SARIS, District Judge.
Plaintiff, Louise M. McCarthy, was formerly the Senior Vice President, Senior Counsel, and Assistant Secretary of defendant, The Commerce Group, Inc. ("CGI"), and General Counsel of several of CGI's subsidiaries. Prior to June 2008, CGI was a publicly-traded Massachusetts-based holding company operating entirely through its insurance subsidiaries. On June 4, 2008, CGI merged with defendant Mapfre, S.A. ("Mapfre") and became a private, wholly-owned subsidiary of a publicly-traded foreign corporation — a Madrid-based global conglomerate of insurance subsidiaries. On June 5, 2008, one day after the closing of the merger, McCarthy submitted a Notice of Intent to Resign for Good Reason pursuant to the terms of her 2007 Employment Agreement and her 2006 and 2007 Incentive Award Agreements. Her "Good Reason" claim was denied. As a result, McCarthy claims that CGI's denial violated the Employee Retirement Income Security Act of 1974 ("ERISA"), 29 U.S.C. §§ 1001, et seq., and that Mapfre intentionally interfered with her rights under the 2007 Employment Agreement.
After a seven day trial, I make the following findings of fact and conclusions of law, and order that the case be remanded to the plan administrator because of significant procedural flaws that rendered the decision to deny Plaintiff benefits under the top-hat plan unreasonable.
CGI hired McCarthy as Senior Counsel in September 2001. Prior to her employment at CGI, McCarthy practiced insurance regulatory law after graduating from
During her tenure at CGI, McCarthy steadily rose through the ranks. In 2003, McCarthy was elected Assistant Vice President of CGI, making her one of a small group of officers. This position made her eligible for officer perks such as special compensation packages, and it also allowed her to build an important relationship with CGI's Board of Directors. In May 2006, McCarthy was appointed Vice President and Senior Counsel of CGI. Three months later, McCarthy was made a Senior Vice President, Senior Counsel, and Assistant Secretary of CGI. As a result of her promotion to Senior Vice President at CGI, McCarthy was named a Section 16 officer, which meant she had a significant policy-making position within the company and was deemed to have material inside information at all times according to the Securities Exchange Act. See 15 U.S.C. § 78p; 17 C.F.R. § 240.16a-1(f). As a Section 16 officer, McCarthy also attended the Annual Meeting of Shareholders, where she was publicly introduced as a member of the senior management team. In August 2006, she was appointed Senior Vice President and General Counsel of the insurance subsidiaries, the "Group." The subsidiaries' legal affairs were consolidated under her management. Her positive job evaluations were reflected in the significant salary boost that followed. By the time McCarthy resigned, she was earning a $270,000 base salary and her 2007 Restricted Stock Unit Award amounted to $565,988, grossed up to account for tax and other consequences under the Internal Revenue Code.
In 2006, McCarthy began reporting to two different supervisors in recognition of her dual role. In her capacity as Senior Vice President, Senior Counsel, and Assistant Secretary to the parent company, CGI, McCarthy reported to the General Counsel of CGI, James Ermilio. In her capacity as General Counsel, Senior Vice President, and Assistant Secretary to the subsidiaries, McCarthy reported directly to Gerald Fels, who held the position of CEO to each of CGI's subsidiaries.
In 2006, after Ermilio accepted a more business-oriented function within the company as newly-elected Executive Vice President,
In fact, McCarthy's new role as Senior Counsel and Senior Vice President to CGI parent corporation carried specific public company responsibilities in addition to her corporate commercial law and insurance
In-house, McCarthy provided legal services to the audit, corporate compliance and nominating committees; participated in the Massachusetts Executive Committee, Countrywide Executive Committee, the Strategy Committee and the 8-K
McCarthy took particular pride in her title as a Section 16 officer and her membership on the Strategy Committee, which was in charge of establishing enterprise-wide strategy and making material transaction decisions. It supervised the growth of the company outside Massachusetts by recommending subsidiary acquisitions, hiring new employees, determining the sites of offices around the country, and overseeing the operations of CGI's insurance companies.
As for the other executive committees, McCarthy was responsible for updating the nominating and corporate governance committee charters, and she attended meetings of the nominating, corporate governance, and audit committees as necessary. For example, McCarthy drafted the summary report for the nominating committee meeting held on November 14, 2007. However, she did not attend the four compliance committee meetings between August 2006 and October 2007; a member of her staff attended in her stead. As for the Audit Committee, McCarthy was not a member but she attended part of each meeting to present on the status of significant legal matters. She also kept the Audit Committee charter current. For this, she relied heavily on Todd Peckham, a non-attorney legal analyst on her staff, to monitor SEC rule updates and alert her as necessary.
McCarthy implemented a director training program, continuing education program, and Board of Directors Manual for which she compiled important internal documents and company filings. The director training program was not utilized, however, because there were no new directors during McCarthy's tenure. Additionally, under McCarthy's supervision, Nutter
According to McCarthy's supervisor, Ermilio, who had recommended McCarthy for the promotion, it is of "tremendous importance" for in-house counsel to advise the company on SOX matters and "very important" for CGI to implement policies and procedures ensuring SOX compliance. In his view, significant internal and external status and prestige accompanied her role advising committees of the Board of Directors and her title as a Section 16 officer.
McCarthy's performance reviews from 2007 and 2008, however, indicate that her most significant and most time-intensive projects related to her role as General Counsel to the subsidiaries. For example, in 2007, McCarthy was the lead attorney in the acquisition of State-Wide Insurance Company, and she negotiated the 20-year AAA agreement. In comparison, Ermilio agreed that public company-related duties were a "relatively small" part of McCarthy's day-to-day tasks. Instead, CGI routinely retained outside counsel for such matters. When asked, McCarthy could not estimate the percentage of time she spent on SEC matters.
At the start of CGI's merger discussions with Mapfre and other potential suitors, CGI's independent Board of Directors authorized the company to enter into Employment Agreements with eleven of its key Executive Officers. McCarthy was included in this group because of her role as Senior VP and Senior Counsel to CGI. The group was comprised of the "Section 16 officers" of CGI. The non-Section 16 officers also received Special Officer Separation Plans with similar benefits. As for the Section 16-officer Employment Agreements, they provided a significant severance payment, as well as life and health insurance benefits, in the event the executive resigned for "Good Reason." "Good Reason" is defined as:
It is undisputed that CGI's merger with Mapfre constituted a "Change in Control." Thus, under the terms of the Agreement, the Board of Directors or the Compensation Committee would determine whether "Good Reason" exists if provided with proper notice by the claimant. The Board's decision is "conclusive and binding."
Under the Agreement, the Executive could choose the time period that the Board or Compensation Committee would use as a basis of comparison for determining whether her position changed substantially and adversely. The Agreement reads, "[I]n the event of a Proposed Business Combination that results in a Change of Control, the determination of Good Reason shall be made, at the Executive's election, relative to conditions existing immediately prior to the commencement of the Proposed Business Combination."
Notice must be provided within three months from the time the Executive first has "actual knowledge of the facts" supporting the Good Reason claim, according to the agreement. The agreement states, "in no event shall `Good Reason' be deemed to exist unless the Executive shall have given the Company written notice before the Executive's voluntary resignation and not more than three (3) months after the Executive first has actual knowledge of the facts and circumstances allegedly constituting Good Reason." The company is given the opportunity to "cure" the basis for the executive's Good Reason claim within twenty days after the receipt of the Notice. McCarthy first had "knowledge and awareness" of CGI's possible merger with Mapfre one month earlier, on August 14, 2007. The merger, however, was still in a preliminary stage — there were several regulatory and antitrust hurdles to overcome before the closing. These approvals were ultimately achieved in May 2008 after significant financial disclosures and public hearings.
