KING, Circuit Judge.
Plaintiff Rema Dawson-Murdock ("Rema") appeals from the dismissal of her civil action in the Eastern District of Virginia. Rema sued National Counseling Group, Inc. ("NCG"), alleging two claims under the Employee Retirement Income Security Act of 1974 ("ERISA") (codified primarily in Title 29 of the United States Code). See Dawson-Murdock v. Nat'l Counseling Grp., Inc., No. 3:18-cv-00058 (E.D. Va. Jan. 26, 2018), ECF No. 1 (the "Complaint").
Because this appeal stems from a Rule 12(b)(6) dismissal, we accept the facts
The Summary of Benefits explains that an NCG employee who desires to enroll in the Plan must pay a premium to NCG, which in turn sends the premium payment to Unum. In addition to transmitting premiums, NCG is obliged to "regular[ly]" provide Unum with information about employees "who are eligible to become insured; whose amounts of coverage change; and[] whose coverage ends." See J.A. 28.
The SPD specifies that, for the purposes of ERISA, NCG "is the [p]lan [a]dministrator and named fiduciary of the Plan," and that benefits under the Plan are "administered" by Unum. See J.A. 65 (emphasis added). The SPD also explains that "ERISA imposes duties upon the people who are responsible for the operation of the ... [P]lan," and that "[t]he people who operate [the] Plan, called `fiduciaries' of the Plan, have a duty to do so prudently and in the interest of ... Plan participants and beneficiaries." Id. at 71. And the SPD instructs Plan participants and beneficiaries to contact NCG if they have questions about the Plan.
While working full-time for NCG, Rema's late husband, Wayne Murdock ("Wayne"), elected $150,000 in life insurance coverage through the Plan. Wayne identified Rema as his primary beneficiary for any benefits resulting from the coverage. To secure that coverage, Wayne paid premiums to NCG, which forwarded those payments to Unum.
On March 21, 2016, Wayne stopped working full-time for NCG and began working part-time for it. Although enrollment in the Plan is limited to full-time NCG employees, NCG either never informed or misinformed Wayne about whether he remained eligible to participate in the Plan. Additionally, although Wayne could have converted or ported his life insurance coverage after transitioning to part-time status, NCG never notified him of those options.
On August 30, 2016, Wayne died. Rema, as Wayne's widow and beneficiary, thereafter
During the next four months, Rema and Vice President Baham communicated regularly regarding her life insurance benefits claim. Those communications included the following:
Based on the representations made to her by Vice President Baham from October 2016 through February 2017, Rema did not appeal Unum's denial of her benefits claim. By the time Baham informed Rema that NCG would not pay her claim, the ninety-day window for her to file an appeal with Unum had closed.
In January 2018, Rema filed her Complaint against NCG in the Eastern District
On March 30, 2018, NCG moved the district court for dismissal of the Complaint pursuant to Federal Rule of Civil Procedure 12(b)(6). In support of its dismissal motion, NCG argued that neither it nor Vice President Baham was acting as a fiduciary when they took the actions underlying Rema's ERISA claims. That is, NCG maintained that it and Baham were acting only in an administrative capacity for the Plan, which did not satisfy ERISA's definition of a "fiduciary," as codified in 29 U.S.C. § 1002(21)(A). Thus, according to NCG, they could not have breached any fiduciary duties owed to Wayne or Rema.
On August 7, 2018, the district court granted NCG's motion to dismiss and dismissed Rema's claims. In its accompanying Opinion, the court ruled that the Complaint failed to sufficiently allege that NCG satisfies ERISA's definition of a fiduciary. The Opinion explained that, in order to qualify as a fiduciary under ERISA, an employer must have some "discretionary control over" the employee benefit plan. See Opinion 5. And the Opinion concluded that the Complaint did not adequately allege that NCG (and its high-ranking employee, Vice President Baham) exercised "discretionary control regarding benefits decisions" under the Plan. Id. at 6. Instead, the Opinion emphasized that Unum made the benefits decisions for the Plan. The Opinion also described NCG's and Baham's alleged actions as merely "administrative" and thus not of a fiduciary nature. Id. at 5. Rema noted a timely appeal from the dismissal rulings, and we possess jurisdiction pursuant to 28 U.S.C. § 1291.
We review de novo a district court's dismissal of a complaint pursuant to Federal Rule of Civil Procedure 12(b)(6). See Feminist Majority Found. v. Hurley, 911 F.3d 674, 685 (4th Cir. 2018). In conducting such a review, we accept the complaint's "factual allegations as true and draw all reasonable inferences in favor of
On appeal, Rema contests the district court's dismissal of her two ERISA claims. She contends that NCG's alleged conduct necessarily constitutes fiduciary activity because NCG is both the plan administrator and the named fiduciary. Even if those roles are insufficient to establish that NCG's conduct in relation to the Plan is fiduciary in nature, Rema maintains that NCG and Vice President Baham functioned as fiduciaries in taking the actions alleged in the Complaint, and that the Opinion erred in ruling otherwise.
