Wolf v. Reliance Standard ( 1995 )


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    United States Court of Appeals United States Court of Appeals
    For the First Circuit For the First Circuit
    ____________________

    No. 95-1440

    ALVAN H. WOLF,

    Plaintiff, Appellee,

    v.

    RELIANCE STANDARD LIFE INSURANCE COMPANY,

    Defendant, Appellant.

    ____________________

    APPEAL FROM THE UNITED STATES DISTRICT COURT

    FOR THE DISTRICT OF MASSACHUSETTS

    [Hon. Charles B. Swartwood, III, U.S. Magistrate Judge]

    ____________________

    Before

    Torruella, Chief Judge, ___________
    Stahl and Lynch, Circuit Judges. ______________

    ____________________

    James A. Young with whom Michael J. Burns, Christie, Pabarue, _______________ _________________ ___________________
    Mortensen & Young, P.C. and Cheri L. Crow were on brief for appellant. _______________________ _____________
    William E. Bernstein with whom Barbara S. Liftman and Weinstein, ____________________ __________________ __________
    Bernstein & Burwick, P.C. were on brief for appellee. _________________________


    ____________________

    December 11, 1995
    ____________________





















    STAHL, Circuit Judge. Plaintiff-appellee Alvan STAHL, Circuit Judge. ______________

    Wolf prevailed in his jury-tried contract action against

    defendant-appellant Reliance Standard Life Insurance Company

    ("Reliance") for denial of disability benefits. Reliance

    appeals the trial court's ruling that ERISA preemption is an

    affirmative defense which Reliance waived by failing to plead

    it timely. We affirm.

    I. I. __

    BACKGROUND BACKGROUND __________

    We begin by reciting the facts in the light most

    favorable to the verdict. See Aetna Cas. Sur. Co. v. P & B ___ ___________________ _____

    Autobody, 43 F.3d 1546, 1552 (1st Cir. 1994). ________

    Wolf founded Brookfield Factory Outlet, Inc.

    ("Brookfield"), a now-defunct chain of shoe stores. During

    Brookfield's heyday, Wolf earned approximately $8,000 per

    month as its President and Chief Executive Officer. In the

    fall of 1988, he was diagnosed with severe depression,

    apparently resulting from business and personal difficulties.

    In the spring of 1989, Wolf experienced heart problems

    requiring a brief hospitalization. Thereafter, Wolf

    continued to work until April 24, 1989, when he suffered a

    massive heart attack.

    From the time of Wolf's depression diagnosis in

    1988 until his heart attack in 1989, he actually drew only

    $500 per week of his $8,000 per month salary due to



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    Brookfield's ongoing financial problems. There was

    conflicting testimony at trial as to whether Wolf actually

    was entitled to the unpaid remainder of his salary, which

    Wolf asserted the company owed him as a debt payable.

    The insurance policy under which Wolf sought

    recovery took effect on February 1, 1985. The policy

    provided a monthly benefit to a disabled employee equal to

    sixty percent of "covered monthly earnings," defined as "the

    insured's basic monthly salary received from [the employer]

    on the day just before the date of total disability." In

    September 1990, Wolf filed a claim for disability benefits.

    Reliance denied the claim in May 1991, stating that Wolf had

    neither proved that he was a full-time employee when he

    became disabled nor that he was totally disabled, and that

    Wolf was late giving notice of his claim.

    In January 1992, Wolf, a Massachusetts citizen,

    sued Reliance in Massachusetts state court alleging breach of

    contract and unfair trade practices. Reliance, an Illinois

    corporation with its principal place of business in

    Pennsylvania, removed the suit, based on diversity, to the

    United States District Court for the District of

    Massachusetts. 28 U.S.C. 1441, 1332.

    The parties consented to trial before U.S.