McCarthy first reviewed the draft Employment Agreement as in-house counsel when it was still in development. She then signed the finalized Employment Agreement on September 7, 2007.
At the time McCarthy signed, the Compensation Committee responsible for determining Good Reason claims was composed of the independent directors of CGI, each with substantial shareholdings of CGI stock. After the closing of the merger, the former Compensation Committee disbanded so that when McCarthy submitted her Good Reason Notice, the Board of Directors making the decision was then comprised of executives from the acquirer, Mapfre.
In addition, McCarthy also received Incentive Award Agreements, beginning in 2003, which governed her bonus compensation. Under these agreements, McCarthy could be granted awards each year, payable three years after the grant. In this action, McCarthy is seeking the amounts allegedly due to her under her 2006 and 2007 Incentive Agreements with CGI. These Incentive Agreement awards constitute "Accrued Obligations" under McCarthy's Employment Agreement. Thus, if the Board had found she resigned for Good Reason, McCarthy would be owed the amount due under these agreements in addition to the Employment Agreement's severance package and health plan.
Andres Jimenez, President and Chief Operating Officer of Mapfre Internacional, a subsidiary of Mapfre S.A., was primarily responsible for exploring a possible expansion into the United States and negotiating the agreement with the help of Javier Fernandez-Cid, the then-Director and General Manager of Mapfre Internacional; Esteban Tejera, Chief Legal Officer of Mapfre S.A.; Domingo Sugranyes, CFO of Mapfre; Jose Manuel Gonzales Porro, Secretary General to Mapfre; Claudio Ramos, head of the International Legal Department; and Jamie Tamayo. Mapfre began discussing a possible merger with CGI in summer 2007, and, in August 2007, the CGI Board voted in favor of the merger. By October 2007, the merger agreement was signed. Between August and October, McCarthy populated a virtual data room with internal CGI documents for Mapfre to examine as part of their "due diligence." Among those considered were the Section 16-officer Employment Agreements and Incentive Award Agreements.
During the negotiation process, Mapfre urged Gerald Fels, CEO of CGI, to condition the merger on CGI's Section 16 officers' signing Retention Agreements that waived their rights to assert Good Reason solely due to conditions that existed as a result of the merger. On October 29, 2007, Andres Jimenez called the Retention Agreements a "key part of the transaction" and pressed Fels, in the alternative, for a signed statement which read:
The "key management personnel" to whom Jimenez refers are Jim Ermilio and Randall Becker. Mapfre sought to retain CGI management because the foreign acquirer was unfamiliar with the changing Massachusetts auto insurance market and because CGI, as a future subsidiary of Mapfre, faced a possible $100 million payout if each eligible executive filed for Good Reason.
Fels refused to comply with Jimenez's request because "it would create a personal interest in the transaction," and he feared making the closing contingent on "the consummation of new agreements with individual officers." Nevertheless, Fels emailed Jimenez that same day assuring him, "I want to give you my personal commitment that I plan to see this transaction through to a satisfactory conclusion for both of our enterprises."
Two days after the merger agreement was signed in October 2007, Fels voluntarily agreed to waive his rights under the Employment Agreement with respect to Mapfre. By June 4, 2008, the closing date, Fels had reiterated his personal commitment to waive his Good Reason rights under the existing Employment Agreement in favor of a Supplemental Agreement by which critical officers, such as Fels himself, would be eligible for incentive payments based on the company's 2009 financial performance. It was understood that these payments would be capped and would not equal the payout due if each Section 16 officer was found to have had "Good Reason" to resign under the 2007 Employment Agreement. McCarthy was not on the list of "critical officers" prepared by Fels; thus, there were no plans to offer Plaintiff this Supplemental Agreement.
Aside from these personnel negotiations, Mapfre and CGI needed to obtain shareholder, regulatory, and antitrust approvals to close on the merger agreement. McCarthy, along with Ermilio and others at CGI, met with Mapfre executives, including Mapfre's in-house lawyers Claudio Ramos and Jose Manuel Porro, at least once in Boston in April 2008 to strategize about obtaining the regulatory approvals needed. The meeting was contentious; however, no critical remarks were directed at the plaintiff specifically. Mapfre and CGI ultimately achieved these approvals in May 2008 after significant financial disclosures, votes, and public hearings.
Both McCarthy and Ermilio felt sidelined by the Mapfre executives during that meeting and subsequently. McCarthy in particular feared, "these would be the new bosses" and that "they would be difficult to work for," especially Porro. During those meetings, McCarthy's supervisor, Ermilio, described the Mapfre executives' dismissive attitude toward McCarthy by saying, "They think you're my girlfriend." During a regulatory meeting in Massachusetts in spring 2008, a friend of hers commented that McCarthy looked as if she was carrying the briefcases of the Spanish guys, or words to that effect.
McCarthy first met with an attorney at the end of that month, on April 30, 2008.
Shortly before CGI and Mapfre closed on the merger, Ermilio advised Mapfre, in a memorandum, that the new Board "may be required to act shortly after the closing
CGI closed on the merger with Mapfre on June 4, 2008. That same day, McCarthy received news of the new make-up of the Board of Directors and subsidiary boards. Since the company was no longer a publicly-traded company constrained by the rules of the SEC requiring a majority of independent directors, Mapfre selected all inside directors. The new Board would be comprised of Mapfre executives and Gerald Fels. The size of the Board was significantly reduced and Andres Jimenez became Chairman of CGI. After the merger, three layers of management stood between McCarthy and the Chief Legal Officer of the enterprise. Ermilio remained McCarthy's direct supervisor; Ermilio was then supervised by Ramos, Director of International Legal Affairs, who, in turn, was supervised by the Director of Legal Affairs worldwide.
McCarthy gave written notice on June 5, 2008, the day after the merger took place, of her intention to resign for Good Reason effective as of the close of business on July 7, 2008. In her Notice, she asserted that as a result of the Change in Control: "the nature, status, and prestige of [her] responsibilities and functions are substantially and adversely altered. The core duties and functions assumed by McCarthy as counsel to a public company no longer exist. The nature and prestige associated with her position have been eliminated." McCarthy further asserted, "her core responsibility as Senior Counsel to CGI ... was defined by the fact that CGI was a public company." She listed specific ways in which her position had and would change — advising senior management and the CGI Board of Directors on corporate governance issues such as SEC reporting; preparing for and attending meetings of the Nominating and Corporate Governance Committee; advising the Audit Committee and updating its charter; preparing quarterly reports and meeting with external auditors of CGI in compliance with SOX; preparing responses to SEC inquiries; participating in the review of SEC filings; serving as member of the 8-K Committee regarding public disclosures; advising on insider trading. She also emphasized the fact that she would no longer provide legal advice to the strategic decision-makers of the ultimate corporate enterprise (now Mapfre). In her view, while she would still report, post-merger, directly to CGI General Counsel, Ermilio, and CGI CEO, Fels, Ermilio and Fels no longer controlled the strategic direction of the entire organization as CGI became just one of Mapfre's many subsidiaries.
If McCarthy prevailed on her Good Reason claim, she would have been entitled to $630,221 under her 2006 Incentive Award Agreement; $217,805 under her 2007 Incentive Award Agreement; $3,622,220 under her Employment Agreement (including certain gross-up amounts, plus additional gross-up payments, if any, that may be due for potential excise and other taxes due under the Internal Revenue Code).
When considering her rights under the Employment Agreement, McCarthy never asked Mapfre to better her position within the new conglomerate in any way.
