or failed to provide
Smiley with the relevant documents, which were already in her possession. Given
these facts, we cannot say that the district court abused its discretion in denying
disclosure penalties, and Smiley has not proffered any case law that suggests
otherwise. In addition, the district court did not err in considering, in part, the
4
Case: 15-10056 Date Filed: 07/17/2015 Page: 5 of 5
absence of prejudice, bad faith, and harm to Smiley in determining whether to
exercise its discretion. Although a plaintiff need not demonstrate any of the
forgoing to obtain § 1132(c) penalties, a court may consider those factors, among
others, in making its determination. See
Byars, 517 F.3d at 1271; Daughtrey v.
Honeywell, Inc.,
3 F.3d 1488, 1494 (11th Cir. 1993).
Finally, because Smiley failed to obtain any success on the merits of her
claims against Hartford or Smile Brands, she is not entitled to attorney’s fees under
29 U.S.C. § 1132(g). Hardt v. Reliance Standard Life Ins. Co.,
560 U.S. 242, 255,
130 S. Ct. 2149, 2158 (2010) (requiring a claimant to show “some degree of
success on the merits before a court may award attorney’s fees under § 1132(g)(1)”
(internal quotation omitted)).
AFFIRMED.
5