Davis, Linda Y. v. Combes, David ( 2002 )


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  •                               In the
    United States Court of Appeals
    For the Seventh Circuit
    ____________
    No. 00-3910
    LINDA DAVIS,
    Plaintiff-Appellant,
    v.
    DAVID COMBES and WENDY JACKSON,
    as guardian of the estate of
    ASHLEY COMBES, a minor,
    Defendants-Appellees.
    ____________
    Appeal from the United States District Court for the
    Northern District of Illinois, Eastern Division. Nos. 98 C 1153,
    98 C 4771, 98 C 7186—Robert W. Gettleman, Judge.
    ____________
    ARGUED MAY 7, 2001—DECIDED JUNE 28, 2002
    ____________
    Before FLAUM, Chief Judge, and RIPPLE and DIANE P.
    WOOD, Circuit Judges.
    DIANE P. WOOD, Circuit Judge. This case pits a surviv-
    ing husband and child against a sister in a fight over the
    proceeds of three insurance policies. Brenda Combes was
    the insured person; she died suddenly at the age of 43. Her
    husband, David Combes, was surprised to discover that
    Brenda had changed the beneficiaries on these policies (or
    had tried to do so) from himself and the couple’s daugh-
    ter Ashley to Brenda’s sister, Linda Davis. In time, two of
    the insurance companies filed interpleader actions (one
    in the Eastern District of North Carolina and one in the
    2                                                No. 00-3910
    Northern District of Illinois) to determine the rightful ben-
    eficiaries of their respective policies, and deposited the pol-
    icy proceeds with the court. The third policy was part of
    a benefit plan established under the Employment Retire-
    ment Income Security Act, or ERISA. Linda filed her own
    suit in the Eastern District of Pennsylvania against the
    issuer of that policy and against David and Ashley (to
    whom we refer collectively as David, since their interests
    are aligned for present purposes), seeking a declaration
    that she was the sole beneficiary of that policy as well and
    demanding payment of the proceeds.
    The Pennsylvania and North Carolina actions were later
    transferred to the Northern District of Illinois, the three
    cases were consolidated, and all contested proceeds were
    deposited with the court. After a one-day bench trial, the
    district court ruled in favor of David, relying principally
    on an alleged oral agreement described by David under
    which Brenda promised to maintain insurance for his ben-
    efit. While we do not doubt that David and Ashley were
    sympathetic figures, we conclude that the oral agreement
    is not sufficient under the law of Illinois to override a
    written designation of a beneficiary on an insurance pol-
    icy. We also conclude that the flaws David identifies in the
    ERISA change of beneficiary form were not enough to de-
    feat its effectiveness. We therefore reverse.
    I
    Before Brenda and David were married in February 1994,
    each had life insurance policies that named family mem-
    bers as beneficiaries. Brenda had a $150,000 policy issued
    by Life Investors, and David had a $100,000 policy issued
    by Equitable Life Assurance Society. Less than a week
    before the wedding, Brenda made David the 67% benefi-
    ciary on her Life Investors policy, and David increased his
    No. 00-3910                                                3
    Equitable policy to $200,000 and made Brenda the 50%
    beneficiary. David testified that they took these steps to
    begin fulfilling their oral agreement “to provide for [each]
    other through the purchase and maintenance of life insur-
    ance.”
    Apart from this alleged oral agreement, David and Bren-
    da kept their financial lives almost entirely separate after
    the marriage. For example, they did not have a joint check-
    ing account, joint credit cards, or joint investments; they
    did not file a joint tax return; and until July of 1997, when
    they co-signed a mortgage for a home, they had no joint
    interest in any assets. Instead, they covered joint expenses
    by repaying one another for particular expenditures. This
    was, however, something of a one-way street. Until 1996,
    David had very little to contribute to the household. He
    was a rather unsuccessful insurance salesman, with an in-
    come in 1994 of less than $2,000, and a 1995 income of less
    than $6,000. His financial picture brightened in 1996, when
    he took a position with a company that paid just under
    $40,000 per year. Brenda, in contrast, had advanced de-
    grees in physical therapy and public health, including a
    Ph.D. from the University of Illinois, and regularly earned
    more than David: her 1995 income was about $71,000; her
    1996 income was roughly $96,700; and her income in 1997,
    the year of her death, was about $90,000.
    A year after their marriage, Brenda and David purchased
    additional life insurance. Brenda acquired a $50,000 pol-
    icy from Continental Assurance Company and named David
    as the sole beneficiary, while David acquired a $50,000 pol-
    icy from Continental and designated Brenda as the sole
    beneficiary. According to David, these actions amounted
    to further performance of the pre-nuptial oral agreement.
    In May 1995 the couple’s first child, Ashley, was born,
    and a few months later, Brenda began to work for Nova-
    Care, Inc. Through NovaCare’s ERISA plan, she purchased
    4                                              No. 00-3910
    a $100,000 policy on David’s life naming herself as the 95%
    beneficiary and Ashley as the 5% beneficiary. She also pur-
    chased a $100,000 policy on her own life, under which she
    named Ashley the 95% beneficiary and designated the
    remaining 5% for her sister Linda. A month later, David
    modified the beneficiary designations on his Equitable pol-
    icy. He removed Brenda altogether from the policy and split
    it among Ashley (35%), his daughter from a previous mar-
    riage, Danielle (50%), and his mother (15%). In Novem-
    ber of the same year, Brenda tinkered further with her
    NovaCare policy: she raised the amount to $272,000, she
    removed Linda as a beneficiary, and she designated an