Ermilio, her direct superior and the CGI Executive Vice President and General Counsel, also gave Good Reason Notice
Fels was surprised and upset when McCarthy first delivered her Notice; he believed her claim was "bogus." Fels testified, he "wasn't going to waste ... 10 million plus dollars basically on claims that were, in my opinion, absolutely bogus." He "simply couldn't justify giving into [these claims] because probably another dozen officers could make the same kind of argument." Granting such claims could set a precedent, "if ... word got out that I was going to throw around that kind of money."
Fels contacted Andres Jimenez of Mapfre as well as Mapfre's counsel, Claudio Ramos, for direction on how to proceed after receiving the Notice. In an email from Fels to Jimenez on June 5, 2008, Fels wrote: "I am quite disappointed that this situation occurred at such an early stage. You can also be assured of my full support to get this resolved on MAPFRE's terms." Fels followed up the next day with another email to Jimenez:
Those "consequences" included CGI's potential exposure of over $100 million in severance liability if each of its key executive officers made similar Good Reason claims.
Fels also informed Randall Becker, CGI's Chief Financial Officer, of the Notice on June 5, 2008. Becker noted that when Fels handed him a copy of McCarthy's Notice, Fels rolled his eyes. Becker, likewise, was "shocked" to learn of McCarthy's filing because he had not anticipated her Good Reason claim.
Claudio Ramos made a special visit to Webster, Massachusetts shortly thereafter. While in Boston, Ramos informed McCarthy that the Board would be holding a meeting to consider her claim, and he invited her to attend. No specifics regarding date or time were discussed. McCarthy asked him, "Do you have everything you need?" to which he replied, "Yes." The two did not review the details of the claims process or the basis for the claim. McCarthy was content that the Board make a determination on the facts laid out in her Notice alone. McCarthy's attorney wrote in a letter to Ramos dated June 16, 2008:
During that same visit, Ramos separately met with James Ermilio. Ramos asked Ermilio to withdraw his Good Reason claim and stay on as Chief Legal Officer. Ermilio was not convinced.
Mapfre and CGI retained Katten Muchin Rosenman LLP ("Katten"), a New
In the initial conversation on June 12, 2008, Fels informed Tract that two senior legal department employees submitted notices to resign for Good Reason in the days following the merger closing. Fels expressed surprise over McCarthy's Notice because he saw no change in her position post-merger. Both Tract and Fels understood Katten's mission as conducting an examination of the facts underlying McCarthy's claim. Katten believed that it was operating under a strict deadline because, under the terms of the Employment Agreement, the company had only 20 days from the submission of McCarthy's Notice to "cure" the basis of her Good Reason claim. So, Katten began the investigation immediately on June 12th under the direction and management of Claudio Ramos.
To begin, Tract requested a list of documents from Fels and Claudio Ramos.
Tract also assembled a team at Katten comprised of four additional partners and an associate — Merril Mironer, an employment and labor lawyer; Ed Rayner, an employee benefits lawyer; Michael Verde, a commercial litigator; James Tampellini, a commercial litigator; and Hannah Amoah, a Katten associate. The team identified McCarthy's Employment Agreement and Incentive Agreement as "top hat" ERISA plans early in the review.
On June 12, 2008, Ms. Amoah conducted a review of all of CGI's SEC filings since 2000 and found no relevant information that would indicate that either McCarthy or Ermilio worked "exclusively or extensively on securities related matters."
A few days later, on June 18, 2008, Verde and Tampellini visited the Webster office of CGI. While in Webster, Tampellini and Verde interviewed Fels in person and Randall Becker over the phone while Becker was on vacation. Fels spoke candidly about McCarthy's Notice; he told them "the claim was bogus." Fels believed her job as General Counsel of the insurance operating subsidiaries was far more prestigious than her role as Senior Counsel within the public company because, as General Counsel, McCarthy was indispensable to the company — she handled all the legal matters for the subsidiaries, including state regulatory issues and contract disputes. Meanwhile, Becker explained
By this time, Fels had given his personal commitment to Andres Jimenez that he would waive his rights under the Employment Agreement, and Becker had assured Fels he had no intention of submitting a Notice himself.
The Katten team also conducted a comprehensive search of McCarthy's emails since 2001, with the help of CGI's Information Technology department, and all of the documents residing on her hard drive. Katten searched 15,860 emails dating from 2001 using search terms targeted at highlighting any emails related to McCarthy's public company reporting responsibilities and her securities work.
Katten prepared a memorandum for the Board summarizing the results of its search and conclusions based on its interviews. In preparing this memo, Katten elected not to interview either McCarthy or Ermilio, her direct superior, because they had both submitted notices of Good Reason.
On June 18, 2008, Katten submitted the memorandum summing up these findings. It explained the Board's discretionary authority in deciding McCarthy and Ermilio's Good Reason claims; it calculated the payouts that would result from a Good Reason finding; it defined "Good Reason"; it listed Ermilio's and McCarthy's allegations in support of their Good Reason claims; it summarized the factual findings of its investigation; and it noted the possibility of contesting the timeliness of their Notices. The memo also stated that neither executive, Ermilio or McCarthy, had elected a time period to serve as the basis of comparison as is their right under the Employment Agreement; thus, Katten assumed the executives intended the comparison to be with the conditions existing immediately prior to the Merger on June 4, 2008. At the time the memo was written, McCarthy had not volunteered, nor did CGI/Katten ask McCarthy for a time period to serve as a basis for comparison. McCarthy verbally requested a different time frame from the one Katten assumed on June 25, 2008 when she met with the Board regarding her claim. At that time, she chose the period between her last promotion and the signing of the merger agreement — August 2006 to October 30, 2007 — as the basis for comparison.
In the memo, Katten reported that less than 1/10th of 1% of her emails related to public company matters and that she had no email folders marked "SEC," "NYSE," "SOX," "SARBOX" or "Regulatory." The firm found only 100 emails between 2004 and 2008 relating to CGI's 10-K, 10-Q and 8-K filings, but 50 of them related to the merger with Mapfre.
Notably, the memo contained a few inaccuracies. First, at the very beginning of Katten's analysis, the memo reports that McCarthy has "declined the Company's invitation to participate in the meeting, making it difficult to actually explore [her] allegations in further detail." Although McCarthy's initial communications with Claudio Ramos on June 16, 2008 were unclear, the subsequent conversations McCarthy's attorney had with Katten attorney Ed Rayner indicate that McCarthy desired to attend the June 20th meeting. Second, Katten wrote, "Gerald Fels also advised that McCarthy had made some effort with human resources to try and have her job description changed, sometime around August of 2007, to reflect more SEC work but the change was never made." However, there is no evidence that such an effort was made. Third, Katten suggests that McCarthy's Good Reason Notice was untimely because she was aware of a potential merger with Mapfre as early as August 2007, yet she submitted her Notice ten months later. Indeed, the Employment Agreement requires the Executive to provide written notice within three months after acquiring actual knowledge of the circumstances allegedly constituting Good Reason. This position, however, does not recognize the many regulatory hurdles that Mapfre and CGI faced through May 2008, before the closing. Thus, this Court finds McCarthy's notice was timely as it fell within the three months following the final regulatory approval in May.
As for the issue of "status or prestige," Katten researched whether any cases with precedential value existed on the matter and found none. No further analysis was conducted into McCarthy's alleged diminishment of status or prestige. And, significantly, Katten's memo did not address this issue.
After its investigation, Katten reached the conclusion: McCarthy "appears to be an insurance regulatory practitioner," not significantly involved with CGI's securities matters.
