MELLOY, Circuit Judge.
Abel Silva ("Abel") died on June 27, 2010. His father, Salvador Silva ("Silva"), sought to recover the benefits of Abel's life insurance policy. The insurer denied Silva's claim, asserting that Abel did not actually have a policy because he had not provided required paperwork. Silva brought suit against Abel's employer, Savvis Communications Corporation ("Savvis"), and the insurer, Metropolitan Life Insurance Company ("MetLife"), under the Employee Retirement Income Security Act of 1974 ("ERISA"), 29 U.S.C. §§ 1001 et seq. The district court denied relief, and Silva appeals. For the reasons below, we reverse and remand.
Silva's son, Abel, began working at Savvis in September 2004. Abel was eligible to purchase Supplemental Life Insurance benefits when he started his job but declined to do so. He signed the following statement at that time:
Several years later, Abel decided he wanted Supplemental Life Insurance and enrolled for a policy through Savvis's online enrollment system. He requested a coverage level of five times his salary, which amounted to $429,000. Abel's benefits were apparently scheduled to take effect on January 1, 2010, and the policy appeared on Abel's "Benefits Election Package"
Abel had named Silva as his policy's beneficiary. Following Abel's death, Silva requested payment of the life insurance proceeds from MetLife. MetLife denied Silva's claim because the company believed that Abel had not successfully completed the enrollment conditions required to obtain a supplemental life insurance policy. In particular, MetLife required that Abel provide "evidence of insurability" before MetLife would approve his request for insurance. In MetLife's letters of denial to Silva, and in several internal MetLife communications, various MetLife representatives indicated that the company requires "evidence of insurability" (1) in all instances of late requests
Evidence of insurability is explained in the Savvis Plan ("the Plan"), which is 96 pages long. Two of those pages describe MetLife's "Evidence of Insurability" requirement. Under the "Eligibility Provisions: Insurance for You" page, it reads, in part:
The EVIDENCE OF INSURABILITY section reads, in part:
We require evidence of insurability satisfactory to Us as follows: ...
Because Abel electronically selected a policy coverage level that required evidence of insurability, Savvis asserts that a prompt window appeared on his computer screen. The prompt allegedly notified Abel to contact the Savvis Benefits Department (located in the same office building as Abel) to complete a Statement of Health form, which was a necessary step to fulfill MetLife's evidence of insurability requirement. Savvis would then send the form to MetLife for review and approval or denial of a life insurance policy.
We pause here to emphasize four points: First, there is no mention of a Statement of Health form anywhere in the Savvis Plan, only that plan participants must provide evidence of insurability. In fact, there are no directions at all for how to fulfill the evidence of insurability requirement. Second, Defendants have not produced a copy of a Statement of Health form or any other evidence regarding what information MetLife required plan participants to provide. Third, Defendants have not provided evidence of the online prompt, which they assert notified Abel of the Statement of Health form requirement. The only evidence that this prompt existed is a single internal memo from a MetLife representative stating that such a prompt exists, but without providing any additional information such as the text included in the prompt or a screen capture.
MetLife addressed and defended some of these complications in its benefits denial letter to Silva's attorney, which stated, in part:
Further, Defendants are unsure whether Abel received a copy of the Plan (which contained information regarding the evidence of insurability requirement), and if he did, when and how he received it. Defendants claim that Abel should have received a copy of the Plan at some point, either when he was first hired at Savvis and declined coverage or when he later signed up for supplemental life insurance in January 2010. In any case, the Plan
ERISA mandates that plan administrators provide a condensed and understandable Plan explanation, in the form of a summary plan description, to plan participants.
After this lawsuit began, MetLife conducted an internal investigation to see if other Savvis Plan policy holders also did not have an approved Statement of Health form on file. The company discovered around 200 Savvis employees lacked this documentation.
As noted above, MetLife, the plan fiduciary responsible for reviewing claims,
After the deadline set by the district court passed, Silva moved to amend his complaint to add a cause of action under 29 U.S.C. § 1132(a)(3), which allows "a participant, beneficiary, or fiduciary (A) to enjoin any act or practice which violates any provision of this subchapter or the terms of the plan, or (B) to obtain other appropriate equitable relief (i) to redress such violations or (ii) to enforce any provisions of this subchapter or the terms of the plan[.]" (emphasis added). When analyzing the untimely amendment, the district court noted that Silva had shown good cause due to later-discovered facts (notably, the information that 200 other Savvis employees also should have submitted a Statement of Health form but did not). The district court, however, found that the phrase "other appropriate equitable relief under § 1132(a)(3)(B)" did not allow Silva to claim life insurance benefits because that would be a compensatory remedy, not an equitable one. Because Silva's claim could not provide him with the relief he sought, the district court denied Silva's request to amend as futile.
