Bergamatto v. Bd. of Trs. of the Nysa Ila Pension Fund, 933 F.3d 257 (2019)

Aug. 6, 2019 · United States Court of Appeals for the Third Circuit · No. 18-2811
933 F.3d 257

Nicholas BERGAMATTO, Appellant
v.
BOARD OF TRUSTEES OF THE NYSA- ILA PENSION FUND; Charles Ward

No. 18-2811

United States Court of Appeals, Third Circuit.

Submitted Under Third Circuit LAR 34.1a June 3, 2019
Filed: August 6, 2019

Samuel J. Halpern, 347 Mount Pleasant Ave. - Ste. 203, West Orange, NJ 07052, Counsel for Appellant.

Donato Caruso, Ian A. Weinberger, The Lambos Firm, 303 South Broadway - Ste. 410, Tarrytown, NY 10591, Kevin J. Marrinan, John P. Sheridan, Marrinan & Mazzola Mardon, 26 Broadway - 17th Fl., New York, NY 10004, Kyle D. Winnick, Chamberlain Hrdlicka White Williams & Aughtry, 191 Peachtree St. NW - 46th Fl., Atlanta, GA 30303, Counsel for Appellees.

Before: SMITH, Chief Judge, JORDAN, and MATEY, Circuit Judges.

OPINION OF THE COURT

JORDAN, Circuit Judge.

Nicholas Bergamatto appeals from the District Court's grant of summary judgment against him on his claims under the Employee Retirement Income Security Act ("ERISA"), 29 U.S.C. § 1001 et seq. He contends that, under his pension plan, he is entitled to more benefits than he was awarded and that ERISA allows him to sue a "de facto administrator" of the plan for failing to provide requested information. We disagree and so will affirm the judgment of the District Court.

I. BACKGROUND

The operative facts are not in dispute. Bergamatto began working for the Port of New York and New Jersey as a longshoreman in 2000. He last worked there in April *2602010. In April 2013, he applied for retirement benefits under his pension plan.

That plan is the New York Shipping Association-International Longshoremen's Association Pension Trust Fund and Plan, a plan covered by ERISA. The 2010 version of the plan said that "[t]he provisions ... in effect during the Participant's last year of credited service shall be applied to determine the Participant's right to benefits and the amount thereof." (Supp. App. at 5.) The 2010 plan also originally precluded longshoremen hired between October 1996 and September 2004 from accruing benefits for work performed before October 2004.1 It did so by excluding from the definition of "Participant" "any employee who was not a Participant prior to October 1, 1996" and stating that:

[n]otwithstanding anything to the contrary contained in this Plan, any person who was first hired for employment in the longshore industry on or after October 1, 1996, and who was not a Participant as of September 30, 2004, shall be eligible to participate as a Participant in the Plan effective October 1, 2004, but shall not be entitled to accrue credited service for pension benefit accrual purposes under the Plan for any hours of employment earned prior to October 1, 2004.

(Supp. App. at 10-11.)

In 2013, however, an amendment was made to the 2010 plan. That amendment provided that, "[e]ffective October 1, 2012, Participants hired on or after October 1, 1996 shall receive pension benefit accruals for years of credited service earned from 1996 through 2004[.]" (D. Ct. D.I. 31-3, at *173.)2

The 2010 plan contained several administrative provisions. Among other things, it said that "[t]he Fund shall be administered by a Board of Trustees" (Supp. App. at 65) and that the Board had to "make available to the Fund's Participants and beneficiaries such reports and other documents as are required by ERISA" (Supp. App. at 68). It further provided that

[t]he Board of Trustees shall have sole and absolute discretionary authority (1) to determine eligibility for benefits, (2) to interpret and construe the terms and provisions of the Trust and Plan, and (3) to make factual findings in connection with applications for benefits and to make other determinations involving application of the provisions of the Trust and Plan.

(Supp. App. at 73.) Finally, it said that the Board "delegates to the Executive Pension Director ... the power and authority to process and approve all non-disputed applications for pension benefits and to commence timely payments of such benefits" but that "[a]ll actions taken and decisions made pursuant to [that delegation] are subject to ratification by the Board of Trustees."3 (Supp. App. at 73.)