    Magistrate Judge Charles B. Swartwood III. On October 25,





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    1994, one week before trial, Reliance filed several

    motions,1 each asserting, for the first time, that Wolf's

    state law claims were preempted by the Employee Retirement

    Income Security Act of 1974 ("ERISA"). 29 U.S.C. 1001-

    1461. The trial court denied the motions, ruling that ERISA

    preemption was an affirmative defense which Reliance waived

    by failing to plead it in a timely manner. The trial court

    then denied Reliance leave to amend its pleadings, finding

    undue delay by Reliance and significant prejudice to Wolf if,

    on the eve of trial, Reliance were allowed to change the

    entire legal basis for its opposition to Wolf's claim by its

    introduction of an ERISA preemption defense.2

    The breach of contract claim was tried to a jury

    on November 2-4, 1994, resulting in a special verdict for

    Wolf. The jury found that Wolf's basic monthly salary was

    $8,000 per month on the day before he became totally

    disabled. The trial court entered judgment for Reliance on

    the unfair trade practices claim, and Wolf does not appeal

    from that judgment. In December 1994, the trial court issued

    a memorandum decision calculating Wolf's damages to be

    ____________________

    1. Specifically, Reliance filed motions to dismiss for
    failure to state a claim, to strike Wolf's jury trial demand,
    and to apply an arbitrary and capricious standard of review.

    2. The only previous indication of any possible ERISA
    preemption argument in this litigation was an exchange of
    letters dated May 31, 1991 and July 29, 1991 between Reliance
    and Wolf's attorney, each making a single passing reference
    to ERISA.

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    $196,606.72 plus interest and future payments.3 Reliance

    then filed a renewed motion for judgment as a matter of law

    and, alternatively, a motion for a new trial, and both were

    denied. This appeal followed.

    II. II. ___

    DISCUSSION DISCUSSION __________

    The principal issue before us is whether ERISA

    preemption is jurisdictional, and thus may be raised at any

    point in litigation, or an affirmative defense, waivable if

    not pleaded timely. A related issue is whether the trial

    court abused its discretion in denying Reliance leave to

    amend its pleadings to add an ERISA preemption defense.

    A. ERISA Preemption ____________________

    Whether ERISA preemption is jurisdictional or a

    waivable affirmative defense is a pure question of law that

    we review de novo. See Correa v. Hospital San Francisco, No. __ ____ ___ ______ ______________________

    95-1167, 1995 WL 627505, at *6 (1st Cir. Oct. 31, 1995).

    Reliance argues that because there is a "compelling

    policy" in favor of application of federal ERISA law to this

    claim, ERISA preemption is jurisdictional4 and therefore





    ____________________

    3. The parties stipulated that if Reliance was found liable
    to Wolf, the trial court would calculate the damages.

    4. We note that although Reliance did not use the term
    "jurisdictional," that is the thrust of its argument.

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    nonwaivable.5 The foundation of the argument is ERISA's

    broad preemption provision: ERISA [with a few inapplicable

    exceptions] "shall supersede any and all State laws insofar

    as they may now or hereafter relate to any employee benefit

    plan . . . . " 29 U.S.C. 1144(a). One of Congress's

    intentions in enacting ERISA, as divined through legislative

    history, was to encourage the growth of private employee

    benefit plans by replacing diverse state laws with a

    nationally uniform federal common law regulating employee

    benefit plans.6 Treating ERISA preemption as non-

    jurisdictional and therefore waivable would, so the argument

    goes, frustrate that intent, subjecting employee benefit

    plans to regulation and litigation under fifty non-uniform

    bodies of state law. The costs of adapting to and litigating

    under non-uniform state law and the potential for liability

    and damages beyond that permitted under ERISA would deter

    employers from enacting benefits plans. Thus, courts should

    ____________________

    5. See Insurance Corp. of Ireland, Ltd. v. Compagnie des ___ __________________________________ _____________
    Bauxites de Guinee, 456 U.S. 694, 702 (1982) (explaining that __________________
    subject matter jurisdiction is nonwaivable); see generally ___ _________
    George Lee Flint, Jr., ERISA: Nonwaivability of Preemption, ____________________________________
    39 U. Kan. L. Rev. 297 (1991) (arguing that courts should
    hold ERISA preemption nonwaivable).

