WYNN, Circuit Judge:
29 U.S.C. § 1132(a)(3), part of the Employee Retirement Income Security Act ("ERISA"), empowers participants and beneficiaries "to obtain other appropriate equitable relief" to redress violations of ERISA or ERISA plans. In CIGNA Corp. v. Amara, ___ U.S. ___, 131 S.Ct. 1866, 179 L.Ed.2d 843 (2011), the United States Supreme Court recently made clear that Section 1132(a)(3) allows for remedies traditionally available at equity and that those remedies include surcharge and estoppel
As a full-time employee for Bank of America, McCravy participated in the company's life insurance and accidental death and dismemberment ("AD & D") plan issued and administered by MetLife. Under the plan, an insured could purchase coverage for "eligible dependent children." McCravy elected to buy coverage for her daughter, Leslie McCravy, and paid premiums, which MetLife accepted, from before Leslie's nineteenth birthday until she was murdered in 2007 at the age of 25.
Following Leslie's death, McCravy, the beneficiary of the policy insuring her daughter, filed a claim for benefits. MetLife denied McCravy's claim, contending that Leslie did not qualify for coverage under the plan's "eligible dependent children" provision. Per the summary plan description, "eligible dependent children" are children of the insured who are unmarried, dependent upon the insured for financial support, and either under the age of 19 or under the age of 24 if enrolled full-time in school. According to MetLife, because Leslie was 25 at the time of her death, she no longer qualified as an "eligible dependent child[]." MetLife therefore denied McCravy's claim and attempted to refund the multiple years' worth of premiums MetLife had accepted to provide coverage for Leslie.
McCravy, however, refused to accept the refund check. Instead, she filed suit in federal court in May 2008. In her complaint, McCravy alleged, among other things, that
J.A. 6. Nevertheless, per the complaint, "[u]nbeknownst to [McCravy], Leslie was not eligible to actively participate in the plan because Leslie was over the age of 19. [But b]ecause [McCravy] and Leslie believed Leslie had life insurance and [AD & D] coverage and believed Leslie was participating in the plan, Leslie did not purchase different ... insurance...." Id.
McCravy asserted that MetLife's actions constituted a breach of fiduciary duty under 29 U.S.C. § 1104. She sought recovery under 29 U.S.C. § 1132(a)(2) or (a)(3), pleading entitlement to recovery under waiver, estoppel, "make whole," and other equitable theories. McCravy also pled various claims under state law, including promissory estoppel and breach of contract.
In September 2008, MetLife filed a "Memorandum in Support of Preemption," which the district court treated as a motion to dismiss. On June 12, 2009, the district court ruled that McCravy's state law claims were preempted by ERISA. Regarding her breach of fiduciary duty claim, the district court ruled that McCravy could not recover under Section 1132(a)(2).
J.A. 158-59.
On June 22, 2009, McCravy moved for summary judgment regarding the wrongfully retained premiums and reserved her right to appeal the district court's limitation of her recovery under Section 1132(a)(3). In January 2010, the district court entered a final order and judgment awarding McCravy the improperly withheld premiums. McCravy appealed, and MetLife cross-appealed. On May 16, 2011, this Court filed an opinion affirming the district court's order. That same day, the Supreme Court of the United States filed Amara, 131 S.Ct. 1866. On the basis of Amara, we granted McCravy's petition for panel re-hearing.
On appeal, McCravy challenges the district court's limitation of her available remedies under ERISA, arguing that Section 1132(a)(3) does indeed allow for surcharge
Central to the resolution of this case is the Supreme Court's decision in Amara. Before Amara, various lower courts, including this one, had (mis)construed Supreme Court precedent to limit severely the remedies available to plaintiffs suing fiduciaries under Section 1132(a)(3). See, e.g., LaRue v. De Wolff, Boberg & Assocs., Inc., 450 F.3d 570, 575 (4th Cir.2006) (holding that Mertens v. Hewitt Assoc., 508 U.S. 248, 113 S.Ct. 2063, 124 L.Ed.2d 161 (1993), "and its progeny compel the conclusion that" "monetary relief" for losses "sustained as a result of the alleged breach of fiduciary duties" "falls outside the scope of § 1132(a)(3)"), vacated on other grounds, 552 U.S. 248, 128 S.Ct. 1020, 169 L.Ed.2d 847 (2008).