After denying Silva's motion to amend the complaint, the district court granted summary judgment in favor of Defendants on Silva's § 1132(a)(1)(B) claim. The district court found that the nearly 100-page Plan could double as a summary plan description and was "distributed to employees and available on Savvis' intranet." Silva v. Metropolitan Life Ins. Co., 912 F.Supp.2d 781, 787 (E.D.Mo.2012). The district court also found that "the enrollment Abel completed online prompted him to complete a statement of health form." Id. at 788. Thus, the court found that MetLife had not abused its discretion when it denied Silva's claim to Abel's life insurance benefits. The district court also found that, even if MetLife erroneously deducted insurance premiums from Abel's paychecks, such error did not constitute a waiver of the evidence-of-insurability requirement. Thus, the district court concluded that Abel had not completed the requirements for obtaining approval for a late-enrollment supplemental life insurance policy, and therefore, MetLife did not owe Silva payment under the terms of any such policy.
Silva appeals the district court's grant of summary judgment on his § 1132(a)(1)(B) claim and the district court's denial of his motion to amend his complaint to add a claim under § 1132(a)(3).
The Savvis Plan provides that Metlife, as a plan fiduciary, "shall have discretionary authority to interpret the terms of the Plan and to determine eligibility for and entitlement to Plan benefits in accordance with the terms of the Plan." When a plan grants an administrator this type of discretion, the district court reviews the "administrator's construction of the plan terms for an abuse of discretion; and we review de novo the district court's application of that deferential abuse-of-discretion standard." Tussey v. ABB, Inc., 746 F.3d 327, 333 (8th Cir.2014) (internal quotation marks omitted). "[A]n administrator's decision is upheld if it is reasonable, that is, supported by substantial evidence... [which] means `more than a scintilla but less than a preponderance.'" Darvell v. Life Ins. Co. of N. Am., 597 F.3d 929, 934 (8th Cir.2010) (citations omitted).
In this case, MetLife had the responsibility of both determining eligibility for benefits and also paying those benefits. This dual role creates a conflict of interest. Manning v. Am. Rep. Ins. Co., 604 F.3d 1030, 1038 (8th Cir.2010). In such cases,
The district court granted summary judgment to Defendants because it found that Silva was not entitled to benefits under the Plan. Summary judgment is appropriate when "the movant shows that there is no genuine dispute as to any material fact and the movant is entitled to judgment as a matter of law." Fed.R.Civ.P. 56(a). We review the grant of summary judgment de novo, "considering all evidence in the light most favorable to, and making all reasonable inferences for, the nonmoving party." Carmody v. Kan. City Bd. of Police Commis., 713 F.3d 401, 404 (8th Cir.2013).
Section 1132(a)(1)(B) allows Silva to bring a civil action "to recover benefits due to him under the terms of his plan." Defendants argue that Silva is not entitled to "recover benefits under the terms of his plan" because the terms of the Plan required Abel to submit evidence of insurability as a late enrollee. Silva argues that § 1132(a)(1)(B) entitles him to benefits owed under the Plan. To succeed, Silva must show that MetLife's determination that he had not provided "evidence of insurability" was an abuse of discretion. See Manning, 604 F.3d at 1039. We look at the following five factors when making this determination: "(1) whether the administrator's language is contrary to the clear language of the plan; (2) whether the interpretation conflicts with the substantive or procedural requirements of ERISA; (3) whether the interpretation renders any language in the plan meaningless or internally inconsistent; (4) whether the interpretation is consistent with the goals of the plan; and (5) whether the administrator has consistently followed the interpretation." Manning, 604 F.3d 1030, 1041-42. In addition to these five factors, we keep in mind MetLife's conflict and weigh that accordingly. See id. at 1038.