    80% share for Ashley and the remaining 20% for David.
    When David started his job at Industrial Risk in January
    1996, he took out a $135,000 policy on his life with Brenda
    as the sole beneficiary. In July of that year, he acquired
    a credit life insurance policy for $100,000, in which he
    named Brenda the residual beneficiary. The last insurance
    policy he purchased before Brenda’s death was a $250,000
    policy from Security Mutual Life Insurance Company of
    New York. He bought that policy in July 1997 and once
    again named Brenda the sole beneficiary.
    Brenda, in the meantime, had begun making changes to
    her beneficiary designations, without telling David what
    she was doing. On August 16, 1996, she removed David
    from the Continental policy and named Linda the sole ben-
    eficiary. She did the same thing on September 3, 1996,
    to her Life Investors policy. Finally, she attempted to com-
    plete a change of beneficiary form for her NovaCare policy
    (which was issued by Reliance Standard Life Insurance
    Company), although the effectiveness of that effort is in
    dispute here. She filled out—in her own handwriting—the
    form NovaCare gave her. On that form, she provided all
    the necessary information, including her designation of
    Linda as the new beneficiary and September 1, 1996, as
    the effective date. She did not, however, sign and date the
    No. 00-3910                                                 5
    form on the lines provided for that purpose. NovaCare’s
    benefits coordinator, Linda Dean, accepted the form and
    entered the beneficiary change in NovaCare’s computer
    files. Dean placed the hard copy of the form in Brenda’s
    benefits file. Finally, Dean generated a letter entitled “Con-
    firmation of Your 1996 Flex Benefit Choices.” Unfortu-
    nately, the record does not indicate whether Brenda re-
    ceived her copy of that letter, but it does show that Brenda
    never received anything that would have suggested a prob-
    lem with her effort to change the beneficiary on that policy.
    To sum up, as of the fall of 1996 Brenda and Ashley
    were the beneficiaries of several policies on David’s life,
    but Brenda had removed David and Ashley from her own
    policies (or attempted to do so, in the case of the NovaCare
    policy) and substituted Linda in their place. The couple
    had a second child, Julius, in November 1996, but he was
    not a beneficiary on any policy carried by either parent.
    David, as we have already noted, did not know about the
    changes Brenda had made. He discovered them only after
    her death.
    Relying heavily on the alleged oral agreement, David
    challenged Linda’s right to collect on the policies. The three
    insurers left the contestants to resolve this problem among
    themselves. With respect to the Life Investors and Conti-
    nental policies, which Brenda had unambiguously amended,
    David argued that the district court should impose a con-
    structive trust on the proceeds because Brenda committed
    fraud when she cut him (and Ashley) out of the picture. He
    also argued that the constructive trust was justified under
    a theory of promissory estoppel. With respect to the Nova-
    Care policy, he urged that the attempted change of bene-
    ficiary was ineffective because it lacked Brenda’s signa-
    ture on the signature line of the form and that she was
    equitably estopped from effecting the change. After a bench
    trial, the district court found for David on all three pol-
    icies: the court awarded David 67% of the Life Inves-
    6                                               No. 00-3910
    tors policy proceeds (i.e. $100,500), 100% of the Continen-
    tal proceeds ($50,000), and 20% of the NovaCare policy
    ($54,400). Ashley received the remaining 80% of the Nova-
    Care policy. Linda has appealed.
    II
    The district court concluded that the parties’ disputes
    over the Life Investors and Continental policies are gov-
    erned by Illinois law, while federal law controls the ERISA
    claims concerning the NovaCare policy. No one has objected
    to this ruling on appeal, and we will thus proceed on that
    basis. See McFarland v. General Am. Life Ins. Co., 
    149 F.3d 583
    , 586 (7th Cir. 1998); Reilly v. Blue Cross & Blue Shield
    United, 
    846 F.2d 416
    , 418 (7th Cir. 1988).
    A. The Life Investors and Continental Policies
    As we just noted, the district court concluded that David
    was entitled to have a constructive trust imposed upon the
    proceeds of the Life Investors and Continental policies. In
    so ruling, it found that he had successfully proven the ele-
    ments of fraud, constructive fraud, and promissory estop-
    pel, and that on the equities his claim to the proceeds was
    superior to Linda’s. Linda counters that the district court,
    among other things, failed to assess the evidence under
    the proper legal standards, under which she claims she
    should have prevailed.
    The doctrine of constructive trust pits fundamental prin-
    ciples of property against equally fundamental principles
    of equity. Then-Judge Cardozo recognized the tension
    when he noted that “[a] constructive trust is the formula
    through which the conscience of equity finds expression.”
    Beatty v. Guggenheim Exploration Co., 
    122 N.E. 378
    , 386
    (1919), quoted in A.W. Scott and W.F. Fratcher, The Law of
    Trusts, § 462 (1989). But the right to dispose of one’s prop-
    No. 00-3910                                                  7
    erty is also firmly ensconced in our legal traditions, and so
    it is only “[w]hen property has been acquired in such cir-
    cumstances that the holder of the legal title may not in
    good conscience retain the beneficial interest, [that] equity
    converts him to a trustee.” 
    Id. Illinois decisively
    favors the
    “property” side of the balance and recognizes a strong pre-
    sumption that the named beneficiary of a life insurance
    policy is entitled to its proceeds. Travelers Ins. Co. v. Dan-
    iels, 
    667 F.2d 572
    , 573 (7th Cir. 1981). The presumption
    is not, however, irrebuttable: it can be overcome on equi-
    table grounds if the contesting party can show that she
