MEMORANDUM OPINION
ELLIS, District Judge.
This ease presents an issue that has inspired little judicial consensus, namely, whether a plaintiff is entitled to a jury trial when seeking to recover payments allegedly due her under the Employee Retirement Income Security Act (“ERISA”), 29 U.S.C. § 1001 et seq.
I.
On August 1, 1990, defendant UNUM Life Insurance Company of America (“UNUM”) issued plaintiff Jean B. Williams a certificate of insurance pursuant to a Group Long Term Disability Insurance Policy Contract (the “Plan”) with her then employer, Capitol Realty Limited Partnership d/b/a Prudential Preferred Properties (“PPP”). Both parties admit that the Plan was an “employee welfare benefit plan” within the meaning of ERISA Under the terms of the Plan, UNUM was obligated to pay Williams certain monthly benefits in the event she became disabled and unable to perform each of the material duties of her regular occupation and remained so disabled after an initial six-month “elimination” period. The Plan also stated that if Williams had attained the rank of PPP vice president before becoming disabled, these payments would continue until Williams’ 65th birthday, provided she remained disabled until that time.
On March 31,1994 Williams’ physician certified that Williams was disabled and, as a result, could no longer perform her duties as PPP Vice President and Branch Manager. Thereafter, Williams filed a claim with UNUM for long-term disability benefits under the Plan. UNUM agreed Williams was entitled to receive benefits, and accordingly began making monthly payments after the elimination period expired on October 1, 1994.
Since then, Williams has continued to furnish UNUM with medical certification documenting her disability. In addition, at UNUM’s request she submitted to an evaluation by UNUM’s occupational abilities specialist, who also concluded that because of Williams’ disability she could no longer perform her regular occupation. Nonetheless, UNUM terminated the payment of long-term disability benefits to Williams on December 13, 1995. She filed this action on June 10, 1996. Her amended complaint alleges that (1) UNUM has wrongfully denied her benefits under the Policy, in violation of ERISA, and (2) in the course of denying her benefits, UNUM has also failed to act in good faith with regard to her claim. In the motion at bar, UNUM challenges only Williams’ right to a jury trial on these claims.
II.
ERISA provides plan participants and beneficiaries with four principal causes of
action.
A participant or beneficiary may bring a civil action:
(1) “to recover benefits due to him under the terms of his plan, to enforce his rights under the terms of the plan, or to clarify his rights to future benefits under the terms of the plan,” 29 U.S.C. § 1132(a)(1)(B);
(2) against a fiduciary of the plan for breach of fiduciary duty, 29 U.S.C. § 1132(a)(2);
(3) “to enjoin any act or practice which violates any provision of [Title I of ERISA] or the terms of the plan, or ... to obtain other appropriate equitable relief (i) to redress such violations or (ii) to enforce any provisions of [Title I of ERISA] or the terms of the plan”, 29 U.S.C. § 1132(a)(3); and
(4) against any person who interferes with the exercise of any rights which the participant or beneficiary is entitled to under ERISA or the terms of the benefits plan, 29 U.S.C. § 1140.
Williams seeks relief under the first of these provisions, making a claim for the wrongful denial of benefits pursuant to § 1132(a)(1)(B). Because this claim is essentially a breach of contract action, Williams maintains she is entitled to a jury trial.
Before 1989, courts generally agreed that ERISA claims were not triable to a jury. For ERISA claims within categories (2) through (4), this result is undisputably correct, as these three categories of causes of action are plainly limited to equitable relief.
But the same cannot be said for the first category of claims, namely those brought pursuant to 29 U.S.C. § 1132(a)(1)(B). Because many of these claims appear to be legal in nature, the courts, especially since 1989, have not been uniform on whether a right to a jury trial attaches.
The earliest notable treatment of this issue appears in
Stamps v. Michigan Teamsters Joint Council No. 43,
431 F.Supp. 745 (E.D.Mich.1977), which held that jury trials were available in actions under § 1132(a)(1)(B) to recover ERISA plan benefits, because such suits stated a legal claim for breach of contract.
Id.
at 747. Noting the absence of explicit direction in ERISA, the district court in
Stamps
based its conclusion on an interpretation of Congressional intent,
and an analysis of the legislative history.
Yet soon thereafter, various circuit courts reached a different result. First, the Seventh Circuit rejected the reasoning of
Stamps
in
Wardle v. Central States, Southeast & Southwest Areas Pension Fund,
627 F.2d 820 (7th Cir.1980),
cert. denied,
449 U.S. 1112, 101 S.Ct. 922, 66 L.Ed.2d 841 (1981).
This was followed by an avalanche of cases denying the right to a jury trial in actions arising under § 1132(a)(1)(B).
