McKEAGUE, Circuit Judge.
This is the second time this case has been before the Sixth Circuit. The first time, we affirmed the district court's determination that defendant Life Insurance Company of North America ("LINA") acted arbitrarily and capriciously when it denied Daniel Rochow's claim for long-term disability benefits under the Employee Retirement Income Security Act, 29 U.S.C. § 1001 et seq. ("ERISA"). Rochow v. LINA, 482 F.3d 860 (6th Cir.2007) ("Rochow I"). Our second review comes after the district court ordered that LINA disgorge profits flowing from its wrongful denial of benefits. A divided three-judge panel affirmed the district court's order. Rochow v. LINA, 737 F.3d 415 (6th Cir. 2013) ("Rochow II"). We granted rehearing en banc, thereby vacating Rochow II, in order to reconsider as a full court whether the disgorgement award was proper. For the reasons that follow, we vacate the disgorgement award and remand the case to the district court to determine whether prejudgment interest is appropriate.
The facts of this case are adequately summarized in Rochow II and are reproduced here:
Rochow II, 737 F.3d at 417-20 (alteration in original).
On December 6, 2013, a panel of this court affirmed the disgorgement award, holding that disgorgement was properly ordered under ERISA § 502(a)(3) for LINA's breach of fiduciary duty and that Rochow's claim for such relief was not an impermissible repackaging of a claim for wrongful denial of benefits under § 502(a)(1)(B). Id. at 423. The Rochow II panel stated that the successful result obtained by Rochow on his claim for wrongful denial of benefits in Rochow I did not preclude additional relief on Rochow's breach-of-fiduciary-duty claim. Id. at 422-23. LINA's petition for en banc rehearing was granted on February 19, 2014, vacating the panel's decision in Rochow II.
There is essentially one issue before us: Is Rochow entitled to recover under both ERISA § 502(a)(1)(B) and § 502(a)(3) for LINA's arbitrary and capricious denial of long-term disability benefits? As a result of our ruling in Rochow I, Rochow recovered all benefits that he had been wrongfully denied under § 502(a)(1)(B). We now decide whether Rochow may also recover under § 502(a)(3), which makes "appropriate equitable relief" available to redress such violations as a breach of fiduciary duty.
ERISA has six remedial provisions. The remedial provisions relevant to this action are § 502(a)(1)(B) and § 502(a)(3), which state:
29 U.S.C. § 1132(a).
Unfortunately for Rochow, Supreme Court precedent construing the interplay of these provisions dictates a result contrary to that reached by the district court. In Varity Corp. v. Howe, 516 U.S. 489, 116 S.Ct. 1065, 134 L.Ed.2d 130 (1996), the Supreme Court allowed a group of plaintiffs, who were unable to bring a claim under § 502(a)(1)(B), to bring suit for breach of fiduciary duty under § 502(a)(3). As the Court explained, § 502(a)(3) "functions as a safety net, offering appropriate equitable relief for injuries caused by violations that § 502 does not elsewhere adequately remedy." Id. at 513, 116 S.Ct. 1065. Importantly, however, the Varity Court limited this expansion of ERISA coverage by noting that "where Congress elsewhere provided adequate relief for a beneficiary's injury, there will likely be no need for further equitable relief, in which case such relief normally would not be appropriate." Id. at 515, 116 S.Ct. 1065 (emphasis added) (internal quotation marks omitted).
The Varity Court thus emphasized that ERISA remedies are concerned with the adequacy of relief to redress the claimant's injury, not the nature of the defendant's wrongdoing. The district court's use of equitable relief under § 502(a)(3) as the vehicle for its disgorgement award misses the mark. Instead of focusing on the relief available to make Rochow whole, the award reflects concern that LINA had wrongfully gained something, a consideration beyond the ken of ERISA make-whole remedies. Varity indicates that equitable relief is not ordinarily appropriate where Congress has elsewhere provided adequate means of redress for a claimant's injury. In other words, a claimant cannot pursue a breach-of-fiduciary-duty claim under § 502(a)(3) based solely on an arbitrary and capricious denial of benefits where the § 502(a)(1)(B) remedy is adequate to make the claimant whole. Here, there is no showing that the benefits recovered
If an arbitrary and capricious denial of benefits implicated a breach of fiduciary duty entitling the claimant to disgorgement of the defendant's profits in addition to recovery of benefits, then equitable relief would be potentially available whenever a benefits denial is held to be arbitrary or capricious. This would be plainly beyond and inconsistent with ERISA's purpose to make claimants whole. Tellingly, the appellate briefing contains citation to no case that allowed disgorgement of profits under § 502(a)(3) after the claimant recovered for wrongful denial of benefits under § 502(a)(1)(B).
Here in the Sixth Circuit we have had occasion to apply Varity's teaching on the relationship between § 502(a)(1)(B) and § 502(a)(3) in Wilkins v. Baptist Healthcare System, Inc., 150 F.3d 609 (6th Cir. 1998). In Wilkins, Wilkins applied for long-term disability benefits and, after the plan administrator denied his claim, sued for benefits under § 502(a)(1)(B) and for equitable relief under § 502(a)(3) based on breach of fiduciary duty. We denied relief under § 502(a)(3) stating:
Id. at 615. Just like the plaintiff in Wilkins, Rochow is not entitled to relief under the catchall provision: such relief is unnecessary and unavailable because he has an adequate remedy under § 502(a)(1)(B).
LINA thus contends the district court's disgorgement award contravenes Wilkins and allows a claimant to improperly repackage a claim for benefits wrongfully denied as a cause of action for breach of fiduciary duty. Rochow insists that Wilkins provided a way to ensure only that claimants do not attempt an "end run" around ERISA's limitations by repackaging an unsuccessful claim for benefits as a claim for "appropriate relief" based on an alleged breach of fiduciary duty. Rochow claims that Wilkins bars relief sought under § 502(a)(3) only if that same type of relief could have been obtained under § 502(a)(1)(B). Because he purportedly seeks a type of relief under § 502(a)(3) (i.e., disgorgement of LINA's profits) different from and in addition to what is available to him under § 502(a)(1)(B), Rochow contends that Wilkins does not preclude his claim for this additional remedy to obtain complete relief.
Rochow mischaracterizes Wilkins. A claimant can pursue a breach-of-fiduciary-duty claim under § 502(a)(3), irrespective of the degree of success obtained on a claim for recovery of benefits under § 502(a)(1)(B), only where the breach of fiduciary duty claim is based on an injury separate and distinct from the denial of benefits or where the remedy afforded by Congress under § 502(a)(1)(B) is otherwise shown to be inadequate. See Gore v. El Paso Energy Corp. Long Term Disability Plan, 477 F.3d 833, 840-42 (6th Cir.2007). Wilkins simply affords no support for the argument that § 502(a)(3) equitable relief may be appropriate to further redress a wrongful denial of benefits adequately remediable under § 502(a)(1)(B). Rather, Wilkins makes clear that the availability of relief under § 502(a)(3) is contingent on a showing that the claimant could not avail himself or herself of an adequate remedy
Rochow contends there is no legitimate concern about impermissible claim "repackaging" when a benefits-claimant prevails and seeks "other appropriate equitable relief." We disagree. Impermissible repackaging is implicated whenever, in addition to the particular adequate remedy provided by Congress, a duplicative or redundant remedy is pursued to redress the same injury. Because Rochow was able to avail himself of an adequate remedy for LINA's wrongful denial of benefits pursuant to § 502(a)(1)(B), he cannot obtain additional relief for that same injury under § 502(a)(3).