    was deprived of the proceeds by (1) fraud or constructive
    fraud, (2) breach of a fiduciary duty, or (3) duress, coercion,
    or mistake. Suttles v. Vogel, 
    533 N.E.2d 901
    , 904-05 (Ill.
    1988); Smithberg v. Ill. Mun. Ret. Fund, 
    735 N.E.2d 560
    ,
    565-66 (Ill. 2000). The district court referred to this line
    of cases and properly focused on the three theories of
    fraud, constructive fraud, and promissory estoppel. The
    problem with its analysis arose at the next stage, when it
    considered the proper burdens of proof.
    The burden of proof on the issue whether a constructive
    trust should be imposed in this kind of case is a matter
    of state, not federal law. See, e.g., Shapiro v. Rubens, 
    166 F.2d 659
    , 666 (7th Cir. 1948) (applying Indiana’s “clear
    and convincing evidence” burden of proof); Ohio v. Four
    Seasons Nursing Centers of America, Inc., 
    465 F.2d 25
    (10th
    Cir. 1972) (applying Oklahoma’s “clear and convincing evi-
    dence” burden of proof). Illinois courts have stressed that
    a party seeking to do so bears a heavy burden of proof.
    “The grounds for imposing a constructive trust must be so
    clear, convincing, strong, and unequivocal as to lead to but
    one conclusion.” 
    Suttles, 533 N.E.2d at 905
    ; Schultz v.
    Schultz, 
    696 N.E.2d 1169
    , 1173 (Ill. App. Ct. 1998). Each
    element of the wrongdoing giving rise to the construc-
    tive trust must be established by clear and convincing
    evidence. Rapp v. Bowers, 
    348 N.E.2d 529
    , 533 (Ill. App. Ct.
    8                                                No. 00-3910
    1976); see also Martin v. Heinhold Commodities, Inc., 
    643 N.E.2d 734
    (Ill. 1992) (fiduciary relationship must be es-
    tablished by clear and convincing evidence). To be “clear
    and convincing,” the evidence presented must “leave[ ] no
    reasonable doubt in the mind of the trier of fact as to the
    truth of the proposition in question.” Parker v. Sullivan, 
    891 F.2d 185
    , 188 (7th Cir. 1989), citing Estate of Ragen, 
    398 N.E.2d 198
    , 203 (Ill. App. Ct. 1979).
    This heightened evidentiary burden exists to implement
    Illinois’s substantive law emphasizing the “paramount”
    right of property owners while they are alive to dispose of
    their belongings (including the proceeds of life insurance
    policies) as they see fit, even if their decisions impair a
    marital partner’s future interest in the property. Wood v.
    Wood, 
    672 N.E.2d 385
    , 388-89 (Ill. App. Ct. 1996) (title
    holder may dispose of home even if it might be considered
    marital property or spouse represented that it would be
    marital property); 
    Schultz, 696 N.E.2d at 1173
    (unless
    wife’s rights vested, husband was free to change beneficiary
    on life insurance “on his own whim if he reserved the right
    to do so.”).
    Applied too liberally, the device of a constructive trust
    could undermine these rules of private property rights. It
    is our obligation, sitting in diversity, to respect the bal-
    ance Illinois has established. The task is especially deli-
    cate in a case like this one, where the party whose disposi-
    tion of the property has been challenged is dead and thus
    cannot counter the surviving party’s version of the rele-
    vant events. See Parham v. Hughes, 
    441 U.S. 347
    , 365 n. 9
    (1979). With few exceptions, therefore, see, e.g., Ziarko v.
    Ziarko, 
    318 N.E.2d 1
    (Ill. App. Ct. 1974), parties that suc-
    ceed in imposing a constructive trust on life insurance
    proceeds have powerful evidence such as a written agree-
    ment to show how the property was intended to be dis-
    tributed. See Lincoln Nat’l Ins. Co. v. Watson, 
    390 N.E.2d 506
    (Ill. App. Ct. 1979) (agreement to maintain life insur-
    No. 00-3910                                                9
    ance in marital settlement agreement creates equitable
    right); Perkins v. Stuemke, 
    585 N.E.2d 1125
    (Ill. App. Ct.
    1992) (judicial decree ordering maintenance of life in-
    surance creates equitable right); 
    Smithberg, 735 N.E.2d at 566-67
    (marital settlement agreement created vested
    contingent right in survivor benefit). Illinois has made
    this policy explicit for the case of prenuptial agreements
    regarding the disposition of life insurance policies: they
    must be in writing if they are to be enforceable. See, e.g.,
    Illinois Uniform Premarital Agreement Act, 750 ILCS 10/3;
    Mina Lee v. Central Nat’l Bank & Trust Co., 
    308 N.E.2d 605
    (Ill. 1974) (written document of oral prenuptial agree-
    ment sufficient to take agreement out of Statute of Frauds).
    Nothing in the district court’s opinion indicates that it
    evaluated David’s evidence under the required “clear and
    convincing” evidentiary standard. Had it done so, we con-
    clude, the verdict in his favor could not have been sus-
    tained. To qualify for a constructive trust, David needed
    to establish fraud or constructive fraud, or to make out
    a valid claim of promissory estoppel. The record shows
    that he did none of these things. To establish his claim for
    fraud, David had to prove by clear and convincing evi-
    dence that Brenda assured him that he was (and would
    remain, to some unspecified degree) the named beneficiary
    of her policies even after she knew that he was not. Siegel
    v. Levy Org. Dev. Co., 
    607 N.E.2d 194
    , 198 (Ill. 1992) (set-
    ting out elements of common law fraud). To prevail on his
    constructive fraud claim, David had to prove by clear and
    convincing evidence that Brenda promised to provide for
    him through life insurance and that this promise, togeth-
    er with the trust he placed in her as his wife, imposed up-
    on her a fiduciary duty to disclose any changes in her ben-
    eficiary designations. See In re Estate of Neprozatis, 
    378 N.E.2d 1345
    (Ill. App. Ct. 1978) (constructive fraud results
    from act, statement, or omission that constitutes a breach
    of legal or equitable duty). Finally, his promissory estoppel
    10                                              No. 00-3910