In January 2015, an updated version of the plan was produced. Like the 2010 plan, the 2015 plan contained a "last year of credited service" clause, saying that "[t]he *261provisions of the Plan in effect during the Participant's last Year of Credited Service shall be applied to determine the Participant's right to benefit and the amount thereof."4 (App. at 70.) The 2015 plan also expressly incorporated the 2013 amendment to the 2010 plan, providing that, "[e]ffective October 1, 2012, Participants hired on or after October 1, 1996 shall receive pension benefit accruals for Years of Credited Service earned from 1996 through 2004." (App. at 58.) Relatedly, it eliminated the language preventing employees hired between October 1996 and September 2004 from accruing benefits for work prior to October 2004. The 2015 plan also contained the same administrative provisions from the 2010 plan that have just been noted.

In June 2013, Bergamatto's application for pension benefits was approved by Charles Ward, Executive Director of the Fund, but based on only the years of credited service starting in October 2004. Ward reasoned that the 2010 plan required that benefit determinations be made based on the plan provisions in force during the participant's last year of credited service, that Bergamatto's last year of credited service was 2010, and that the 2010 plan terms prevented longshoremen hired between October 1996 and September 2004 - like Bergamatto - from receiving benefit accruals for work performed before October 2004.

Bergamatto responded to Ward's decision by requesting that, in light of the 2013 amendment to the 2010 plan, his pension benefits incorporate his years of service before October 2004. A series of communications between Ward and Bergamatto ensued, which ultimately led to Bergamatto accusing Ward of failing to respond to him as required by ERISA. Specifically, Bergamatto maintained that Ward had not adequately addressed his request for the pre-October 2004 benefit accruals and for the relevant plan provisions or summary plan description.

Bergamatto ultimately filed an appeal with the pension fund's Board of Trustees, which denied the appeal after a hearing. Its decision was based on the following reasoning: the 2015 plan "provides that the provisions of the Plan in effect during the Participant's last year of credited service shall be applied to determine the Participant's right to a benefit and the amount thereof"; Bergamatto's last year of credited service was 2010; the 2010 plan likewise "provides, with various exceptions that apply only to the amount of benefits, that the provisions of the Plan in effect during the Participant's last year of credited service shall be applied to determine the Participant's right to benefits and the amount thereof"; and the 2010 plan further "provides that ... any person who was hired ... on or after October 1, 1996, and who was not a Participant as of September 30, 2004, shall be eligible to participate as a Participant in the Plan effective October 1, 2004, but shall not be entitled to accrue credited service for pension benefit accrual purposes under the Plan for any hour of employment earned prior to October 1, 2004[.]' " (D. Ct. D.I. 31-3, at *206-07.)

The Board's decision was communicated to Bergamatto, and he then filed this action under ERISA, naming the Board of Trustees and Ward as defendants.5 He claimed first that the denial of his claim for pre-October 2004 benefit accruals was erroneous, as it was based on a misinterpretation *262of the plan provisions and, second, that Ward's failure to adequately respond during the parties' correspondence amounted to a violation of the statutory responsibility of the plan administrator to respond to a plan participant.6 The defendants ultimately moved for summary judgment, which the District Court granted.

As to Bergamatto's first claim, the Court concluded that, under the applicable "arbitrary-and-capricious standard" of review, the Board of Trustees' interpretation of the 2015 and 2010 plans was "reasonably consistent" with the plans' unambiguous language, which "makes clear that Bergamatto was not eligible for benefit accruals" for the years that he worked before October 2004. (App. at 15-16 (citation omitted).) Mirroring the Board's reasoning, the Court said that, under the 2015 plan, the terms in place during a participant's last year of credited service are controlling for purposes of benefit determinations; that Bergamatto's last year of credited service was 2010; and that, therefore, the 2010 plan governs Bergamatto's claim. It then concluded that the 2010 plan also requires that the provisions in effect during a participant's last year of credited service control. The Court said that the 2010 provisions preclude workers like Bergamatto from earning benefit accruals for years of service before October 2004, and that the 2013 amendment allowing such accruals was not in effect in 2010. It rejected Bergamatto's assertion that the "last year of credited service" clause does not apply, saying instead that "the Clause does clearly apply to such accruals." (App. at 17.) The Court also disagreed with Bergamatto's contention that Moench v. Robertson , 62 F.3d 553 (3d Cir. 1995), abrogated on other grounds by Fifth Third Bancorp v. Dudenhoeffer , 573 U.S. 409, 417-19, 134 S.Ct. 2459, 189 L.Ed.2d 457 (2014), dictated a result in his favor. According to the Court, Bergamatto's Moench argument failed because the Board's interpretation was consistent with the goals of the plan, did not render any language in the plan meaningless or internally inconsistent, did not conflict with ERISA, was not inconsistent with other Board interpretations, and was consistent with the clear language of the plan.