Silva's § 1132(a)(1)(B) argument turns on the following question: What does the phrase "evidence of insurability" mean in the Plan? The Plan itself does not define the phrase. MetLife only requires evidence of insurability in a few instances — (1) when a person elects coverage exceeding three times his or her base salary, or (2) when a person enrolls in a policy more than a month after first being eligible. Among other reasons, MetLife has an interest in not allowing those who may be very ill from taking out a large life insurance policy shortly before death. Evidence of insurability allows MetLife to scrutinize certain policy selections before approving an untimely policy request. However, it is unclear what evidence of a person's health the Savvis Plan required. MetLife asserts that plan participants satisfy this prerequisite for coverage by submitting a completed Statement of Health form that MetLife then approves, but that language does not appear in the Plan. In addition, there is no evidence that a summary plan description exists for the Plan, which could have explained the Statement of Health form requirement to Plan participants. Further, because there is no Statement of Health form in evidence, we do not know what information that form required.
Silva also appeals the district court's denial of his motion to amend his complaint to add an additional ERISA claim under 29 U.S.C. § 1132(a)(3). That subsection reads:
(emphasis added). Silva attempted to amend his complaint after the final scheduling order's deadline, which requires him to show good cause. Fed.R.Civ.P. 16(b)(4) ("A schedule may be modified only for good cause and with the judge's consent."). The district court found that Silva had shown good cause because he had received additional information regarding the Savvis online enrollment process. Specifically, Silva learned that roughly 200 other Savvis employees also lacked a required Statement of Health form, suggesting that there was some issue of notice regarding if and how Defendants requested this information. However, the district court denied the motion, finding that the § 1132(a)(3) claim was futile because Silva sought money damages ($429,000 in policy benefits), rather than equitable relief, which the district court concluded was unavailable under that section of the statute.
District courts have discretion to allow a party to amend his or her complaint after the scheduled deadline. See Fed.R.Civ.P. 15(a)(2) ("The court should freely give leave when justice so requires."). District courts can deny motions to amend when there "`are compelling reasons such as ... futility of the amendment.'" Reuter v. Jax Ltd., 711 F.3d 918, 922 (8th Cir.2013). Some examples of futile claims are ones that are duplicative or frivolous, id., or claims that "could not withstand a motion to dismiss under Rule 12(b)(6)[,]" Zutz v. Nelson, 601 F.3d 842, 850 (8th Cir.2010). See Fed.R.Civ.P. 12(b)(6) (failure to state a claim upon which relief can be granted). "To survive a motion to dismiss, a complaint must contain sufficient factual matter, accepted as
We agree with the district court's finding that Silva had good cause to amend his complaint after the deadline passed. Therefore, we focus our review on the district court's finding of futility. The district court held that bringing a claim for equitable relief based on the breach of fiduciary duties was futile where the relief sought was "compensation for the benefits that would have been paid but for the defendants' errors." The district court based its denial of Silva's motion mainly on Pichoff v. QHG of Springdale, Inc., 556 F.3d 728 (8th Cir.2009). In Pichoff, the Eighth Circuit decided whether the phrase "other appropriate equitable relief" in § 1132(a)(3) allowed the plaintiff to recover life insurance he would have been entitled to had the plan's administrator not failed to extend his coverage, an alleged breach of fiduciary duty. Id. at 731. The court explained that the term "`other appropriate equitable relief' is limited to relief that was `typically available in equity (such as injunction, mandamus, and restitution, but not compensatory damages).'" Id. (quoting Mertens v. Hewitt Assocs., 508 U.S. 248, 256-57, 113 S.Ct. 2063, 124 L.Ed.2d 161 (1993)). Applying Pichoff, the district court in this case determined that Silva could not seek compensatory relief under § 1132(a)(3), so his claim was futile because the court could not grant that relief.
The district court also addressed the Supreme Court's more recent decision in CIGNA Corp. v. Amara, ___ U.S. ___, 131 S.Ct. 1866, 179 L.Ed.2d 843 (2011), but ultimately determined that Amara did not overrule Pichoff. In Amara, the Supreme Court identified three possible "equitable" theories of recovery under § 1132(a)(3) for an administrator's breach of fiduciary duty: surcharge, reformation, and estoppel. Id. at 1879-80. Silva and the Department of Labor argue that Amara abrogated Pichoff in the sense that Amara's characterization of "other appropriate equitable relief" under § 1132(a)(3) is broad enough to encompass Silva's requested compensatory relief in this case — the full amount of the supplemental life insurance policy. We discuss below these three types of equitable claims, and we explain how Amara has changed the availability of relief and the scope of that relief.