    theory required him to establish (again under the demand-
    ing standard of proof) the existence of Brenda’s alleged
    unambiguous promise. See Cullen Distributing, Inc. v.
    Petty, 
    517 N.E.2d 733
    , 737 (Ill. App. Ct. 1987).
    Other than his own testimony about Brenda’s statements
    to him, David presented no direct evidence in support of
    any of these essential elements of his claim. The evidence
    is devoid of any writings suggesting the existence of the al-
    leged oral agreement, either before or after Brenda began
    changing her beneficiary designations. Furthermore, not
    a single witness other than David mentioned an agree-
    ment or promise that David and Brenda had made to name
    one another as beneficiaries on their respective life insur-
    ance policies. Somewhat to the contrary, both David’s moth-
    er and his close friend and insurance agent admitted that
    neither David nor Brenda ever mentioned such an agree-
    ment. The only support the district court identified for
    a finding that the agreement existed beyond David’s tes-
    timony was (1) Brenda’s statements to friends and rela-
    tives that the children would be taken care of in the event
    of her death, and (2) the couple’s pattern of beneficiary
    designations starting just before the marriage in 1994. We
    find the latter two circumstances to be unhelpful at best:
    the “pattern” the court mentioned lasted just over two years
    and shifted during that time period, and the statement
    about providing for the children does not give any detail
    about who would be caring for the children or how this
    would be accomplished, and is consistent with a beneficiary
    designation of someone other than David.
    This leaves David’s testimony. While the admissibility of
    the testimony does not seem to be disputed, and is in any
    event controlled by the Federal Rules of Evidence, the
    weight to which the evidence was entitled is in part a func-
    tion of the substantive law of Illinois. See Milam v. State
    Farm Mut. Auto. Ins. Co., 
    972 F.2d 166
    , 170 (7th Cir. 1992)
    (“where a state in furtherance of its substantive policy
    No. 00-3910                                               11
    makes it more difficult to prove a particular type of state-
    law claim, the rule by which it does this . . . will be given
    effect in a diversity suit as an expression of state substan-
    tive policy.”). The Illinois Supreme Court has long warned
    that testimony from interested parties regarding what a
    deceased individual has said is “subject to great abuse and
    will be carefully scrutinized when considered with the other
    evidence in the case.” Monninger v. Koob, 
    91 N.E.2d 411
    ,
    415 (Ill. 1950).
    The facts of Monninger are instructive here. There, the
    plaintiffs claimed that an oral agreement between spouses
    who had later died entitled the plaintiffs to certain assets
    that had been left to the defendants in the wife’s will. In
    order to prevail, the plaintiffs had to demonstrate the ex-
    istence of the alleged oral agreement by “clear and satisfac-
    tory” evidence. 
    Id. at 414.
    The Illinois Supreme Court up-
    held the dismissal of the plaintiffs’ complaint, emphasizing
    that the only evidence of the agreement was the testimony
    of interested parties regarding the statements of the now-
    dead husband and wife. 
    Id. at 414-15.
    The court discounted
    the testimony even though in those suits (unlike our case)
    there were several non-party witnesses, including the at-
    torney who helped the couple draft their wills, who gave
    consistent and often detailed descriptions of the terms of
    the alleged agreement. 
    Id. See also
    Harper v. Kennedy, 
    153 N.E.2d 801
    (Ill. 1958) (testimony of interested family mem-
    bers insufficient to establish agreement even where sup-
    ported by written document that could be read as consistent
    with alleged agreement).
    The testimony here fell far short even of the records that
    the Illinois Supreme Court found insufficient in Monninger
    and Harper. David had not a single corroborating witness.
    His testimony at trial about the terms of the alleged
    agreement and its persistence throughout the marriage
    was general, conclusory, and, when it came to specifics, in-
    consistent. About the terms of the agreement, he could say
    12                                               No. 00-3910
    only that Brenda and he “were to provide for each other
    through the purchase and maintenance of life insurance.”
    Beyond that he simply asserted that each of the beneficiary
    designations up until the late summer of 1996 was in fur-
    therance of the agreement. Asked whether the agreement
    called for him to be the “sole” beneficiary of his wife’s pol-
    icies, David’s sworn answers changed from no to yes and
    back to no over the course of the proceedings. On the sub-
    ject of whether Brenda confirmed the agreement in any way
    during the marriage, either before or after her alleged
    breach, David could say only that he and Brenda had “dis-
    cussed . . . plans regarding life insurance . . . when our
    children were born, [and] when the premiums were due.”
    Later he added that they sometimes confirmed their agree-
    ment “when [they] were out having fun or at home hav-
    ing fun.” When asked to give specific examples of those
    statements, David offered only that in December of 1997
    he had asked whether everything was okay with the insur-
    ance and she said it was. In our view, given the strength
    of the substantive preference Illinois has for enforcing
    written beneficiary designations only, this evidence was
    insufficient as a matter of law to justify overriding the
    written policies.
    B. The NovaCare Death Benefit
    The district court also concluded that David and Ashley
    were entitled to their respective shares of the NovaCare
    policy according to the beneficiary designations Brenda
    had made prior to her September 1996 effort to substitute
    Linda as the sole beneficiary. The district court gave two
    reasons for finding in favor of David and Ashley on this part
