Gasper v. EIDP, Inc. et al
Filing
42
ORDER granting 29 Motion for Summary Judgment ; granting 30 Motion To Exclude The Expert Report of Plaintiff's Identified Expert; denying 31 Motion for Summary Judgment. Signed by District Judge Frank D. Whitney on 8/27/24. (clc)
UNITED STATES DISTRICT COURT
WESTERN DISTRICT OF NORTH CAROLINA
CHARLOTTE DIVISION
CASE NO. 3:23-CV-00512-FDW-SCR
DAVID GASPER,
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Plaintiff,
v.
EIDP, INC., f/k/a E.I. DUPONT DE
NEMOURS AND COMPANY;
CORTEVA, INC; THE PENSION AND
RETIREMENT PLAN; and THE
BENEFIT PLANS ADMINISTRATIVE
COMMITTEE,
Defendants.
ORDER
THIS MATTER is before the Court on Defendants’ Motion to Exclude Plaintiff’s Expert
Report, (Doc. No. 30), Plaintiff’s Motion for Summary Judgment, (Doc. No. 31), and Defendants’
Motion for Summary Judgment, (Doc. No. 29). These matters have been fully briefed, (Doc. Nos.
34, 35, 36, 38, 39, 40), and are ripe for ruling. For the reasons set forth below, Defendants’ Motion
to Exclude the Expert Report is GRANTED. Plaintiff’s Summary Judgment Motion is DENIED.
Defendants’ Summary Judgment Motion is GRANTED.
I.
BACKGROUND
Plaintiff filed a Complaint against EIDP, Inc., formerly known as E.I. DuPont de Nemours
and Company (“DuPont”); Corteva Inc.; the Pension and Retirement Plan; and the Benefit Plans
Administrative Committee (collectively “Defendants”). Plaintiff brings three claims against
Defendants under the Employee Retirement Income Security Act of 1974 (“ERISA”): (1) denial
of benefits claim under 29 U.S.C. § 1132(a)(1)(B); (2) statutory penalties claim under 29 U.S.C.
§ 1024(b)(4); and (3) attorneys’ fees and costs under 29 U.S.C. § 1132(g).
1
Plaintiff’s claims arise out of his employment with EIDP, Inc. and alleged denial of benefits
under the Pension and Retirement Plan (“Plan”). Plaintiff was an employee of DuPont from
February 1, 1984, and remains an employee of EIDP, Inc. at present,
Plaintiff was married to his wife from 1985 until their divorce on December 8, 2010.
During the twenty-five-year marriage, Plaintiff accrued a pension benefit under the Plan. Pursuant
to a Domestic Relations Order (“DRO”), Plaintiff’s accrued benefit under the Plan was identified
as martial assets for equitable division. (Doc. No. 17, p. 612–15.) The DRO was a “shared interest”
Order, indicating the Alternate Payee (i.e., ex-wife) receives her benefit only when the Participant
(i.e., Plaintiff) commences his benefit. (Id.) This benefit would then be receivable by the Alternate
Payee over Plaintiff’s lifetime. (Id.) The DRO also indicated the Alternate Payee should be treated
as a surviving spouse for the available qualified joint and survivor annuity (“QJSA”). Importantly,
the DRO provided, “The Alternate Payee’s benefit may be reduced as necessary to cover the cost
of the QJSA awarded to Alternate Payee.” (Id., p. 614.)
In April 2013, Plaintiff and the Alternate Payee submitted the DRO to the Plan
Administrator. The Plan Administrator provided a Determination Report stating the DRO “meets
the requirements for a qualified domestic relations order (QDRO)” and the Plan “will distribute
benefits to the [A]lternate [P]ayee in accordance with the order and Plan terms.” (Id., p. 354–356.)
EIDP announced, effective November 2018, any further accumulation of benefits would
cease on account of significant corporate restructuring. (Id., p. 194–95.) As a result, despite still
being employed, Plaintiff was able to elect to commence receipt of his retirement benefit under
the Plan. On June 1, 2019, Plaintiff commenced his Plan benefit which he elected as $3,400 a
month and included a fifty percent spouse benefit option (“SBO”). (Id., p. 393.)
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Plaintiff contacted DuPont Connection, now Corteva Connection, after receiving his
retirement kit. (Id.) Plaintiff sought clarification as to why his benefit was reduced from $3,785.26
(single life annuity benefit amount after the QDRO offset of $1,454.72) to the amount of $3,400.