The Fourth Circuit was also part of this chorus. Thus, in
Berry v. Ciba-Geigy Corp.,
761 F.2d 1003 (4th Cir.1985), the Fourth Circuit stated flatly that “proceedings to determine rights under employee benefit plans are equitable in character and thus a matter for a judge, not a jury.”
Id.
at 1007.
Berry,
would then seem to foreclose debate on this issue.
Yet analysis cannot end with
Berry,
for only four years after
Berry,
a watershed of sorts occurred with the Supreme Court’s decision in
Firestone Tire & Rubber Co. v. Bruch,
Free access — add to your briefcase to read the full text and ask questions with AI
MEMORANDUM OPINION
ELLIS, District Judge.
This ease presents an issue that has inspired little judicial consensus, namely, whether a plaintiff is entitled to a jury trial when seeking to recover payments allegedly due her under the Employee Retirement Income Security Act (“ERISA”), 29 U.S.C. § 1001 et seq.
I.
On August 1, 1990, defendant UNUM Life Insurance Company of America (“UNUM”) issued plaintiff Jean B. Williams a certificate of insurance pursuant to a Group Long Term Disability Insurance Policy Contract (the “Plan”) with her then employer, Capitol Realty Limited Partnership d/b/a Prudential Preferred Properties (“PPP”). Both parties admit that the Plan was an “employee welfare benefit plan” within the meaning of ERISA Under the terms of the Plan, UNUM was obligated to pay Williams certain monthly benefits in the event she became disabled and unable to perform each of the material duties of her regular occupation and remained so disabled after an initial six-month “elimination” period. The Plan also stated that if Williams had attained the rank of PPP vice president before becoming disabled, these payments would continue until Williams’ 65th birthday, provided she remained disabled until that time.
On March 31,1994 Williams’ physician certified that Williams was disabled and, as a result, could no longer perform her duties as PPP Vice President and Branch Manager. Thereafter, Williams filed a claim with UNUM for long-term disability benefits under the Plan. UNUM agreed Williams was entitled to receive benefits, and accordingly began making monthly payments after the elimination period expired on October 1, 1994.
Since then, Williams has continued to furnish UNUM with medical certification documenting her disability. In addition, at UNUM’s request she submitted to an evaluation by UNUM’s occupational abilities specialist, who also concluded that because of Williams’ disability she could no longer perform her regular occupation. Nonetheless, UNUM terminated the payment of long-term disability benefits to Williams on December 13, 1995. She filed this action on June 10, 1996. Her amended complaint alleges that (1) UNUM has wrongfully denied her benefits under the Policy, in violation of ERISA, and (2) in the course of denying her benefits, UNUM has also failed to act in good faith with regard to her claim. In the motion at bar, UNUM challenges only Williams’ right to a jury trial on these claims.
II.
ERISA provides plan participants and beneficiaries with four principal causes of
action.
A participant or beneficiary may bring a civil action:
(1) “to recover benefits due to him under the terms of his plan, to enforce his rights under the terms of the plan, or to clarify his rights to future benefits under the terms of the plan,” 29 U.S.C. § 1132(a)(1)(B);
(2) against a fiduciary of the plan for breach of fiduciary duty, 29 U.S.C. § 1132(a)(2);
(3) “to enjoin any act or practice which violates any provision of [Title I of ERISA] or the terms of the plan, or ... to obtain other appropriate equitable relief (i) to redress such violations or (ii) to enforce any provisions of [Title I of ERISA] or the terms of the plan”, 29 U.S.C. § 1132(a)(3); and
(4) against any person who interferes with the exercise of any rights which the participant or beneficiary is entitled to under ERISA or the terms of the benefits plan, 29 U.S.C. § 1140.
Williams seeks relief under the first of these provisions, making a claim for the wrongful denial of benefits pursuant to § 1132(a)(1)(B). Because this claim is essentially a breach of contract action, Williams maintains she is entitled to a jury trial.
Before 1989, courts generally agreed that ERISA claims were not triable to a jury. For ERISA claims within categories (2) through (4), this result is undisputably correct, as these three categories of causes of action are plainly limited to equitable relief.
But the same cannot be said for the first category of claims, namely those brought pursuant to 29 U.S.C. § 1132(a)(1)(B). Because many of these claims appear to be legal in nature, the courts, especially since 1989, have not been uniform on whether a right to a jury trial attaches.
The earliest notable treatment of this issue appears in
Stamps v. Michigan Teamsters Joint Council No. 43,
431 F.Supp. 745 (E.D.Mich.1977), which held that jury trials were available in actions under § 1132(a)(1)(B) to recover ERISA plan benefits, because such suits stated a legal claim for breach of contract.