Katten attorney, Ed Rayner, wrote to McCarthy on June 18 and June 23, inviting McCarthy to "make herself available to answer any questions that may arise" and to "present whatever facts, documents and points she wishes to make to the Board." He specifically requested her participation because he had previously been misinformed that McCarthy had declined the Board's invitation.
After sending that email, Rayner spoke with McCarthy's attorney on the phone at which point the dialogue between the parties began to deteriorate; this deterioration
McCarthy's attorney attached to her email a copy of CGI's Corporate Governance Guidelines manual as one piece of evidence regarding McCarthy's public company responsibilities. Later that day, Rayner emailed his colleague, Verde,
Also on June 20, 2008, Claudio Ramos of Mapfre wrote to Marc Tract at Katten,
To which Tract responded, "This is helpful, and tends to show that both Ermilio and McCarthy can thank Mapfre for giving them the SEC training they now claim they have."
The first meeting between the plaintiff and the Board was scheduled for June 20, 2008, after the confusion as to whether McCarthy desired to attend at all. Due to a family emergency, McCarthy could not attend the meeting. As a result, the Board rescheduled her appearance for June 25, several days later. However, the Board continued to meet on the 20th for 45 minutes to discuss the claim. Claudio Ramos, the CGI Board members, and representatives from Katten were present at the meeting. First, the group formed an Executive and Compensation Committee to make the Good Reason determination. The committee consisted of Andres Jimenez, Javier Fernandez-Cid, Domingo Sugranyes, and Esteban Tejera. Only these four executives, a subset of CGI's Board of Directors, would later deliberate and vote on whether Ermilio or McCarthy resigned for Good Reason.
The Compensation Committee then reviewed Katten's memo section by section, heard from Fels regarding CGI's operations, and voted to deny Jim Ermilio's Good Reason claim. Only a few Compensation Committee members read the documents sent by Katten in preparation for the meeting. For example, prior to the meeting, Andres Jimenez, Chairman of the CGI Board, did not review any of the
Fels made a presentation to the Compensation Committee on McCarthy's various duties within CGI. He stated that "McCarthy was hired because of her background as Assistant General Counsel with the Massachusetts Division of Insurance. Ms. McCarthy was the Company's liaison to insurance regulators throughout the country. She had no responsibilities specifically related to the Company as a publicly traded company." However, this key representation to the board is inaccurate. Both McCarthy and her supervisor, Ermilio, have provided evidence on McCarthy's responsibilities with respect to the public company-related matters; for example, McCarthy sat on the 8-K and Strategy Committees and reviewed SEC filings.
In reaching a decision, the Compensation Committee members relied on Katten's memo and Fels's presentation. Esteban Tejera stated that the Katten memo answered all of his questions before the June 20th meeting. And Jimenez stated, "[W]e didn't consider good reason ... after the study, we considered that there were [sic] no reason." The Compensation Committee rejected McCarthy's claim upon "the advice we received from the lawyers." Additionally, Jimenez called Fels, "the most qualified person to give an opinion about the job of his colleagues." None of the Compensation Committee members sought to interview Ermilio about McCarthy's role in the company because Ermilio had submitted a Good Reason Notice himself.
The Compensation Committee members did not fully understand McCarthy's duties and reporting relationships. Jimenez thought McCarthy's position was "Assistant General Counsel" under Ermilio. To that point, he stated, "I didn't know and I don't know exactly [McCarthy's] functions." Furthermore, Fernandez-Cid admitted that he did not understand the functioning of CGI's nominating and corporate governance committee, audit committee, 8-K committee, or Section 16 officer designation when he was making his decision.
The meeting ended after a brief discussion regarding the language in the Good Reason clause of the Employment Agreement. Specifically, those in attendance discussed the significance of the words "taken as a whole" and the meaning of "status and prestige." As for the former, Tract informed the Compensation Committee that the Good Reason provision required a showing of a "substantial and adverse alteration" in each and every one of the listed factors — responsibilities, title, authority, powers, functions, duties, and reporting requirements — "taken as a whole." According to Tract, "even if any one factor was in fact present, the Board must take the facts `as a whole' to see if Good Reason exists with respect to all factors, taken as a whole." Regarding the latter issue, the Compensation Committee quickly dispensed with McCarthy's status and prestige claim by concluding no real diminution of "status or prestige" existed because now CGI was part of a growing global corporation and public company. Notably, in forming an opinion, the Compensation Committee largely did not rely on the timing of McCarthy's Notice,
On June 23, 2008, two days before the rescheduled board meeting, Rayner emailed plaintiff's attorney with a summary of Katten's findings so that McCarthy could present evidence and respond with particularity. He summarized Katten's findings as follows:
Katten did not inform the plaintiff that the Board had already met and rejected her claim regarding status and prestige.
To prepare for the meeting, McCarthy gathered materials relating to her role as counsel to a publicly traded company. She provided the Compensation Committee with only six documents. McCarthy pulled her own job description, which she drafted in December 2006 and Ermilio reviewed in 2007. The description for her role as Senior Vice President and General Counsel read:
McCarthy also compiled organizational charts for CGI showing her position as second in command of the legal department in the parent company's hierarchy and at the top of the legal department's
In attendance at the June 25, 2008 telephonic meeting were: (1) four Katten attorneys — Edward Rayner, Marc Tract, Michael Verde, and Merril Mironer, (2) Spanish counsel Claudio Ramos, (3) Gerald Fels, and (4) all of the Compensation Committee members — Andres Jimenez, Javier Fernandez-Cid, Domingo Sugranyes, Esteban Tejera.
The conference call meeting totaled about 50 minutes. During that time, both McCarthy and her lawyer made presentations. First, McCarthy's attorney explained her interpretation of the Good Reason standard and requested that the Compensation Committee keep an open mind. Then, McCarthy spent almost 45 minutes explaining to the Compensation Committee, (1) the timing of her Good Reason Notice, (2) the time period she elected to use to measure the change in her role pre- and post-merger, and (3) the basis of her Good Reason claim.
McCarthy chose to submit her Notice on June 5, 2008 because she feared that, as in-house counsel, she may have been asked to weigh in on the merits of her colleagues' Good Reason Notices should others submit. She had reason to believe through office gossip that several of her co-workers were also considering their rights under the Employment Agreement. McCarthy intentionally waited to submit her Notice until after the merger closed to ensure that CGI and Mapfre cleared the regulatory and antitrust hurdles. These approvals were ultimately achieved in May 2008 after significant financial disclosure and public hearings.
Next, McCarthy told the Compensation Committee that she was electing the time period running from August 2006, when she was last promoted, to October 30, 2007, when the merger agreement was signed, as a baseline by which the Compensation Committee would measure the change in her position.
The plaintiff then explained what she felt was a diminishment in scope of authority, status, and prestige. Specifically, she mentioned the elimination of her corporate governance duties and the lack of access to the ultimate decision-makers for the company — now Mapfre executives. In sum, McCarthy reiterated the claims expressed in her Notice. Little, if any, new information was provided. Lastly, she informed the Board of her unsatisfying interactions with Mapfre executives, especially Mr. Porro, leading up to the closing date. The Board did not ask any questions or otherwise interrupt McCarthy during her presentation.
Once McCarthy and her attorney left the conference call, Fels informed the Compensation Committee that McCarthy exaggerated her role in public company matters. He reiterated his position (which was incorrect) that McCarthy had no responsibilities specifically related to CGI's status as a publicly traded company, and he opined that McCarthy had no factual basis for claiming she had Good Reason to resign. Tejera, of the Compensation Committee, understood this statement to mean, "even if she had several tasks related to [public company work], they were not so important to constitute important [sic] part of her job."
