Edward Earl Riggs v. A. J. Ballard Tire & Oil Company, Incorporated Pension Plan and Trust A. J. Ballard, Jr. Tire & Oil Company, Incorporated Profit Sharing Trust A. J. Ballard, Jr. Tire & Oil Company, Incorporated A. J. Ballard, Jr., Edward Earl Riggs v. A. J. Ballard Tire & Oil Company, Incorporated Pension Plan and Trust A. J. Ballard, Jr. Tire & Oil Company, Incorporated Profit Shairng Trust A. J. Ballard, Jr. Tire & Oil Company, Incorporated A. J. Ballard, Jr.

979 F.2d 848, 1992 U.S. App. LEXIS 35236
Court of Appeals for the Fourth Circuit·Decided November 19, 1992·No. 91-2130·Unpublished

Opinion

979 F.2d 848

16 Employee Benefits Cas. 1070

NOTICE: Fourth Circuit I.O.P. 36.6 states that citation of unpublished dispositions is disfavored except for establishing res judicata, estoppel, or the law of the case and requires service of copies of cited unpublished dispositions of the Fourth Circuit.
Edward Earl RIGGS, Plaintiff-Appellee,
v.
A. J. BALLARD TIRE & OIL COMPANY, INCORPORATED PENSION PLAN
AND TRUST; A. J. Ballard, Jr. Tire & Oil Company,
Incorporated Profit Sharing Trust; A. J. Ballard, Jr. Tire
& Oil Company, Incorporated; A. J. Ballard, Jr.,
Defendants-Appellants.
Edward Earl RIGGS, Plaintiff-Appellant,
v.
A. J. BALLARD TIRE & OIL COMPANY, INCORPORATED PENSION PLAN
AND TRUST; A. J. Ballard, Jr. Tire & Oil Company,
Incorporated Profit Shairng Trust; A. J. Ballard, Jr. Tire
& Oil Company, Incorporated; A. J. Ballard, Jr.,
Defendants-Appellees.

Nos. 91-2130, 91-2219.

United States Court of Appeals,
Fourth Circuit.

Argued: February 6, 1992
Decided: November 19, 1992

Appeals from the United States District Court for the Eastern District of North Carolina, at New Bern. Wallace Wade Dixon, Magistrate Judge.

Argued: Donald Joseph Dunn, Barker & Dunn, New Bern, North Carolina, for Appellants.

Elliot Zemek, Sumrell, Sugg, Carmichael & Ashton, P.A., New Bern, North Carolina, for Appellee.

On Brief: Rudolph A. Ashton, III; James R. Sugg, Sumrell, Sugg, Carmichael & Ashton, P.A., New Bern, North Carolina, for Appellee.

E.D.N.C.

AFFIRMED IN PART, AFFIRMED AS MODIFIED IN PART, AND REMANDED IN PART.

Before WILKINS and HAMILTON, Circuit Judges, and OSTEEN, United States District Judge for the Middle District of North Carolina, sitting by designation.

WILKINS, Circuit Judge:

A. J. Ballard, Jr. Tire & Oil Company, Inc.1 appeals the magistrate judge's decision finding Edward Earl Riggs presently entitled to benefits under pension and profit sharing plans governed by the Employee Retirement Income Security Act, 29 U.S.C.A.ss 10011461 (West 1985 & Supp. 1992) and awarding attorney's fees to Riggs. Riggs cross appeals the refusal of the lower court to award the full amount of attorney's fees he sought and the failure of the court to impose a penalty under 29 U.S.C.A. § 1132(c)(1) (West Supp. 1992). We affirm, as modified, the rulings on the interpretation of the plan documents and the attorney's fee award. However, we remand to the magistrate judge for reconsideration of whether a statutory penalty should be imposed.

I.

Riggs was employed by the Company for sixteen and one-half years when he was terminated in September 1988 as a result of what the Company president believed to have been misconduct on his part. Approximately two weeks before his termination, Riggs suffered a temporarily, totally-disabling back injury for which he received workers' compensation benefits for a 43-week period ending June 26, 1989. Prior to this latter date, Riggs developed a kidney disease which required daily dialysis.