In Hill v. Blue Cross and Blue Shield of Michigan, 409 F.3d 710 (6th Cir.2005), we further clarified the interplay of § 502(a)(1)(B) and § 502(a)(3). In Hill, the plaintiffs brought a class-action lawsuit seeking individual relief for wrongfully denied benefits under § 502(a)(1)(B) and for plan-wide injunctive relief under § 502(a)(3) based upon the defendant's alleged breach of its fiduciary duty. The district court dismissed the § 502(a)(3) claim, finding that "these claims were merely repackaged claims for individual benefits and did not constitute actual fiduciary-duty claims." Id. at 717. We reversed. Whereas Wilkins involved the rejection of fiduciary-duty claims on the basis that they were actually disguised individual-benefits claims, in Hill the need for relief under the catchall provision arose out of a defect in plan-wide claim handling procedures, implicating a different injury. "The award of benefits to a particular [plaintiff] based on an improperly denied claim for emergency-medical-treatment expenses will not change the fact that [defendant] is using an allegedly improper methodology for handling ... claims." Id. at 718. To remedy this separate and distinct injury, we permitted injunctive relief under § 502(a)(3), not an additional award of monetary damages for the same denial of benefits. Thus, Hill recognized an exception to Varity and Wilkins where "[o]nly injunctive relief of the type available under [§ 502(a)(3) would] provide the complete relief sought by Plaintiffs by requiring [Defendant] to alter the manner in which it administers all the Program's claims ...." Id. at 718 (emphasis added). In Hill, as in Varity, the primary purpose of ERISA was given effect — ensuring availability of an adequate remedy to make the plaintiffs whole.
The present case does not fall within the Hill exception to Varity and Wilkins. Hill distinguished between the denial of individual claims and plan-wide mishandling of claims as two distinct injuries. Section 502(a)(1)(B) provided relief for the denial of the Hill plaintiffs' individual benefits, and § 502(a)(3) remedied the systemic plan-wide problems that posed a potential for future injury. Contrast Hill with the present case, where the only asserted injury to Rochow is the denial of benefits and withholding of the same benefits. These are not distinct injuries; they are one and the same injury. Because Rochow has an adequate and effective remedy for this injury under § 502(a)(1)(B), he is not also entitled to relief under § 502(a)(3).
Rochow continues to claim that the disgorgement award ("equitable accounting") remedies an injury entirely distinct from the injury remedied by recovery of his benefits, and that he has therefore suffered two distinct injuries. Rochow contends that he suffered his first injury when LINA improperly denied his benefits, and he suffered his second "injury" when LINA used the funds it owed him to generate $3.7 million in profits for its own
Nor can it be said that Rochow suffered a second injury, or that his injury was exacerbated, as a result of any gain realized by LINA before it paid the wrongfully withheld benefits. Rochow's loss remained exactly the same irrespective of the use made by LINA of the withheld benefits. Despite Rochow's creative use of semantics, the reality remains clear: Rochow suffered one injury, the denial of his benefits. And neither Rochow nor the dissent has succeeded in identifying any way in which the remedy available under § 502(a)(1)(B) — i.e., recovery of benefits and attorney's fees and, potentially, prejudgment interest — is inadequate to make Rochow whole. The remedy Congress chose to make available under § 502(a)(1)(B) having thus not been shown to be inadequate, it follows that permitting Rochow to obtain further equitable relief for the same injury under § 502(a)(3) would contravene the scheme established by Congress as well as the Supreme Court's teaching in Varity.
Rochow cites two cases to support his claim that he is entitled to equitable relief under § 502(a)(3). He contends that Edmonson v. Lincoln Nat'l Life Ins. Co., 725 F.3d 406 (3d Cir.2013), stands for the proposition that disgorgement of profits may be an appropriate remedy for breach of fiduciary duty even in the absence of a showing of financial loss by the claimant. The discussion in Edmonson on which Rochow relies is addressed solely to the question whether an ERISA claimant had standing to bring a claim for disgorgement of profits notwithstanding a lack of showing of financial loss. The court answered this question in the affirmative, based on trust law principles. Id. at 415-17. However, the court ultimately denied relief for lack of a showing of a breach of fiduciary duty and lack of a showing that any such breach proximately caused injury to the claimant. Id. at 423-26. There was no claim in Edmonson for benefits wrongfully denied, but only a stand-alone claim for breach of fiduciary duty. Hence, the Edmonson court did not have occasion to address the interplay of § 502(a)(1)(B) and § 502(a)(3) or to consider whether the availability of other remedies under ERISA rendered equitable relief under § 502(a)(3) inappropriate. Edmonson's observations about standing, viewed in context, are of limited significance to the issue before us.
Rochow also relies on CIGNA Corp. v. Amara, ___ U.S. ___, 131 S.Ct. 1866, 1881, 179 L.Ed.2d 843 (2011), to support his argument that the failure to show a second, distinct injury is not fatal to his disgorgement award under § 502(a)(3). In Amara, he contends, the Court recognized that in an action for equitable relief under § 502(a)(3), the requisite "actual harm" may consist simply of "the loss of a right protected by ERISA or its trust-law antecedents." Id. at 1881. Again, the argument misses the point. There is no dispute that "appropriate equitable relief" may be obtained under § 502(a)(3) to redress an ERISA violation by a plan fiduciary. The point, as detailed above, is that Rochow did not suffer an injury remediable under § 502(a)(3) in this case. Rochow suffered the wrongful denial of his benefits,
Rochow insists that Varity and Amara, read together, indicate that a plaintiff may obtain relief under both § 502(a)(1)(B) and § 502(a)(3) if "other appropriate equitable relief" is necessary to make the plaintiff whole for injury caused by the wrongful denial of benefits. He argues that Varity made clear that "other appropriate equitable relief" may be available under § 502(a)(3) when a party cannot obtain relief under § 502(a)(1)(B). Further, Amara identified a range of equitable remedies potentially available under § 502(a)(3), including surcharge.
Rochow's reading misses a logical step: "other appropriate equitable relief" is not necessary to make him whole. While Varity certainly acknowledges the possibility of equitable relief, and Amara outlines the scope of potential equitable relief, when appropriate, the Supreme Court has never stated that recovery under both § 502(a)(3) and § 502(a)(1)(B) may be warranted for a single injury. Rochow claims two injuries — the arbitrary and capricious denial of benefits, and the breach of fiduciary duty consisting of the continued withholding of the wrongfully denied benefits. These "injuries," however, as explained above, are indistinguishable. The Court in Varity made clear that equitable relief is not ordinarily appropriate where Congress has provided adequate relief for a claimant's injury. The purpose behind ERISA continues to be remedial, and Rochow's injury was remedied when he was awarded the wrongfully denied benefits and attorney's fees — as potentially supplemented by award of prejudgment interest, still to be determined. Despite Rochow's attempts to obtain equitable relief by repackaging the wrongful denial of benefits claim as a breach-of-fiduciary-duty claim, there is but one remediable injury and it is properly and adequately remedied under § 502(a)(1)(B). Rochow and our dissenting colleagues wholly fail to explain how his § 502(a)(1)(B) remedies are inadequate to remedy his injury.
Rochow's final argument is that even if the disgorgement relief is not available under § 502(a)(3), he is entitled to prejudgment interest under § 502(a)(1)(B), a matter the district court failed to address. We acknowledge that prejudgment interest may be awarded in an appropriate
Prejudgment interest cannot be awarded, however, at a rate so high that the award amounts to punitive damages:
Ford v. Uniroyal Pension Plan, 154 F.3d 613, 616 (6th Cir.1998). An interest award should "simply compensate a beneficiary for the lost interest value of money wrongfully withheld from him or her." Rybarczyk v. TRW, Inc., 235 F.3d 975, 985 (6th Cir.2000) (quoting Ford, 154 F.3d at 618). An excessive prejudgment interest rate would "contravene ERISA's remedial goal of simply placing the plaintiff in the position he or she would have occupied but for the defendant's wrongdoing." Schumacher v. AK Steel Corp. Retirement Accumulation Pension Plan, 711 F.3d 675, 686 (6th Cir.2013). Conversely, an exceedingly low award would fail to make the plaintiff whole. Id.