Immediately thereafter, the Compensation Committee voted to reject McCarthy's claim.
On July 3, 2008 Fels sent McCarthy a letter notifying her that the Good Reason claim had been denied by the committee. The denial letter read, "After full consideration, the Board and the Executive and Compensation Committee have determined that there is no `Good Reason' as that term is defined in both your Employment Agreement and any Incentive Award Agreement for your resignation." The letter gave no reasons for the denial.
In reply, McCarthy's attorney inquired into Plaintiff's appeal rights and requested all the information upon which the Compensation Committee relied in making their decision as well as a copy of the minutes of the June 25, 2008 meeting. McCarthy never received a response.
After McCarthy's claim was denied, Fels attempted to reach an alternate resolution with McCarthy in which she would continue her work at CGI. McCarthy refused because it was impossible to cure the diminution she felt in "status and prestige" as a result of her personal interactions with Mapfre executives and CGI's new position as a privately-owned subsidiary.
The Supreme Court has held that a "denial of benefits challenged under § 1132(a)(1)(B) is to be reviewed under a de novo standard unless the benefit plan gives the administrator or fiduciary discretionary authority to determine eligibility for benefits or to construe the terms of the plan." Firestone Tire & Rubber Co. v. Bruch, 489 U.S. 101, 115, 109 S.Ct. 948, 103 L.Ed.2d 80 (1989). "When an ERISA plan gives the administrator the discretion to determine eligibility for benefits, a reviewing court must uphold that decision unless it is `arbitrary, capricious, or an abuse of discretion.'" Cusson v. Liberty Life Assurance Co. of Boston, 592 F.3d 215, 224 (1st Cir.2010). This standard applies "regardless of whether the plan at issue is funded or unfunded and regardless of whether the administrator or fiduciary is operating under a possible or actual conflict of interest." Firestone, 489 U.S. at 115, 109 S.Ct. 948.
The 2007 Employment Agreement is a "top hat plan" because the severance package was offered to only a "select group," eleven executives, and the benefits would have been payable out of the employer's general assets; the funds were not segregated. A "top hat plan" is a plan which is "`unfunded' and `maintained by an employer primarily for the purpose of
There is a split among the circuit courts regarding whether a de novo or arbitrary and capricious standard of review applies to top hat plans generally. Compare Craig v. The Pillsbury Non-Qualified Pension Plan, 458 F.3d 748, 752 (8th Cir.2006)(applying de novo standard); Goldstein v. Johnson & Johnson, 251 F.3d 433, 443 (3d Cir.2001)(same); with Comrie v. IPSCO, Inc., 636 F.3d 839, 842 (7th Cir.2011)(applying deferential standard); Sznewajs v. U.S. Bancorp Amended and Restated Supplemental Benefits Plan, 572 F.3d 727, 733 (9th Cir.2009)(same); Olander v. Bucyrus-Erie Co., 187 F.3d 599, 607 (7th Cir.1999)(same). The First Circuit has not taken a position.
Here the CGI Employment Agreement provided: "[A]ny determination made by the Board ... shall be conclusive and binding upon the parties for the purposes of [the Employment Agreement]... [and] the Incentive Plan." Where a plan contractually grants the administrator discretion, under ordinary contract principles, the discretion must be exercised reasonably and in good faith. See Benham v. Lenox Sav. Bank, 26 F.Supp.2d 231, 238 (D.Mass.1998)(stating "top hat plans are unilateral contracts, and thus, are governed by contract principles"). In the circumstances of this case, because of the terms of the contract, the standard of review is deferential so long as the plan administrator acted reasonably and in good faith. As such, the debate over the standard of review is much ado about not much. See Craig, 458 F.3d at 752 ("The fact that we conduct a de novo review does not ... alter our analysis as much as it might appear at first blush.").
Under a deferential standard, procedural irregularities constitute an abuse of discretion when they are "serious," have a "connection to the substantive decision reached, and call into question the integrity of the benefits-denial decision itself." Bard v. Boston Shipping Ass'n, 471 F.3d 229, 244 (1st Cir.2006)(finding prejudice toward the participant because of the administrator's procedural failures — failure to inform participant what he needed to show for disability eligibility, failure to provide for appeal before entity independent from administrator, and failure to consult medical expert); see also Booton v. Lockheed Med. Ben. Plan, 110 F.3d 1461, 1464 (9th Cir.1997)(stating that "to deny [a] claim without explanation and without obtaining relevant information is an abuse of discretion"); Blau v. Del Monte Corp., 748 F.2d 1348, 1353-54 (9th Cir.1984)(finding that the defendants' failure to comply with "virtually every applicable mandate of ERISA" was "objectionable"; the defendants did not provide a copy of the relevant plan provisions or any reasonable claims procedure).
Plaintiff argues that the Compensation Committee violated ERISA's procedural mandates when considering her claim for benefits because it did not properly follow the statutory notice provisions and full and fair review requirements.
29 U.S.C. § 1133. Section 503 falls under the administration and enforcement part of ERISA, which, like the part related to reporting and disclosure, contains no exception for top hat plans. In contrast, top hat plans are explicitly exempted from the statutory parts related to participation and vesting, funding, and fiduciary responsibility. See 29 U.S.C. §§ 1051(2), 1081(a)(3), 1101(a)(1). At the beginning of each of those parts, there is a section entitled "Coverage," which exempts plans that are "unfunded and ... maintained by an employer primarily for the purpose of providing deferred compensation for a select group of management or highly compensated employees," otherwise known as top hat plans. Id.
Top hat plans are not excused from ERISA's civil enforcement provisions, including § 503. See Hampers v. W.R. Grace & Co., Inc., 202 F.3d 44, 47 n. 3 (1st Cir.2000); O'Leary v. Provident Life & Accident Ins. Co., 456 F.Supp.2d 285, 289 n. 3 (D.Mass.2006) ("[W]hile a `top hat' plan is exempt from certain ERISA requirements, it is not exempt from ERISA's reporting, disclosure, administration, or enforcement provisions."); In re New England Mut. Life Ins. Co. Sales Practices Litig., 324 F.Supp.2d 288, 309 (D.Mass.2004)(stating `top hat' plans are subject to ERISA's criminal and civil enforcement provisions); see also Paneccasio v. Unisource Worldwide, Inc., 532 F.3d 101, 108 (2d Cir.2008) ("Top hat plans ... are exempt from many provisions of ERISA, including the participation and vesting, funding, and fiduciary responsibility requirements ... but like qualified plans, they are subject to disclosure requirements, to civil enforcement, and to the duty to have a claims procedure." (quoting Eastman Kodak Co. v. STWB, Inc., 452 F.3d 215, 217 (2d Cir.2006)(internal quotation marks omitted))).
The Secretary of Labor has promulgated regulations which describe the requirements of § 503 in more detail. See 29 C.F.R. § 2560.503-1. The claims procedure regulations require employee benefit plans to "establish and maintain reasonable procedures governing the filing of benefit claims, notification of benefit determinations, and appeal of adverse benefit determinations." § 2560.503-1(b). If a plan administrator makes an adverse benefit determination, the regulations require that the administrator give notice of the determination. § 2560.503-1(g). The notice must set forth:
Id.
Along with proper notice, the regulations also require that these employee benefit plans shall "establish and maintain a procedure by which a claimant shall have a reasonable opportunity to appeal an adverse benefit determination to an appropriate named fiduciary of the plan, and under which there will be a full and fair review of the claim and the adverse benefit determination." § 2560.503-1(h)(1). "Full and fair review" of a claim and an adverse benefit determination requires that claimants be provided:
§ 2560.503-1(h)(2)(i-iv).