As to Bergamatto's second claim - that Ward breached an obligation to respond to Bergamatto's requests for information - the District Court observed that the claim was misdirected since the plan identifies the Board of Trustees, not Ward, as the administrator. The Court rejected Bergamatto's argument "that Ward is the de facto plan administrator[,]" reasoning that "the plain and unambiguous text of ERISA, as well as the weight of existing case law," foreclosed that argument. (App. at 20-21.) It noted that, although "[t]he Third Circuit has not yet ruled on" "whether a party can be held liable under [ 29 U.S.C. § 1132(c)(1) ] under a de facto plan administrator theory[,]" numerous other circuit courts and the District of New Jersey have rejected that theory. (App. at 20.)

The Court also rebuffed two alternative arguments advanced by Bergamatto: that equitable estoppel should apply because "Ward 'never disavowed the title of Plan Administrator and never advised Bergamatto's counsel to redirect his request to the Board' "; and that Ward was a co-administrator because "a Notice [from the plan] advis[ed] participants to contact the Board or Ward if they ha[d] additional questions[.]" (App. at 21 (citation omitted).) As to the first argument, the District Court said that Bergamatto could not satisfy the requirements of equitable estoppel *263because he had provided no evidence "that he detrimentally relied on Ward's alleged misrepresentations." (App. at 22.) As to the second, it determined that the Notice "is not sufficient to support a finding that Ward was a co-administrator" because it "identifies Ward as Executive Director, not co-administrator, and merely states that he can answer relevant questions." (App. at 22.)

Bergamatto timely appealed.

II. DISCUSSION 7

On appeal, Bergamatto presses two claims: (1) that he is entitled to benefit accruals for the years he worked before October 2004; and (2) that Ward should be viewed as a de facto administrator of the pension plan and thus subject to liability for failing to timely respond to Bergamatto's correspondence.8 Bergamatto contends that the District Court erred in resolving those claims against him and should have granted summary judgment in his favor under Federal Rule of Civil Procedure 56(f).9 We disagree and, consequently, will affirm.

A. Bergamtto's Ineligibility for Benefit Accruals for Pre-October 2004 Service

With respect to his first claim, Bergamatto says that the Board of Trustees' decision was arbitrary and capricious in that it erroneously relied on the "last year of credited service" clause of the 2015 plan to deny his request for benefit accruals for pre-October 2004 work. In Bergamatto's view, that clause is inapplicable because it "appears to apply to the entitlement to and calculation of the pension benefit but is silent as to benefit accruals and appears to be a rule of general application." (Opening Br. at 15.) He says that the amendment granting benefit accruals for pre-October 2004 service for workers such as him, as incorporated into the 2015 plan, should govern "because it directly addresses accruals." (Opening Br. at 15.) He maintains that he is covered by the amendment because he was a participant in the plan after the amendment's effective date of October 2012.

Bergamatto's first claim arises under 29 U.S.C. § 1132(a)(1)(B), which permits "a participant in an ERISA benefit plan [who has been] denied benefits" to bring suit "to recover benefits due to him under the terms of his plan." Howley v. Mellon Fin. Corp. , 625 F.3d 788, 792 (3d Cir. 2010). Where a plan administrator possesses "discretionary authority to determine eligibility for benefits or to construe the terms of the plan[,]" we review *264the administrator's decision under an "abuse of discretion" standard10 or an "arbitrary and capricious" standard,11 which, in this context, are effectively the same. Id. at 792, 793 n.6 (citation omitted); see also Fleisher v. Standard Ins. Co. , 679 F.3d 116, 121 n.2 (3d Cir. 2012) ("We have clarified that '[i]n the ERISA context, the arbitrary and capricious and abuse of discretion standards of review are essentially identical.' " (alteration in original) (citation omitted)). Here, both the 2015 and 2010 plans grant the Board such discretionary authority, and it is undisputed that the Board possesses it.

