Gardner v. E I DuPont De Nemour ( 1998 )


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  • UNPUBLISHED
    UNITED STATES COURT OF APPEALS
    FOR THE FOURTH CIRCUIT
    NANCY A. GARDNER, Individually
    and as Administratrix of the Estate
    of George A. Gardner,
    Plaintiff-Appellant,
    v.
    E. I. DUPONT DE NEMOURS AND
    COMPANY, INCORPORATED, a Delaware
    corporation; CONNECTICUT GENERAL                                    No. 97-2462
    LIFE INSURANCE COMPANY, a Cigna
    Company, a Connecticut
    corporation,
    Defendants-Appellees,
    and
    TRAVELERS INSURANCE COMPANY,
    Defendant.
    Appeal from the United States District Court
    for the Southern District of West Virginia, at Charleston.
    Charles H. Haden II, Chief District Judge.
    (CA-96-423-2)
    Argued: September 21, 1998
    Decided: October 23, 1998
    Before WIDENER, HAMILTON, and LUTTIG, Circuit Judges.
    _________________________________________________________________
    Vacated and remanded by unpublished opinion. Judge Luttig wrote
    the opinion, in which Judge Widener and Judge Hamilton joined.
    _________________________________________________________________
    COUNSEL
    ARGUED: Anthony J. Majestro, MASTERS & TAYLOR, L.C.,
    Charleston, West Virginia, for Appellant. Eric Wayne Iskra, SPIL-
    MAN, THOMAS & BATTLE, P.L.L.C., Charleston, West Virginia,
    for Appellee duPont; Robert H. Sweeney, Jr., JENKINS, FENSTER-
    MAKER, P.L.L.C., Huntington, West Virginia, for Appellee Con-
    necticut General. ON BRIEF: Charles L. Woody, Paula Durst Gillis,
    SPILMAN, THOMAS & BATTLE, P.L.L.C., Charleston, West Vir-
    ginia, for Appellee duPont.
    _________________________________________________________________
    Unpublished opinions are not binding precedent in this circuit. See
    Local Rule 36(c).
    _________________________________________________________________
    OPINION
    LUTTIG, Circuit Judge:
    Nancy Gardner appeals the district court's dismissal of her state-
    law claims against appellees on the ground that her claims were pre-
    empted by the federal Employee Retirement Income Security Act
    ("ERISA"). For the reasons that follow, we hold that Gardner's claims
    were not preempted by ERISA, and therefore that the district court
    erred in dismissing these claims.
    I.
    George Gardner, appellant's deceased husband, worked for appel-
    lee DuPont for nine years, from 1980 until 1989, before he retired in
    1989 due to deteriorating health. While at DuPont, Mr. Gardner par-
    ticipated in two life insurance programs -- the"noncontributory" plan
    and the "contributory" plan. The "noncontributory" plan automatically
    covers every DuPont employee from the first day of work and contin-
    ues after the employee leaves the company; DuPont manages and
    pays for this plan, under which Mr. Gardner had $25,000 of coverage.
    The "contributory" plan offers optional additional coverage. If an
    2
    employee chooses to participate in this plan, DuPont and the
    employee split the premiums as long as the employee remains with
    DuPont. While at DuPont, Mr. Gardner had $84,000 of coverage
    under the contributory plan.
    Whether an employee's contributory coverage continues after he
    leaves DuPont depends upon the length of the employee's tenure at
    the company and, if the employee remained at the company a suffi-
    cient length of time to have a choice, whether the employee chooses
    to continue in the contributory plan. An employee who leaves DuPont
    after at least 15 years of service may elect to remain in the contribu-
    tory plan. But if he departs with less than 15 years of service, no such
    election is possible. The plan provides that the insurance of an
    employee who is ineligible to elect to remain in the company's con-
    tributory plan "shall be cancelled automatically on the date [ ] the
    employee ceases . . . to be an employee of the Company." DuPont
    instructs these departing employees, however, that, although they may
    not continue in DuPont's contributory plan, they may contact the life
    insurance carrier, in this case Connecticut General, on their own and
    convert the group contributory policy to an individual policy. If the
    former employee converts to an individual policy, he assumes respon-
    sibility for the entire premium.
    Mr. Gardner left DuPont after only nine years, and thus was ineli-
    gible to remain in DuPont's contributory plan. In accordance with its
    practice, however, DuPont informed Mr. Gardner of his right to con-
    vert to an individual policy with Connecticut General. A "Benefits
    Check List for Terminations" noted that his "Contributory Life Insur-
    ance" coverage was "dropped" effective February 28, 1989, his date
    of departure. Another form that he apparently received explained that
    he had "Non-contributory for life" and that"Contributory life can be
    converted by contacting [the insurance company] directly." Thus, as
    the district court found, Mr. Gardner "was given the opportunity to
    convert the contributory insurance into a separate policy, at his own
    expense." Mr. Gardner, however, did not convert the contributory pol-
    icy into a separate policy.
    Three years after his retirement, in late 1992, DuPont began
    deducting from Mr. Gardner's disability checks $50.40 per month for
    life insurance. This, despite the fact that Gardner was not eligible to
    3
    elect continued coverage under DuPont's contributory plan and had
    not converted his group contributory plan to an individual plan.
    DuPont continued to deduct life insurance amounts from his disability
    checks through 1993.
    In late 1993, with his health rapidly deteriorating, Mr. Gardner
    decided to purchase a house for his soon-to-be-widow. Hoping to
    assign his life insurance as collateral, he contacted DuPont's benefits
    department. A clerk, Christine Gaesser, sent him a computer printout
    stating that he had $25,000 noncontributory coverage and $84,000
    contributory coverage, less $3,000 previously paid, for a total of
    $106,000. At the bottom of the printout, Ms. Gaesser wrote that the
    current value of his two policies was $166,000. This latter number
    was an error in addition, and the printed information on contributory
    coverage was also error, as Mrs. Gardner was soon to learn, because
    under the terms of DuPont's plan Mr. Gardner was ineligible for con-
    tributory coverage once he left the company.
    After Mr. Gardner's death in March 1994, DuPont paid the
    $25,000 in noncontributory coverage, but refused to pay the $84,000,
    claiming that the deductions from his disability check over the last
    year and a half had resulted from computer error. DuPont refunded
    the deductions of $806.40.
    Mrs. Gardner thereafter sued both DuPont and Connecticut General
    in West Virginia state court, asserting various state-law claims.
    Defendants removed to federal court on the ground that ERISA pre-
    empted the claims. The district court first held that ERISA pre-
    empted all of the "state causes of action associated with the non-
    contributory policy," then, after further discovery, held similarly for
    the claims associated with the contributory policy. At the invitation
    of the court, Mrs. Gardner then filed an amended complaint adding
    various claims under ERISA. The district court subsequently granted
    summary judgment in favor of defendants on the ERISA claims.
    From the district court's order of summary judgment, Mrs. Gardner
    appeals.
    II.
    ERISA pre-empts all state claims that "relate to any employee ben-
    efit plan." 
    29 U.S.C. § 1144
    . This Court held in Madonia v. Blue
    4
    Cross & Blue Shield of Virginia, 
    11 F.3d 444
     (4th Cir. 1993), that this
    language establishes "two criteria" as prerequisites for pre-emption:
    [F]irst, an "employee benefit plan" must exist; second, [the
    plaintiff] must have standing to sue as a "participant" or
    "beneficiary" of that employee benefit plan.
    
