Stewart v. National Education Ass'n

471 F.3d 169, 374 U.S. App. D.C. 46, 39 Employee Benefits Cas. (BNA) 1929, 2006 U.S. App. LEXIS 30830, 2006 WL 3687347
CourtCourt of Appeals for the D.C. Circuit
DecidedDecember 15, 2006
Docket05-7140
StatusPublished
Cited by173 cases

This text of 471 F.3d 169 (Stewart v. National Education Ass'n) is published on Counsel Stack Legal Research, covering Court of Appeals for the D.C. Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Stewart v. National Education Ass'n, 471 F.3d 169, 374 U.S. App. D.C. 46, 39 Employee Benefits Cas. (BNA) 1929, 2006 U.S. App. LEXIS 30830, 2006 WL 3687347 (D.C. Cir. 2006).

Opinion

Opinion for the Court filed by Circuit Judge ROGERS.

ROGERS, Circuit Judge.

This case concerns a transfer of money from the Prudential Life Insurance Company to the National Education Association Members Insurance Trust (“NEA Trust”) when Prudential converted from a mutual life insurance company — where the insured mutually own the company — into a stock life insurance company. On appeal from the dismissal of the complaint pursuant to Federal Rule of Civil Procedure 12(b)(6), the trustees of the estate of Philip A. Stewart (“Stewart”) contend that he is entitled to benefit from the demutualization. Stewart maintains that the district court erred in ruling that the Employee Retirement Income Security Act of 1974 (“ERISA”), 29 U.S.C. § 1001 et seq., applied to the NEA insurance benefit plan and, alternatively, that he failed to state a cause of action under ERISA for benefits and for breach of fiduciary duty. In view of the allegations in the amended complaint, Stewart is estopped from arguing that ERISA does not apply to the NEA insurance benefit plan. Further, Stewart identifies no term of the Group Contract that entitles him to receive the demutuali-zation proceeds, which represent the capitalization of future dividends, as a benefit. Additionally, because Stewart does not allege that he was entitled to the demutuali-zation proceeds as a dividend, but only that no provision in the Group Contract allowed the NEA Trust to take control of the insureds’ alleged equity interest in the demutualization proceeds, he cannot show that the NEA or NEA Trust (collectively, “the NEA”) breached a fiduciary duty under ERISA. Accordingly, we affirm.

I.

The NEA is a national organization of education professionals. In 1978, it established a Members Insurance Plan (“Plan”) to operate voluntary programs providing benefits in the event of a death, accident, sickness, disability, or other occurrence affecting participants or their families, either through self-funding the benefits or by buying group insurance policies. At the same time, the NEA set up the NEA Trust to hold the Plan’s assets. The Plan is governed by a “Plan Document” and the Trust is governed by a “Trust Agreement.” The NEA Trust entered into a group life insurance contract (“Group Contract”) with Prudential to provide insurance to participating NEA members (“Member-Insureds”). The Group Contract incorporates a Group Insurance Certificate and Member-Insureds’ individual applications and provides that the NEA Trust is the contract holder.

NEA members are eligible for life and accident insurance coverage under the Group Contract, subject to approval by Prudential. Under the terms of the Group Contract, Prudential fixes the premium amount, which the Member-Insured pays *172 to the NEA Trust, which in turn makes a group payment (equal to the sum of those premiums) to Prudential. Claims are submitted directly to Prudential. In recognition of the ownership stake of Prudential’s policyholders, the Group Contract further provides that “Prudential will determine the share, if any, of its divisible surplus allocable to the Group Contract as of each Contract Anniversary.” At some point, Prudential maintained separate accounts for each Member-Insured, crediting “Paid Up Life Insurance” with a “Cash Surrender Value” to each account. The Group Contract gave Member-Insureds the right to obtain an individual insurance contract if the Group Contract was terminated.

