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No. 11-1750
Appeal from the United States District Court for the Western
District of Virginia, at Lynchburg.
Norman K. Moon, Senior
District Judge. (6:09-cv-00064-NKM)
Argued:
Decided:
December 3, 2012
PER CURIAM:
Judy L. Moon (Appellant), executor of the estate of
Leslie
W.
Moon,
appeals
the
district
courts
denial
of
her
one-time
recovery
from
Appellees
based
on
an
alleged
independent contract for benefits and thus do not fall under the
Employee Retirement Income Security Act of 1974 (ERISA or the
Act), 29 U.S.C. 1001 et seq.
Because
Appellants
claims,
which
were
initially
brought
in
and
the
motion
to
remand
to
state
court
was
properly
denied.
deciding
that
the
life
insurance
plan
language
at
issue
Co.,
650
F.3d
414
(4th
Cir.
2012)
(McCravy
I),
131 S. Ct. 1866, 179 L.Ed.2d 843 (2011), we vacate the order of
dismissal and entry of final judgment and remand for further
proceedings.
I.
Mr. Moon, now deceased, had been a full-time employee
of Appellee BWX Technologies, Inc. (BWX) and its predecessor
corporations from 1969 until June 2005.
Mr.
Moon
was
medically
unable
to
continue
working
due
to
He later
offered
At
some
Mr.
Moon
point
a
during
selection
his
of
employment
employee
in
2005,
group
BWX
benefits,
pending.
completing
for
long-term
disability
benefits
was
FlexChoice
Decision
Worksheet
(2005
Decision
to
verified
become
effective
January
1,
2006.
BWX
Moons
Mr.
2005
Moon
Confirmation
went
on
Statement,
long-term
issued
disability
only
and
days
retired,
by
BWX,
McDermott
titled
Group
Incorporated
and
Plan
for
Participating
Employees
Subsidiary
of
and
policies,
including
life
insurance
plan
(Plan)
January
thereafter
13,
2006,
received,
BWX
printed,
second
and
benefits
Mr.
Moon
confirmation
statement
had
(2006
chosen
Confirmation
benefits
Statement)
effective
January
2,
confirming
2006,
Mr.
Moon
including
Statement incorrectly states that Mr. Moon was not disabled and
appears to refer to him as an employee, despite the fact that
Mr. Moon retired from BWX and went on long term disability as of
December 1, 2005.
Mr. Moon and his family paid some, though not all, of
the premiums set forth in the 2006 Confirmation Statement.
The
Moons
BWX
paid
the
premiums
directly
to
BWX
during
2006.
payments
at
the
time
of
Mr.
Moons
death
The 2006
were
in
12, 2007, which stated Mr. Moon had lost his employee group life
insurance benefit when he became unable to work after November
2005.
City
Circuit
Court.
She
alleged
in
the
original
complaint that Mr. Moon and Appellees made an independent postemployment contract for life insurance benefits by way of the
2006 Confirmation Statement, and that Appellees, not MetLife,
had
an
obligation
removed,
asserting
Appellant
motion
moved
to
to
to
pay
federal
remand.
magistrate
the
$200,000.
question
The
judge,
Appellees
jurisdiction
district
who
court
issued
under
timely
ERISA.
referred
the
report
and
The
record
makes
clear
that
plaintiffs
claim
under
the
allegedly
independent
benefits
agreement
is
in
substance
an
(J.A. 143). 4
--
the
2006
Confirmation
Statement
--
actually
of
the
suggests
otherwise,
the
substance
of
(J.A. 143-44).
the
district
court
denied
remand,
Appellant
Appellees
moved
to
dismiss
the
amended
(J.A.
complaint
pursuant
to
Rule
12(b)(6).
The
district
court
heard
oral
It rejected Appellants
accepted
negligent
premium
payments.
breach-of-ERISA-duties
claim
And
it
because,
rejected
among
the
other
and
was
not
available
in
equity.
See
Moon
v.
BWX
II.
We
jurisdiction,
removal.
review
de
novo
including
those
questions
relating
of
to
subject
the
matter
propriety
of
removal.
Mulcahey
v.
Columbia
Organic
Chems.
Co.,
Rule
12(b)(6)
dismissal
for
failure
to
state
claim.