Id.
at 747. Noting the absence of explicit direction in ERISA, the district court in
Stamps
based its conclusion on an interpretation of Congressional intent,
and an analysis of the legislative history.
Yet soon thereafter, various circuit courts reached a different result. First, the Seventh Circuit rejected the reasoning of
Stamps
in
Wardle v. Central States, Southeast & Southwest Areas Pension Fund,
627 F.2d 820 (7th Cir.1980),
cert. denied,
449 U.S. 1112, 101 S.Ct. 922, 66 L.Ed.2d 841 (1981).
This was followed by an avalanche of cases denying the right to a jury trial in actions arising under § 1132(a)(1)(B).
The Fourth Circuit was also part of this chorus. Thus, in
Berry v. Ciba-Geigy Corp.,
761 F.2d 1003 (4th Cir.1985), the Fourth Circuit stated flatly that “proceedings to determine rights under employee benefit plans are equitable in character and thus a matter for a judge, not a jury.”
Id.
at 1007.
Berry,
would then seem to foreclose debate on this issue.
Yet analysis cannot end with
Berry,
for only four years after
Berry,
a watershed of sorts occurred with the Supreme Court’s decision in
Firestone Tire & Rubber Co. v. Bruch,
489 U.S. 101, 109 S.Ct. 948, 103 L.Ed.2d 80 (1989). Although this decision did not directly address the availability of jury trial, it made observations about the nature of certain ERISA actions that are relevant to the jury trial issue. Before
Firestone,
there had been general agreement that the pervasive influence of trust law in ERISA mandated the conclusion that actions under this statute were all equitable in nature. While not mentioning the right to a jury trial, the Supreme Court in
Firestone
found that certain § 1132(a)(1)(B) ERISA claims were historically based on and derived from contract law precepts, which of course, are essentially legal in nature, not equitable. The recognition that ERISA might include claims properly viewed as essentially legal opened the door for courts to reexamine whether the Seventh Amendment compelled jury trials for such claims.
The results of this reexamination, as noted, have not been uniform.
While
Berry’s
foundations are arguably called into doubt after Firestone,
it appears, at first blush, that the Fourth Circuit, in a
postFirestone
decision, has again come down on the side of denying a jury trial in § 1132(a)(1)(B) ERISA actions.
See Biggers v. Wittek Industries, Inc.,
4 F.3d 291 (4th Cir.1993). Yet, close inspection of
Biggers
suggests this overstates the significance of the decision. To begin with, the reference to the jury trial
in
Biggers
was
dicta,
as the issue was not there squarely presented or decided. Indeed, there was no mention or discussion of
Firestone
or the Seventh Amendment.
Instead, in remanding a case that had been tried to a jury under Illinois law, the
Biggers
panel merely noted, without analysis, that the claim there in issue was governed by ERISA, not Illinois law, and should be tried to the court, not a jury.
See Biggers,
4 F.3d at 298. In sum, because neither
Berry
nor
Biggers
seem dispositive,
the task at hand is to determine whether Firestone’s implications and the Seventh Amendment’s commandment compel a result here different from that reached in
Berry
and suggested in
Biggers.
III.
A. Firestone
In the absence of clear legislative direction on this issue,
pre-Firestone
courts had generally adopted the “arbitrary and capricious” standard to review determinations of benefit eligibility made by plan administrators.
Firestone,
489 U.S. at 109, 109 S.Ct. at 953-54. Yet, after reviewing the parameters of this review, and the purposes of ERISA, the Supreme Court rejected this standard for reviewing decisions where no discretion is conferred on the plan fiduciary.
Id.
at 115, 109 S.Ct. at 956-57. The Supreme Court’s analysis begins with the recognition that actions to recover plan benefits prior to ERISA were governed by established contract law principles.
Id.
at 112-13, 109 S.Ct. at 955-56. Next, the Supreme Court observed that just as with any other contract claim, judicial review of administrator actions in cases where the plan conferred no discretion on the administrator was
de novo,
with the court “looking to the terms of the plan and other manifestations of the parties’ intent.”
Id.
The Supreme Court further observed that ERISA was enacted to promote interests of employees as well as to protect contractually defined benefits.
Id.
at 113, 109 S.Ct. at 955-56
(citations
omitted). They refused to adopt an “arbitrary and capricious” standard for judicial review of all ERISA claims for a recovery of benefits, a “reading of ERISA ... that would afford less protection to employees and their beneficiaries than they enjoyed before ERISA was enacted.”
Id.
at 113-14, 109 S.Ct. at 955.