    6. ERISA's House sponsor, Representative Dent, described the
    "reservation to Federal authority [of] the sole power to
    regulate the field of employee benefit plans" as ERISA's
    "crowning achievement." 120 Cong. Rec. 29197 (1974).
    Senator Williams commented that ERISA's preemption will have
    the effect of "eliminating the threat of conflicting or
    inconsistent State and local regulation of employee benefit
    plans." Id. at 29933. ___

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    hold that ERISA preemption is jurisdictional and not

    waivable, consistent with the congressional intent to create

    and apply a uniform federal law regulating employee benefit

    plans.

    While the foregoing argument is not without merit,

    it is precluded by precedent. The Supreme Court analyzed at

    length the legislative history behind ERISA's preemption

    provision in Pilot Life Ins. Co. v. Dedeaux, 481 U.S. 41, 44- ___________________ _______

    46, 52-57 (1987), focusing on the civil enforcement scheme of

    502(a) of ERISA (29 U.S.C. 1132(a)), under which a plan

    participant can bring a suit for benefits due. The Court

    concluded that Congress intended to create an exclusive

    federal remedy, with a "pre-emptive force . . . modeled after

    301" of the Labor Management Relations Act ("LMRA"), 29

    U.S.C. 185. Pilot Life, 481 U.S. at 52. Accordingly, the __________

    Court held that ERISA preempts all state law causes of action

    for benefits due under an ERISA plan. Id. at 57. Pilot Life ___ __________

    did not present the question whether ERISA preemption was a

    jurisdictional matter or a waivable defense, but the Supreme

    Court made clear that courts deciding the scope of ERISA

    preemption should look to LMRA preemption decisions for

    guidance. Id. at 54-55. ___

    The Pilot Life decision explains that ERISA's ___________

    preemption clause and civil enforcement scheme entirely

    displaced state law causes of action for benefits claims



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    under ERISA plans. Id. at 55-57. If state law is ___

    "displaced," then arguably there is no subject matter

    jurisdiction over a state law cause of action for benefits

    due. Lack of subject matter jurisdiction is, of course, a

    nonwaivable defense and may be raised at any time. Insurance _________

    Corp. of Ireland, Ltd. v. Compagnie des Bauxites de Guinee, _______________________ _________________________________

    456 U.S. 694, 702 (1982). That jurisdictional argument is

    unavailing, however, because this Circuit has squarely held

    that LMRA preemption is waivable. Sweeney v. Westvaco Co., __ _______ _____________

    926 F.2d 29, 40 (1st Cir.) (Breyer, C.J.), cert. denied, 502 _____ ______

    U.S. 899 (1991). Given that the Supreme Court in Pilot Life __________

    explicitly directed courts to treat ERISA preemption like

    LMRA preemption, 481 U.S. 51-56, Judge (now Justice) Breyer's

    analysis in Sweeney leads us to conclude that ERISA _______

    preemption is also waivable.

    The rationale behind Sweeney's holding that LMRA _________

    preemption is waivable applies with equal force to ERISA

    preemption. The Sweeney court began with an analysis of _______

    International Longshoremen's Ass'n v. Davis, 476 U.S. 380 ___________________________________ _____

    (1986), a National Labor Relations Act ("NLRA") preemption

    case. See 29 U.S.C. 157, 158. In Davis, the Supreme ___ _____

    Court held that NLRA preemption is jurisdictional, and

    therefore nonwaivable, because NLRA preemption dictates the

    choice of forum (i.e., whether a court or the National Labor _____

    Relations Board ("NLRB") has the power to hear the case) as



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    opposed to simply the choice of law (i.e., whether state or ___

    federal law applies). See id. at 398-99. Sweeney stressed ___ ___ _______

    that the Supreme Court itself carefully limited its holding

    in Davis to 7 and 8 of the NLRA and not other statutes. _____

    Sweeney, 926 F.2d at 38. Those sections evidence a _______

    Congressional intent to "refuse[] to permit parties to submit

    such a dispute to the courts even where the parties

    themselves wished to do so." Id. at 38-39. In Sweeney, this ___ _______

    court determined that LMRA preemption, unlike NLRA

    preemption, "concerns what law a decision maker must apply, ___

    not what forum must decide the dispute." 926 F.2d at 39. _____

    Based on that premise, the panel in Sweeney applied the _______

    converse of the Davis rule, holding that LMRA preemption is _____

    waivable because it affects the choice of law, not the choice

    of forum. Id. at 39-40. ___

    Like LMRA preemption, ERISA preemption in a

    benefits-due action does not affect the choice of forum,

    because ERISA's jurisdictional provision provides that "State

    courts of competent jurisdiction and district courts of the

    United States shall have concurrent jurisdiction of actions," __________ ____________