    of the case: (1) federal common law estoppel, and (2) Bren-
    da’s failure properly to complete the beneficiary designa-
    tion form.
    Estoppel is at best a difficult theory to use with respect to
    an ERISA benefits plan. See, e.g., Downs v. World Color
    No. 00-3910                                               13
    Press, 
    214 F.3d 802
    (7th Cir. 2000). We noted in Downs
    that some circuits do not recognize any application of estop-
    pel principles to modify an ERISA plan, and that this court
    has only gone so far as to hold that it might apply to an
    unfunded, single-employer welfare benefit plan. 
    Id. at 806
    (citing cases). In Downs itself, we had no occasion to de-
    cide whether estoppel might ever apply to other kinds of
    ERISA plans, because the plaintiff failed in the first place
    to establish the elements of estoppel. 
    Id. The same
    thing is
    true here. Relying on our earlier decision in Coker v. Trans
    World Airlines, 
    165 F.3d 579
    , 585 (7th Cir. 1999), Downs
    identified four elements that must be proved before equita-
    ble estoppel will apply: (1) a knowing misrepresentation
    by the defendants; (2) in writing; (3) with reasonable re-
    liance by the plaintiff on the misrepresentation; and (4) to
    the plaintiff’s detriment. 
    Downs, 214 F.3d at 805
    . David
    and Ashley’s estoppel argument founders immediately on
    the second requirement: there was no writing of any kind
    documenting Brenda’s alleged knowing misrepresentation
    to the effect that David and Ashley were still the beneficia-
    ries of her NovaCare policy. The estoppel theory therefore
    cannot save David’s case with respect to the NovaCare plan.
    A more difficult question is whether the court properly
    determined that the change of beneficiary form was not
    effective. Brenda’s failure to sign and date the form on the
    line provided for that purpose appears to have been at least
    a technical violation of both the NovaCare plan summary,
    which required her to “complete” the change of benefici-
    ary form, and Reliance’s requirements for changing benefi-
    ciaries. The policy provides that a beneficiary designation
    “will be effective on the date the insured signs it.” Linda
    argues that notwithstanding the technical omissions, the
    change should be deemed effective because Brenda substan-
    tially complied with the policy requirements.
    The concept of substantial compliance is part of the body
    of federal common law that the courts have developed for
    14                                               No. 00-3910
    issues on which ERISA does not speak directly. Thomason
    v. Aetna Life Ins. Co., 
    9 F.3d 645
    , 647 (7th Cir. 1993). The
    precise question is whether it should apply to a signing
    requirement like the one presented in this case. There is no
    explicit requirement in ERISA that a change of beneficiary
    form must be signed and dated in a specific manner. See
    generally Phoenix Mutual Life Ins. Co. v. Adams, 
    30 F.3d 554
    , 562 (4th Cir. 1994) (“ERISA is silent on the matter of
    which party shall be deemed beneficiary among disputing
    claimants.”); compare Butler v. Encyclopedia Brittanica
    [sic], 
    41 F.3d 285
    , 293-94 (7th Cir. 1994) (rejecting substan-
    tial compliance doctrine where ERISA explicitly requires
    witness to signature).
    The district court rejected Linda’s substantial compliance
    argument without identifying the legal test it was apply-
    ing or otherwise explaining its decision. It is unclear wheth-
    er it thought that the signing requirement was so impor-
    tant that no deviation from it could be tolerated, or if it
    thought only that in the absence of sufficient justification a
    policy holder who fails to sign and date a beneficiary des-
    ignation has not substantially complied with the policy’s
    beneficiary designation requirements. As David and Ashley
    point out, the Ninth Circuit in BankAmerica Pension Plan
    v. McMath, 
    206 F.3d 821
    (9th Cir. 2000), took the latter
    position. But the court made it clear in BankAmerica that
    it was applying the law of California to the issue of sub-
    stantial compliance. California requires not just evidence
    of the policy holder’s intent to change beneficiaries but
    also that the policy holder did “all he could” to effectuate
    the beneficiary designation. The court found that a dece-
    dent who, without apparent justification, failed to sign his
    change of beneficiary form was “[a]t best . . . careless” and
    “did not do all that he could have done.” 
    Id. at 831.
    He
    therefore did not substantially comply with the require-
    ments for changing beneficiaries. 
    Id. The Tenth
    Circuit also
    looked to state law with respect to substantial compliance
    No. 00-3910                                                15
    in Peckham v. Gem State Mutual, 
    964 F.2d 1043
    (10th
    Cir. 1992), in which it was asked to determine the effect
    of an employee’s imperfect filing. The question it asked,
    however, was whether “ERISA preempts the state common
    law doctrine of substantial compliance.” 
    Id. at 1052.
    It
    answered that in the negative, and then found that the
    claimant had failed in any event to show substantial com-
    pliance, without citing to any Utah case or any other au-
    thority. The court never considered whether federal com-
    mon law might itself include a doctrine of substantial
    compliance, nor did it consider whether there might be any
    difference between such a rule of federal common law and
    the Utah doctrine. Under the circumstances, therefore, we
    do not find Peckham to be particularly useful on the ques-
    tion of the proper choice of law.
    Other courts that have considered this question have
    opted for federal common law. Indeed, this circuit has al-
    ready recognized that substantial compliance in the ERISA
    context is a matter of federal common law. 
    Butler, 41 F.3d at 294
    (a court can “adopt a substantial compliance
    doctrine as a matter of federal common law” unless ERISA
    speaks on the issue). See also Pilot Life Ins. Co. v. Dedeaux,
    