(Id.) Plaintiff indicated the Alternate Payee’s benefit should be reduced to cover the “cost” of the
QJSA benefit. (Id.)
The Corteva Pension Team (“the Team”), along with the Pension Actuary (“the Actuary”),
reviewed Plaintiff’s May 2013 QDRO. (Id.) The Team and the Actuary acknowledged the court
order’s language stating: “the Alternate Payee’s benefit may be reduced as necessary to cover the
cost of the QJSA.” (Id., p. 395.) However, this language was not included in the QDRO
Determination Report by DuPont Legal, the team responsible for qualifying orders. (Id.) The
Pension Team drafted the following response in an Informational Notice to Plaintiff in October
2019:
We have confirmed the court order does reflect language that indicates that the
alternate payee’s benefit may be reduced as necessary to reflect the cost of the
QJSA awarded to the alternate payee. However, the “cost” of a QJSA benefit is an
actuarial adjustment to convert a benefit payable over the participant’s lifetime to
a benefit payable over the joint lifetimes of both the participant and surviving
spouse. As such, there is no actual ‘cost’ that may be assigned to the alternate payee,
and no optional form that would accomplish that result.
Because a QDRO may not require a plan to pay a benefit in an optional form that
is not offered under that plan, your court order was qualified disregarding the
language addressing “cost.” The Determination Report issued by DuPont Legal on
May 1, 2013 [ ] states: “At the participant’s benefit commencement date, the total
monthly benefit will be reduced to cover the cost associated with the QJSA.”
Therefore, the total benefit was actuarially adjusted to reflect the joint life
expectancy requirement of the QJSA benefit, and then the portion of the total
benefit payable to the alternate payee was deducted.
(Id., p. 394, 419.) The response from the Team also included a calculation of Plaintiff’s fifty
percent SBO. (Id., p. 420.) In response, Plaintiff submitted a Level 1 Appeal on January 14, 2020,
to Corteva Connection regarding his QJSA benefit. (Id.) The Corteva Connection Benefit
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Determination Review Team (“the Determination Review Team”) denied Plaintiff’s Level 1
Appeal on June 12, 2020. (Id., p. 395.) In doing so, the Determination Review Team referenced
page eighty-two of the Summary Plan Description (“SPD”) and the Corteva Connection letter sent
to Plaintiff in October 2019. (Id.)
Plaintiff sent a Level 2 Appeal to Corteva Connection on July 17, 2020. (Id.) HR Total
Rewards again recognized Plaintiff’s QDRO was qualified absent recognition of the Order stating,
“the Alternate Payee’s benefit may be reduced as necessary to cover the cost of QJSA.” (Id.) On
September 29, 2020, it is communicated to Plaintiff the QJSA cost is an actuarial adjustment and
cannot be assigned only to the Alternate Payee under the terms of the Plan. (Id.) Therefore, HR
Total Rewards recommended the Corteva Benefit Appeals Committee (“Appeals Committee”)
uphold the Level 1 denial, and affirm Plaintiff’s $3,400 monthly benefit. (Id.) The Appeals
Committee denied Plaintiff’s Level 2 Appeal, and informed Plaintiff he exhausted all
administrative remedies. (Id., p. 350–51.)
II.
STANDARD OF REVIEW
Summary judgment shall be granted “if the movant shows that there is no genuine dispute
as to any material fact and the movant is entitled to judgment as a matter of law.” Fed. R. Civ. P.
56(a). A factual dispute is genuine “if the evidence is such that a reasonable jury could return a
verdict for the nonmoving party.” Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248 (1986). A
fact is material only if it might affect the outcome of the suit under governing law. Id.
The movant has the “initial responsibility of informing the district court of the basis for its
motion, and identifying those portions of the pleadings, depositions, answers to interrogatories,
and admissions on file, together with the affidavits, if any, which it believes demonstrate the
absence of a genuine issue of material fact.” Celotex Corp. v. Catrett, 477 U.S. 317, 323 (1986)
4
(internal citations omitted). Once this initial burden is met, the burden shifts to the nonmoving
party. The nonmoving party “must set forth specific facts showing that there is a genuine issue for
trial.” Id. at 322 n.3. The nonmoving party may not rely upon mere allegations or denials of
allegations in his pleadings to defeat a motion for summary judgment. Id. at 324. The nonmoving
party must present sufficient evidence from which “a reasonable jury could return a verdict for the
nonmoving party.” Anderson, 477 U.S. at 248; accord Sylvia Dev. Corp. v. Calvert Cnty., Md., 48
F.3d 810, 818 (4th Cir. 1995). Comparatively, when the moving party would bear the burden of
proof at trial, the initial burden is satisfied by producing evidence upon which a reasonable jury
could return a favorable verdict. Brinkley v. Harbour Recreation Club, 180 F.3d 596, 614, n.10
(4th Cir. 1999). In such circumstances, summary judgment will be granted unless the nonmoving
party produces evidence upon which a reasonable jury could return a verdict in their favor.