Silva claims that Savvis, as a plan administrator, breached an ERISA-imposed fiduciary duty by failing to provide Abel with a summary plan description, which could have explained the Statement of Health form requirement as being a prerequisite. See 29 U.S.C. §§ 1109 (liability for breach of fiduciary duty), 1104 (listing the duties incumbent upon the fiduciary), 1022 (listing the description and requirements for a summary plan description), 1024(b) (stating the an administrator
Under ERISA, the plan administrator must distribute a summary plan description to all participants. 29 U.S.C. § 1022. The summary plan description "shall be written in a manner calculated to be understood by the average plan participant," § 1022(a), and it must contain, among other requirements, "circumstances which may result in disqualification, ineligibility, or denial or loss of benefits," § 1022(b). The Supreme Court has said that the summary plan description's objective is to provide "clear, simple communication" that states the terms and conditions of the Plan. Amara, 131 S.Ct. at 1877. In addition, the summary plan description must be "furnished" by the plan administrator to the plan participants. See 29 U.S.C. § 1024(b)(1); see also Leyda v. AlliedSignal, Inc., 322 F.3d 199, 208 (2d Cir.2003) ("[T]he summary plan description `must be sent by a method or methods of delivery likely to result in full distribution,' that the `administrator shall use measures reasonably calculated to ensure actual receipt of the material by plan participants,' and that `in no case is it acceptable merely to place copies of the material in a location frequented by participants.'") (quoting 29 C.F.R. § 2520.104b-1(b)(1)).
Defendants argue that if no separate summary plan description existed, then the Plan can function as both. Regardless of the potential viability of such an argument in other cases, we disagree on the present facts. The Plan in this case is nearly 100 pages long and contains technical language unlikely to be read or understood by "the average plan participant." 29 U.S.C. § 1022(a). It is not a "clear" and "simple" communication. Amara, 131 S.Ct. at 1877. Silva also alleges in his pleading that even if there exists a different summary plan description, it was not provided to Abel.
The next question we ask is whether this wrong has a remedy. We recognize that some ERISA violations do not always have remedies. See, e.g., Mayberry v. United States, 151 F.3d 855, 859 n. 4 (8th Cir.1998) ("Most of the circuits had held at the time of the settlement ... that such damages [for a breach of fiduciary duty] were not available under ERISA.");
However, the Supreme Court's decision in Amara changed the legal landscape by clearly spelling out the possibility of an equitable remedy under ERISA for breaches of fiduciary obligations by plan administrators. Amara, 131 S.Ct. at 1881. The Amara Court directly addressed the need for this remedy, stating: "[I]t is not difficult to imagine how the failure to provide proper summary information, in violation of the statute, injured employees.... We doubt that Congress would have wanted to bar those employees from relief." Amara, 131 S.Ct. at 1881.
Silva argues the remedy for his claim against Savvis is the equitable theory of surcharge. The Amara Court described equitable surcharge under § 1132(a)(3) as follows:
Amara, 131 S.Ct. at 1880 (internal citations and citations to authority omitted). To obtain relief under the surcharge theory, a plan participant is required to show harm resulting from the plan administrator's breach of a fiduciary duty. See Amara, 131 S.Ct. at 1881-82 ("We believe that, to obtain relief by surcharge for violations of §§ [1022 and 1024(b)], a plan participant or beneficiary must show that the violation injured him or her. But to do so, he or she need only show harm and causation. Although it is not always necessary to meet the more rigorous standard implicit in the words `detrimental reliance,' actual harm must be shown.").
Because Silva pleads facts that, if proven to be true, could show an ERISA violation and resulting harm, and because that breach has a remedy under the equitable theory of surcharge, we reverse the district court's determination that a claim under § 1132(a)(3) against Savvis would be futile.