Rochow's request for prejudgment interest appears to be a remedy the district court could have granted, though not at an excessive rate. In his initial complaint, Rochow requested various forms of relief, including an "[o]rder compelling Defendant to pay Plaintiff forthwith the full amount of employee benefits due him and to continue such payments for a period set forth in the Plan, including interest on all unpaid benefits." R. 1, Compl. at 6, Page ID 6. Rochow also requested "[r]easonable attorney fees and costs" and "[s]uch other relief as may be just and appropriate." Id. When the case was remanded to the district court following Rochow I, the parties treated prejudgment interest as a live issue, fully briefing the issue in connection with the proceedings on equitable remedies. Yet when disgorgement of profits was ordered, the question of prejudgment interest was given no further consideration. Rochow thus prayed for such relief in his complaint and has preserved his request throughout the proceedings. The issue having been thus far been pretermitted through no fault of the parties, we remand the case once more to the district court for fresh consideration of Rochow's entitlement to prejudgment interest.
For the reasons stated above, we
JULIA SMITH GIBBONS, Circuit Judge, concurring.
If one accepts the rather charitable assumptions made in footnote 1 of the majority
Rochow's complaint stated two claims: He alleged that LINA wrongfully denied him benefits under 29 U.S.C. § 1132(a)(1)(B), and he alleged that in doing so, LINA breached its fiduciary duties under 29 U.S.C. § 1104(a). The second claim was styled as one arising under 29 U.S.C. § 1132(a)(3). In his prayer for relief, in addition to seeking an order compelling LINA to pay him the benefits he believed he was due, Rochow sought disgorgement of any profits that LINA had obtained as a result of its conduct.
The parties filed cross-motions for summary judgment. LINA requested that the district court affirm its denial of Rochow's claim for benefits. Rochow asserted only that LINA erroneously denied him benefits pursuant to § 1132(a)(1)(B).
Were there any doubt that Rochow's § 1132(a)(3) claim no longer remained in the suit, the district court's judgment ordered the case "DISMISSED." This was a final judgment, conferring upon the Rochow I panel appellate jurisdiction pursuant to 28 U.S.C. § 1291. There was no other basis for appellate jurisdiction, as the district court did not issue an injunction triggering the application of 28 U.S.C. § 1292(a), nor did it certify the case for interlocutory appeal pursuant to 28 U.S.C. § 1292(b). Rochow raised no issue on appeal regarding the district court's failure to address his breach of fiduciary duty claim. The Rochow I panel affirmed the district court's grant of Rochow's motion for summary judgment, thus ending the case. The district court had ordered the case dismissed. A panel of this court had affirmed. And the panel did not remand the case to the district court.
Pursuant to the parties' stipulation, however, the district court agreed to accept "post-remand" motions. But the case had never been remanded, and, of course, the parties could not stipulate to the district court's retention of jurisdiction. Still, the district court permitted Rochow to resuscitate his abandoned disgorgement claim, after Rochow moved for the court "to supervise the equitable accounting granted with summary judgment." This motion was highly problematic. For starters, the district court never granted equitable accounting as part of its summary judgment order. And to the extent Rochow mentioned "accounting" in his motion for summary judgment, he sought an accounting of the amount of benefits due so that he could ensure "that his benefits [we]re being paid in the proper amount," not equitable accounting tantamount to disgorgement. LINA is not without fault either. It spent years litigating the case without bringing these procedural defects to the district court's attention.
When the district court finally granted Rochow's motion for equitable accounting and ordered LINA to disgorge profits, it
Here, the Rochow I panel did not remand the case to the district court, so any "post-remand" litigation was contrary to this court's mandate. See United States v. Hamilton, 440 F.3d 693, 697-98 (5th Cir. 2006); Green v. Nevers, 196 F.3d 627, 632 (6th Cir.1999). Even if Rochow I could be read as remanding the case to the district court for the issuance of a remedy, a district court violates the mandate rule when it orders an additional remedy beyond that contemplated by the appellate panel's opinion. See Briggs v. Pa. R.R. Co., 334 U.S. 304, 306, 68 S.Ct. 1039, 92 L.Ed. 1403 (1948); Schake v. Colt Indus. Operating Corp. Severance Plan for Salaried Emps., 960 F.2d 1187, 1191 (3d Cir.1992); Stiller v. Squeez-A-Purse Corp., 296 F.2d 504, 506 (6th Cir.1961). Since Rochow had abandoned his claim for disgorgement under § 1132(a)(3) by not seeking its resolution in the district court after that court treated a motion for "partial" summary judgment as one warranting summary judgment on all issues and by not raising the district court's failure to resolve the breach of fiduciary duty claim on appeal, the district court violated the mandate rule when it ordered disgorgement.
Our mandate issued on May 3, 2007. Over seven years later this case is still being litigated. The majority's charitable view of the case's procedural history allows that unfortunate history to continue with some legitimacy. In short, while I agree with the majority's analysis if one accepts its accommodations in footnote 1 to reposition the case for en banc review, I am unable to refrain from presenting another take on the history of this case, one which would preclude the district court's jurisdiction to order any further relief, except the prejudgment interest directed by the majority opinion.
HELENE N. WHITE, Circuit Judge, concurring in part and dissenting in part.
I write separately because I do not entirely agree or disagree with either the majority or dissenting opinion. I would vacate the judgment on the basis that the order of disgorgement is not adequately supported. I would, however, permit consideration of a refashioned disgorgement remedy on remand if properly supported.
There is less light between the two opinions than might appear on the surface. The majority understands Rochow's fiduciary-duty claim as a repackaging of his benefits-denial claim, for which it believes Rochow obtained adequate relief as a result of Rochow I, 482 F.3d 860 (6th Cir. 2007), and a potential award of prejudgment interest on remand. Operating under
I do not agree that the dispositive inquiry governing the availability of equitable relief under § 502(a)(3) is whether the claim is a repackaging of a benefits-denial claim. Rather, the governing inquiry under ERISA is whether other equitable relief is appropriate under the circumstances, and the extent to which the equitable disgorgement claim duplicates the benefits-denial claim is one factor to be considered in making that determination.
The statutory framework that authorizes "other appropriate equitable relief" confides the determination whether and what equitable relief is appropriate to judges, who presumably are well equipped to determine when a particular set of circumstances warrants additional relief by focusing on ERISA's objectives. This understanding of and respect for the discretionary role of the courts in evaluating claims for equitable relief is consistent with the Supreme Court's statements in Varity Corp. v. Howe, 516 U.S. 489, 116 S.Ct. 1065, 134 L.Ed.2d 130 (1996), which contemplate courts' sound exercise of their discretion in fashioning appropriate equitable relief:
Id. at 515, 116 S.Ct. 1065 (citations and internal quotation marks omitted). Varity does not require a showing of a "separate and distinct" injury. Maj. Op. 372; cf. id. at 371 (recognizing that Varity "emphasized that ERISA remedies are concerned with the adequacy of relief to redress the claimant's injury"). Rather, it speaks of injury for which adequate relief has not been elsewhere provided, uses the qualifying terms "likely" and "normally," and ultimately focuses on the governing word "appropriate." We should, therefore, address whether additional equitable relief is appropriate here, even discuss the types of considerations that should guide the determinations whether and what equitable relief is appropriate, but we should not preemptively disallow equitable remedies in particular circumstances where ERISA has not done so.
Nevertheless, the majority fashions a bifurcated standard, holding that a breach-of-fiduciary-duty claim is actionable under § 502(a)(3) where the claim is based on "an injury separate and distinct from the denial of benefits or where the remedy afforded by Congress under § 502(a)(1)(B)
Further undermining the separate-and-distinct-injury requirement for relief under § 502(a)(3) is the majority's acknowledgement that a plaintiff who recovers benefits under § 502(a)(1)(B) can also obtain "other appropriate equitable relief" under § 502(a)(3) in the form of prejudgment interest, an equitable remedy. The majority allows an interest award even as it asserts that Rochow suffered only one injury that was "adequately remedied under § 502(a)(1)(B)," and that he "did not suffer [a separate and distinct] injury remediable under § 502(a)(3)." Id. at 374-75. Clearly, Rochow was not made whole by the award of benefits and attorney's fees. Nearly seven years elapsed between the time he sought benefits and when LINA finally paid all benefits that were due. Further equitable relief is necessary to compensate Rochow for LINA's extraordinary delay in paying benefits. The majority concedes as much in its remand order directing the district court to consider the award of interest, although it leaves the ultimate determination to the district court. But, having acknowledged the possibility that delay in payment might require further appropriate equitable relief, the majority does not explain why one equitable remedy (interest) may be appropriate in a benefits-denial case, but another equitable remedy (disgorgement) is never appropriate in such a case, except to say that there is only one injury.