Thompson v. Potomac Elec. Power Co., 312 F.3d 645, 649 (4th Cir. 2002).
When ruling on a summary judgment motion, the Court must view the evidence and any
inferences from the evidence in the light most favorable to the nonmoving party. Anderson, 477 6
U.S. at 255. “‘Where the record taken as a whole could not lead a rational trier of fact to find for
the nonmoving party, there is no genuine issue for trial.’” Ricci v. DeStefano, 557 U.S. 557, 586
(2009) (quoting Matsushita v. Zenith Radio Corp., 475 U.S. 574, 587 (1986)). “Only disputes over
facts that might affect the outcome of the suit under the governing law will properly preclude the
entry of summary judgment. Factual disputes that are irrelevant or unnecessary will not be
counted.” Anderson, 477 U.S. at 248. Also, the mere argued existence of a factual dispute does
not defeat an otherwise properly supported motion. Id. If the evidence is merely colorable, or is
not significantly probative, summary judgment is appropriate. Id. at 249–50. In the end, the
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question posed by a summary judgment motion is whether the evidence as applied to the governing
legal rules “is so one-sided that one party must prevail as a matter of law.” Id. at 252.
III.
A.
ANALYSIS
Motion to Exclude Expert Report
Defendant argues Plaintiff’s designation of an expert must be stricken because it was made
after expiration of the deadline to designate experts and not in the administrative record. Plaintiff
contends the expert report was disclosed, the expert report is timely, and it is within the Court’s
discretion to consider the expert report. The Court agrees with Defendant.
1.
Disclosure of Expert
Federal Rule of Civil Procedure 26(a)(2)(A) requires a party to disclose “the identity of any
person who may be used at trial to present evidence under Rules 702, 703, or 705 of the Federal
Rules of Evidence.” Federal Rule of Civil Procedure 26(a)(2)(B) requires “this disclosure [to be]
accompanied by a written report—prepared and signed by the witness—if the witness is one
retained or specially employed to provide expert testimony in the case.” A party is required to
make expert witness disclosures “at the times and in the sequence that the court orders.” Fed. R.
Civ. P. 26(a)(2)(D). Absent court orders permitting otherwise, a party must add or fix any
information regarding an expert witness’ opinion and report at least thirty days before trial. Fed.
R. Civ. P. 26(e)(2), (a)(3)(B).
The purpose of Federal Rule of Civil Procedure 26(a) is to permit litigants “to adequately
prepare their cases for trial and avoid unfair surprise.” Russell v. Absolute Collection Servs., Inc.,
763 F.3d 385, 396 (4th Cir. 2014). Consequently, a party who does not comply with the expert
witness disclosure requirements is not allowed to “use that information or witness to supply
evidence on a motion, at a hearing, or at a trial, unless the failure was substantially justified or is
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harmless.” Fed. R. Civ. P. 37(c)(1). The Advisory Committee Note to Rule 37 indicates “a strong
inducement for disclosure of material that the disclosing party would expect to use as evidence,
whether at a trial, at a hearing, or on a motion, such as one under Rule 56” by the deadline. Fed.
R. Civ. P. 37 (advisory committee’s note to 1993 amendment).
District courts maintain “broad discretion” in considering whether a party’s nondisclosure
or untimely disclosure of evidence is substantially justified or harmless. Wilkins v. Montgomery,
751 F.3d 214, 222 (4th Cir. 2014) (quoting S. States Rack & Fixture, Inc. v. Sherwin-Williams
Co., 318 F.3d 592, 597 (4th Cir. 2003)). In determining this, district courts are directed by the
following factors:
(1) the surprise to the party against whom the evidence would be offered; (2) the
ability of that party to cure the surprise; (3) the extent to which allowing the
evidence would disrupt the trial; (4) the importance of the evidence; and (5) the
nondisclosing party’s explanation for its failure to disclose the evidence.