    481 U.S. 41
    (1987). The Sixth Circuit did the same in
    Tinsley v. General Motors Corp., 
    227 F.3d 700
    , 704 (6th
    Cir. 2000), where it reversed an application of state law
    and applied federal law to the issue of designation of an
    ERISA beneficiary, explicitly distinguishing the Ninth Cir-
    cuit’s reliance on state law. Likewise, the Fourth Circuit
    turned to federal common law in Phoenix Mutual 
    Life, 30 F.3d at 564
    , a case remarkably similar to the one at bar, in
    which the court approved the following federal test for
    substantial compliance:
    . . . [A]n insured substantially complies with the change
    of beneficiary provisions of an ERISA life insurance
    policy when the insured: (1) evidences his or her intent
    to make the change and (2) attempts to effectuate the
    16                                              No. 00-3910
    change by undertaking positive action which is for all
    practical purposes similar to the action required by the
    change of beneficiary provisions of the policy.
    
    Id. This test
    requires evidence of intent and substantial
    completion of the benefit change process, but it notably
    omits the “all he could have done” element that Bank-
    America concluded California law requires.
    Although this court has applied the substantial compli-
    ance concept elsewhere in ERISA cases, see, e.g., Donato
    v. Metropolitan Life Ins. Co., 
    19 F.3d 375
    , 382 (7th Cir.
    1994), Halpin v. W.W. Grainger, Inc., 
    962 F.2d 685
    , 693-94
    (7th Cir. 1992), we have not yet had occasion to consider
    whether it applies, and if so how, to an ERISA-regulated
    policy’s change of beneficiary requirements. We did, how-
    ever, face a similar claim with respect to a soldier’s Na-
    tional Service Life Insurance policy proceeds in Criscuolo v.
    United States, 
    239 F.2d 280
    (7th Cir. 1956), which also
    concerned an insurance claim governed by federal law. As
    the soldier lay dying in a hospital, he gave a staffperson
    a note indicating that he wanted to make his wife the
    beneficiary of his policy. The staffer obtained and completed
    a change of beneficiary form, but the soldier died before
    he was able to sign and submit it. We found substantial
    compliance, noting that while “the mere intent to change
    the beneficiary is not enough,” “the intention, desire, and
    purpose of the soldier should, if it can reasonably be done,
    be given effect by the courts.” Moreover, we said, “sub-
    stance, rather than form, should be the basis of . . . [such]
    decisions.” 
    Id. at 282.
      We see no reason not to apply the substantial compliance
    notion to this issue just as we do in other ERISA-related
    disputes. Not infrequently, we face the situation where
    an employee who was denied benefits under an ERISA-
    regulated plan claims that he was not properly notified by
    the plan administrator of the reasons for the denial, as re-
    No. 00-3910                                                 17
    quired by 29 U.S.C. § 1133 and its implementing regula-
    tions. In that situation, we have held that the plan adminis-
    trator’s substantial compliance with the statute and reg-
    ulations is sufficient. Tolle v. Carroll Touch, Inc., 
    23 F.3d 174
    , 180 (7th Cir. 1994); 
    Donato, 19 F.3d at 382
    . In deter-
    mining whether there was substantial compliance, “the
    purpose of 29 U.S.C. § 1133 and its implementing regula-
    tions . . . serves as our guide: was the beneficiary supplied
    with a statement of reasons that, under the circumstances
    of the case, permitted a sufficiently clear understanding
    of the administrator’s position to permit effective review.”
    