In addition to his claim against Savvis, Silva claims that MetLife breached its fiduciary duties to Abel by collecting insurance policy premiums from him for six months and then, after Abel's death, denying that he had a valid policy. See 29 U.S.C. § 1104(a)(1)(B) (establishing the fiduciary duties of "care, skill, prudence, and diligence"). Silva argues that MetLife's premium deductions, coupled with the facts described above, reasonably induced Abel to believe that his application for a supplemental life insurance policy was approved by MetLife and that no further action was needed, either to ensure
Silva argues that MetLife "waived" the "evidence of insurability" provision in the Plan because the company appeared to approve Abel's request for coverage when it began to deduct premium payments. Silva argues a remedy for his claim exists in the equitable theory of reformation. We find support for this in Amara's discussion of reformation under § 1132(a)(3). See Amara, 131 S.Ct. at 1879. There, the Court stated that "[t]he power to reform contracts (as contrasted with the power to enforce contracts as written) is a traditional power of an equity court, not a court of law, and was used to prevent fraud." Id. (citations omitted). On remand, the District of Connecticut described the reformation remedy available under § 1132(a)(3) as allowing courts "to reform contracts that failed to express the agreement of the parties, owing either to mutual mistake or to the fraud of one party and the mistake of the other." Amara v. CIGNA, 925 F.Supp.2d 242, 252 (D.Conn.2012).
On remand, Silva may be able to show mutual mistake or "fraud of one party and the mistake of the other." See Id. It was arguably fraudulent for MetLife to collect premiums from a Savvis employee who, MetLife now argues, never had an approved policy. Further, MetLife did not just erroneously collect premiums from Abel — an internal MetLife investigation showed that roughly 200 Savvis employees had been paying premiums for policies that were never approved by MetLife. We conclude that Silva is allowed to make his waiver argument on remand, and if successful, receive monetary damages, as will be discussed below.
Because MetLife admitted error in collecting the premiums and Abel relied on that collection as proof that he had a policy, Silva argues that MetLife should also be equitably estopped from claiming that no policy existed. Again, without resolving Silva's claim on the merits, we find that this alleged wrong can survive a Rule 12(b)(6) motion because relief could be granted under § 1132(a)(3)'s catchall provision using the traditional equitable estoppel theory discussed in Amara, 131 S.Ct. at 1880. The concept of equitable estoppel is simple; it "operates to place the person entitled to its benefit in the same position he would have been in had the representations been true." Id. (citation omitted).
In Todd v. Dow Chemical Co., 760 F.2d 192 (8th Cir.1985), the court discussed estoppel in a life insurance policy dispute where the insured-decedent received a letter stating he was insured and had premiums deducted from his policy. The court stated the requirements for showing estoppel:
Id. at 195-96 (internal citations omitted). The court went on to find that there was no such evidence of prejudice or detrimental reliance, and because of that, the decedent's family could not recover monetary damages under the life insurance policy.
The district court in the present case quoted from a more recent Eighth Circuit case, Lincoln General Hospital v. Blue Cross/Blue Shield of Nebraska, 963 F.2d 1136 (8th Cir.1992), for the proposition that "[i]n general, the doctrine of equitable estoppel requires proof of words or deeds (or sometimes omissions to speak or act) that create a misleading impression upon which a reasonable person would rely." Id. at 1141. The district court relied on Lincoln General Hospital to find that Defendants had no affirmative duty to tell Abel that he needed to submit evidence of insurability, stating that "[a]ny neglect by the employer and the insurer did not alter the terms of the plan placing the burden for providing the required [evidence of insurability] on the employee." Silva, 912 F.Supp.2d at 793. Because the district court determined that Defendants did not make any misleading representations to Abel except for deducting premiums from his paycheck, the district court refused to apply equitable estoppel.
We reverse the district court and hold that Silva's § 1132(a)(3) claim based on equitable estoppel can survive a Rule 12(b)(6) motion. The evidence that MetLife collected premium payments from 200 other Savvis employees who lacked approved policies convinces us that Abel also relied on MetLife's wrongful collection of his premiums. In addition, Abel did not obtain any other supplemental life insurance policy. It is unclear what a reasonable person in Abel's position would have done differently to prevent this situation. Even if Abel read the entire Plan, he reasonably could have believed that MetLife had sufficient evidence of insurability from him or that the provision did not apply to him since MetLife began deducting premiums from his paycheck and the supplemental life insurance policy showed up on his Savvis online benefits enrollment page. Todd captures this situation succinctly: "[T]he objectively reasonable expectations of applicants and intended beneficiaries regarding the terms of insurance contracts will be honored even though painstaking study of the policy provisions would have negated those expectations." 760 F.2d at 196 n. 2 (quoting Robert Keeton, Ins. Law Rights at Variance with Policy Provisions, 83 Harvard L.Rev. 961, 967 (1970)).