There is a valid distinction between the two equitable remedies that has nothing to do with whether there is an injury separate and distinct from the denial of benefits: Interest is generally compensatory, while disgorgement is generally geared toward deterring future misconduct. See Drennan v. Gen. Motors Corp., 977 F.2d 246, 253 (6th Cir.1992); The Law of Trusts and Trustees § 484. I share the majority's concern that Congress did not intend to turn the routine denial of benefits into the basis for a recovery of benefits and also an array of equitable relief, but I would direct that concern to the question whether, in light of the historic distinction between the two equitable remedies, disgorgement constitutes "other appropriate equitable relief" under the facts of a particular case, and would refrain from announcing what appears to be a blanket
Turning to the instant case, the district court did not find that disgorgement of profits is necessary to make Rochow whole, or that Rochow could have earned the same rate of return had he been paid his benefits on time.
In the absence of such justifications, disgorgement as an equitable remedy in a denial-of-benefits case should be premised on a finding that the decision to deny benefits was not only arbitrary and capricious but also based on impermissible considerations that call for an equitable judicial response geared toward deterring similar decision making in the future, as, for example, where the denial of benefits is not the product of particular claims evaluators' misguided evaluations, but rather, an organizational policy to delay paying valid claims for as long as possible; or where repeated wrongful denials lead to the conclusion that disgorgement is necessary to assure proper claims processing in the future. See Hill v. Blue Cross & Blue Shield of Mich., 409 F.3d 710, 718 (6th Cir.2005); Parke v. First Reliance Standard Life Ins. Co., 368 F.3d 999, 1008 (8th Cir.2004) (quoting 1 Dobbs § 4.3(5), at 611 n.16); Restatement (Third) of Restitution and Unjust Enrichment § 51 (2011). Further, even when these types of considerations support disgorgement, the court should consider the effect of disgorgement on innocent participants in the plan and tailor the remedy accordingly.
To be clear, a finding that disgorgement is an appropriate remedy in such circumstances would be based on the totality of the circumstances of the denial, as well as the consequences of disgorgement, and would not depend on a finding of a separate and independent injury, which, although relevant, may or may not be present.
In sum, to the extent the majority's bifurcated rule identifies two circumstances or considerations that might justify
STRANCH, Circuit Judge, dissenting.
The issue before us arises under a remedial statute, fashioned on the precepts of equity, which empowers a plan participant to bring a civil action to "recover benefits due" and "to obtain other appropriate equitable relief." 29 U.S.C. §§ 1132(a)(1)(B) & (a)(3). In the parlance of ERISA and equity jurisprudence, the remedy is to "make whole" the injured. Here, Rochow — a company president whose mental capacity was destroyed over time by a brain infection — sought disability benefits from LINA starting in 2002. Over five years later, in October 2007, he received his first benefit payment (a lump sum of over $300,000), and monthly benefits began. In June 2009, almost seven years after the disability date and eight months after Rochow died in October 2008, LINA paid a second lump sum for underpayment of benefits approximating $420,000.
Rochow sought, and the district court awarded, a make-whole remedy for two ERISA violations committed by LINA, failure to pay benefits due and breach of fiduciary duty. Based on evidence presented, the district court found that LINA engaged in deliberate and willful wrongful acts, created non-existent insurance policy requirements, concocted a knowingly false rationale for its second denial of benefits, closed the administrative record without medical input or evidence, and acted in bad faith. R. 67, Order; Rochow v. Life Ins. Co. of N. Am., 851 F.Supp.2d 1090, 1101 (E.D.Mich.2012). Proceedings in the district court confirmed that LINA also engaged in prohibited self-dealing under 29 U.S.C. § 1106(b) in the course of delaying payment of Rochow's disability benefits for more than seven years. During that lengthy period of delay, rather than segregating the disability benefits it owed to Rochow in an interest-bearing account for his later use, LINA commingled Rochow's benefits with company funds in a general equity account used in part for corporate investment. Because Rochow earned a high salary before the onset of his disability, LINA's intentional delay in paying Rochow's substantial disability benefits for more than seven years allowed LINA to earn millions of dollars in profit for its own gain, in breach of its fiduciary duty not to engage in self-dealing. 29 U.S.C. §§ 1104(a)(1), 1106(b). Based on expert evidence, the district court found that LINA's average rate of return during the seven-year period was 26%. Rochow's health deteriorated during that time and he was forced to meet the financial demands of everyday living and serious illness
The majority avers that such equitable remedies are prohibited under ERISA jurisprudence because obtaining a remedy under both § 1132(a)(1)(B) and § 1132(a)(3) amounts to double recovery. Its insistence that Rochow is not entitled to disgorgement of LINA's profit under § 1132(a)(3) rests on a faulty premise — its assumption that Rochow suffered the single injury of LINA's arbitrary and capricious denial of benefits. Maj. Op. at 369-70. The majority states that, "[a]llowing Rochow to recover disgorged profits under § 502(a)(3), in addition to his recovery under § 502(a)(1)(B), based on the claim that the wrongful denial of benefits also constituted a breach of fiduciary duty, would — absent a showing that the § 502(a)(1)(B) remedy is inadequate — result in an impermissible duplicative recovery, contrary to clear Supreme Court and Sixth Circuit precedent. Maj. Op. at 370-71. Relying primarily on Varity Corp. v. Howe, 516 U.S. 489, 116 S.Ct. 1065, 134 L.Ed.2d 130 (1996), and Wilkins v. Baptist Healthcare System, Inc., 150 F.3d 609 (6th Cir.1998), the majority concludes that "Rochow is not entitled to relief under the catchall provision" of § 1132(a)(3) because "such relief is unnecessary and unavailable" and "he has an adequate remedy under" § 1132(a)(1)(B). Maj. Op. at 372-73.
I will demonstrate below that Varity Corp. and numerous cases decided after it fully support Rochow's recovery of benefits under § 1132(a)(1)(B) and the disgorgement of LINA's profit under § 1132(a)(3). Wilkins is inapplicable to the issues before us because it is legally and factually distinguishable. Wilkins sued for disability benefits under § 1132(a)(1)(B) and failed to prove that his medical condition warranted payment of plan benefits. Wilkins, 150 F.3d at 612-13. Trying a second time to obtain plan benefits, he "repackaged" the benefits claim as a breach of fiduciary duty under § 1132(a)(3), but he sought a traditionally legal remedy — compensatory damages. Id. at 613-14. We barred the "repackaging" of the claim because Wilkins had an adequate remedy to recover benefits under § 1132(a)(1)(B) and recovery of compensatory damages would not constitute "other appropriate equitable relief" under § 1132(a)(3). Id. at 615-16. Wilkins thus insures that a plan participant cannot make an end-run around a denial of benefits under § 1132(a)(1)(B) by "repackaging" the claim and seeking compensatory damages under § 1132(a)(3).
In contrast to the facts of Wilkins, LINA injured Rochow in two distinct ways: by arbitrarily and capriciously denying his disability benefits claim and by breaching its fiduciary duties to him. LINA's denial of benefits breached the Plan terms; LINA's breach of its fiduciary obligations violated ERISA statutes and added the element of wrongdoing to the contract breach. Equity has long recognized that "[a] trustee (or a fiduciary) who gains a benefit by breaching his or her duty must return that benefit to the beneficiary." Skinner v. Northrop Grumman Retirement Plan B, 673 F.3d 1162, 1167 (9th Cir.2012). Unlike Wilkins, Rochow sued under § 1132(a)(1)(B) to recover Plan benefits and under § 1132(a)(3) to obtain an accounting and disgorgement of profits wrongfully earned through LINA's breach of its fiduciary duties — two separate remedies for two separate injuries under two separate sections of § 1132. Unlike Wilkins, Rochow proved that his medical condition
By falsely characterizing the wrongs Rochow suffered and by denying the availability of equitable remedies, the majority opinion stands at odds with governing law and with the facts before us. Supreme Court opinions, our precedent, and cases from our sister circuits support the availability of dual ERISA remedies where two distinct injuries exist and two remedies are necessary to make the plan participant or beneficiary whole. I would affirm the district court, but I would remand the case for a recalculation of the amount of profit LINA must disgorge. Accordingly, I must respectfully dissent from the majority opinion.