ERISA specifies several duties, "derived from the common law of trusts," that are imposed on a fiduciary for an employee benefit plan. See Tibble v. Edison Int'l, ___ U.S. ___, 135 S.Ct. 1823, 1828, 191 L.Ed.2d 795 (2015) (internal quotation marks omitted); see also 29 U.S.C. § 1104(a) (defining "standard of care" for ERISA fiduciary); Pegram v. Herdrich, 530 U.S. 211, 224, 120 S.Ct. 2143, 147 L.Ed.2d 164 (2000) ("The[] responsibilities imposed by ERISA have the familiar ring of their source in the common law of trusts."). To allege a breach of any such fiduciary duty, a plan participant or beneficiary must first establish "that the party charged with the breach" is, in fact, a fiduciary. See Coleman v. Nationwide Life Ins. Co., 969 F.2d 54, 60 (4th Cir. 1992).
ERISA contemplates two general types of fiduciaries. See, e.g., Mertens v. Hewitt Assocs., 508 U.S. 248, 251, 113 S.Ct. 2063, 124 L.Ed.2d 161 (1993); Custer v. Sweeney, 89 F.3d 1156, 1161 (4th Cir. 1996). The first type is a "named fiduciary," which — as the term suggests — is "a fiduciary who is named" in the plan documents. See 29 U.S.C. § 1102(a)(2).
The second type of fiduciary contemplated by ERISA has been called a "functional fiduciary." See Tatum, 761 F.3d at 357 n.6. Section 1002(21)(A) of Title 29 defines such a fiduciary and provides that
See 29 U.S.C. § 1002(21)(A). In summarizing the two general types of ERISA fiduciaries, we have explained that "the concept of a fiduciary under ERISA ... includes not only those named as fiduciaries in the plan instrument, ... but [also] any individual who de facto performs specified discretionary functions with respect to the management, assets, or administration of a plan." See Custer, 89 F.3d at 1161 (alterations and internal quotation marks omitted).
In assessing whether a person or entity qualifies as a fiduciary under ERISA, we have consistently utilized an interpretive bulletin published by the Department of Labor in 1975. See 29 C.F.R. § 2509.75-8; Custer, 89 F.3d at 1162; Coleman, 969 F.2d at 61-62.
We begin our analysis of this appeal with Rema's position that NCG's joint
Calling NCG's assertion into substantial doubt, the Supreme Court has itself recognized that, as logic would suggest, a named fiduciary is "an ERISA fiduciary." See Mertens, 508 U.S. at 251, 113 S.Ct. 2063 (internal quotation marks omitted). And we have expressed a similar, common-sensical understanding. See Tatum, 761 F.3d at 371 ("[T]he Committees are the only named fiduciaries in the governing Plan document. As such, these entities are proper defendants in a suit alleging breach of fiduciary duty with respect to the Plan."); Custer, 89 F.3d at 1161 ("[T]he concept of a fiduciary under ERISA ... includes ... those named as fiduciaries in the plan instrument."). We have likewise recognized that "a plan administrator is a fiduciary with respect to her own policy." See Canada Life Assurance Co. v. Estate of Lebowitz, 185 F.3d 231, 237 (4th Cir. 1999). In addition, other courts of appeals have ruled that a plaintiff establishes a defendant's fiduciary capacity by alleging that the defendant is the named fiduciary for an ERISA plan. See, e.g., Jordan v. Fed. Express Corp., 116 F.3d 1005, 1014 & n.16 (3d Cir. 1997) (emphasizing that named fiduciary in plan instrument is fiduciary); Maez v. Mountain States Tel. & Tel., Inc., 54 F.3d 1488, 1498 (10th Cir. 1995) (concluding that complaint sufficiently demonstrated defendants' fiduciary capacities by alleging that defendants were named fiduciaries).
To the extent that our decisions have said that "being a fiduciary under ERISA is not an all-or-nothing situation," our Court has never done so in the context of assessing whether a plan administrator and a named fiduciary is, in fact, a fiduciary. See Gordon, 890 F.3d at 474 (assessing status of functional fiduciary). That is, our recognition of such a principle — that ERISA fiduciary status can be a fluid concept —has come in assessing the nature of a functional fiduciary, as defined by section 1002(21)(A) of Title 29. See id.; Coleman, 969 F.2d at 61-62. And that principle makes sense in light of ERISA's definition of a functional fiduciary. See Coleman, 969 F.2d at 61 ("[T]he inclusion of the phrase `to the extent' in § 1002(21)(A) means that a party is a fiduciary only as to the activities which bring the person within the definition.").
Our precedents should not, however, be unduly expanded to suggest that an entity that serves as both the plan administrator and the named fiduciary for an ERISA-covered plan is not an ERISA fiduciary. Doing so would ignore ERISA's undisputable recognition of named fiduciaries.
In concluding that the Complaint fails to sufficiently allege NCG's fiduciary status, the Opinion failed to consider and assess the relevant decisions on plan administrators and named fiduciaries and their application to these ERISA claims. Indeed, it did not recognize the significance of NCG's status as the joint plan administrator and named fiduciary, and it erroneously focused on our precedents addressing functional fiduciaries. Although those errors alone support a vacatur and a remand, the Opinion also erred in making its functional fiduciary analysis.