    29 U.S.C. 1132(e)(1) (emphasis added), "brought by a

    participant or beneficiary to recover benefits due." 29

    U.S.C. 1132(a)(1)(B). The plain language of 1132 tells

    us that if a plaintiff brought a "benefits-due" action in

    state court and the defendant pleaded ERISA preemption, this



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    would not deprive the court of jurisdiction over the subject

    matter; rather, ERISA preemption in that situation would

    dictate the applicable law. Preemption is, as Sweeney says, _______

    ultimately "a matter of Congressional intent, as embodied,

    explicitly or implicitly, in a particular federal statute."

    Sweeney, 926 F.2d at 38. In considering that intent, we are _______

    guided by a number of factors. It is instructive, though not

    necessarily dispositive, that ERISA, like the statute in

    Sweeney, is a choice of law rather than a choice of forum _______

    statute. We also believe that the interests in uniformity

    which Congress hoped to serve in ERISA did not extend to

    permitting defendant corporations, often more sophisticated

    about ERISA than individual plaintiffs, to sit on their hands

    and not claim the defense until the last minute. Cf. ___

    Williams v. Ashland Eng'g Co., Inc., 45 F.3d 588, 593 (1st ________ ________________________

    Cir.) (emphasizing the importance of protecting against the

    strategic use of a last minute ERISA preemption defense),

    cert. denied, 116 S. Ct. (1995). That employers were meant _____ ______

    to enjoy the benefits of uniformity did not mean they could

    not forego those benefits.

    Other courts, including the Fifth and Ninth

    Circuits have held that ERISA preemption is waivable. See ___

    Dueringer v. General Am. Life Ins. Co., 842 F.2d 127, 130 _________ ___________________________

    (5th Cir. 1988) (holding that ERISA preemption is waivable);

    Gilchrist v. Jim Slemons Imports, Inc., 803 F.2d 1488, 1497 _________ __________________________



    -10- 10













    (9th Cir. 1986) (same); Rehabilitation Inst. of Pittsburgh v. __________________________________

    Equitable Life Assur. Soc'y, 131 F.R.D. 99, 101 (W.D. Pa. ____________________________

    1990) (same), aff'd, 937 F.2d 598 (3d Cir. 1991). _____

    An apparent majority of state courts addressing the

    question have reached the same conclusion. See Gorman v. ___ ______

    Life Ins. Co. of N. Am., 811 S.W.2d 542, 546 (Tex.) (holding _______________________

    that ERISA preemption is waivable when it does not deprive a

    state court of jurisdiction), cert. denied, 502 U.S. 824 _____ ______

    (1991); Curry v. Cincinnati Equitable Ins. Co., 834 S.W.2d _____ ______________________________

    701, 703 (Ky. Ct. App. 1992) (same); Hughes v. Blue Cross of ______ _____________

    N. Cal., 263 Cal. Rptr. 850, 861 (Cal. Ct. App. 1989) (same), _______

    cert. dismissed, 495 U.S. 944 (1990); Associates Inv. Co. v. _____ _________ ___________________

    Claeys, 533 N.E.2d 1248, 1251 (Ind. Ct. App. 1989). But see ______ _______

    Chestnut-Adams Ltd. Partnership v. Bricklayers and Masons ________________________________ ________________________

    Trust Funds of Boston, Mass., 612 N.E.2d 236, 238 (Mass. _______________________________

    1993) (holding that the preemption intended by Congress in

    enacting ERISA is so broad as to make it jurisdictional and

    therefore nonwaivable); Barry v. Dymo Graphic Sys., Inc., 478 _____ _______________________

    N.E.2d 707, 712 (Mass. 1985) (same).7

    Accordingly, we hold that ERISA preemption in a

    benefits-due action is waivable, not jurisdictional, because





    ____________________

    7. We are, of course, not bound by the Massachusetts Supreme
    Judicial Court's interpretation of a federal statute or the
    Congressional intent behind it.