"ERISA is a comprehensive statute designed to promote the interests of employees and their beneficiaries in employee benefit plans." Shaw v. Delta Air Lines, Inc., 463 U.S. 85, 90, 103 S.Ct. 2890, 77 L.Ed.2d 490 (1983). Congress imposed fiduciary duties on ERISA plan sponsors and administrators that are the highest known to the law, Gregg v. Transp. Workers of Am. Int'l, 343 F.3d 833, 841 (6th Cir.2003), and in doing so, Congress drew much of ERISA's content from the common law of trusts. Varity Corp., 516 U.S. at 496, 116 S.Ct. 1065. These fiduciary duties attach to particular persons or entities engaged in the performance of specific ERISA functions. Edmonson v. Lincoln Nat'l Life. Ins. Co., 725 F.3d 406, 413 (3d Cir.2013).
A fiduciary's first obligation is to "discharge his duties with respect to a plan solely in the interest of the participants and beneficiaries." 29 U.S.C. § 1104(a)(1). This duty of loyalty extends to the individual plan participants and beneficiaries, not only to the ERISA plan itself. Varity Corp., 516 U.S. at 507, 116 S.Ct. 1065; Cent. States, S.E. & S.W. Areas Pension Fund v. Cent. Transp., Inc., 472 U.S. 559, 571-72, 105 S.Ct. 2833, 86 L.Ed.2d 447 (1985). A fiduciary has "an unwavering duty" to act as a prudent person would act in a similar situation and "for the exclusive purpose" of insuring that benefits are provided to plan participants and their beneficiaries. 29 U.S.C. § 1104(a); Hi-Lex Controls, Inc. v. Blue Cross Blue Shield of Mich., 751 F.3d 740, 751 (6th Cir.2014); Gregg, 343 F.3d at 841; James v. Pirelli Armstrong Tire Corp., 305 F.3d 439, 448-49 (6th Cir.2002). ERISA expressly forbids a fiduciary from "deal[ing] with the assets of the plan in his own interest or for his own account." 29 U.S.C. § 1106(b)(1). The "absolute bar against self dealing" prevents a fiduciary from "realizing a financial gain" at the expense of the plan participants or beneficiaries. Hi-Lex Controls, Inc., 751 F.3d at 750 (quoting Brock v. Hendershott, 840 F.2d 339, 341 (6th Cir.1988)); Pipefitters Local 636 Ins. Fund v. Blue Cross and Blue Shield of Mich., 722 F.3d 861, 868 (6th Cir.2013).
Congress designed ERISA to include equitable remedies that run directly to the individual plan participant or beneficiary who is injured by a fiduciary breach. The Supreme Court tells us that the "words of [§ 1132(a)(3)] — `appropriate equitable relief'
In the majority's view, Varity Corp. emphasizes "that ERISA remedies are concerned with the adequacy of relief to redress the claimant's injury" and that "equitable relief is not ordinarily appropriate where Congress has elsewhere provided adequate means of redress for a claimant's injury. In other words, a claimant cannot pursue a breach-of-fiduciary-duty claim under § [1132](a)(3) based solely on an arbitrary and capricious denial of benefits where the § [1132](a)(1)(B) remedy is adequate to make the claimant whole." Maj. Op. at 371. If that were the case, the majority worries, then any arbitrary and capricious denial of plan benefits would potentially subject a plan fiduciary to disgorgement of profits under § 1132(a)(3) "after the claimant recovered for wrongful denial of benefits" under § 1132(a)(1)(B). Maj. Op. at 371-72.
This unfounded fear is allayed by a proper interpretation of Varity Corp., the cases following it, and the Supreme Court's recent decision in CIGNA Corp. v. Amara, ___ U.S. ___, 131 S.Ct. 1866, 179 L.Ed.2d 843 (2011). These cases demonstrate that a participant or beneficiary may recover under § 1132(a)(1)(B) for an arbitrary and capricious denial of plan benefits and may recover further equitable relief under § 1132(a)(3) to redress a breach of fiduciary duty. Together these remedies provide the make-whole relief Congress intended.
In Varity Corp., the plaintiffs' employer, serving also as administrator of a self-funded employee welfare benefit plan, persuaded the plaintiffs by deception to transfer their employment to a newly-formed subsidiary, thereby withdrawing voluntarily from the welfare benefit plan and forfeiting benefits under it in exchange for the employer's assurances that the plaintiffs would receive the same benefits following transfer. 516 U.S. at 491-94, 116 S.Ct. 1065. Just as Varity Corporation had planned, the insolvency of the new subsidiary stripped the employees of welfare benefits. Id. at 494, 116 S.Ct. 1065. The employees could not sue under § 1132(a)(1)(B) to recover benefits because the plan was defunct. They could, however, and did sue for and obtain "appropriate equitable relief" under § 1132(a)(3) — their reinstatement to a different employee plan. Id. at 495, 116 S.Ct. 1065.
The Supreme Court affirmed the reinstatement, holding that individuals may sue under the catchall provision of § 1132(a)(3) to obtain "other appropriate equitable relief" to remedy a breach of fiduciary duty. Id. at 510-13, 116 S.Ct. 1065. Given the objectives of the ERISA statute, the case explains, "it is hard to imagine why Congress would want to immunize breaches of fiduciary obligation that harm individuals by denying injured beneficiaries a remedy." Id. at 513, 116 S.Ct. 1065.
Like the majority here, the amici in Varity Corp. worried that an individual would be able to "repackage" a denial of benefits claim that is normally reviewed deferentially under the arbitrary and capricious standard of Firestone Tire & Rubber
The Supreme Court dismissed their concern. "[C]haracterizing a denial of benefits as a breach of fiduciary duty does not necessarily change the standard a court would apply when reviewing the administrator's decision to deny benefits." Id. at 514, 109 S.Ct. 948. "After all, Firestone... based its decision upon the same common-law trust doctrines that govern standards of fiduciary conduct." Id. at 514-15, 109 S.Ct. 948. Dismissing amici's concern that "lawyers will complicate ordinary benefit claims by dressing them up in `fiduciary duty' clothing," id. at 514, 109 S.Ct. 948, the Court explained "that where Congress elsewhere provided adequate relief for a beneficiary's injury, there will likely be no need for further equitable relief, in which case such relief normally would not be `appropriate.'" Id. at 515, 109 S.Ct. 948 (emphasis added).
The majority transforms the Supreme Court's conditional language into an absolute bar to Rochow's claims, misconstruing the Court's instruction that ERISA authorizes "further equitable relief" if relief available "elsewhere" is inadequate. This may be the unusual case that entails two injuries, but Varity Corp. provides no basis for denying an equitable remedy necessary to accomplish make-whole relief. The repackaging fears the majority expresses, like those raised by amici in Varity Corp., should be met with the same response: there is not "any ERISA-related purpose that denial of a remedy would serve. Rather, ... granting a remedy is consistent with the literal language of the statute, the Act's purposes, and pre-existing trust law." Id.