Aside from NCG's plausibly alleged fiduciary status resulting from its joint roles as the plan administrator and the named fiduciary, we are satisfied that the Complaint sufficiently alleges that NCG is a fiduciary with respect to the particular conduct giving rise to Rema's ERISA claims. That is, the Complaint shows that NCG acted as a functional fiduciary, within the meaning of section 1002(21)(A) of Title 29, with respect to each of the ERISA claims. We will address separately the facts that support those two claims.
In her first ERISA claim, Rema alleges that NCG failed to inform or misinformed Wayne about his continued eligibility under the Plan. She further alleges that NCG neglected to notify Wayne that he had the option to convert or port his life insurance coverage. Based on the relevant precedents and the Department of Labor's 1975 bulletin, we are satisfied that this claim adequately pleads NCG's status as a functional fiduciary.
In our 2018 Gordon decision, we were again confronted with a breach of fiduciary duty claim predicated on the defendant's silence. There, an employee had paid supplemental life insurance premiums to his employer for coverage under a group life insurance plan, and the employer submitted the premium payments to the insurer for the plan. See Gordon, 890 F.3d at 469. When the employee died, his beneficiary filed a claim for supplemental life insurance benefits with the insurer. Id. at 468. Despite its acceptance of the employee's premiums, the insurer denied the beneficiary's claim because the employee had failed to submit certain paperwork demonstrating his eligibility for supplemental coverage. Id. The plaintiff sued the insurer under ERISA, alleging a claim for breach of fiduciary duty based on the insurer's failure "to notify [the employee] that he needed to submit additional evidence of insurability — while simultaneously collecting premiums for unapproved coverage." Id. at 469.
On appeal from a summary judgment award to the insurer, we observed that the plan documents designated the insurer as the claim administrator and the employer as the plan administrator. See Gordon, 890 F.3d at 474. Although the insurer was responsible for adjudicating benefits claims under the plan, we ruled that it was not a fiduciary with respect to the failure to notify the employee about the paperwork requirement. Id. Instead, we ruled that the fiduciary for a claim related to that failure was the employer, which the plan documents tasked with "day-to-day program administration," such as collecting premiums, verifying eligibility, and submitting applications for supplemental coverage. Id. (internal quotation marks omitted).
Our Griggs and Gordon precedents undermine the Opinion's ruling that the first ERISA claim fails to allege NCG's fiduciary capacity. That is, when a plan administrator is responsible for verifying employee eligibility for participation in an employee benefit plan, that administrator acts in a fiduciary capacity with regard to that obligation. See Gordon, 890 F.3d at 474. Additionally, a plan administrator acts in a fiduciary capacity when it conveys (or fails to convey) material information to a plan participant concerning the retention of eligibility for a benefit plan when that administrator is aware that the participant wishes to maintain his participation therein. See Griggs, 237 F.3d at 381-82; Eddy, 919 F.2d at 751. Viewed in the light most favorable to Rema, the Complaint plausibly alleges that, in these circumstances, NCG performed such fiduciary activities as the plan administrator.
If there were any doubt about whether the allegations in support of the first ERISA claim establish NCG's status as a
Turning to Rema's second ERISA claim, she alleges therein that NCG breached the fiduciary duty that it owed to her as a beneficiary when Vice President Baham advised her not to appeal Unum's denial of her benefits claim. Pertinent to this claim, the Supreme Court and our Court have both recognized that conveying information about plan benefits to a beneficiary in order to assist plan-related decisions can constitute fiduciary activity. See Varity Corp. v. Howe, 516 U.S. 489, 502, 116 S.Ct. 1065, 134 L.Ed.2d 130 (1996) (explaining that "[c]onveying information about the likely future of plan benefits, thereby permitting beneficiaries to make an informed choice about continued participation" is a fiduciary activity); Griggs, 237 F.3d at 379-80 (accepting that plan administrator acted in fiduciary capacity by communicating with participant about pension benefits).
In these circumstances, we are satisfied that the Complaint plausibly alleges that Vice President Baham engaged in a fiduciary activity when he instructed Rema that she need not appeal Unum's decision denying her benefits claim. In so instructing Rema, Baham was not merely "advising [a] participant[] of [her] rights and options under the [P]lan." See 29 C.F.R. § 2509.75-8 (D-2). Instead, in responding to Rema's request for assistance, Baham offered tailored advice concerning her decision on whether to pursue an appeal. See J.A. 71 (stating that Plan beneficiary should contact NCG if she has questions about the Plan). Such conduct by an employee imbued with a plan administrator's authority constitutes discretionary activity in the "administration" of the plan, and it is thus a fiduciary activity under ERISA. See 29 U.S.C. § 1002(21)(A)(iii) (providing that a person is a functional fiduciary when "he has any discretionary authority or discretionary responsibility in the administration of [a] plan"); In re DeRogatis, 904 F.3d 174, 192 (2d Cir. 2018) (explaining that individualized consultation regarding plan benefits constitutes fiduciary activity).
Pursuant to the foregoing, we vacate the district court's dismissal of the ERISA claims and remand for such other and further proceedings as may be appropriate.
VACATED AND REMANDED