Emma Cehovic-Dixneuf v. Lisa Wong

CourtCourt of Appeals for the Seventh Circuit
DecidedJuly 11, 2018
Docket17-1532
StatusPublished

This text of Emma Cehovic-Dixneuf v. Lisa Wong (Emma Cehovic-Dixneuf v. Lisa Wong) is published on Counsel Stack Legal Research, covering Court of Appeals for the Seventh Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Emma Cehovic-Dixneuf v. Lisa Wong, (7th Cir. 2018).

Opinion

In the

United States Court of Appeals For the Seventh Circuit ____________________ No. 17‐1532 EMMA CEHOVIC‐DIXNEUF, Plaintiff‐Appellee,

v.

LISA WONG, Defendant‐Appellant. ____________________

Appeal from the United States District Court for the Northern District of Illinois, Eastern Division. No. 15‐CV‐8785 — Samuel Der‐Yeghiayan, Judge. ____________________

ARGUED JANUARY 16, 2018 — DECIDED JULY 11, 2018 ____________________

Before BAUER, ROVNER, and HAMILTON, Circuit Judges. HAMILTON, Circuit Judge. The federal Employee Retire‐ ment Income Security Act of 1974 (ERISA) requires adminis‐ trators of employee benefit plans to comply with the docu‐ ments that control the plans. 29 U.S.C. § 1104(a)(1)(D). In the case of life insurance policies, that means death benefits are paid to the beneficiary designated in the policy, notwithstand‐ ing equitable arguments or claims that others might assert. 2 No. 17‐1532

In this case, the deceased employee was Georges Cehovic, whose employer offered its employees an insurance benefit plan through ReliaStar Life Insurance Company. Georges had two policies under the plan with ReliaStar: a basic life insur‐ ance policy with a death benefit of $263,000, and a supple‐ mental life insurance policy with a death benefit of $788,000. On both policies, Georges listed his sister, plaintiff Emma Cehovic‐Dixneuf, as the sole and primary beneficiary. After Georges died, his ex‐wife, defendant Lisa Wong, claimed that she and the child she had with Georges were entitled to the death benefits from the supplemental policy. Any equitable arguments Wong might make can gain no traction, however, if the supplemental life insurance policy is covered by ERISA. The district court granted summary judgment for plaintiff Cehovic‐Dixneuf, finding that the supplemental life insur‐ ance policy is indeed covered by ERISA. We affirm. Defend‐ ant Wong failed to offer evidence to the district court showing any genuine issue of any fact material to the case. She did not present her evidentiary objections to Cehovic‐Dixneuf’s evi‐ dence in the district court when she could and should have. As noted, ERISA ordinarily requires plan administrators to manage plans according to the governing documents, in‐ cluding beneficiary designations. Kennedy v. Plan Administra‐ tor for DuPont Savings & Investment Plan, 555 U.S. 285, 288 (2009) (beneficiary designation for pension plan upon partic‐ ipant’s death); Egelhoff v. Egelhoff, 532 U.S. 141 (2001) (life in‐ surance benefits under ERISA plan awarded to designated beneficiary, who was decedent’s ex‐wife, despite contrary state law); Melton v. Melton, 324 F.3d 941 (7th Cir. 2003) (same). It is virtually impossible to avoid a written designation of a beneficiary for a life insurance policy governed by ERISA. To No. 17‐1532 3

avoid the effect of beneficiary designation, therefore, Wong has argued in the district court and on appeal that the supple‐ mental policy is not governed by ERISA. This question on the merits is governed by our decision in Postma v. Paul Revere Life Insurance Co., 223 F.3d 533 (7th Cir. 2000). We explained there the scope of ERISA’s coverage of in‐ surance for the benefit of employees and the scope of the United States Department of Labor’s so‐called safe‐harbor regulation, which offers a way to exclude insurance for em‐ ployees from ERISA coverage. We explained in Postma that five elements must be shown for ERISA to cover an employee welfare plan like an insurance plan: (1) a plan, fund, or program, (2) established or maintained, (3) by an employer or by an em‐ ployee organization, or by both, (4) for the pur‐ pose of providing medical, surgical, hospital care, sickness, accident, disability, death, unem‐ ployment or vacation benefits, apprenticeship or other training programs, day care centers, scholarship funds, prepaid legal services or sev‐ erance benefits, (5) to participants or their bene‐ ficiaries. Id. at 537, quoting Ed Miniat, Inc. v. Globe Life Ins. Group, Inc., 805 F.2d 732, 738 (7th Cir. 1986). All of those criteria are satis‐ fied here. The life insurance policy was part of a program es‐ tablished by Georges’s employer for the purpose of providing death benefits to participants or their beneficiaries. Wong asserts, however, that the supplemental life insur‐ ance policy should fall outside ERISA because Georges paid all of the premiums on the policy himself (and, she says, with 4 No. 17‐1532

marital assets), without any direct subsidy from the employer. That is not enough to avoid ERISA coverage, however. The safe‐harbor regulation excludes from coverage some group insurance programs, but with four requirements that must all be satisfied: For purposes of title I of the Act and this chap‐ ter, the terms “employee welfare benefit plan” and “welfare plan” shall not include a group or group‐type insurance program offered by an in‐ surer to employees or members of an employee organization, under which (1) No contributions are made by an employer or employee organization; (2) Participation [in] the program is completely voluntary for employees or members; (3) The sole functions of the employer or em‐ ployee organization with respect to the program are, without endorsing the program, to permit the insurer to publicize the program to employ‐ ees or members, to collect premiums through payroll deductions or dues checkoffs and to re‐ mit them to the insurer; and (4) The employer or employee organization re‐ ceives no consideration in the form of cash or otherwise in connection with the program, other than reasonable compensation, excluding any profit, for administrative services actually rendered in connection with payroll deductions or dues checkoffs. No. 17‐1532 5

29 C.F.R. § 2510.3‐1(j). Wong cannot satisfy the third required element here. When an employer has “performed all admin‐ istrative functions associated with the maintenance of the Pol‐ icy,” the policy does not meet that requirement. Postma, 223 F.3d at 538. In this record, the key information comes from the sum‐ mary plan description. It makes clear that the employer main‐ tained substantial administrative functions beyond the very limited ones allowed by the safe harbor provision. The em‐ ployer was listed as the policyholder for all components of the plan, of which the supplemental life insurance policy was but one menu item. The plan description also made clear that the supplemental life insurance policy would remain part of the employer’s group policy, but could be converted to an indi‐ vidual life insurance policy in certain situations. See Waks v. Empire Blue Cross/Blue Shield, 263 F.3d 872, 875 (9th Cir. 2001) (converted policy not subject to ERISA); Demars v. Cigna Corp., 173 F.3d 443, 450 (1st Cir. 1999) (same). But see White v. Provi‐ dent Life & Accident Ins. Co., 114 F.3d 26, 28 (4th Cir. 1997) (questioning whether converted policy was subject to ERISA); Glass v. United of Omaha Life Ins.

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