Section 1132(a)(3) "countenances only such relief as will enforce" ERISA's provisions or the terms of the plan, and it "authorizes the kinds of relief `typically available in equity' in the days of `the divided bench,' before law and equity merged." US Airways, Inc. v. McCutchen, ___ U.S. ___, 133 S.Ct. 1537, 1544, 1548, 185 L.Ed.2d 654 (2013) (quoting Mertens v. Hewitt Assoc., 508 U.S. 248, 256, 113 S.Ct. 2063, 124 L.Ed.2d 161 (1993)). The most definitive explanation of the types of equitable remedies available under § 1132(a)(3) is found in the Supreme Court's pronouncement in Cigna Corp. v. Amara, ___ U.S. ___, 131 S.Ct. 1866, 179 L.Ed.2d 843 (2011). Because Congress specified that courts may grant "other appropriate equitable relief" under § 1132(a)(3), courts may employ remedies that were traditionally available in equity, including reformation of contract, injunctions, mandamus, restitution, and surcharge, which is a monetary remedy against a trustee or fiduciary. Id. at 1878-80. "[T]he fact that this relief takes the form of a money payment does not remove it from the category of traditionally equitable relief." Id. at 1880. This is because courts sitting in equity "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." Id. (citing Restatement (Third) of Trusts § 95, and Comment a (Tent. Draft No. 5, Mar. 2, 2009)). The surcharge remedy extends "to a breach of trust committed by a fiduciary encompassing any violation of a duty imposed upon that fiduciary" and can be used to accomplish "make-whole relief." Id. The equity courts did not require a showing of detrimental reliance in surcharge cases but "would `mold the relief to
In explaining the scope of equitable remedies available under § 1132(a)(3), Amara also clarified two previous Supreme Court cases, correcting lower court decisions that had interpreted the cases as narrowing the scope of "other appropriate equitable relief" available under § 1132(a)(3). Amara, 131 S.Ct. at 1878 (referring to Mertens v. Hewitt Assoc., 508 U.S. 248, 113 S.Ct. 2063, 124 L.Ed.2d 161 (1993), and Great-West Life & Annuity Ins. Co. v. Knudson, 534 U.S. 204, 122 S.Ct. 708, 151 L.Ed.2d 635 (2002)). Mertens does not foreclose equitable relief against a plan fiduciary, as some courts had held, because in that case a plan beneficiary sought compensatory damages from a non-fiduciary, a private firm that provided actuarial services to a trustee. Id. (citing Mertens, 508 U.S. at 253, 255, 256, 113 S.Ct. 2063). Relief was not available under § 1132(a)(3) because the beneficiary sought traditionally legal, not equitable relief, against a non-fiduciary. Id. In Great-West, the suit was brought by the fiduciary against the beneficiary. After the injured beneficiary recovered compensatory damages from a tortfeasor, the fiduciary sought reimbursement for the medical expenses it had paid on the beneficiary's behalf. Id. The fiduciary tried to place a lien on the money the beneficiary collected, but a lien is traditionally considered to be legal, not equitable, relief. Id. at 1878-79. Because the fiduciary did not seek an equitable remedy — the placement of a constructive trust on the particular money the tortfeasor paid to the beneficiary — the Court determined that equitable relief under § 1132(a)(3) was not available. Id. Mertens and Great-West thus do not present any obstacle to Rochow's use of § 1132(a)(3) to recover traditional equitable relief from LINA, a breaching fiduciary, even if that remedy is formulated to avoid the unjust enrichment of the fiduciary. See Amara, 131 S.Ct. at 1879-80.
Reading Amara and Varity Corp. together, we see that the remedies awarded to Rochow comport with the statute, its purposes, and trust law. The principle is clear that a plaintiff may pursue relief under both § 1132(a)(1)(B) and (a)(3) if wrongly denied benefits are recovered under (a)(1)(B) and "other appropriate equitable relief" — something in addition to the award of benefits — is necessary to make the plaintiff whole for a breach of fiduciary duty. In this case, requiring LINA to disgorge its profits earned on wrongly withheld benefits, accomplished under (a)(3), was necessary to make Rochow whole and to prevent LINA's unjust enrichment.
Our sister circuits recognize that Amara corrects misunderstandings of the lower courts that have led to the denial of equitable remedies authorized by § 1132(a)(3). After Amara, the Fourth Circuit explained, it is clear "that Section § 1132(a)(3) allows for remedies traditionally available at equity and that those remedies include surcharge and estoppel[,]" remedies "at the heart" of the appeal before that court. McCravy v. Metro. Life Ins. Co., 690 F.3d 176, 177-78 (4th Cir. 2012). The Fifth Circuit characterized Amara as stating "an expansion of the kind of relief available" under § 1132(a)(3) "when the plaintiff is suing a plan fiduciary and the relief sought makes the plaintiff whole for losses caused by the defendant's breach of a fiduciary duty." Gearlds v.
Members in the majority here have read Amara to leave "open the possibility that `appropriate equitable relief" could potentially be awarded" under § 1132(a)(3). Lipker v. AK Steel Corp., 698 F.3d 923, 931 n. 4 (6th Cir.2012). In this case, the majority agrees with Lipker and the other circuit cases cited above that equitable relief is available under § 1132(a)(3) "to redress an ERISA violation by a plan fiduciary." Maj. Op. at 374. And two of our prior cases acknowledge the availability of dual ERISA claims and remedies under certain circumstances. In Hill v. Blue Cross & Blue Shield of Michigan, 409 F.3d 710, 718 (6th Cir.2005), we reversed the dismissal of a claim under § 1132(a)(3), because that claim challenged defects in systemic, plan-wide claims-handling procedures, an injury different from the denial of claims for individual benefits brought under § 1132(a)(1)(B). Similar reasoning is apparent in Gore v. El Paso Energy Corp. Long Term Disability Plan, 477 F.3d 833, 840-41 (6th Cir.2007), where we determined that the plaintiff asserted two distinct injuries permitting claims and recovery under both § 1132(a)(1)(B) and (a)(3). We thus learn from our own cases that ERISA's remedy provisions are not mutually exclusive.
The majority nonetheless denies relief on the ground that "Rochow did not suffer an injury remediable" under § 1132(a)(3). Maj. Op. at 374. That statement is plainly contrary to the factual record and extensive case law concerning the types of injuries that plan participants or beneficiaries may redress through equitable remedies available under § 1132(a)(3).
We previously recognized that LINA breached its fiduciary duties, Rochow v. Life Ins. Co. of N. Am., 482 F.3d 860, 866 (6th Cir.2007) ("Rochow I"), and the majority acknowledges as much. Maj. Op. at 366-67. We ruled in the earlier appeal that LINA's decision to deny Rochow disability benefits was not made solely in Rochow's interest — in other words, LINA breached its duty of loyalty to Rochow — and LINA's decision to deny benefits was not made for the exclusive purpose of providing benefits to Rochow as required by § 1104(a)(1). Rochow I, 482 F.3d at 866.
The majority opinion and the concurrence point out that this case comes to us with a complex procedural history, pockmarked by irregularities. While I don't disagree that the case is procedurally complex, I do disagree with the conclusion that the district court reached a final judgment prior to our decision in Rochow I and that it violated the mandate rule by permitting the parties to litigate the disgorgement
Moreover, the document purporting to be a final judgment "was not legally sufficient to constitute a final judgment." Philhall Corp., 546 F.2d at 213. The Supreme Court has instructed that "it is necessary to determine whether the language... (of any purported judgment) embodies the essential elements of a judgment for money and clearly evidences the judge's intention that it shall be his final act in the case. If it does so, it constitutes his final judgment." Id. (quoting United States v. F. & M. Schaefer Brewing Co., 356 U.S. 227, 232, 78 S.Ct. 674, 2 L.Ed.2d 721 (1958)). "[A] final judgment for money must, at least, determine or specify the means for determining, the amount." F. & M. Schaefer Brewing Co., 356 U.S. at 233, 78 S.Ct. 674. As in Philhall Corp., 546 F.2d at 213, the document entered by the clerk below "did not have the indicia of a final judgment" because it failed to state that Rochow had prevailed and it did not memorialize any monetary award. Instead, the document erroneously "dismissed" the case, clearly contradicting the district court's summary judgment order finding in favor of Rochow on liability. LINA filed a notice of appeal, effectively divesting the district court of jurisdiction to proceed with the litigation pending resolution of the appeal.