Because we determined that Amara changed the law as our court had previously interpreted it, we conclude a remedy may be available. The question remains, however, what might that remedy look like. At oral argument, Silva's counsel and the Department of Labor, appearing as an amicus, agreed that the appropriate remedy under § 1132(a)(3) is the payment of benefits that were seemingly owed under the Plan — $429,000. Their request for make-whole, monetary relief under § 1132(a)(3) is supported by the case law of other circuit courts of appeals. See, e.g., Osberg v. Foot Locker, Inc., 555 Fed. Appx. 77, 80-81 (2d Cir.2014); Kenseth v. Dean Health Plan, Inc., 722 F.3d 869, 891-92 (7th Cir.2013) ("[Amara] substantially changes our understanding of the equitable relief available under section 1 132(a)(3). [The plaintiff] has argued for make-whole relief in the form of monetary compensation for a breach of fiduciary duty ... We now know that, in appropriate
McCravy, 690 F.3d at 182-83.
We agree and direct the district court to allow Silva to amend his complaint to add his claims against Savvis and MetLife under § 1132(a)(3) based on the equitable theories of surcharge, reformation, and equitable estoppel as described by the Supreme Court in Amara.
Because we conclude that an equitable remedy may be available, the motion to amend cannot be rejected on a theory of futility. We next address the separate question of whether it could be denied on the basis of redundancy. Defendants argue that Silva should not be allowed to amend his complaint to add a claim under § 1132(a)(3) based on the Supreme Court case Varity Corp. v. Howe, 516 U.S. 489, 116 S.Ct. 1065, 134 L.Ed.2d 130 (1996), which our court recently interpreted in Pilger v. Sweeney, 725 F.3d 922 (8th Cir. 2013). In Varity, the Court discussed the interaction between the subsections in 29 U.S.C. § 1132, including the two at issue in this case, §§ 1132(a)(1)(B) and (a)(3). 516 U.S. at 512, 116 S.Ct. 1065. The Court stated that § 1132(a)(1)(B) focused upon providing a remedy for the "wrongful denial of benefits and information," while § 1132(a)(3) was a "catchall" that provided "`appropriate equitable relief' for `any' statutory violation." Id. The Court noted that this "structure suggests that these `catchall' provisions act as a safety net, offering appropriate equitable relief for injuries caused by violations that § [1132] does not elsewhere adequately remedy." Id. The Court then concluded that "where Congress elsewhere provided adequate relief for a beneficiary's injury, there will be no need for further equitable relief, in
In Pilger, our court interpreted Varity to stand for the proposition that if a plaintiff brings a cause of action under § 1132(a)(1)(B), then the plaintiff is barred from pursing a claim under § 1132(a)(3). Pilger, 725 F.3d at 927. At oral argument, Defendants argued that Silva must choose between § 1132(a)(1)(B) or § 1132(a)(3) at the pleading stage because Pilger foreclosed the ability to argue for relief under both. Under Defendants' reading of Pilger, injured plaintiffs would need to assess their possible claims under 29 U.S.C. § 1132 and then select only the subsection they believed most likely to bring them the relief they seek.
We do not read Varity and Pilger to stand for the proposition that Silva may only plead one cause of action to seek recovery of his son's supplemental life insurance benefits. Rather, we conclude those cases prohibit duplicate recoveries when a more specific section of the statute, such as § 1132(a)(1)(B), provides a remedy similar to what the plaintiff seeks under the equitable catchall provision, § 1132(a)(3). See A.A., ex rel. J.A. v. Blue Cross & Blue Shield of Ill., No. 2:13-cv-00357, 2014 WL 910144, at *11 (W.D.Wash. Mar. 7, 2014) ("Dismissal of a Section [1 132](a)(3) claim is appropriate at the summary judgment stage where a plaintiff has asserted, and obtained relief for, a claim under Section [1 132](a)(1)(B)." (emphasis added)); Jones v. Allen, No. 2:11-cv-380, 2014 WL 1155347, at *9 (S.D.Ohio Mar. 21, 2014) ("It [is] well established in [the Sixth] Circuit that plaintiffs [can] bring claims for breaches of fiduciary duty in ERISA cases, and [can] even do so alongside a claim for benefits in certain circumstances.").
