Cloud v. NFL Player Retirement Plan

83 F.4th 423
CourtCourt of Appeals for the Fifth Circuit
DecidedOctober 6, 2023
Docket22-10710
StatusPublished
Cited by1 cases

This text of 83 F.4th 423 (Cloud v. NFL Player Retirement Plan) is published on Counsel Stack Legal Research, covering Court of Appeals for the Fifth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Cloud v. NFL Player Retirement Plan, 83 F.4th 423 (5th Cir. 2023).

Opinion

Case: 22-10710 Document: 00516923778 Page: 1 Date Filed: 10/06/2023

United States Court of Appeals for the Fifth Circuit ____________ United States Court of Appeals Fifth Circuit

No. 22-10710 FILED October 6, 2023 ____________ Lyle W. Cayce Michael Cloud, Clerk

Plaintiff—Appellee,

versus

The Bert Bell/Pete Rozelle NFL Player Retirement Plan,

Defendant—Appellant. ______________________________

Appeal from the United States District Court for the Northern District of Texas USDC No. 3:20-CV-1277 ______________________________

Before Willett, Engelhardt, and Oldham, Circuit Judges. Don R. Willett, Circuit Judge: Football, by design, is a collision-based sport played with ferocity and velocity. It is thus surprising that, of the four major professional sports leagues in North America (football, baseball, basketball, and hockey), the frequency of injuries is lowest for football players—though not the severity.1 Other sports (with longer seasons) have the most injuries, just not the worst _____________________ 1 See Garrett S. Bullock, et al., Temporal trends in incidence of time-loss injuries in four male North American professional sports over 13 seasons, 11 Sci. Rep. 8278 (2021). Case: 22-10710 Document: 00516923778 Page: 2 Date Filed: 10/06/2023

No. 22-10710

injuries. This ERISA case concerns the National Football League’s retirement plan, which provides disability pay to hobbled NFL veterans whose playing days are over but who are still living with debilitating, often degenerative injuries to brains and bodies, including neurotrauma. The claimant, former NFL running back Michael Cloud, suffered multiple concussions during his eight-year career, leaving him physically, neurologically, and psychologically debilitated. There is no dispute that Cloud is entitled to disability benefits under the NFL Plan—the only question is what level of benefits. In 2010, Cloud was awarded one set of benefits. Four years later, after the Social Security Administration found him entitled to disability benefits, Cloud went back to the NFL Plan and sought reclassification to a higher tier of benefits. Cloud was awarded a higher tier, but not the highest tier. He did not appeal this denial of top-level benefits— though he could have, and indeed should have. Two years later, Cloud again filed a claim to be reclassified at the most generous level of disability pay. The NFL Plan denied reclassification on several grounds, most relevantly the absence of “changed circumstances” between Cloud’s 2014 claim and his 2016 claim. Cloud sued the NFL Plan, arguing that it violated the Employee Retirement Income Security Act when it denied reclassification. The district court granted discovery and held a six-day bench trial. In a sternly worded 84-page opinion condemning the NFL Plan’s “rubber stamp” review process, the court ordered a near doubling of Cloud’s annual disability benefits (from $135,000 to $265,000), concluding that the Plan’s review board denied Cloud a “full and fair review,” wrongly denied benefits owed to him under the Plan, and erred by finding Cloud’s administrative appeal untimely. The district court awarded top-level benefits under the Plan instead of remanding for another round at the administrative level.

2 Case: 22-10710 Document: 00516923778 Page: 3 Date Filed: 10/06/2023

We commend the district court for its thorough findings—devastating in detail—which expose the NFL Plan’s disturbing lack of safeguards to ensure fair and meaningful review of disability claims brought by former players who suffered incapacitating on-the-field injuries, including severe head trauma. Nevertheless, we are compelled to hold that the district court erred in awarding top-level benefits to Cloud. Although the NFL Plan’s review board may well have denied Cloud a full and fair review, and although Cloud is probably entitled to the highest level of disability pay, he is not entitled to reclassification to that top tier because he cannot show changed circumstances between his 2014 claim for reclassification and his 2016 claim for reclassification—which was denied and which he did not appeal. We therefore REVERSE the district court’s judgment and REMAND with instructions to enter judgment in favor of the NFL Plan. I A Michael Cloud was a running back for three NFL teams from 1999 to 2006—the Kansas City Chiefs, the New England Patriots (with whom Cloud won a Super Bowl ring), and the New York Giants—until Cloud’s on-the- field injuries forced him into retirement. He suffered multiple concussions during those years. On Halloween Sunday 2004, Cloud came off the bench to score two touchdowns for the Giants in a 34–13 victory over the Minnesota Vikings. But he also suffered a devastating helmet-to-helmet collision that inflicted yet another concussion. After that collision, Cloud bounced back and forth between the Giants and Patriots until his contract expired in 2006. Cloud’s 2005–2006 season was his last in the NFL.2

_____________________ 2 It merits mention that Cloud’s history of repeated concussions predated the NFL’s public acknowledgment in 2009 that concussions can have lasting neurocognitive

3 Case: 22-10710 Document: 00516923778 Page: 4 Date Filed: 10/06/2023

B Cloud is a participant in the NFL’s Plan for disabled veterans. The Plan is a welfare-benefit plan governed by ERISA and jointly administered by both the players’ union and NFL club owners.3 The Plan provides various categories of disability benefits. Two categories are relevant to our discussion: First, the Plan distinguishes between players who were disabled in the “line of duty” (LOD) and those who are “totally and permanently” disabled (T&P). If the Social Security Administration (SSA) determines that a player is eligible for disability benefits, the player is presumptively entitled to T&P status under the Plan. Second, § 5.3 of the Plan classifies T&P benefits as either active or inactive. “Active Football” benefits are the highest tier of disability benefits. That provision is found in § 5.3(a) of the Plan. The amount awarded under “Active Football” benefits is greater than the amount awarded under an “Inactive” category of benefits—there’s roughly a $130,000/year difference. Around 1,000 players receive “Inactive A” benefits (which Cloud currently receives), while only 30 players receive Active Football benefits (which Cloud wants).

_____________________ consequences. For years, the NFL had denied and downplayed the long-term effects of concussions, but in 2009 it introduced (and has since strengthened) return-to-play protocols, forbidding players from returning to the field until they have been cleared by a medical professional. 3 Atkins v. Bert Bell/Pete Rozelle NFL Player Ret. Plan, 694 F.3d 557, 560 (5th Cir. 2012). Today, the Plan is part of a 2020 collective bargaining agreement between the NFL and the NFL Players Association.

4 Case: 22-10710 Document: 00516923778 Page: 5 Date Filed: 10/06/2023

As relevant to Cloud’s case, there are two ways to get Active Football benefits, and they are spelled out in §§ 5.3(a) and 5.4(b) of the Plan. Under § 5.3(a), a disabled player can qualify for Active Football benefits “if the disability(ies) results from League football activities, arises while the Player is an Active Player, and causes the Player to be totally and permanently disabled ‘shortly after’ the disability(ies) first arises.” The phrase “shortly after” is key under § 5.3(a). If total and permanent disability arises within six months after the disability first arises, the “shortly after” requirement is met.

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Related

Cloud v. NFL Player Retirement Plan
95 F.4th 974 (Fifth Circuit, 2024)

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Bluebook (online)
83 F.4th 423, Counsel Stack Legal Research, https://law.counselstack.com/opinion/cloud-v-nfl-player-retirement-plan-ca5-2023.