ROBIN J. CAUTHRON, District Judge.
Plaintiff is suing Defendant for life insurance benefits under the Employee Retirement Income Security Program ("ERISA"), 29 U.S.C. §§ 1001 et seq., after the accidental death of Plaintiff's husband, Mr. Derryberry. Defendant argues no life insurance benefits are due because the policy was not yet in effect at the time of Mr. Derryberry's death. The parties have filed cross motions for summary judgment. (Def.'s Mot. Summ. J., Dkt. No. 39; Pl.'s Partial Mot. Summ. J., Dkt. No. 41). Both parties have responded in turn and the Motions are now at issue. Also at issue are Defendant's Motions in Limine. (Dkt. Nos. 37, 54). The Court will address each herein.
Mr. Derryberry accepted Defendant's job offer in November 2013 and began working on December 2, 2013. Later in December, Mr. Derryberry inquired about life insurance benefits and received a response from Ms. Pollard (the "Pollard Letter"), a PharMerica employee, stating:
(Dkt. No. 31-1) (emphasis omitted). Mr. Derryberry enrolled in the PharMerica Life and Accidental Death & Dismemberment Insurance Plan ("the Plan") on December 24, 2013, naming Plaintiff as his primary beneficiary. The Plan states "[i]f you are a newly hired full-time employee, coverage begins on the first of the month following 30 days after your date of hire." (Dkt. No. 30-1, p. 9.) Regrettably, Mr. Derryberry perished on January 20, 2014. After Defendant denied her request for benefits, Plaintiff brought this suit.
Plaintiff asserted claims to recover benefits under ERISA § 502(a)(1)(B), 29 U.S.C. § 1132(a)(1)(B), and the Court determined "Mr. Derryberry's benefits were not yet in force at the time of his death," therefore Defendant did not owe benefits to Plaintiff based on the plain language of the Plan. (Order, Dkt. No. 34, p. 5.) Plaintiff's equitable claims of estoppel and surcharge asserted under ERISA § 502(a)(3), 29 U.S.C. § 1132(a)(3), remain. Plaintiff argues the Court should not apply a deferential standard of review to Defendant's decision to deny benefits and the undisputed facts show Ms. Pollard was a Plan fiduciary. Defendant argues the case should be decided as a matter of law because the undisputed facts show Plaintiff has failed to make out an estoppel or surcharge claim. The Court will address each in turn.
The standard for summary judgment is well established. Summary judgment may only be granted if the evidence of record shows "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). The movant bears the initial burden of demonstrating the absence of material fact requiring judgment as a matter of law.
Plaintiff makes what is essentially a request for the Court to reconsider its decision in the Order Granting in Part and Denying in Part Defendant's Motion for Judgment on the Pleadings. (Dkt. No. 34.) To be successful with a motion for reconsideration, Plaintiff must rely on Fed. R. Civ. P. 59. This requires that the movant show one of the grounds warranting a motion for reconsideration, including: "(1) an intervening change in the controlling law, (2) new evidence previously unavailable, and (3) the need to correct clear error or prevent manifest injustice."
Plaintiff argues the Court should have applied a de novo standard of review to the denial of benefits under § 1132(a)(1)(B). However, this argument would have been appropriate in prior briefs; the time for asserting this point has passed. Plaintiff has asserted no new law, facts, or clear error to justify reconsideration. Moreover, the Court's decision to grant judgment to Defendant on this issue was based on the requirements of the plain language of the Plan.
Defendant argues the undisputed facts show Defendant is entitled to summary judgment on the surcharge claim. Surcharge is a form of equitable relief permitted by § 1132(a)(3). To make out a surcharge claim, Plaintiff must show by a preponderance of the evidence that a fiduciary caused some actual harm.
The Court will first address the fiduciary status of Ms. Pollard, the author of the Pollard Letter that Plaintiff alleges Mr. Derryberry relied upon when making his insurance enrollment decisions. Absent being named in the plan, a person can act with fiduciary authority under ERISA if she has "authority or responsibility that is discretionary, which entails the freedom to decide what should be done in a particular situation."