In sum, the ERISA regulations afford beneficiaries, the right to two procedural protections — (1) proper notice and (2) a full and fair review of a denial. The statute's "claims procedure" regulations provide detailed directives on these two points.
The claims procedure regulations outlined above generally apply to "every employee benefit plan" covered by ERISA, except those plans specifically exempted by section 4(b). § 2560.503-1(a). Top hat plans are not among the exempted plans. See 29 U.S.C. § 1003(b). A FAQ on the Department of Labor's website confirms the applicability of its claims procedure regulations to top hat plans when it states,
U.S. Dep't of Labor, Employee Benefits Security Administration, Frequently Asked Questions About the Benefit Claims Procedure Regulation, FAQ A-12, http://www.dol.gov/ebsa/faqs/faq_claims_proc_reg.html (last visited Dec. 12, 2011); see also Maynard v. Merrill Lynch & Co., Inc., No. 8:07-cv-1149-T-23MSS, 2008 WL 4790670, at *9 n. 126 (M.D.Fla. Oct. 28, 2008)(quoting Department of Labor's FAQ to support statement that claims procedures apply to top hat plans).
Defendants argue that the Board was not obligated to undertake a full and fair review of McCarthy's claim. In their view, the plain language of § 503 demonstrates that Congress intended to exempt top hat plans from the specific statutory "full and fair review" requirements. Section 503 requires an ERISA plan to "afford a reasonable opportunity to any participant whose claim for benefits has been denied for a full and fair review by the appropriate named fiduciary of the decision denying the claim." 29 U.S.C. § 1133(2)(emphasis
This Court is aware of no federal case which has decided whether the fiduciary reference in § 1133(2) excuses top hat plans from compliance with full and fair review. The Third Circuit has raised the issue, noting:
Goldstein v. Johnson & Johnson, 251 F.3d 433, 446 n. 9 (3rd Cir.2001). District courts have applied a full and fair review procedural analysis to top hat plans, but have done so without addressing the "appropriate named fiduciary" language of § 1133(2). See Fishman v. Zurich Am. Ins. Co., 539 F.Supp.2d 1036, 1047 (N.D.Ill. 2008); Berg v. BCS Fin. Corp., No. 04 C 7922, 2006 WL 273541, at *10 (N.D.Ill. Feb. 2, 2006); Parker v. Union Planters Corp., 203 F.Supp.2d 888, 896 (W.D.Tenn. 2002); Bigda v. Fischbach Corp., 898 F.Supp. 1004, 1015 (S.D.N.Y.1995)("It would be illogical for top hat plans to be subject to some of the administration and enforcement provisions of ERISA and not to others.").
Based on the regulations and caselaw, this Court concludes that top hat plans are subject to the full and fair review with one caveat — the full and fair review need not be undertaken by a "fiduciary" as there is no fiduciary relationship between administrator and beneficiary in top hat plans. Indeed, the "full and fair review" provision of ERISA is "itself a component of goodfaith plan administration." Goldstein, 251 F.3d at 447 n. 9.
In this case, the Compensation Committee failed to satisfy procedural requirements outlined in the regulations for § 503.
Defendants argue that this defect did not prejudice plaintiff because the email from Katten attorney, Edward Rayner, to McCarthy's attorney on June 23, 2008, before the meeting at which the Committee considered McCarthy's claim, adequately notified McCarthy's attorney that the Committee would consider the Corporate Governance Policy Plaintiff drafted, the unfavorable results of a search through McCarthy's emails and documents for SEC-related matters, and the interviews of "senior executives" who claim McCarthy's role involves insurance regulatory matters almost exclusively. Although this email gave McCarthy a helpful "heads up" before the Committee's initial review of her claim, this information does not substitute for a letter including specific reasons for the denial of her claim. In particular, this email did not notify McCarthy of key facts reported by Fels and Katten that she would have wanted to dispute head-on. For example, McCarthy would have wanted to refute Fels's statement to the Committee that she had "no" public company responsibilities; explain her role on the 8-K Committee; dispute the standard and rationale Katten applied to the "status or prestige" claim; and clarify that she was not an assistant general counsel as the Committee thought. Additionally, she would have wanted to address any misunderstanding about her willingness to attend the meeting, her alleged attempt to have her job description changed, or the timing of her Notice.
Second, the Committee failed to provide any means for McCarthy to seek review, or reconsideration, of the Compensation Committee's adverse benefit determination. Without such an ability, McCarthy did not receive the full and fair review of her claim to which she was entitled under ERISA. See 29 U.S.C. § 1133(2). There was neither an avenue for McCarthy to supplement the administrative record, with the benefit of knowing the basis for the initial denial, nor a process by which the Committee or full Board
Third, the Board failed to provide McCarthy access to documents relevant to her claim; most importantly the Katten memorandum. See § 2560.503-1(h)(2)(iii). Once McCarthy had been notified of the Board's denial of her claim, her attorney inquired about appeal rights and made a request for all the information upon which the Committee relied in making its decision. McCarthy never received a response, yet another violation of the § 503
Plaintiff argues that a structural conflict of interest tainted CGI's decision-making process and actual bias plagued the decision-makers themselves.
The Supreme Court has held that a reviewing court should consider a conflict of interest arising from the dual role of an entity as an ERISA plan administrator and payer of plan benefits as "a factor in determining whether the plan administrator has abused its discretion in denying benefits." MetLife Ins. Co. v. Glenn, 554 U.S. 105, 108, 128 S.Ct. 2343, 171 L.Ed.2d 299 (2008); see also Firestone Tire & Rubber Co. v. Bruch, 489 U.S. 101, 115, 109 S.Ct. 948, 103 L.Ed.2d 80 (1989)(holding that even where a plan gives discretion to an administrator or fiduciary a conflict of interest should "be weighed as a factor in determining whether there is an abuse of discretion" (internal quotation marks omitted)). The Court continues, "Any one factor will act as a tiebreaker when the other factors are closely balanced, the degree of closeness necessary depending upon the tiebreaking factor's inherent or case-specific importance. The conflict of interest ... should prove more important (perhaps of great importance) where circumstances suggest a higher likelihood that it affected the benefits decision ... It should prove less important (perhaps to the vanishing point) where the administrator has taken active steps to reduce potential bias and to promote accuracy." Glenn, 554 U.S. at 117, 128 S.Ct. 2343. "Courts are duty-bound to inquire into what steps a plan administrator has taken [if any] to insulate the decision-making process against the potentially pernicious effects of structural conflicts." Cusson v. Liberty Life Assur. Co. of Boston, 592 F.3d 215, 224 (1st Cir.2010).
During trial, the defense conceded that there was a structural conflict of interest inherent in CGI's decision-making process because CGI's Committee was acting as plan administrator, determining McCarthy's claim for benefits, and would have had to pay Plaintiff's unfunded-plan benefits out of its profits.
Defendants argue, however, that the lack of a fiduciary relationship between the Committee and the plaintiff, due to the plan's classification as "top hat," eliminates the concern about structural conflicts. However, putting on a top hat doesn't mean you can forget the conflict tails. Defendants have cited no case that has held that a plan's status as a top hat would vitiate the need for a conflicts analysis. Firestone's holding applies regardless of whether a plan is funded or unfunded. See Firestone, 489 U.S. at 115, 109 S.Ct. 948. Not surprisingly, the Ninth and Third Circuits, as well as several district courts, have considered conflicts in a plan administrator's review of a top hat plan. See, e.g., Sznewajs v. U.S. Bancorp Amended and Restated Supplemental Benefits Plan, 572 F.3d 727, 733 (9th Cir.2009)(considered whether the administrator operated under a conflict of interest even though the plan at issue was a top hat plan); Goldstein v. Johnson & Johnson, 251 F.3d 433 (3rd Cir.2001)(same); Scipio v. United Nat. Bankshares, Inc., 284 F.Supp.2d 411, 419 (N.D.W.Va. 2003)(same).