Contrary to Defendants' argument, Varity does not limit the number of ways a party can initially seek relief at the motion to dismiss stage. The case Black v. Long Term Disability Insurance summarizes our views well:
373 F.Supp.2d 897, 902-03 (E.D.Wis.2005) (internal citations omitted).
Silva presents two alternative — as opposed to duplicative — theories of liability and is allowed to plead both. See Fed. R.Civ.P. 8(a)(3) ("A pleading that states a claim for relief must contain ... a demand for the relief sought, which may include relief in the alternative or different types of relief."); Fed.R.Civ.P. 8(d)(2) ("A party may set out 2 or more statements of a claim or defense alternatively or hypothetically, either in a single count or defense or in separate ones."); see also Fed.R.Civ.P. 18 ("A party asserting a claim ... may join, as independent or alternative claims, as many claims as it has against an opposing party."). The plaintiff is simply not allowed to recover twice.
We find further support for our interpretation of Varity in Amara. In Amara, the plaintiffs sought relief under
We recognize that this interpretation of Varity may seem to be at odds with earlier Eighth Circuit cases. See, e.g., Pilger, 725 F.3d at 927 ("Plaintiffs' ability to seek this relief in their § 1132(a)(1)(B) claim forecloses them from also pursing it in this § 1132(a)(3)(B) claim."); Antolik, 463 F.3d at 803 (same); Wald v. Sw. Bell Corp. Customcare Med. Plan, 83 F.3d 1002, 1006 (8th Cir.1996) (same). These cases, however, are distinguishable based on the stage of litigation the court was reviewing. All three cases were on appeal from a motion for summary judgment — not a motion to dismiss. This is important because claims are more developed by the time a motion for summary judgment is filed. At summary judgment, a court is better equipped to assess the likelihood for duplicate recovery, analyze the overlap between claims, and determine whether one claim alone will provide the plaintiff with "adequate relief."
At the motion to dismiss stage, however, it is difficult for a court to discern the intricacies of the plaintiff's claims to determine if the claims are indeed duplicative, rather than alternative, and determine if one or both could provide adequate relief. See Black, 373 F.Supp.2d at 901-02 ("[A] district court should generally not dismiss a § 1132(a)(3) claim as duplicative of a claim for benefits at the motion to dismiss stage of a case."); Allbaugh v. Cal. Field Ironworkers Pension Trust, No. 2:12-cv-00561, 2014 WL 2112934, at *6 (D.Nev. May 20, 2014) ("[A]t the pleading stage, a plaintiff may advance multiple, alternative, even contradictory theories of liability [under ERISA]."). At the pleading stage, it is difficult to determine if relief is indeed owed under § 1132(a)(1)(B), and requiring the plaintiff to pursue that path may foreclose the plaintiff from bringing a better case pursuant to § 1132(a)(3). For example, the Eastern District of Missouri — the same district where the present case originates — recently declined to dismiss a plaintiff's claims for relief under §§ 1132(a)(1)(B) and (a)(3) on a motion to dismiss because the factual record had not been developed sufficiently for the court to be able to discern if the claims were indeed duplicative. Martin v. Aetna Life Ins. Co., No. 4:13cv1108, 2014 WL 2009079, at *4 (E.D.Mo. May 16, 2014) (noting that the prohibition against duplicative ERISA claims applies "only when § 1132(a)(1) provides an adequate remedy").
At oral argument, Defendants' counsel argued that because Silva has a claim under § 1132(a)(1)(B), albeit, according to Defendants, not a successful one, he is barred from asserting a claim under § 1132(a)(3). Defendants' argument illustrates the unfairness of their position. As stated at length above, we believe Varity only bars duplicate recovery and does not address pleading alternate theories of liability. Under § 1 132(a)(1)(B), Silva is arguing that the insurance policy was valid and that Abel's failure to provide evidence of insurability does not alter the validity of the policy. In the alternative, under § 1132(a)(3), Silva is arguing that if Abel's policy was never validly approved and therefore did not go into effect due to the missing Statement of Health form, MetLife and Savvis are still liable to him due
We reverse the district court's grant of summary judgment to Defendants on Silva's § 1132(a)(1)(B) claim and the district court's denial of Silva's motion to amend to add a claim under § 1132(a)(3). We remand to the district court so Silva has a full opportunity to litigate both of his ERISA claims in light of our decision.
GRUENDER, Circuit Judge, concurring in part and dissenting in part.