29 U.S.C. § 1002(21)(A).
The parties dispute Ms. Pollard's title, but not her duties. Plaintiff's Undisputed Material Fact Number ("UMF No.") 12 states "Ms. Pollard was responsible for sending information to new hires regarding their benefit enrollment." (Pl.'s Partial Mot. Summ. J. Dkt. No. 41, p. 4.) Defendant did not dispute this fact. Defendant's UMF No. 2 states Ms. Pollard's job function was to "[r]espond to employee benefit inquiries; resolve[] benefit[] eligibility/enrollment issues with vendors and internal systems; [and] work[] with payroll, finance, and other departments to administer benefits according to plan provisions, applicable regulations and internal guidelines." (Def.'s Mot. Summ. J., Dkt. No. 39, p. 5) (emphasis omitted).
Plaintiff disputes this fact, arguing Ms. Pollard was acting as a de facto fiduciary. In support, Plaintiff argues that because no one reviewed the letters Ms. Pollard sent to new hires, she was "clearly delegated the responsibility of communicating and managing enrollment for Mr. Derryberry." (Pl.'s Resp. to Mot. Summ. J., Dkt. No. 49, p. 8.) However, this assertion remains unsupported. Plaintiff has not provided any facts to genuinely dispute Ms. Pollard's job function described in Defendant's UMF No. 2, so the Court deems this fact undisputed.
Plaintiff cites persuasive authority in an effort to demonstrate decisions imposing liability based on mistakes in managing insurance enrollment.
In an effort to provide clarity to the issue of what actions trigger fiduciary responsibilities, the Code of Federal Regulations includes questions and answers on the topic. One question asks if people performing the following administrative tasks are fiduciaries with respect to the plan:
29 C.F.R. § 2509.75-8. The Code answers in the negative. "Only persons who perform one or more of the functions described in [§ 1002(21)(A)] with respect to an employee benefit plan are fiduciaries."
Even if Ms. Pollard were acting as a fiduciary on behalf of PharMerica, judgment must be entered in favor of Defendant because Plaintiff has failed to demonstrate actual harm. Plaintiff argues the harm is that Mr. Derryberry relied upon the misleading Pollard Letter and "[b]enefits were part of the consideration for employment offered by [Defendant] and accepted by Mr. Derryberry." (Pl.'s Partial Mot. for Summ. J., Dkt. No. 41, p. 8). However, as stated above, the complained-of actions did not deprive Mr. Derryberry or Plaintiff of any benefits that were actually conveyed by the Plan. Mr. Derryberry's reliance on the Pollard Letter merely induced early enrollment. In fact, the early enrollment did not cause premium payments to be deducted from Mr. Derryberry's paycheck prematurely; he simply filled out the paperwork earlier than necessary. While Plaintiff claims the harm done is that Mr. Derryberry died during a time when Defendant promised to pay benefits to his wife, this simply is not true under the Plan. The Pollard Letter had no authority to alter Plan terms and the Court finds the Pollard Letter did not cause any recoverable harm. Defendant is entitled to judgment.
Plaintiff asserts an estoppel claim, a form of equitable relief available under ERISA § 502(a)(3), 29 U.S.C. § 1132(a)(3). The Tenth Circuit "assume[d] without deciding" the elements of an ERISA equitable estoppel claim are:
As discussed above, the Pollard Letter did not cause any actual harm to Plaintiff under the terms of the Plan. Because the fifth element of detrimental reliance is a "more rigorous standard" than actual harm, Plaintiff is not entitled to favorable judgment.
As set forth herein, the undisputed facts demonstrate Defendant is entitled to judgment on the surcharge and equitable estoppel claims. Accordingly, Defendant's Motion for Summary Judgment (Dkt. No. 39) is GRANTED and Plaintiff's Motion for Partial Summary Judgment (Dkt. No. 41) is DENIED. Defendant's Motions in Limine (Dkt. Nos. 37, 54) and Defendant's Motion to Strike (Dkt. No. 58) are stricken as MOOT. A separate judgment shall issue.
IT IS SO ORDERED.