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    it concerns the choice of substantive law but does not

    implicate the power of the forum to adjudicate the dispute.8

    We now turn to the question whether ERISA

    preemption must be pleaded as an affirmative defense.

    Federal Rule of Civil Procedure 8(c) requires that a

    responsive pleading set forth certain enumerated affirmative

    defenses as well as "any other matter constituting an

    avoidance or affirmative defense." Fed. R. Civ. P. 8(c); see ___

    generally 5 Charles A. Wright & Arthur R. Miller, Federal _________ _______

    Practice and Procedure 1271 (1990). The First Circuit test ______________________

    for whether a given defense falls within the Rule 8(c)

    "residuary" clause is whether the defense "shares the common

    characteristic of a bar to the right of recovery even if the

    general complaint were more or less admitted to." Jakobsen ________

    v. Mass. Port Auth., 520 F.2d 810, 813 (1st Cir. 1975). _________________

    ERISA preemption shares this characteristic insofar as it

    would bar Wolf from recovering on his state law contract

    claim even if Reliance admitted Wolf's allegations.

    Therefore we hold that ERISA preemption in a benefits-due

    action is an affirmative defense and, as such, it is subject

    to waiver if not timely pleaded.


    ____________________

    8. Our holding is limited to ERISA preemption of benefits-
    due actions. ERISA permits several other types of civil
    actions (e.g., for injunctive relief, for breach of fiduciary
    duty, etc.) subject to exclusive jurisdiction in the federal
    courts rather than concurrent jurisdiction. See 29 U.S.C. ___
    1132(a)(1)(A), 1132(a)(2)-(6), 1132(e)(1).

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    Several courts, including this Circuit in dictum, ______

    have held that ERISA preemption in benefits-due actions must

    be pleaded timely as an affirmative defense. See Williams v. ___ ________

    Ashland Eng'g Co., Inc., 45 F.3d 588, 593 & n.7 (1st Cir.) ________________________

    (stating, in dictum, that ERISA preemption is an affirmative ______

    defense, but finding no waiver when pleaded six months before

    summary judgment), cert. denied, 116 S. Ct. 51 (1995); _____ ______

    Dueringer, 842 F.2d at 129-130 (5th Cir. 1988) (holding that _________

    ERISA preemption must be pleaded as an affirmative defense);

    Rehabilitation Inst., 131 F.R.D. at 100-01 (W.D. Pa. 1990) ____________________

    (same), aff'd, 937 F.2d 598 (3d Cir. 1991); Gorman, 811 _____ ______

    S.W.2d at 546 (Tex. 1991) (same); Curry, 834 S.W.3d at 703 _____

    (Ky. Ct. App. 1992) (same); but see Chestnut-Adams, 612 ___ ___ ______________

    N.E.2d at 238 (Mass. 1993) (holding that ERISA preemption is

    jurisdictional and therefore not waivable).

    B. Amendment of the Pleadings ______________________________

    Having concluded that ERISA preemption is an

    affirmative defense, it follows that the trial court

    correctly treated Reliance's attempt to raise ERISA

    preemption as a motion seeking leave to amend the

    pleadings.9 We now address whether the trial court abused

    its discretion in denying Reliance leave to amend.


    ____________________

    9. At oral argument on the eleventh-hour motions, Reliance
    conceded the true goal of the motions: "It's not to dismiss
    the complaint per se, it's just to substitute ERISA for the ___ __
    breach of contract under state law."

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    Whether or not to grant leave to amend the

    pleadings is within the discretion of the trial court and the

    court's decision will be reversed only upon a showing of

    abuse of that discretion. Manzoli v. Commissioner, 904 F.2d _______ ____________

    101, 107 (1st Cir. 1990).