Under our broadly deferential standard of review, we first consider whether the language of an ERISA plan is ambiguous, i.e., "subject to reasonable alternative interpretations." Bill Gray Enters., Inc. Emp. Health & Welfare Plan v. Gourley , 248 F.3d 206, 218 (3d Cir. 2001) (citations omitted). If the plan's language is unambiguous, "we will not set aside the administrator's interpretations ... as long as those interpretations are 'reasonably consistent' with the plan's text[.]"12 Dowling v. Pension Plan for Salaried Emps. of Union Pac. Corp. & Affiliates , 871 F.3d 239, 245 (3d Cir. 2017) (quoting Fleisher , 679 F.3d at 121 ). "If the reviewing court determines the terms of a plan document are ambiguous, it must take [an] additional step and analyze whether the plan administrator's interpretation of the document is reasonable." Bill Gray Enters. , 248 F.3d at 218.

Bergamatto's argument fails at the first step because the plan language at issue here is unambiguous and the Board's decision is "reasonably consistent" with that language. The 2015 plan states expressly that "[t]he provisions of the Plan in effect during the Participant's last Year of Credited Service shall be applied to determine the Participant's right to benefit and the amount thereof."13 (App. at 70.) The original 2010 plan contains the same "last year of credited service" clause and directly forbids workers hired between October 1996 and September 2004 from earning benefit accruals for pre-October 2004 work.14 And, the effective date of the 2013 *265amendment that changed that restriction and authorized such benefit accruals was October 1, 2012, well after Bergamatto's last year of credited service in 2010. The language of the un-amended 2010 plan is thus controlling. Given that Bergamatto was hired in 2000, he is subject to the benefit accrual exclusion for pre-October 2004 work. We cannot see how the 2015 and 2010 plans could be read in any other way. The Board's decision tracks that reading and is thus "reasonably consistent" - in fact, totally consistent - with the unambiguous language of the plans.

Bergamatto's suggestion that the "last year of credited service" clause does not encompass benefit accruals is unpersuasive. That clause, under both the 2015 and 2010 plans, is framed expansively, covering any term used to determine a participant's right to benefits and the amount thereof. The clause, on its face, encompasses anything that could affect the benefits a worker receives, and it is hard to imagine how the accrual of benefits could fall outside its reach. Indeed, under both the 2015 and 2010 plans, "Accrued Benefit" is defined as the monthly pension benefit - i.e., the amount of benefit - that a participant in the plan would be entitled to receive if certain conditions were met. (App. at 48; Supp. App. at 14.) And Bergamatto necessarily concedes that benefit accruals affect the amount of a pension, given that he has consistently sought benefit accruals for additional years in order to increase his pension.

In light of all that, Bergamatto's remaining arguments are unavailing. His assertion that the amendment should govern since it directly addresses benefit accruals fails because, if the "last year of credited service" clause applies to benefit accruals (and it does), the 2010 provisions relating to benefit accruals must control. No one disputes that Bergamatto's last year of credited service was 2010. And, again, because that was his last credited year, the 2010 provisions govern. Bergamatto's argument that he was a participant in 2012 - when the amendment authorizing the benefit accruals Bergamatto seeks became effective - is thus irrelevant.

In sum, the plan language is unambiguous; the Board's interpretation aligns with that language; and Bergamatto's first claim fails.15

B. The "De Facto" Plan Administrator Theory

As to Bergamatto's second claim, he cites 29 U.S.C. § 1132(c) and says that "a plan administrator who fails or refuses to comply with a request for information which the administrator is required by law to provide to a participant or beneficiary within 30 days is subject to a penalty of $100.00 per day." (Opening Br. at 17.) He then asserts that Ward failed to respond to his request for "a copy of the pertinent *266plan provisions or a summary plan description" within that 30-day period. (Opening Br. at 17.) Bergamatto maintains that Ward should thus be penalized because, even though he has the title of Executive Director of the plan, he is a de facto plan administrator. According to Bergamatto, "Ward appeared to function in all respects as a plan administrator" - for example, answering participants and beneficiaries' questions, supplying them with information they requested, and providing summary plan descriptions - and that, "more importantly, he never disavowed the title." (Opening Br. at 18.) As the District Court noted and Bergamatto acknowledges, a majority of our sister circuits have rejected the de facto administrator theory. He nevertheless asserts that we should not follow those other courts.