    Donato, 19 F.3d at 382
    . When the shoe is on the administra-
    tor’s foot, then, the rule is that a harmless, technical slip-up
    on the plan administrator’s part is not enough to undermine
    the legal sufficiency of her actions: a similarly minor in-
    advertence on the employee’s part should lead to a parallel
    result.
    In our view, the criteria the Fourth Circuit articulated
    in Phoenix Mutual Life are the correct ones. The fact that
    a policy holder made a careless error should not conclu-
    sively determine whether her efforts at naming a benefi-
    ciary were effective for purposes of the policy and the
    statute. Carelessness suggests a lack of attention to detail,
    but it tells us very little about whether the policy holder
    formed the necessary intent to name a beneficiary and
    whether she took sufficient steps consistent with that intent
    to implement her decision. We are aware that there will
    be situations in which a failure to sign and date a benefi-
    ciary designation may cast significant doubt on whether
    the policy holder actually decided to go through with the
    change. But it is equally true that there are other cases
    in which the evidence will unequivocally establish that
    the policy holder intended to make the new benefici-
    ary designation and took positive action to effectuate that
    intent. Cf. Becker v. Montgomery, 
    121 S. Ct. 1801
    , 1808
    (2001) (holding that failure to sign notice of appeal should
    18                                              No. 00-3910
    not be fatal where “no genuine doubt exists about who is
    appealing, from what judgment, to which appellate court”).
    The evidence in the case before us leaves no doubt about
    Brenda’s intent to make Linda the sole beneficiary of her
    NovaCare policy. Brenda attempted to make the change
    at the same time that she successfully named Linda the
    beneficiary of the Continental and the Life Investors pol-
    icies. She requested the change of beneficiary form from
    her employer and filled it out in her own handwriting.
    She completed the form in its entirety (including a Septem-
    ber 1, 1996 effective date) with the exception of the signa-
    ture and date lines. She then turned the form in to the
    NovaCare benefits coordinator, who accepted and processed
    the application as though it were complete. Whether or not
    Brenda received a letter confirming the change, we know
    she had no indication that the change was not effective.
    On these facts, her failure to sign and date the form can
    only be construed as carelessness. Given that all the oth-
    er evidence indicates that Brenda intended to make Lin-
    da her beneficiary and took the steps necessary to do so,
    we conclude that Brenda substantially complied with the
    change of beneficiary requirements of the NovaCare policy
    and that Linda is entitled to its proceeds.
    III
    We do not know why Brenda chose to make Linda the sole
    beneficiary of her Life Investors and Continental life insur-
    ance policies in the fall of 1996, but that is what she did.
    Under Illinois law she was entitled to do so, even at the
    expense of her husband and child, unless she legally ob-
    ligated herself in one way or another to designate only them
    as beneficiaries. David’s testimony alone, especially giv-
    en its vague and conclusory nature, simply cannot support
    a finding that Brenda took on such an obligation. Because
    Linda also established her entitlement to the NovaCare
    No. 00-3910                                           19
    policy proceeds under federal law, we REVERSE and direct
    the district court to enter judgment for Linda.
    A true Copy:
    Teste:
    ________________________________
    Clerk of the United States Court of
    Appeals for the Seventh Circuit
    USCA-97-C-006—6-28-02
    