After our mandate issued in Rochow I, the concurrence posits, the district court lacked jurisdiction to take any further action in the case by operation of the mandate rule. The Hamilton case cited in the concurrence points out that the mandate rule is "discretionary, rather than jurisdictional," United States v. Hamilton, 440 F.3d 693, 697 (5th Cir.2006), and we have said the same thing, albeit in an unpublished case. Mylant v. United States, 48 Fed.Appx. 509, 512 (6th Cir.2002) (observing that the mandate rule is one of "policy and practice, not a jurisdictional limitation"). "The basic tenet of the mandate rule is that a district court is bound to the scope of the remand issued by the court of appeals." United States v. Campbell, 168 F.3d 263, 265 (6th Cir.1999). The concurrence recognizes that the Rochow I panel affirmed the district court's summary judgment order on liability and did not issue any type of remand to the district court. Although the district court was bound to honor our Rochow I decision in completing the litigation, as "with all applications of the law of the case doctrine," the district court could "consider those issues not decided expressly or impliedly by the appellate court." Jones v. Lewis, 957 F.2d 260, 262 (6th Cir.1992). Taking up the case again after the Rochow I appeal, the district court determined with finality a monetary award for Rochow that included disgorgement for LINA's fiduciary breach. The court's final decision in no way conflicted
Contrary to the majority's assertion that the district court failed to identify any grounds to support a breach of fiduciary duty claim, Rochow asks us to affirm the district court's findings that LINA's conduct involved a number of deliberate and willful wrongful acts, including requiring Rochow to meet insurance policy requirements that did not exist, devising a knowingly false rationale for denying his benefits appeal, and acting without appropriate medical input or evidence. R. 67, Order; Rochow, 851 F.Supp.2d at 1101. On the record before us, these findings are not clearly erroneous. See Cultrona v. Nationwide Life Ins. Co., 748 F.3d 698, 706 (6th Cir.2014). LINA's fiduciary wrongdoing, separate from its arbitrary and capricious denial of plan benefits, warrants an equitable remedy under § 1132(a)(3).
Persisting in the fiction that Rochow seeks to recover twice for the same injury, the majority incorrectly posits that "the district court thus treated its finding of an arbitrary and capricious denial of benefits, in and of itself, as a breach of fiduciary duty," and claims to be unaware of any "persuasive authority for the proposition that a wrongful denial of benefits in and of itself constitutes a breach of fiduciary duty." Maj. Op. at 370 n. 1. Even if that were the issue — and it is not because LINA engaged in fiduciary misconduct in addition to denying Rochow's benefits — at least four circuits besides our own (the Second, Third, Seventh, and Eighth) recognize that a fiduciary's arbitrary and capricious delay in paying benefits due under a plan in itself can constitute a breach of fiduciary duty. I begin with our own precedent.
More than twenty years ago we stated the well-established principle that "ERISA requires that a retirement plan be operated for the exclusive benefit of the employees and beneficiaries." Sweet v. Consol. Aluminum Corp., 913 F.2d 268, 270 (6th Cir.1990). Although we assumed there that a trustee acted prudently in withholding pension funds until a certain date, we nonetheless held that the delay in payment conferred a benefit on the trustee. Id. "Any additional time one gains, rightfully or wrongfully, in not having to submit payment of a sum of money owed another is without doubt a benefit. Moreover, the payee ... has been deprived of the benefit of those payments." Id. We expressly held that "[t]o allow the Fund to retain the interest it earned on funds wrongfully withheld from a beneficiary would be to approve of an unjust enrichment. Further, the relief granted would fall short of making the beneficiary whole because he has been denied the use of money which was his." Id. (internal quotation marks omitted).
Ten years after Sweet we upheld a district court's decision requiring an ERISA fiduciary to pay to the plan participant class certain benefits along with the rate of return the fiduciary actually realized on the use of that withheld money. Rybarczyk v. TRW, Inc., 235 F.3d 975, 977-78, 986 (6th Cir.2000). TRW argued that imposing the actual rate of return was "unprecedented," id. at 986, but we disagreed, pointing to the Seventh Circuit's decision in Lorenzen v. Employees Retirement
Sweet and Rybarczyk align closely with the law of our sister circuits. The Second Circuit considered a case in which MetLife denied benefits for nearly five years after submission of a claim, but then reversed its prior denials without explanation and paid retroactive benefits in a lump sum without compensating the claimant for the delay in payment. Dunnigan v. Metro. Life Ins. Co., 277 F.3d 223, 226 (2d Cir. 2002). Having received disability payments after almost five years of delay, Dunnigan filed suit under § 1132(a)(3) alleging that MetLife breached its fiduciary duties by delaying payment and MetLife was unjustly enriched through its breach. Id. at 226-27. Dunnigan asked for a constructive trust on the amount MetLife earned by failing to pay the delayed benefits when due or, alternatively, restitution equal to the amount MetLife earned on the late payment and/or disgorgement of MetLife's profits. Id. at 227. The Second Circuit ruled that MetLife's delay in paying benefits long after Dunnigan was entitled to receive them constituted a breach of fiduciary duty because the "delay enriche[d] the fiduciary at the expense of the beneficiary." Id. at 230. The court further concluded that no showing of bad faith by MetLife was required in order for Dunnigan to prevail, id. at 229-30, and she was entitled to an "equitable make-whole remedy" under § 1132(a)(3) for MetLife's breach of fiduciary duty. Id. at 229. The court vacated the dismissal of Dunnigan's suit and remanded for further proceedings. Id. at 232.
The Seventh Circuit reached similar decisions in two cases, Clair v. Harris Trust & Savings Bank, 190 F.3d 495 (7th Cir. 1999), and May Department Stores Co. v. Federal Insurance Co., 305 F.3d 597 (7th Cir.2002), both involving § 1132(a)(3) claims for equitable remedies in addition to payment of benefits. In Clair, participants in a defined-contribution retirement plan sued for breach of fiduciary duty because their benefits were not paid to them in a timely fashion and no compensation for the delay was offered. Clair, 190 F.3d
In May Department Stores Co., 305 F.3d at 603, the Seventh Circuit followed Clair and the Second Circuit's Dunnigan opinion to conclude that the "wrongful withholding of benefits due can entitle the beneficiary to impose a constructive trust on interest on the withheld benefits, an equitable remedy that results in a money payment to the plaintiff" under § 1132(a)(3). The court explained:
Id. at 603 (citing Wsol v. Fiduciary Mgt. Assoc., Inc., 266 F.3d 654, 656 (7th Cir. 2001), and Fisher v. Trainor, 242 F.3d 24, 31 (1st Cir.2001)).
The same principles govern in the Third Circuit. In Fotta v. Trustees of United Mine Workers of America, 165 F.3d 209, 211 (3d Cir.1998), a plan participant invoked § 1132(a)(1)(B) and § 1132(a)(3) to recover compensation for delayed payment of benefits where the benefits ultimately were paid without litigation. The Third Circuit determined that § 1132(a)(3) was "the appropriate vehicle" to recover monetary compensation for delayed benefits because such an award "serves to prevent unjust enrichment. Restitution — the traditional remedy for unjust enrichment — is widely, if not universally, regarded as a tool of equity." Id. at 213 (citing Chauffeurs, Teamsters & Helpers, Local No. 391 v. Terry, 494 U.S. 558, 570, 110 S.Ct. 1339, 108 L.Ed.2d 519 (1990) ("Money damages are considered equitable when `they are restitutionary.'")). The court rejected the notion that it was engrafting a remedy on a statute that Congress did not intend to provide. Id. at 214. Rather, the court determined that it "effectuate[d] ERISA's objectives by recognizing, under principles of equity, that beneficiaries should be fully compensated and that any unjust enrichment of plans at beneficiaries' expense should be avoided." Id. Accordingly, relying on § 1132(a)(3), the court held "that a beneficiary of an ERISA plan may bring an action for interest on delayed benefits payments ... irrespective of whether the beneficiary also seeks to recover unpaid benefits. Because the remedy we recognize here is equitable in nature, its award involves an exercise of judicial discretion." Id.
Significantly, Supreme Court Justice Alito, then a circuit judge on the Third Circuit,
Id. at 215.