His claim arises under 29 U.S.C. § 1132(a)(1)(A), which allows a participant or beneficiary to sue "for the relief provided for in [ 29 U.S.C. § 1132(c).]" 29 U.S.C. § 1132(a)(1)(A). The specific provision at issue is § 1132(c)(1), which provides, in relevant part:

Any administrator ... who fails or refuses to comply with a request for any information which such administrator is required by this subchapter to furnish to a participant or beneficiary (unless such failure or refusal results from matters reasonably beyond the control of the administrator) by mailing the material requested to the last known address of the requesting participant or beneficiary within 30 days after such request may in the court's discretion be personally liable to such participant or beneficiary in the amount of up to $100 a day from the date of such failure or refusal , and the court may in its discretion order such other relief as it deems proper.

Id. § 1132(c)(1) (emphasis added).16 In short, that provision allows suit against an administrator for not responding to requests for certain information.

Ward, however, does not formally qualify as an "administrator" for purposes of 29 U.S.C. § 1132(c)(1). Under ERISA, the word "administrator" is defined as "the person specifically so designated by the terms of the instrument under which the plan is operated[,]" if there is such a designation.17 Id. § 1002(16)(A). Both the 2015 and 2010 plans designate the Board of Trustees - and only the Board of Trustees - as the administrator.18

That leads to the question of whether a person, like Ward, who does not fit the statutory definition of "administrator" may be liable under 29 U.S.C. § 1132(c)(1) as a de facto administrator. We have not previously addressed that question. Most courts that have, though, have rejected the idea. See Ibson v. United Healthcare Servs., Inc. , 877 F.3d 384, 390-91 (8th Cir. 2017) ;

*267Mondry v. Am. Family Mut. Ins. Co. , 557 F.3d 781, 793-94 (7th Cir. 2009) ; Sgro v. Danone Waters of N. Am., Inc. , 532 F.3d 940, 945 (9th Cir. 2008) (citing Moran v. Aetna Life Ins. Co. , 872 F.2d 296, 299-300 (9th Cir. 1989) ); Krauss v. Oxford Health Plans, Inc. , 517 F.3d 614, 631 (2d Cir. 2008) (citing Lee v. Burkhart , 991 F.2d 1004, 1010 n.5 (2d Cir. 1993) ); Averhart v. US WEST Mgmt. Pension Plan , 46 F.3d 1480, 1489-90 (10th Cir. 1994) ; see also Conn. Gen. Life Ins. Co. v. Humble Surgical Hosp., L.L.C. , 878 F.3d 478, 486 (5th Cir. 2017) (observing that "[t]he Fifth Circuit has never adopted the de facto plan administrator theory[,]" that "[t]he de facto administrator argument has been flatly rejected by at least eight circuits[,]" and that "[a]nother two circuits 'have refused to extend the de facto administrator doctrine to an insurance company involved in claims handling,' " as in the case at bar (third alteration in original) (citations omitted));19 Davis v. Liberty Mut. Ins. Co. , 871 F.2d 1134, 1138 (D.C. Cir. 1989) (concluding that an insurer could not be liable under 29 U.S.C. § 1132(c) because it was "nowhere designated by the plan as 'administrator' " and no one had suggested that the insurer "fit[ ] within the statutory definition of 'plan sponsor' ").20 Only two appellate courts appear to have adopted the theory,21 Rosen v. TRW, Inc. , 979 F.2d 191, 193-94 (11th Cir. 1992) ; Law v. Ernst & Young , 956 F.2d 364, 374 (1st Cir. 1992), and both have done so only to a limited degree, see Oliver v. Coca Cola Co. , 497 F.3d 1181, 1194 (11th Cir. 2007) (" Rosen applied the de facto administrator doctrine to employers, not to third-party administrative services providers."), vacated in part on other grounds by Oliver v. Coca Cola Co. , 506 F.3d 1316, 1317 (11th Cir. 2007) ; Tetreault v. Reliance Standard Life Ins. Co. , 769 F.3d 49, 60 (1st Cir. 2014)

*268(" Law was careful to distinguish the case before it, which involved an employer with 'little, if any, separate identity' from the internal retirement committee that had been designated as the 'plan administrator,' from cases involving 'attempts to recover against entities which were clearly distinct from the plan administrator.' " (citation omitted)).