Document Info

Docket Number: 00-3910

Judges: Per Curiam

Filed Date: 6/28/2002

Precedential Status: Precedential

Modified Date: 9/24/2015

Authorities (34)

andrea-peckham-as-the-mother-and-natural-guardian-of-kyle-m-peckham-an , 964 F.2d 1043 ( 1992 )

Wood v. Wood , 284 Ill. App. 3d 718 ( 1996 )

Perkins v. Stuemke , 223 Ill. App. 3d 839 ( 1992 )

Ziarko v. Ziarko , 22 Ill. App. 3d 520 ( 1974 )

Pilot Life Insurance v. Dedeaux , 107 S. Ct. 1549 ( 1987 )

Becker v. Montgomery , 121 S. Ct. 1801 ( 2001 )

Schultz v. Schultz , 297 Ill. App. 3d 102 ( 1998 )

Susan Coker v. Trans World Airlines, Inc. , 165 F.3d 579 ( 1999 )

28-socsecrepser-31-unemplinsrep-cch-p-15207a-theresa-parker-for , 891 F.2d 185 ( 1989 )

John Halpin v. W.W. Grainger, Incorporated , 962 F.2d 685 ( 1992 )

Christine M. Donato v. Metropolitan Life Insurance Company , 19 F.3d 375 ( 1994 )

Lee v. CENTRAL NAT. BK. & T. CO. , 56 Ill. 2d 394 ( 1974 )

nicolette-anne-butler-v-encyclopedia-brittanica-inc-a-new-york , 41 F.3d 285 ( 1994 )

Monninger v. Koob , 405 Ill. 417 ( 1950 )

Smithberg v. Illinois Municipal Retirement Fund , 192 Ill. 2d 291 ( 2000 )

Lincoln National Life Insurance v. Watson , 71 Ill. App. 3d 900 ( 1979 )

State of Ohio, for Reclamation-Appellant v. Four Seasons ... , 465 F.2d 25 ( 1972 )

Phoenix Mutual Life Insurance Company v. William Jackson ... , 30 F.3d 554 ( 1994 )

Shapiro v. Rubens , 166 F.2d 659 ( 1948 )

In Re Estate of Ragen , 79 Ill. App. 3d 8 ( 1979 )

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