    Id. at 446
    . See Curtis v. Nevada Bonding Corp., 
    53 F.3d 1023
    , 1027
    (9th Cir. 1995) ("[W]ithout standing to enforce ERISA, there can be
    no ERISA preemption."). As Madonia notes, ERISA chiefly allows
    enforcement suits only by a "participant or beneficiary," although
    fiduciaries and the Secretary of Labor may sue in certain instances.
    
    29 U.S.C. § 1132
    (a).
    Both the Supreme Court and this Circuit have explained that a per-
    son who is, beyond question, ineligible to participate in an employee
    benefit plan cannot be a "participant" for purposes of ERISA. ERISA
    defines "participant," in relevant part, as
    any employee or former employee of an employer, . . . who
    is or may become eligible to receive a benefit of any type
    from an employee benefit plan which covers employees of
    such employer, . . . or whose beneficiaries may be eligible
    to receive any such benefit.
    
    29 U.S.C. § 1002
    (7). A former employee, to fall under this definition,
    must "have . . . a reasonable expectation of returning to covered
    employment or [ ] have a colorable claim to vested benefits."
    Firestone Tire & Rubber Co. v. Bruch, 
    489 U.S. 101
    , 117 (1988)
    (internal quotations and citation omitted; ellipsis in original). Like-
    wise, anyone claiming that he "may become eligible to receive a ben-
    efit" must have a "colorable claim" either that he "will prevail in a suit
    for benefits" or that "eligibility requirements will be fulfilled in the
    future." 
    Id. at 117-18
    .
    It is irrelevant if a plaintiff who fails to satisfy the above definition
    thought he was or should have been a participant. In Coyne & Delany
    Co. v. Selman, 
    98 F.3d 1457
     (4th Cir. 1996), we explained that when
    a plan required "active service" in order for someone to be eligible for
    5
    benefits, it was error to view an employee who was on medical leave
    and likely never to return to active work as a "participant." 
    Id.
     at 1462
    n.4. Likewise, in Stanton v. Gulf Oil Corp., 
    792 F.2d 432
     (4th Cir.
    1986), we affirmed a summary judgment that a former employee who
    retired before a new retirement plan went into effect, and thus under
    its terms could not have been eligible for it, was not a "participant"
    in the new plan, even though he was receiving a pension under the
    plan that existed when he retired and would have been eligible for the
    new plan "but for his leaving Gulf Oil's employ" when he did. 
    Id. at 434-35
    . See Teagardener v. Republic-Franklin Inc. Pension Plan, 
    909 F.2d 947
    , 952 (6th Cir. 1990) ("Explicit in the Supreme Court's defi-
    nition of ``participant' in Bruch is a requirement that the plaintiffs
    prove either that their right to assets has ``vested' or will ``vest.'").
    By the same reasoning, it does not matter that a plaintiff was once
    a participant, or that he is a participant in another plan. See Stanton,
    