III.
A.
Motion to Remand
argument
goes,
this
alleged
independent
contract
As
for
by
ERISA.
However,
Appellant
has
blurred
crucial
Id. 5
with claims under state law that are said to implicate ERISA, a
court (be it state or federal) must determine whether the claims
are
preempted
by
ERISA
514.
Darcangelo
v.
Verizon
But
state
claim
law.
defense
to
into
an
action
arising
under
federal
law
claim,
the
state
claim
is
not
187.
In contrast, complete preemption does give rise to
removal jurisdiction.
Thus, if
1996) (en banc) (quoting Shaw v. Delta Air Lines, Inc., 463 U.S.
85, 97 (1983)).
10
federal claims.
Section 1132(a)
authorizes
participants
to
plan
or
beneficiaries
file
civil
contends
the
district
court
should
have
See 29
11
pursued
under
ERISA,
502(a)
also
specifies
the
parties
In particular, participants
502(a),
under ERISA.
to
bring
several
causes
of
action
permitted
Appellant
benefits.
29
the
recipient
However,
party
of
his
alleged
life
such
as
Appellant
can
be
considered
beneficiary
for
jurisdictional
purposes, only if she can show that at the time she filed suit
she had a colorable claim to benefits.
as
participant
depends,
12
not
on
whether
he
is
Davis v.
one.
Kennedy v. Conn. Gen. Life Ins. Co., 924 F.2d 698, 700-01 (7th
Cir.
1991)).
We
find
that
because
Appellants
claims
are
civil
Products,
338
enforcement
F.3d
at
provision,
372.
502(a).
Appellants
claim
See
for
Sonoco
benefits
coverage
documents.
See
29
U.S.C.
1132(a)(1)(B)
13
final
requirement
for
complete
preemption
is
without
an
interpretation
Appellants
of
the
ERISA-governed
assertion
that
her
claims
arise
from
an
of
the
employee-sponsored
plan
that
he
selected
upon
that
the
district
Appellants
court
purported
did
state
not
law
err
claims
in
are
We
now
turn
Motion to Dismiss
to
Appellants
contention
that
the
the
inaccurate
premise
that
14
her
claims
arise
from
an
independent
husband
contract
and
BWX,
for
as
Statement
directly
BWX
employee
coverage,
while
and
during
benefits,
made
purportedly
Confirmation
to
benefits
her
still
an
her
demonstrated
payment
2006.
including
between
In
the
employee
of
fact,
disputed
at
the
2006
premiums
made
Mr.
some
by
deceased
Moon
life
selected
insurance
point
prior
to
November 29, 2005, the date on which BWX confirmed Mr. Moons
selected coverage.
employment
contract
for
benefits,
the
documents
on
which
employee
benefit
plan
weeks
before
his
retirement.
(J.A. 238).
benefits will end on the last day of the calendar month in which
your
employment
ends.
Your
employment
ends
(J.A. 238).
when
you
cease
(J.A. 238).
The Summary
totally
disabled
and
are
unable
to
work,
your
life
(J.A. 195).
under
the
Plan
was
required
to
convert
to
an
Mr.
the
latest,
Mr.
Moon
ceased
any
involvement
in
merits
of
Appellants
equitable
1132(a)(3)
empowers
beneficiaries
estoppel
and
Under ERISA, 29
to
obtain
other
ERISA plans.
CIGNA Corp. v. Amara, ___ U.S. ___, 131 S. Ct. 1866, 179 L.Ed.2d
843 (2011), has clarified that remedies beyond mere premium
refunds
--
including
the
surcharge
and
equitable
estoppel
1132(a)(3)
estoppel.
did
not
allow
for
surcharge
and
equitable
Amara decision.
(J.A. 154-55).
as
well
as
several
cases
whose
holdings
may
require
17
reexamination
in
light
of
Amara.
See
e.g.,
Moon,
2011
WL
McCravy
in
the
II.
Whether
circumstances
these
of
claims
this
will
ultimately
are
questions
case
IV.
For
the
foregoing
reasons,
we
affirm
the
district
18
2011, and remand the case to the district court for further
proceedings consistent with this opinion.
AFFIRMED IN PART,
VACATED IN PART,
AND REMANDED
19