In addition to the Second, Third and Seventh Circuits, the Eighth Circuit also adheres to the proposition that a fiduciary's delay in paying benefits due under a plan constitutes a breach of fiduciary duty that may be rectified through an action filed under § 1132(a)(3). "It is undisputed that an accounting for profits — the remedy that allows for the disgorgement of profits awarded by the district court — is a type of relief that was typically available in equity and therefore is appropriate under § 1132(a)(3)(B)." Parke v. First Reliance Standard Life Ins. Co., 368 F.3d 999, 1008 (8th Cir.2004). "An accounting for profits is one of a category of traditionally restitutionary remedies in equity, and is often invoked in conjunction with a constructive trust." Id. The court explained that "[a]n accounting is imposed when the property subject to the constructive trust produces profits while in the defendant's possession. The defendant is forced to disgorge those profits, although it is not necessary for the plaintiff to identify any particular res or fund of money holding the profits." Id.
Significantly, "[u]nder traditional rules of equity, a defendant who owes a fiduciary duty to a plaintiff may be forced to disgorge any profits made by breaching that duty, even if the defendant's breach was simply a failure to perform its obligations under a contract. Id. (emphasis added)." If a fiduciary breaches a contract and also breaches a fiduciary duty, that fiduciary can be forced to disgorge the profits he earned as a result of his wrong. Id. (quoting 1 Dobbs § 4.3(5), at 611 n.16). "The important ingredient added by the fiduciary status, however, is not that status in itself; what is added is wrongdoing as distinct from contract breach." Id. at 1008-09 (quoting 1 Dobbs § 4.3(5), at 611 n.16; Valdes v. Larrinaga, 233 U.S. 705, 709, 34 S.Ct. 750, 58 L.Ed. 1163 (1914)) ("holding that a `proper case for equitable relief' existed where the defendant breached a fiduciary duty to the plaintiff by failing to pay money owing under the contract"). Based on these principles, the Eighth Circuit held that First Reliance owed a fiduciary duty to Parke, First Reliance breached that duty, and First Reliance could be forced under § 1132(a)(3) to disgorge its profits earned as a result of the breach. Id. at 1009. See also Skretvedt v. E.I. DuPont De Nemours, 372 F.3d 193, 212-14 (3d Cir.2004) (following Fotta and Parke to hold that an ERISA beneficiary could force disgorgement of profits earned on withheld benefits). As do several other circuits, the Eighth Circuit authorizes the remedy that the district court below awarded to Rochow.
Thus, our own cases and a litany of others from four of our sister circuits undermine the majority's premise that no
The court below got it exactly right. By arbitrarily and capriciously failing to pay Rochow benefits owed under the terms of the plan and by delaying the payment of full benefits for more than seven years to enrich itself, LINA violated both the plan terms and its fiduciary duties under ERISA. LINA's wrongful gain of profit, earned through breach of its fiduciary duties, can be equitably remedied under § 1132(a)(3) by ordering an accounting and by directing LINA to disgorge the profit and pay it directly to Rochow. See Great-West Life & Annuity Ins. Co., 534 U.S. at 214 n. 2, 122 S.Ct. 708 (recognizing "an accounting for profits, a form of equitable restitution"). "The elementary rule of restitution is that if you take my money, and make money with it, your profit belongs to me." Nickel v. Bank of Am. Nat'l Trust & Sav. Ass'n, 290 F.3d 1134, 1138 (9th Cir. 2002).
I would return the case to the district court, however, for a recalculation of the award to Rochow. The figure awarded by the district court seems to derive from the total shown on Rochow's corrected Exhibit A filed on May 25, 2012, plus daily interest the court added until July 24, 2012, when the court filed its Order Requiring Disgorgement. R.121-2 Page ID 3712.
LINA objected below to the corrected Exhibit A, pointing out several significant errors in it. The most conspicuous problem is that full profits are calculated through March 2012, R. 121-2 Page ID 3725 (and by the court through July 2012), even though Exhibit A confirms that LINA made all required payments to Rochow or his estate by September 2009, with the exception of $2,065.52. R. 121-2 Page ID 3722. The additional errors LINA identified in its June 2012 filing with the district court, R. 122, may warrant further reductions in the amount of profits ordered disgorged by the district court. I would therefore reverse the award as calculated and remand the case to the district court for reconsideration.
We do not create new, double remedies out of whole cloth if we affirm the district
In this case, the disgorgement remedy is appropriate based on the evidence and the district court's findings concerning LINA's malfeasance, the length of the delay in paying benefits due, and the extraordinary profit LINA reaped from its malfeasance. Practical considerations abound. Allowing LINA to retain its profit creates an incentive for claims administrators to delay paying much-needed benefits to participants and beneficiaries while investing that money for their own gain. LINA's conduct undercompensates the participant or beneficiary by forcing him to absorb expenses incurred as a result of the delay in the payment of benefits while LINA gains from delaying the claims process as long as possible. Permitting LINA to keep its profit also encourages fiduciaries to commingle plan assets with company funds.
The courts will not often come across a case as troubling as this one. I recognize, as will district courts, that disgorgement of profit should be used sparingly and only when equity requires it. In the ordinary benefits case — where there is a wrongful denial of benefits but no breach of fiduciary duties like the ones here — an award of prejudgment interest might be sufficient to compensate the beneficiary for the lost time value of money. See, e.g., Schumacher v. AK Steel Corp. Retirement Accumulation Pension Plan, 711 F.3d 675, 679, 686 (6th Cir.2013); Ford v. Uniroyal Pension Plan, 154 F.3d 613, 616 (6th Cir. 1998). But where an arbitrary and capricious denial of benefits is coupled with a breach of fiduciary duty, as it is here, ERISA provides a make-whole remedy that includes appropriate equitable relief under § 1132(a)(3).
Because the majority holds that ERISA bars the make-whole remedy awarded to Rochow, I respectfully dissent.
In Rochow I, similarly, we did not address any claim for breach of fiduciary duty, or even use the terms "fiduciary," "duty," or "breach" in the opinion. Admittedly, one could infer from Rochow I that LINA's fiduciary duty was alluded to in the observation that LINA's decision did not appear to have been made "`solely in the interest of the participants and beneficiaries and [] for the exclusive purpose of [] providing benefits to participants and their beneficiaries' as required by ERISA. 29 U.S.C. § 1104(a)(1)." See Rochow I, 482 F.3d at 866. However, no ruling on a breach-of-fiduciary-duty claim was before the court and the opinion contains no analysis of the point.
After the district court's initial decision was affirmed and the district court took up the motion for equitable accounting, however, the court rejected LINA's argument that it had not made the requisite finding of a breach of fiduciary duty to trigger the availability of equitable relief. Citing Varity, the court stated, "an arbitrary or capricious denial of benefits can count as a breach of fiduciary duty." R. 67, Order at 4, Page ID 935. Further, when the district court set the method of accounting for the disgorgement award, it stated "it has already been determined that Defendant owed Plaintiff a duty of loyalty and breached this duty through its arbitrary and capricious denial of disability benefits to Plaintiff." R. 113, Order at 2, Page ID 3562. The district court thus treated its finding of an arbitrary and capricious denial of benefits, in and of itself, as a breach of fiduciary duty. The district court never identified any other grounds for finding a breach of a fiduciary duty. In the district court's ruling, it was one and the same injury that made out two distinct ERISA violations and justified both remedies.
Though we are aware of no persuasive authority for the proposition that a wrongful denial of benefits in and of itself constitutes a breach of fiduciary duty remediable under both § 502(a)(1)(B) and § 502(a)(3), we assume, without deciding, that the district court permissibly found a breach of fiduciary duty based on the administrator's arbitrary and capricious denial of benefits. The dissenting opinion suggests other ways in which LINA might be deemed to have breached a fiduciary duty, but the district court's judgment now under review clearly includes no such ruling. Careful review of the district court rulings cited in the dissent discloses that the asserted findings of other instances of misconduct by LINA were not identified by the district court as grounds for holding that LINA breached its fiduciary duty.