First, Plaintiff argues that CGI paid Katten to search for ways to deny McCarthy's claim, and CGI's Committee then relied on Katten's biased memorandum to justify its decision. Defendants concede that Katten was not hired to be a neutral investigator. Instead Mapfre hired the firm to serve as its counsel, and it operated under the direction of Mapfre's counsel, Claudio Ramos, with whom it had numerous email communications before and after retention.
As defendant points out, neither the ERISA statute nor the 2007 Employment Agreement requires an investigation by the administrator. See Pinto v. Reliance Standard Life Ins. Co., 214 F.3d 377, 394 n. 8 (3rd Cir.2000)("Our focus on process should not be read to require an additional duty to conduct a good faith, reasonable investigation. That is, we are not holding that Reliance Standard had a duty to gather more information, merely that the decision might have been arbitrary and capricious given the information available."); Ciarlone v. Lincoln Nat'l Life Ins. Co., No. 07-11803-GAO, 2009 WL 1010849, at *5 (D.Mass. Apr. 6, 2009)(holding that the plan administrator "was not required to assume the plaintiff's responsibility for fact-gathering"); Arsenault v. Metro. Life Ins. Co., No. 03-133-PB, 2004 DNH 143, 2004 WL 2203453, at *9 (D.N.H. Oct. 1, 2004) ("[P]lan administrator is not required to conduct an independent investigation to determine whether or not an employee is capable of performing the material duties of his or her job."). Instead, the claimant bears the burden of demonstrating her entitlement to benefits. See Morales-Alejandro v. Medical Card System, Inc., 486 F.3d 693, 700 (1st Cir.2007). Thus, actual bias or bad faith, which would prompt the court to set-aside the Committee's decision, is not proven simply with evidence showing that CGI did not conduct a perfect investigation into McCarthy's underlying claims. See Noonan v. Staples, Inc., 556 F.3d 20, 34-35 (1st Cir.2009)(finding that "Staples may have been wiser to conduct yet another, even more searching investigation into [terminated employee's] conduct"; however, Staples did not act arbitrarily in deciding that dozens of inflated expense reports show willful misconduct by employee).
That said, reliance on a biased investigation designed not to find the truth but to assemble facts that will support a denial of benefits demonstrates arbitrary decision-making. In Buffonge v. Prudential Ins. Co. of Am., 426 F.3d 20, 30 (1st Cir.2005), the First Circuit held that "willingness to rely on a report [defendant] knew or should have known to be misleading, and its mischaracterization of the conclusions of [plaintiff's doctor]" indicates arbitrary decision-making. See also Conrad v. Reliance Standard Life Ins. Co., 292 F.Supp.2d 233, 238-239 (D.Mass.2003)(finding that the administrator acted arbitrarily and capriciously
Plaintiff contends that Katten's investigation was deficient and biased. While investigating the extent of Plaintiff's public company responsibilities, Katten interviewed Fels and Becker and sorted through thousands of McCarthy's emails, all of the documents saved on her work computer, and years of legal bills from CGI's outside counsel. McCarthy testified during trial that Katten should have looked beyond her emails, documents, and Nutter's legal bills into the shared document H-drive and CGI's corporate records for evidence of her public company responsibilities. However, at trial Plaintiff did not produce the "stacks and stacks" of documents that Katten allegedly should have examined and didn't. Thus, she has not proven that the document search itself was biased or flawed.
Conversely, Plaintiff successfully argues that the memorandum underestimated her public company responsibilities by (1) measuring the importance of her SEC work primarily based on a calculation of what percentage of her total emails related to public company work, and (2) minimizing that very calculation by implementing a search that spanned from 2001 to 2008, even though her securities-related duties only began in 2006, and (3) dissecting the email she wrote on April 11, 2008 to her then-supervisor Ermilio listing her significant accomplishments for the prior year
However, based on McCarthy's and Ermilio's testimony, as well as the record as a whole, the Court agrees that McCarthy's public company responsibilities were not her primary duties. In other words, updating committee charters, attending meetings, and creating a director training program that sat on the shelf, were not among the most valuable tasks McCarthy provided to CGI. Still, Plaintiff has demonstrated that these responsibilities were not "minimal." In particular, McCarthy's implementation of § 302-related internal controls within her department, her review of 8-K filings, and her seat on the Strategy Committee amount to public company-related work worthy of consideration.
Additionally, Plaintiff presented convincing evidence that some of the Katten investigators themselves were actually biased against Plaintiff. For example, Katten attorney, Edward Rayner, suggested to McCarthy's attorney that McCarthy's "veracity" was at issue. Shortly thereafter, Rayner emailed a colleague looking for ways to minimize McCarthy's efforts on CGI's Corporate Governance Guidelines; he wrote, "This would make her and her lawyer look, in legal terms, stupid." Also on June 20, 2008, Marc Tract responded to an email from Claudio Ramos reporting that few SEC operations were carried out by McCarthy by saying, "This is helpful, and tends to show that both Ermilio and McCarthy can thank Mapfre for giving them the SEC training they now claim they have." The Court finds that Katten did not begin with a blank slate, which is not surprising since Fels told the Katten team that McCarthy's
Plaintiff argues that the key decision-makers on the Compensation Committee — namely, Andres Jimenez, Javier Fernandez-Cid, and Esteban Tejera — were personally and improperly motivated to deny McCarthy's claim for benefits.
There is persuasive evidence that the Compensation Committee members continually sought to avoid a $100 million payout as a result of Good Reason claims, and, as such, were improperly motivated to deny McCarthy's claim. At the behest of Andres Jimenez, Mapfre pressed for the adoption of a Retention Plan to replace the 2007 Employment Agreement. The Retention Plan would effectively waive those officers' Good Reason rights to resign due to changes occurring as a result of the merger — the very claim McCarthy presented here. Even when Fels refused to make such a waiver a condition of the merger, Jimenez requested a signed statement from each of the key executives stating their commitment to carrying out their executive duties for a reasonable period of time post-merger. Mapfre's pressure throughout the merger negotiations is evidence of a strong desire to avoid a possible payout of up to $100 million. Notably, before McCarthy's claim was decided, the Compensation Committee executives requested a detailed, employee-by-employee, calculation of the potential exposure for Good Reason claims from Cathleen Moynihan, and Claudio Ramos emailed Jimenez with a breakdown of the benefits specifically due McCarthy and Ermilio should their claims be granted. This flurry of email activity supplemented the Katten memo's calculation.
This campaign to avoid a $100 million payout suggests actual bias when considered along with the fact that the Committee members each had a personal financial stake in CGI's 2008 bottom line, however small. Jimenez, Fernandez-Cid, and Tejera individually received incentive compensation based upon the financial performance of the Mapfre Group, which included CGI, although, for Fernandez-Cid and Jimenez this amounted to nominal compensation.
Evidence that the Committee's decision was improperly influenced by those conflicts prompts the Court to weigh such conflict more heavily. Metro. Life Ins. Co. v. Glenn, 554 U.S. 105, 117, 128 S.Ct. 2343, 171 L.Ed.2d 299 (2008)("The conflict of interest at issue here, for example, should prove more important (perhaps of great importance) where circumstances suggest a higher likelihood that it affected the benefits decision."). CGI made no attempt to insulate the Committee from these conflicts through its claims procedure. Thus, these conflicts cast doubt on the integrity of the Committee's decision-making process.