Beginning in January 1989, Riggs' attorneys began to seek information from the Company concerning the vested benefits to which Riggs was entitled under pension and profit sharing plans sponsored by the Company. The Company responded that as a terminated employee, Riggs was not entitled to benefits at that time. In December 1989, Riggs' attorneys mailed a certified letter to the Company informing it of Riggs' disability and requesting information concerning the plans, including copies of the summary plan descriptions and statements showing Riggs' accrued benefits. Although Riggs received a letter from a firm retained by the Company to assist in administration of the pension plan that indicated pension benefits should be paid, and although Riggs' attorneys made an additional written request for benefits information on January 10, 1990, the Company failed to provide Riggs with any of the requested information or to take any action with respect to his claim for benefits. Having received no response by March 7, 1990, Riggs filed this suit seeking a determination of his rights to receive benefits under the plans, an award of attorney's fees and costs, and imposition of a statutory penalty upon the Company for its failure to provide him with the requested information.

A magistrate judge, hearing the case by consent, found that the president of the Company, A. J. Ballard, Jr., was acting in bad faith to deprive Riggs of benefits due under the plan in retribution for what Ballard believed was Riggs' misconduct. As a result of this finding of bad faith, and based on the fact that the Company failed to furnish Riggs the material he sought or to take any action on Riggs' request for benefits, the magistrate judge found that exhaustion of administrative remedies provided in the plans was futile and therefore excused. The magistrate judge interpreted the plan documents and concluded that Riggs was entitled to immediate payment of benefits under both plans. Additionally, the court awarded attorney's fees and costs to Riggs. The lower court, however, declined to impose a statutory penalty based on the Company's failure to provide the requested information.

II.

An employee generally must exhaust administrative remedies before bringing an action under ERISA to recover benefits under a plan. Makar v. Health Care Corp. of the Mid-Atlantic (CareFirst), 872 F.2d 80, 82 (4th Cir. 1989). The magistrate judge found that exhaustion would be futile in this instance in view of Ballard's bad faith and the total failure of the Company to take any action on Riggs' claim or to supply him the information he sought. We cannot say that this finding is clearly erroneous. See id. at 83. Therefore, Riggs' failure to exhaust administrative remedies is excused.

When administrative exhaustion is excused, the trial court must determine the claimant's entitlement to benefits in the first instance. See Licensed Div. Dist. No. 1 MEBA/NMU, AFL-CIO v. Defries, 943 F.2d 474, 478-80 (4th Cir. 1991), cert. denied, 112 S. Ct. 972 (U.S. 1992). This court reviews legal conclusions of the lower court de novo. Id. at 480. However, we will accept the factual findings of the trial court unless clearly erroneous. Id.

A.

There is no dispute that Riggs is entitled to his vested benefits under the plans; the sole issue before the court concerning the interpretation of the plans is the timing of payment of the benefits. The magistrate judge interpreted section 5.4(c) of the pension plan as requiring payment to Riggs on the anniversary date following his disability, November 1, 1989. The Company argues that benefits are not yet due to Riggs under section 5.6 of the plan.

Section 5.4(c) of the pension plan provides in pertinent part:

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Edward Earl Riggs v. A. J. Ballard Tire & Oil Company, Incorporated Pension Plan and Trust A. J. Ballard, Jr. Tire & Oil Company, Incorporated Profit Sharing Trust A. J. Ballard, Jr. Tire & Oil Company, Incorporated A. J. Ballard, Jr., Edward Earl Riggs v. A. J. Ballard Tire & Oil Company, Incorporated Pension Plan and Trust A. J. Ballard, Jr. Tire & Oil Company, Incorporated Profit Shairng Trust A. J. Ballard, Jr. Tire & Oil Company, Incorporated A. J. Ballard, Jr., 979 F.2d 848, 1992 U.S. App. LEXIS 35236 (4th Cir. 1992).

979 F.2d 848 (Edward Earl Riggs v. A. J. Ballard Tire & Oil Company, Incorporated Pension Plan and Trust A. J. Ballard, Jr. Tire & Oil Company, Incorporated Profit Sharing Trust A. J. Ballard, Jr. Tire & Oil Company, Incorporated A. J. Ballard, Jr., Edward Earl Riggs v. A. J. Ballard Tire & Oil Company, Incorporated Pension Plan and Trust A. J. Ballard, Jr. Tire & Oil Company, Incorporated Profit Shairng Trust A. J. Ballard, Jr. Tire & Oil Company, Incorporated A. J. Ballard, Jr.) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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