We are persuaded by the weight of authority, as well as the plain text and character of the statutes at issue,22 and so reject the de facto administrator theory. As set out above, § 1132(c)(1) imposes liability only on administrators. We have said that "administrator" is a "term[ ] of art under ERISA[,]" defined, with certain exceptions, "as 'the person specifically so designated by the terms of the instrument under which the plan is operated.' " Groves v. Modified Ret. Plan for Hourly Paid Emps. of Johns Manville Corp. & Subsidiaries , 803 F.2d 109, 116 (3d Cir. 1986) (citation omitted). To treat those who do not fully satisfy that "detailed definition[ ]" as administrators "would 'slight[ ] the wording of the statute[.]' " Id. (second alteration in original) (citation omitted). We cannot allow that, for three reasons.

First, the Supreme Court has taught, quite forcefully, that courts should avoid reading remedies into ERISA's carefully-crafted enforcement scheme:

The ... carefully integrated civil enforcement provisions found in § 502(a) ... provide strong evidence that Congress did not intend to authorize other remedies that it simply forgot to incorporate expressly. The assumption of inadvertent omission is rendered especially suspect upon close consideration of ERISA's interlocking, interrelated, and interdependent remedial scheme, which is in turn part of a "comprehensive and reticulated statute." ... We are reluctant to tamper with an enforcement scheme crafted with such evident care as the one in ERISA.

Mass. Mut. Life Ins. Co. v. Russell , 473 U.S. 134, 146-47, 105 S.Ct. 3085, 87 L.Ed.2d 96 (1985) (citation omitted); see also Hozier v. Midwest Fasteners, Inc. , 908 F.2d 1155, 1167, 1169-70 (3d Cir. 1990) (relying on Russell to conclude that a "rather freewheeling statutory construction [of ERISA], even though embarked upon to vindicate correctly perceived underlying purposes, has little place in the context of a carefully balanced and reticulated statute like ERISA").

Second, § 1132(c) "is a penal provision" and, as such, "should be leniently and narrowly construed[.]" Groves , 803 F.2d at 111, 118 ; see also Haberern v. Kaupp Vascular Surgeons Ltd. Defined Benefit Pension Plan , 24 F.3d 1491, 1505 (3d Cir. 1994) ("We start our discussion ... [concerning 29 U.S.C. § 1132(c)(1) ] by pointing out that statutory penalty provisions are construed strictly.").

Third, we have in fact consistently construed this statutory penalty provision narrowly and there is no reason to depart from that approach. See Kollman v. Hewitt Assocs., LLC , 487 F.3d 139, 147 (3d Cir. 2007) (reversing the district court's award of a penalty under § 1132(c) because the applicable ERISA provision pertained to fiduciaries, not plan administrators, and the obligation to provide information was contained in the Plan, not ERISA); Haberern , 24 F.3d at 1505-06 (setting aside the § 1132(c) penalty because the plaintiff's request, instead of seeking documentation *269that a plan administrator must provide, simply asked to schedule a meeting); Groves , 803 F.2d at 111 (affirming the district court's determination that a § 1132(c) sanction could not be imposed upon a plan administrator because ERISA imposed the duty to furnish documentation "exclusively on 'the plan,' not upon the 'plan administrator[,]' " and limiting liability for the administrator's breach of a regulation because § 1132(c) applied to failures to comply with a request under "this subchapter[,]" which did not encompass regulations promulgated under the statute).

In short, we must restrict application of the title "administrator" to those who fit the statutory definition and not stretch the term to authorize penalties against others whom a disappointed plan participant might like to reach. That means that Ward is not an administrator, "de facto" or otherwise.23 At least in this context, then, there is no such thing as a "de facto administrator," and Bergamatto's second claim fails.

III. CONCLUSION

For the foregoing reasons, we will affirm the judgment of the District Court.