But with Amara, "[a] striking development," the Supreme Court "expanded the relief and remedies available to plaintiffs asserting breach of fiduciary duty under [Section 1132(a)(3) ] and therefore seeking make-whole relief such as equitable relief in the form of `surcharge.'" Lee T. Polk, Statutory Provisions — Civil Remedies, 1 ERISA Practice and Litigation § 5:4 (West 2012). In Amara, employees filed a class action against an employer and pension plan, claiming that the employer's conversion of a traditional defined benefit plan to a cash balance retirement plan "provided them with less generous benefits." 131 S.Ct. at 1870. According to the plaintiffs, the employer's disclosures and notices regarding the change and the new plan were defective, harmful, and contrary to ERISA. Id.
The Supreme Court addressed whether broad remedies were available under Section 1132(a)(3), with its "other appropriate equitable relief" language, stating:
Id. at 1878-80 (citations omitted).
In sum, the portion of Amara in which the Supreme Court addressed Section 1132(a)(3) stands for the proposition that remedies traditionally available in courts of equity, expressly including estoppel and surcharge, are indeed available to plaintiffs suing fiduciaries under Section 1132(a)(3).
In this case, McCravy first argues that the district court committed legal error by limiting her damages to premiums wrongfully withheld by MetLife because the remedy of surcharge is available to her under Section 1132(a)(3). Specifically, McCravy contends that she, as "the beneficiary of a trust," is rightfully "seeking to `surcharge' the trustee [MetLife] in the amount of life insurance proceeds lost because of that trustee's breach of fiduciary duty." Appellant's Br. at 20. In light of Amara, we must agree.
As the Supreme Court pronounced in Amara, "surcharge," i.e., "make-whole relief," constitutes "appropriate equitable relief" under Section 1132(a)(3). 131 S.Ct. at 1880. Indeed, "[e]quity courts possessed the power to provide relief in the form of monetary `compensation' for a loss resulting from a trustee's breach of duty, or to prevent the trustee's unjust enrichment.... [P]rior to the merger of law and equity this kind of monetary remedy against a trustee, sometimes called a `surcharge,' was `exclusively equitable.'" Id. (citations omitted).
The Supreme Court has made quite clear that surcharge is available to plaintiffs suing fiduciaries under Section 1132(a)(3). We therefore agree with McCravy that her potential recovery in this case is not limited, as a matter of law, to a premium refund. Accordingly, we reverse the district court's determination to the contrary.
McCravy next argues that the remedy of equitable estoppel is also available under Section 1132(a)(3). Specifically, she contends that the court can "apply an equitable estoppel ... to prevent MetLife from... denying her right to convert coverage [for her daughter, from dependent life coverage to an individual policy] because the conversion did not occur within 31-days of her dependent reaching age 19."
As the Supreme Court stated in Amara, "[e]quitable estoppel operates to place the person entitled to its benefit in the same position he would have been in had the representations been true." 131 S.Ct. at 1880 (quotation marks omitted). In Amara, that meant holding the defendant fiduciary "to what it had promised, namely, that the new plan would not take from its employees benefits they had already accrued." Id. And the Supreme Court made plain that such estoppel is "a traditional equitable remedy" — i.e., a remedy available to plaintiffs suing a fiduciary under Section 1132(a)(3).
Thus, we agree with McCravy that her potential recovery in this case is not limited, as a matter of law, to a premium refund and that she may indeed seek equitable estoppel under Section 1132(a)(3).
In sum, with Amara, the Supreme Court clarified that remedies beyond mere premium refunds — including the surcharge and equitable estoppel remedies at issue here — are indeed available to ERISA
MetLife, as cross-appellant, challenges the district court's order granting summary judgment for McCravy and awarding her $311.09, the amount of premiums she had paid to MetLife to insure Leslie. Notably, however, the district court, in its order, nowhere addressed the merits of McCravy's breach of fiduciary duty claim. It simply noted that "[b]oth parties agree that McCravy is entitled to a return of $311.09 in premiums. Based on this stipulation, the court grants McCravy's motion for summary judgment." J.A. 171.
Crucially, the district court's summary judgment order rested on its prior determination, in its dismissal order, that Plaintiff's damages under Section 1132(a)(3) were "limited to a refund of the withheld premiums." J.A. 160. As we have already made clear, in light of Amara, we must disagree. Given that summary judgment on this issue was entered under an, at the time most understandable, misapprehension of the law, we vacate the order and remand for further proceedings.
In sum, we reverse the district court's determination in its dismissal order that McCravy's remedy under Section 1132(a)(3) is limited to a refund of premiums paid, i.e., that equitable remedies including surcharge and estoppel are unavailable under the statute as a matter of law. We vacate the district court's summary judgment order awarding McCravy a return of her premiums only, an order entered based upon the district court's earlier, erroneous decision. And we remand this case for further proceedings.
No. 10-1074 REVERSED AND REMANDED
No. 10-1131 VACATED