In summary,
Firestone’s
implications for the ERISA jury trial issue are twofold. First,
Firestone
teaches that some ERISA claims are rooted in the law of contracts, and thus seemingly legal rather than equitable in nature. And second,
Firestone
reminds courts that ERISA should not be read to “afford less protection” to plan beneficiaries than they enjoyed prior to ERISA. This reference to protection arguably includes the right to a jury trial for certain contractual claims for plan benefits.
Viewed in this way,
Firestone
invites courts to reexamine whether juries may be required in certain ERISA claims because they are essentially legal claims that, prior to ERISA, would have been tried to a jury pursuant to the Seventh Amendment.
B. The Seventh Amendment
Pre-1989 cases denying jury trials for ERISA claims typically paid only cursory
attention to the Seventh Amendment.
Firestone,
as noted, suggests indirectly that this is mistaken. But
Firestone
is not alone in this regard. Not long after
Firestone,
the Supreme Court in
Chauffeurs, Teamsters and Helpers Local No. 391 v. Terry,
494 U.S. 558, 110 S.Ct. 1339, 108 L.Ed.2d 519 (1990), reaffirmed its commitment to preserving the right to a jury trial “where legal rights are at stake.”
Id.
at 565, 110 S.Ct. at 1344. In order to determine when legal rights are at stake in a particular action, an inquiry must be made into (1) the nature of the issues involved, and (2) the remedy sought.
Id.
More particularly:
First, we compare the statutory action to 18th-century actions brought in the courts of England prior to the merger of the courts of law and equity. Second, we examine the remedy sought and determine whether it is legal or equitable in nature.
Tull v. United States,
481 U.S. 412, 417-18, 107 S.Ct. 1831, 1835-36, 95 L.Ed.2d 365 (1987). Of the two inquiries, the second is more important.
Terry,
494 U.S. at 565, 110 S.Ct. at 1344-45.
The Seventh Amendment issue is not resolved merely by asserting that a claim is equitable.
Rather,
Terry
teaches that courts must look beyond simple categorizations, to the nature of both the issue presented and the remedy.
In sum, every claim under ERISA § 1132(a)(1)(B) merits individual analysis under the Seventh Amendment. This inquiry can be quickly disposed of in many instances, where analysis reveals a § 1132(a)(1)(B) action to be clearly equitable.
Nevertheless,
Firestone
and the Seventh Amendment mandate examination of individual ERISA claims to recover benefits in order to assess whether a particular claim is legal thereby entitling claimant to a jury trial.
IV.
It remains only to apply these principles to the case
at
bar. And in this regard, analysis appropriately begins with an examination of the nature of the claim made.
Williams sues pursuant to ERISA § 1132(a)(1)(B), which authorizes civil actions to recover benefits due under the terms of an ERISA plan. To prevail, she must show that the Plan administrator erred in finding her ineligible for benefits. As the parties agreed at oral argument, the Plan here conferred no discretion on the administrator in connection with this decision. Given this, the administrator’s denial of benefits must be reviewed
de novo,
and the issues to be determined are: (1) whether Williams is covered by the Plan, (2) whether Williams is disabled within the meaning of the Plan so as to trigger the payment of benefits, and (3) the proper amount of benefits. These are factual determinations typical of legal contract actions, and well within a jury’s ability to resolve.
In sum, Williams’ claim is essentially analogous to a breach of contract action at law.
See Hulcher,
919 F.Supp. at 884.
But this is only half of the equation and the less important half at that. Thus, the analysis must now turn to the nature of the remedy sought, the more important of the two prongs of the Seventh Amendment inquiry.
See Terry,
494 U.S. at 565, 110 S.Ct. at 1344-45.
Williams seeks money damages of $618,507.
This amount includes more than the benefits Williams claims are due and owing; it also includes the present value of future benefits she contends she is entitled to under the plan.
Such an award of future benefits is not typically available under ERISA given that circumstances may change affecting her eligibility for benefits. Instead, if she prevails in her claim for benefits, Williams may recover money damages for
benefits due and owing and she may further obtain a declaratory judgment that she is entitled to future disability benefits provided circumstances concerning her eligibility do not change. This is quite significant, of course, because a declaratory judgment entitling a plan participant to future benefits is governed by equitable principles
and is analogous to a remedy in trust where a fiduciary is ordered to pay obligations mistakenly withheld.
Taken as a whole, then, the nature of the remedy here requested is substantially equitable. Given this and given the greater importance of the remedy factor in the Seventh Amendment calculus, it follows that Williams’ claim should be tried to the Court and not a jury.
Accordingly, defendant UNUM’s motion to strike Williams’ jury demand must be granted and an appropriate order will enter.