In December 2000, Prudential approved a plan to convert from mutual ownership to stock ownership. The reorganization plan was approved by the State of New Jersey, where Prudential is domiciled. See Plan of Reorganization of the Prudential Ins. Co., Order No. A01-153 (N.J. Dep’t of Banking & Ins. Oct. 15, 2001), http://www.state.nj.us/dobi/a01_153.htm. When the conversion occurred on December 13, 2001, Prudential’s mutual insurance policies were converted to non-participating policies in the name of the new stock company. At this time, Prudential transferred to the NEA Trust $17 million in “demutualization proceeds,” which Stewart describes as “the residual value of Member-Insureds’ prior premium payments.” Appellants’ Br. at 8. The NEA Trust treated the demutualization proceeds as a general Plan asset to be used for the benefit of all Plan participants, regardless of whether they participated in the Prudential Group Contract. Because the Plan’s documents did not specifically refer to the treatment of demutualization proceeds, the NEA amended the Plan Document to specify how such a transfer of money was to be treated.

Stewart sued the NEA in a putative class action on behalf of other Member-Insureds in the same Prudential life insurance program sponsored by the NEA. Stewart’s basic claim was that the demutu-alization proceeds constituted the share of Prudential attributable to premiums from Group Contract participants and that the NEA Trust accordingly was required to distribute the funds to the individual Member-Insureds or to segregate the funds for their benefit. The NEA Trust had treated the funds as Plan assets that could be used for the benefit of Plan members not participating in the Group Contract. Stewart also claimed that the demutualization terminated the preexisting policies, triggering Member-Insureds’ privilege to convert their Group Contract certificates to individual insurance contracts. In the alternative, Stewart alleged claims under ERISA, federal common law, and state law. Appended to the amended complaint were the Group Contract, the Group Insurance Certificate, the Individual Contract Enrollment Form and Certificates, the Plan Document with its 2002 amendment, and the Trust Agreement. Upon the NEA’s motion, the district court dismissed all of Stewart’s claims, ruling that ERISA applied and preempted the six state-law claims and that Stewart failed to state a claim under ERISA. Stewart v. Nat’l Educ. Ass’n, 404 F.Supp.2d 122 (D.D.C.2005). Stewart appeals the dismissal of the two ERISA and the state-law counts.

II.

ERISA sets out an “interlocking, interrelated, and interdependent remedial scheme,” Mass. Mut. Life Ins. Co. v. Russell, 473 U.S. 134, 146, 105 S.Ct. 3085, 87 L.Ed.2d 96 (1985), for violations of its substantive regulatory requirements relating to employee benefit plans. When ERISA applies, it “supersede[s] any and all State *173 laws insofar as they may now or hereafter relate to any employee benefit plan.” 29 U.S.C. § 1144(a). The district court found that it was “factually undeniable that the Group Contract and the Plan are ‘employee welfare benefit plans’ within the meaning of ERISA” and that each of Stewart’s state-law causes of action “relate[d] to” the plan such that they were preempted by ERISA’s federal causes of action. Stewart, 404 F.Supp.2d at 137-39. On appeal, Stewart challenges whether his pleadings require the conclusion that the Group Contract is an employee benefit plan covered by ERISA. He does not challenge whether the state-law causes of action “relate to” those plans.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Michael Langeman v. Merrick Garland
88 F.4th 289 (D.C. Circuit, 2023)
Nelson v. Pompeo
District of Columbia, 2023
Ramirez v. United States Park Police
District of Columbia, 2023
Adams v. Dell Computer Corporation
District of Columbia, 2020
Yudzon v. Sage Title Group, LLC
District of Columbia, 2020
Covington v. Helix Electric, Inc.
District of Columbia, 2019
Johnson, Jr. v. United States
District of Columbia, 2019
Carr v. Sessions
District of Columbia, 2019
Attias v. Carefirst, Inc.
District of Columbia, 2019
Cole v. U.S. Department of Justice
District of Columbia, 2018
Achoe v. Clayton
District of Columbia, 2018
Congress v. District of Columbia
District of Columbia, 2018
Lannan Foundation v. Gingold
District of Columbia, 2017
United States v. Newman
District of Columbia, 2017
Williams v. Bank of New York Mellon
169 F. Supp. 3d 119 (District of Columbia, 2016)
Lucas v. District of Columbia
133 F. Supp. 3d 176 (District of Columbia, 2015)

Cite This Page — Counsel Stack

Bluebook (online)
471 F.3d 169, 374 U.S. App. D.C. 46, 39 Employee Benefits Cas. (BNA) 1929, 2006 U.S. App. LEXIS 30830, 2006 WL 3687347, Counsel Stack Legal Research, https://law.counselstack.com/opinion/stewart-v-national-education-assn-cadc-2006.