I join the opinion of the court with respect to its disposition of Silva's motion to amend his complaint to add a claim under 29 U.S.C. § 1132(a)(3). However, because I believe that the district court properly granted summary judgment in favor of MetLife and Savvis on Silva's claim under 29 U.S.C. § 1132(a)(1)(B), I respectfully dissent from Part III.A of the opinion of the court.
In considering a § 1132(a)(1)(B) claim, we review a plan administrator's benefits determination for abuse of discretion when, as here, the "plan grants the administrator discretion to determine eligibility for benefits and to interpret the plan's terms." Green v. Union Sec. Ins. Co., 646 F.3d 1042, 1050 (8th Cir.2011). Under this standard, a plan "administrator's decision should be affirmed if it is reasonable." Id. (internal citations and quotations omitted).
McClelland v. Life Ins. Co. of N. Am., 679 F.3d 755, 759 (8th Cir.2012) (citing Finley v. Special Agents Mut. Benefit Ass'n, 957 F.2d 617, 621 (8th Cir.1992)).
Consideration of the Finley factors shows that MetLife reasonably interpreted the plan to require submission of a Statement of Health. First, MetLife's interpretation is consistent with the clear language of the plan. The plan requires participants to submit evidence of insurability that is "satisfactory" to MetLife. This phrasing necessarily contemplates that MetLife would require some evidence — such as a Statement of Health — that is not specified by the plan's terms and that MetLife would be the judge of the adequacy of that evidence. Silva has not provided any reason to doubt that requiring the submission of a Statement of Health is a fair method of assessing the health of a life-insurance applicant. Second, the record demonstrates that MetLife has applied its interpretation consistently. As the court observes, approximately 200 other Savvis employees were found not to have completed a Statement of Health. See ante at 715-16. MetLife applied the same plan interpretation to these employees as it did to Silva and required them to submit Statements of Health. See Appellant's Appendix at 565 (containing MetLife internal claims-determination file) ("[W]e have determined that we will not be grandfathering these individuals into the plan at the amounts they've requested. We will require ALL past participants to submit a form."). This consistent application supports the reasonableness of MetLife's interpretation. Third, requiring submission of a Statement of Health also comports with at least one plan goal, that is, ensuring affordability for participants. As the court notes, the evidence-of-insurability
The court objects that the administrative record omits certain facts that the court deems necessary to determining whether MetLife abused its discretion. But I am not convinced that these evidentiary lacunae are so glaring. In particular, the administrative record shows that MetLife investigated Savvis's method of notifying employees that submitting a Statement of Health is required. And Savvis responded that when employees attempt to enroll for benefits through its online enrollment system, the system prompted them to complete a Statement of Health and directed them to the company's benefits department, from which the form could be obtained. See Appellant's Appendix 573-76. Silva did not present evidence to contradict the results of MetLife's investigation. Thus, the uncontradicted evidence in the administrative record supports the conclusion that Abel received notice that he was required to complete a Statement of Health. See Green, 646 F.3d at 1050 (explaining that a plan administrator's benefits determination is reasonable if "it is supported by substantial evidence"). As such, I believe that the district court correctly granted summary judgment in favor of MetLife and Savvis on Silva's § 1 132(a)(1)(B) claim.
As noted above, I agree with the court that Silva was permitted to plead simultaneously claims under both § 1132(a)(1)(B) and § 1132(a)(3). The court correctly explains that at this early stage of litigation, an ERISA plaintiff may plead claims under both provisions in the alternative. See ante at 725-29. Critically, though, a § 1132(a)(3) claim — even if pled in the alternative — cannot survive a motion to dismiss if the plaintiff seeks to enforce rights that arise under the terms of an ERISA plan; § 1132(a)(1)(B) provides the exclusive remedy for vindicating rights arising under the terms of the plan. See Pilger v. Sweeney, 725 F.3d 922, 927 (8th Cir.2013). Here, however, Silva premises his § 1132(a)(3) claim on alleged breaches of the defendants' fiduciary duties that prevented him from becoming eligible for benefits under the plan. See Gearlds v. Entergy Servs., Inc., 709 F.3d 448 (5th Cir. 2013); McCravy v. Metro. Life Ins. Co., 690 F.3d 176 (4th Cir.2012). Accordingly, I join the court's disposition of Silva's motion to amend his complaint to add a claim under § 1132(a)(3).