    Failure to plead an affirmative defense generally

    results in waiver of the defense and its exclusion from the

    case. Conjugal Partnership v. Conjugal Partnership, 22 F.3d ____________________ ____________________

    391, 400 (1st Cir. 1994). An affirmative defense must be

    pleaded in the answer in order to give the opposing party

    notice of the defense and a chance to develop evidence and

    offer arguments to controvert the defense. Knapp Shoes, Inc. _________________

    v. Sylvania Shoe Mfg. Corp., 15 F.3d 1222, 1226 (1st Cir. _________________________

    1994).

    Reliance conceded at oral argument that ERISA

    preemption was an affirmative defense. It argued, however,

    that having raised in its answer a broad "failure to state a

    claim upon which relief may be granted" defense, see Fed. R. ___

    Civ. P. 12(b)(6), this defense allowed it to later, a week

    before trial, raise the specific defense of ERISA preemption.

    Cf. Williams, 45 F.3d at 593. In Williams, this court ___ ________ ________

    enunciated a test to determine when a general, non-specific

    defense of failure to state a claim, see Fed. R. Civ. P. ___

    12(b)(6), as Reliance originally filed, is sufficient to

    preserve the affirmative defense of ERISA preemption. "[A]n



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    inquiring court must examine the totality of the

    circumstances and make a practical, commonsense assessment

    about whether Rule 8(c)'s core purpose -- to act as a

    safeguard against surprise and unfair prejudice -- has been

    vindicated." Id. In Williams, the defendant raised ERISA ___ ________

    preemption well before the close of discovery, and six months

    prior to the filing of cross-motions for summary judgment.

    Id. The issue was briefed by both sides on summary judgment ___

    and thus we found that no "ambush" had occurred. Id. In the ___

    instant case, however, Reliance did not raise ERISA

    preemption in its answer, at the pretrial hearings, in the

    pretrial memoranda, or at any point during discovery, but

    rather raised it only five days before trial.10 As this

    Circuit recently said in another case of waiver, "[t]he

    chronology of the case speaks volumes about the lack of

    timeliness." Correa v. Hospital San Francisco, No. 95-1167, ______ ______________________

    1995 WL 627505, at *8 (1st Cir. Oct. 31, 1995).

    The trial court denied leave to amend because of

    the undue delay by Reliance in raising the issue11 and the

    ____________________

    10. Reliance argues that the previously referenced exchange
    of letters was sufficient to put Wolf on notice that Reliance
    intended to pursue an ERISA preemption defense. See supra ___ _____
    note 2. We cannot agree that the passing references in those
    letters are the legal equivalent of pursuing a defense in
    court.

    11. When the trial judge asked Reliance at oral argument why
    ERISA preemption was not raised earlier, counsel explained:
    "I sat down a couple weeks ago to start doing jury
    instructions and things in the case and realized that this

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    substantial prejudice to Wolf if amendment were allowed. It

    is well within a court's discretion to find prejudice where

    the amendment "substantially changes the theory on which the

    case has been proceeding and is proposed late enough so that

    the opponent would be required to engage in significant new

    preparation." See 6 Wright & Miller, supra, 1487, at 623. ___ _____

    This is precisely such a case: Reliance sought to change the

    theory of the case five days before trial, which would have

    forced Wolf to conduct additional discovery, research, and

    preparation on the ERISA-related issues.12 We hold that,

    based on these considerations, there was no abuse of

    discretion in denying leave to amend.

    C. Reliance's Other Arguments ______________________________

    We have considered appellant's other assertions of

    error and find them to be without merit.

    III. III. ____

    CONCLUSION CONCLUSION __________

    For the foregoing reasons, the judgment of the

    trial court is Affirmed. Costs to appellees. Affirmed Costs to appellees ________ __________________





    ____________________

    was a case that should be done by ERISA . . . . I had made
    myself . . . knowledgeable about ERISA in the last couple of
    weeks. It's not an area of my normal practice."

    12. Despite the briefing by both parties on the merits of
    ERISA preemption, we have no occasion to reach the issue,
    because we find that the argument was waived.

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