Claimant must demonstrate how a plan's flawed procedure prejudiced review of her claim. See, e.g., DiGregorio v. Hartford Comprehensive Employee Benefit Srv. Co., 423 F.3d 6, 16 (1st Cir.2005). While Plaintiff and Defendant debate the nuances of the prejudice requirement, the First Circuit has held that procedural irregularities constitute prejudice when they are "serious," have "a connection to the substantive decision reached," and "call into question the integrity of the benefits-denial decision itself." Bard v. Boston Shipping Ass'n, 471 F.3d 229, 244 (1st Cir.2006)(finding prejudice when the Plan
The procedural flaws here — the failure to provide reasons for denial or any appeal process — when coupled with the conflict of interest, a biased investigation, and Fels's mistaken misrepresentation to the Committee that McCarthy had "no" public company work at all — call into question the denial of benefits here. This was no technical violation of ERISA. Not only did the Compensation Committee neglect to provide even the bare-bones of ERISA's core procedural protections, but the Compensation Committee also failed to grapple with the most difficult questions presented in McCarthy's Good Reason claim.
Among the most important issues upon which the Committee should have deliberated is McCarthy's second Good Reason claim — her diminishment of status or prestige. From McCarthy's perspective, after the merger McCarthy would no longer report directly to the ultimate decision-makers at CGI, the "two head honchos" — Fels and Ermilio. Despite McCarthy's presentation on this issue, the Compensation Committee summarily dismissed it with little discussion or guidance from Katten. In fact, the Katten memo did not address McCarthy's status and prestige at all. As a result, the Committee members assumed that the merger would only increase McCarthy's prestige as she was now part of an international conglomerate, Mapfre S.A. McCarthy was never provided with the opportunity to present more information about the impact of the merger on her status and prestige as an attorney in the United States marketplace.
If given this opportunity, James Ermilio,
Additionally, if McCarthy had been provided an appeals or review process, she may have called upon a specialist in the management of in-house corporate law departments to speak on her behalf.
That said, Mapfre's perspective is understandable since the merger would have made McCarthy a top lawyer in a bigger pond. In fact, even Ermilio acknowledged, "In terms of prestige, I considered a prestige associated with CGI as being greater than status with a subsidiary; but you could argue that given her role as General Counsel of the subsidiary, you could argue that was more prestigious than being second in command for the parent company... It's a big fish/small pond type analogy that you hear people make. And, you know, being a general counsel of a subsidiary versus second in command of a parent, you could argue — it's in the eyes of the beholder, I suppose."
However, this decision cannot turn on the subjective perceptions of either the Committee or McCarthy alone. See Bader v. RHI Refractories Am., Inc., 111 Fed. Appx. 117, 121 (3rd Cir.2004)(holding that because the acquisition of claimant's company in no way changed his position except according to his personal perceptions and conjectures, the denial decision was not arbitrary and capricious); see also Liston v. Unum Corp. Officer Severance Plan, 330 F.3d 19, 25 (1st Cir.2003)(holding that claimant's abstract, subjective statements about the reduction in her responsibilities do not alone make the administrator's ultimate decision "arbitrary"). Courts look for objective indicators to determine whether, in fact, a claimant's standing has been reduced. See Dabertin v. HCR Manor Care, Inc., 373 F.3d 822, 828-29 (7th Cir.2004)(holding that administrator acted arbitrarily and capriciously by determining that employee, who had lost $6 million in independent spending authority and control
Therefore, the procedural flaws, coupled with the actual and structural bias, prejudiced the plaintiff by failing to provide a fair and complete process for evaluating her Good Reason claim. The procedural defects made a difference in the substantive quality of the Committee's analysis.
ERISA gives the court a broad range of equitable power to redress violations of ERISA. Among other things, this provision allows courts
29 U.S.C. § 1132(a)(3). The Court has the power to either remand to the plan administrator or award benefits to the claimant following de novo review. See Buffonge, 426 F.3d at 31 (citing Cook v. Liberty Life Assur. Co., 320 F.3d 11, 24 (1st Cir.2003)). The Court has "considerable discretion" in crafting a remedy after finding a mistake in the denial of benefits. Id.
In Buffonge, the First Circuit determined that remand is most appropriate when the claimant was not "clearly entitled" to the denied benefits, but rather, the problem was with "the integrity of [the Plan's] decision-making process." Id. In such cases, "[t]he appropriate response is to let [claimant] have the benefit of an untainted process." Id. However, the First Circuit noted that there was no evidence that the plan administrator "intentionally set up a biased process." Id. at 32 n. 15. Here the process was not neutral, so crafting a remedy is difficult.
Remand is the appropriate judicial remedy in this case because, on the merits, the outcome is not clear and the parties agreed that the CGI Board would make the ultimate decision even after the merger with Mapfre seemed likely. The Court recognizes that the composition of the CGI Board is substantially the same as it was when McCarthy's claim was first denied in 2008,
To ensure there is no taint from the prior investigation, the defendant CGI is ordered to hire a neutral judge or law firm
Plaintiff's second claim for relief in this action falls under 29 U.S.C. § 1140 ("Section 510"). Plaintiff claims that Mapfre, as parent company to CGI, violated § 510 when it wrongfully interfered with Plaintiff's claim for benefits under the 2007 Employment Agreement.
According to § 510,
29 U.S.C. § 1140.
To survive defendant's 12(b)(6) Motion to Dismiss Count VI against Mapfre for § 510 interference, Plaintiff must establish a three-prong prima facie case. Plaintiff must present sufficient evidence that she (1) is entitled to ERISA's protection, (2) was subjected to a prohibited adverse action by Mapfre; and (3) there was a causal connection between her protected conduct and the adverse action. See Barbour v. Dynamics Research Corp., 63 F.3d 32, 38 (1st Cir.1995). To prove § 510 "interference" at trial, Plaintiff must make an additional showing. Plaintiff must prove that Mapfre's actions were made with the specific intent to interfere with her benefits. Id. at 39.
In bringing this claim, Plaintiff has made sufficient allegations, in order to survive a motion to dismiss, that Mapfre interfered with Plaintiff's claim for benefits by improperly directing the Katten investigation. However, at trial, Plaintiff failed to prove that Mapfre interfered with Plaintiff's claim for benefits in 2008 by instructing Katten to reach a pre-ordained result — denial. To that point, Plaintiff argues that the defendants are improperly withholding 115 Claim-Related Documents that McCarthy is entitled to review under ERISA, including fifteen emails sent between Katten and Claudio Ramos on June 17, the day before Katten distributed its memo to the Board. However, this communication is privileged as between Mapfre's in-house counsel, Claudio Ramos (the client), and the company's (admittedly) non-neutral legal adviser, Katten. This Court's previous order to release everything before the decision-making committee — the facts of her employment and the
Plaintiff is entitled to an award of reasonable attorneys' fees. See Hardt v. Reliance Standard Life Ins. Co., ___ U.S. ___, 130 S.Ct. 2149, 2158, 176 L.Ed.2d 998 (2010) ("[A] fees claimant must show `some degree of success on merits' before a court may award attorney's fees under § 1132(g)(1).").
The Court orders that judgment be entered in favor of Plaintiff against CGI and remands to the plan administrator for proceedings consistent with this opinion. A petition for reasonable attorneys fees shall be filed within 30 days, CGI shall propose a neutral investigator within 30 days, and Plaintiff will have ten days to file an objection to the nomination. The Court orders Entry of Judgment in favor of Defendant Mapfre.