    792 F.2d at 435
    ; Harris v. Provident Life and Accident Ins. Co., 
    26 F.2d 930
    , 933 (9th Cir. 1994).
    Mr. Gardner was not a participant in the contributory plan at his
    death, nor is there a colorable claim that he was. After retiring
    because of his disability, he had no "reasonable expectation of return-
    ing to covered employment." Likewise, he could not have credibly
    argued that he "may become eligible," 
    29 U.S.C. § 1002
    (7), for bene-
    fits under the contributory plan or that his benefits "w[ould] vest,"
    Teagardener, 
    909 F.2d at 952
     (internal quotation marks omitted),
    because, by the plan's terms, and DuPont's own admissions, the con-
    tributory plan ceased to cover him once his employment ended, no
    matter what he did. Although DuPont attempts to find daylight
    between participation and eligibility, it does not contest that Mr.
    Gardner's ineligibility for the company's contributory plan is beyond
    debate. See Appellees' Br. at 14 ("Mr. Gardner was a participant . . .
    but not eligible for the benefits."); id. at 4 (stating absolute ineligibil-
    ity of employees who retire after less than 15 years with DuPont).
    Nor, for the same reason, could Gardner have brought a "colorable
    claim to vested benefits." Everyone agrees that he had no such claim
    and that there was nothing to vest: he did not complete the conversion
    forms or contact the insurance company when he left DuPont, and
    even if he had, his coverage would have been through Connecticut
    6
    General "directly," J.A. at 286, with DuPont and its group life insur-
    ance plans uninvolved. If on such facts a "claim to vested benefits"
    would have been colorable, then any claim would be colorable, effec-
    tively repealing ERISA's definitions and eliminating its limitation of
    suits to certain parties. See Bruch, 489 U.S. at 117.
    In response, DuPont largely relies on the district court's reasoning,
    although at oral argument it did also make the odd claim that Mr.
    Gardner was a "participant" chiefly because of DuPont's errors in
    deducting "premiums" for the contributory plan and in telling him he
    that he was a participant. But the district court doubly erred in finding
    Mr. Gardner to be a participant. First, it wrongly thought that Mrs.
    Gardner was suing under both the contributory and noncontributory
    policies. Mrs. Gardner's complaint, albeit not a model of clarity,
    seeks damages only relating to the individual (contributory) policy
    that Mr. Gardner thought he had. Mrs. Gardner acknowledges in her
    complaint -- and both sides concede on appeal-- that she was paid
    in full under the noncontributory plan. This error in turn led the dis-
    trict court mistakenly to find that ERISA governed the (nonexistent)
    claims involving the noncontributory policy and therefore that it had
    supplemental jurisdiction over the claims involving the contributory
    policy. Second, the district court confused Mr. Gardner's status while
    at DuPont with his changed status upon his departure. As explained
    above, only his status after departure from DuPont is relevant.
    Because Mr. Gardner was not a participant, Mrs. Gardner cannot
    be a beneficiary under ERISA and thus has no standing. Madonia, 
    11 F.3d at 448
    . Under Madonia and Curtis , therefore, her state-law
    claims are not pre-empted.*
    Title 28, U.S.C. § 1447(c) requires that "[i]f at any time before
    final judgment it appears that the district court lacks jurisdiction, the
    case shall be remanded" to state court. Although there is no longer
    federal question jurisdiction over this case via ERISA pre-emption, it
    appears from Gardner's amended complaint that there is still diversity
    _________________________________________________________________
    *Because Mrs. Gardner pleaded ERISA claims in her amended com-
    plaint only because of the district court's prior erroneous dismissal of her
    state-law claims (which she re-pleaded in the amended complaint), we do
    not reach the merits of the district court's dismissal of the ERISA claims.
    7
    jurisdiction. There is complete diversity, and the amount in contro-
    versy exceeds $75,000. See 
    28 U.S.C. § 1332
    (a). Accordingly, we
    vacate the district court's judgment and remand to the district court.
    VACATED AND REMANDED
    8