Filed: Mar. 28, 2008
Latest Update: Feb. 21, 2020
Summary: [DO NOT PUBLISH] IN THE UNITED STATES COURT OF APPEALS FOR THE ELEVENTH CIRCUIT FILED _ U.S. COURT OF APPEALS ELEVENTH CIRCUIT MARCH 28, 2008 No. 07-13076 THOMAS K. KAHN _ CLERK D. C. Docket No. 05-01572-CV-ORL-22JGG CHERYL ALDERMAN, CINDY HOUCK, Plaintiffs-Appellants, versus STANDARD INSURANCE COMPANY, PRUDENTIAL INSURANCE COMPANY OF AMERICA, Defendants-Appellees. _ Appeal from the United States District Court for the Middle District of Florida _ (March 28, 2008) Before BIRCH and FAY, Circuit
Summary: [DO NOT PUBLISH] IN THE UNITED STATES COURT OF APPEALS FOR THE ELEVENTH CIRCUIT FILED _ U.S. COURT OF APPEALS ELEVENTH CIRCUIT MARCH 28, 2008 No. 07-13076 THOMAS K. KAHN _ CLERK D. C. Docket No. 05-01572-CV-ORL-22JGG CHERYL ALDERMAN, CINDY HOUCK, Plaintiffs-Appellants, versus STANDARD INSURANCE COMPANY, PRUDENTIAL INSURANCE COMPANY OF AMERICA, Defendants-Appellees. _ Appeal from the United States District Court for the Middle District of Florida _ (March 28, 2008) Before BIRCH and FAY, Circuit J..
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[DO NOT PUBLISH]
IN THE UNITED STATES COURT OF APPEALS
FOR THE ELEVENTH CIRCUIT
FILED
_______________________ U.S. COURT OF APPEALS
ELEVENTH CIRCUIT
MARCH 28, 2008
No. 07-13076
THOMAS K. KAHN
_______________________
CLERK
D. C. Docket No. 05-01572-CV-ORL-22JGG
CHERYL ALDERMAN,
CINDY HOUCK,
Plaintiffs-Appellants,
versus
STANDARD INSURANCE COMPANY,
PRUDENTIAL INSURANCE COMPANY OF AMERICA,
Defendants-Appellees.
______________________
Appeal from the United States District Court
for the Middle District of Florida
______________________
(March 28, 2008)
Before BIRCH and FAY, Circuit Judges, and HINKLE,* District Judge.
PER CURIAM:
Appellees provided life insurance coverage under an employee benefit
plan. Appellants were beneficiaries of coverage on the life of an employee who
applied for increased coverage, did not obtain the requested increase, and later
died. Appellants assert the insurers violated their fiduciary duties under the
Employee Retirement Income Security Act by failing properly to process the
application for increased coverage.
The district court granted summary judgment for the insurers on the
ground that ERISA does not authorize relief of the kind at issue—essentially an
award of damages for the amount of coverage that was sought but not provided.
We affirm but on a different ground. The record establishes, without dispute, that
even had the application been properly processed, the increased coverage would
not have been provided, because the employee’s medical condition did not meet
the applicable underwriting guidelines.
I
David Wayne Alderman was an employee of Republic Services, Inc.
*
Honorable Robert L. Hinkle, United States District Chief Judge for the Northern District
of Florida, sitting by designation.
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Republic provided an employee benefit plan that included term life insurance.
Until December 31, 2004, the insurer was appellee The Prudential Insurance
Company of America. Effective as of January 1, 2005, Republic replaced
Prudential with appellee Standard Insurance Company. Republic was its own plan
administrator and thus was responsible for receiving applications from employees
and forwarding them to the appropriate insurer.
Republic provided employees an “open season” in November 2004
during which employees could make changes to their coverages that would take
effect as of January 1, 2005. Mr. Alderman applied to increase his life coverage
from $125,000 to $400,000. Under the terms of the plan, the proposed increase
was subject to medical underwriting and would take effect only if approved by the
affected insurer. Because the increase would not go into effect until January 1,
2005, the affected insurer was Standard.
Through no fault of Mr. Alderman, his application went instead to
Prudential. Prudential reviewed the application and determined—based on the
medical answers—that further medical information was needed. Prudential sent
Mr. Alderman a “long form” on which he was to submit additional information.
Prudential says that it never received the long form back from Mr. Alderman and
that it advised him by letter dated January 2, 2005, that it was therefore closing its
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file on the application for increased coverage. Whether the long form was in fact
sent to Prudential is disputed. It is undisputed, however, that neither Prudential
nor Standard approved the application. The increase never took effect, and Mr.
Alderman was never charged an increased premium.
Mr. Alderman died in a car crash on January 27, 2005. The
beneficiaries of his life insurance—appellants Cheryl Alderman and Cindy
Houck—assert claims in this action against Prudential and Standard for breach of
fiduciary duties in connection with the processing of the application for increased
coverage. Appellants seek to recover the difference between the amount that was
paid under the coverage that was actually in effect and the amount that would have
been paid had Mr. Alderman’s application for an increase been granted.
II
Prudential and Standard filed separate motions for summary judgment
on multiple grounds. Appellants responded on the merits without seeking a
continuance under Federal Rule of Civil Procedure 56(f) or otherwise asserting the
matter was not ripe for a decision. The district court granted the motion on the
ground that the ERISA provision invoked by appellants—29 U.S.C.
§1132(a)(3)—authorizes only “equitable relief” and thus does not allow recovery
of the damages sought by appellants. Based on this ruling, the district court did
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not need to address—and did not address—the other grounds asserted in the
motions for summary judgment.
III
An appellate court of course may affirm a judgment on any ground
supporting the result. See, e.g., Turlington v. Atlanta Gas Light Co.,
135 F.3d
1428, 1433 n.9 (11th Cir. 1998). The record establishes without dispute that had
Mr. Alderman’s application for increased coverage been submitted to
Standard—as it should have been—Standard would have denied the application
based on its established underwriting guidelines as then in effect. In support of its
motion for summary judgment, Standard submitted an uncontradicted declaration
of its supervising underwriter making this clear.
Appellants assert that the law forbids a post-mortem analysis of
whether Mr. Alderman’s application would have been approved. But that makes
no sense. If, as appellants assert, Mr. Alderman’s application was mishandled,
then his beneficiaries are entitled, at most, to have the error corrected and any
resulting harm undone. Here there was no harm. Put differently, the beneficiaries
may or may not be entitled to what they would have received had the application
been handled properly—but they most assuredly are not entitled to proceeds that
they never would have received under any circumstances.
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IV
For these reasons, the judgment in appellees’ favor is AFFIRMED.
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