Arsenault v. Bell

724 F. Supp. 1064, 1989 WL 138159
CourtDistrict Court, D. Massachusetts
DecidedNovember 9, 1989
DocketCiv. A. No. 88-0120-F
StatusPublished
Cited by5 cases

This text of 724 F. Supp. 1064 (Arsenault v. Bell) is published on Counsel Stack Legal Research, covering District Court, D. Massachusetts primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Arsenault v. Bell, 724 F. Supp. 1064, 1989 WL 138159 (D. Mass. 1989).

Opinion

724 F.Supp. 1064 (1989)

Deborah ARSENAULT, Plaintiff,
v.
Richard BELL, Mary Rahilly, and G.A.N.E., Inc., Defendants.

Civ. A. No. 88-0120-F.

United States District Court, D. Massachusetts.

November 9, 1989.

Brian D. Banks, Robert Christo & Associates, Springfield, Mass., for plaintiff.

Keith A. Minoff, Robinson, Donovan, Springfield, Mass., for Richard Bell and Mary Rahilly.

MEMORANDUM AND ORDER

FREEDMAN, Chief Judge.

I. INTRODUCTION

This case arises under the Employee Retirement Security Act of 1974 (hereinafter "ERISA" or "the Act"). Plaintiff Deborah Arsenault is a participant in an employee benefit plan. She has filed an amended complaint which argues that the civil enforcement provisions of ERISA contained in 29 U.S.C. § 1132(a)(1)(A) empower her to *1065 bring a civil action against the defendants, and that the defendants are personally liable to her for fines and other relief pursuant to the statutory penalty provisions of 29 U.S.C. § 1132(c).

Defendants Richard Bell and Mary Rahilly reply that the plaintiff has raised no issue of material fact, and they have moved for summary judgment pursuant to Rule 56 of the Federal Rules of Civil Procedure. Defendant G.A.N.E., Inc. has not responded to the plaintiff's complaint, and notice of default by G.A.N.E., Inc. was entered by this Court on January 5, 1989.

II. FACTS

The plaintiff alleges that G.A.N.E., Inc. is the insurance corporation which administered the group benefit plan of which she was a participant, and that defendants Bell and Rahilly were administrators of the insurance plan.[1] The plaintiff claims that she lost hearing in her right ear because the defendants failed to provide her with the health insurance claim forms she needed in order to obtain medical care in June and July 1985. She further alleges that the defendants' failure to send her the insurance claim forms constitutes a breach of their duty to supply information, as required by 29 U.S.C. § 1132(c). This subsection provides that a benefit plan administrator who fails to provide information to a plan participant may be personally liable for fines of up to $100 per day.

The plaintiff does not allege that the plan has failed to pay for any medical care that she is entitled to under the plan. There is nothing in the pleadings to indicate that the plaintiff attempted to use section 1132(a) to enforce her rights under the plan at the time she was in need of the medical benefits in 1985. She claims only a violation of the administrator's duty to supply information pursuant to section 1132(c).

III. DISCUSSION

One purpose of ERISA, and the main focus of Title I of the Act, is to protect the participants of employee benefit plans by imposing disclosure requirements and standards of conduct on plan fiduciaries. 29 U.S.C. § 1001(b); see Comment, Exceptions to the Anti-Alienation Provision: Strengthening ERISA's Protection Through a Fraud Amendment, 10 W.New Eng.L.Rev. 317, 317-325 (1988) (regulations imposed on plan fiduciaries by Title I were enacted to protect against mismanagement and abuse of plan funds). These reporting and disclosure requirements were enacted as section 502(c) of ERISA, Pub.L. 93-406, 88 Stat. 891-92, reprinted in 1974 U.S. Code Cong. & Admin.News 935, 1012, and are now codified at 29 U.S.C. § 1132(c).

A. The Reporting and Disclosure Requirements of Section 1132(c)

The plaintiff's claim is based on an improper reading of section 1132(c) (hereinafter "section (c)").

The plaintiff is asking this Court to find the defendants in violation of subsection (c), and to assess fines and attorneys' fees against the defendants for failing to supply the claim forms. Subsection (c) states, in pertinent part, that:

Any administrator ... (B) who fails or refuses to comply with a request for any information which such administrator is required by this title to furnish to a participant or beneficiary ... within 30 days after such request may in the court's discretion be personally liable to such participant or beneficiary in the amount of up to $100 a day from the date of such failure or refusal, and the court may in its discretion order such other relief as it deems proper.

29 U.S.C. § 1132(c). The thrust of plaintiff's complaint is that claim forms are among the information which subsection (c) requires a plan administrator to furnish under Title I. As support for her argument, the plaintiff points to 29 U.S.C. §§ 1024 and 1025, which require benefit plan administrators to provide participants and beneficiaries with copies of the plan's annual report, a statement of their rights *1066 under the plan, and a statement of benefits accrued. However, there is no mention of claim forms in either section or anywhere else in Title I.

The legislative history accompanying the original Act also indicates that Congress did not intend that claim forms be among the materials contemplated under subsection (c). The reporting and disclosure provisions of Title I were intended specifically to insure that plan participants are able to obtain financial information about the plan, as well as information about the benefits which they are eligible to receive. The drafters of ERISA recognized:

a need for a more particularized form of reporting so that the individual participant knows exactly where he stands with respect to the plan — what benefits he may be entitled to, what circumstances may preclude him from obtaining benefits, what procedures he must follow to obtain benefits, and who are the persons to whom the management and investment of his plan funds have been entrusted.... [T]he safeguarding effect of the fiduciary responsibility section[[2]] will operate efficiently only if fiduciaries are aware that the details of their dealings will be open to inspection, and that individual participants and beneficiaries will be armed with enough information to enforce their own rights as well as the obligations owed by the fiduciary to the plan in general.

House Committee on Education and Labor, Employee Retirement Income Security Act of 1974, H.R.Rep. No. 533, 93d Cong., 2d Sess. 11 (1973), reprinted in 1974 U.S.Code Cong. & Admin.News 4639, 4649. Thus, the legislative history underlying subsection (c) expresses a Congressional intent to guarantee that plan participants have access to the information they need to protect their interests in the assets and funds being managed by the plan fiduciaries. Recent amendments to subsection (c) also express the intent that plan participants be kept informed of their eligibility for benefits.

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Bluebook (online)
724 F. Supp. 1064, 1989 WL 138159, Counsel Stack Legal Research, https://law.counselstack.com/opinion/arsenault-v-bell-mad-1989.