Sherwin-Williams Co., 318 F.3d at 597. The first four factors relate to the harmlessness exception,
and the last factor pertains to the substantial justification exception. Id. The party who fails to
disclose information must demonstrate the nondisclosure was substantially justified or harmless.
Wilkins, 751 F.3d at 222 (citations omitted). Applying these principles, the Court finds Plaintiff’s
disclosure of expert Steven B. Long1 is untimely and neither harmless nor substantially justified.
In considering the surprise to the Defendant, it was not minimal. Plaintiff contends
Defendant was put on notice regarding Plaintiff’s retention of an expert. Defendant maintains the
expert report is untimely. In the “Certification and Report of F.R.C.P. 26(f) Conference and
Discovery Plan,” (“Report”), Plaintiff indicated “a report from an expert will help explain the
valuation process,” (Doc. No. 9, p. 4.) This is Plaintiff’s only indication an expert would be
The Court notes the undersigned is personally acquainted with Mr. Steven B. Long. The Court’s familiarity with
the proposed expert has not affected the ruling in this matter. The Court is disclosing this social relationship out of
an abundance of caution.
1
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retained. In the same Report, pursuant to Rule 26(a)(2), the parties mutually agreed any reports
from retained experts would be due from both Plaintiff and Defendant by February 8, 2024. (Id.)
Plaintiff’s statement in the Report did not indicate Mr. Long, an attorney, would be retained as an
expert to opine on “Allocation of Cost of Alternate Payee’s Survivorship Benefit.” (See Doc. No.
30-2.) Furthermore, the report by Mr. Long was submitted three weeks after the mutually agreed
deadline for expert reports.
Thus, because Plaintiff’s indicated vaguely what an expert would be used for, and
submitted the report three weeks beyond the deadline, the Court “can only conclude” Defendant
was surprised. Duke Energy Carolinas, LLC v. NTE Carolinas II, LLC, NO. 3:19-CV-00515, 2022
WL 884275, at *7 (W.D.N.C. Mar. 24, 2022) (“Therefore, the Court can only conclude that
[plaintiff] was surprised by [defendant’s]” late disclosure of lay witness because defendant did not
disclose use of lay witness and substance of witness report was not included in defendant’s
counterclaims.) The first factor does not weigh in favor of finding harmlessness.
However, the surprise was curable. This factor is best understood as the ability to
“minimiz[e] the prejudicial effect of any purported surprise . . . or disrupt the trial” Rhyne v. United
States Steel Corp., 474 F. Supp. 3d 733, 756 (W.D.N.C. 2020). Said differently, “[the second
factor] is best understood as requiring the Court to weigh the magnitude of the effort that would
be required to allow the new evidence to be fairly included as part of the case.” Duke Energy
Carolinas, LLC, 2022 WL 884275, at *7. Plaintiff contends the expert report was produced by the
discovery deadline and a month ahead of the dispositive motions’ deadline; therefore, Defendants’
had time to talk with and/or depose Mr. Long. The Court finds Defendants were able to cure the
surprise of Plaintiff’s expert report because it did not meaningfully impact Defendant’s ability to
defend its case, as trial was many months away. See Bresler v. Wilmington Trust Co., 855 F.3d
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178, 194 (4th Cir. 2017) (concluding plaintiff’s untimely disclosure did not impact defendant’s
ability to conduct its defense in any material respect where defendant had access to the untimely
disclosed information two months before trial) (quoting Rhyne, 474 F. Supp. 3d at 756).
Additionally, in considering the third factor, permitting the expert report would not disrupt the trial
from the standpoint of extending it. See Duke Energy Carolinas, 2022 WL 884275, at *8
(concluding the use of untimely damages claims through lay witness would create “trials within
trials” and therefore, disrupt and “substantially lengthen” the trial.) These factors weigh in favor
of finding harmlessness.
Still, considering the fourth factor, the use of the expert report is not “important” evidence.
Mr. Long is presently an attorney at Ward and Smith, P.A. (Doc. No. 30-2, p. 11). Mr. Long’s
practice focuses on tax, employee benefits, and tax-exempt entities. (Doc. No. 30-2, p. 11.)
Plaintiff intends to offer the expert report to “explain the valuation process in accurate and
straightforward terms.” (Doc. No. 9, p. 4.) Defendant claims the expert report consists of
inadmissible legal opinions and conclusions.
Federal Rule of Evidence 704(a) permits expert testimony on “an ultimate issue to be
decided by the trier of fact.” Fed. R. Evid. 704(a). However, opinion testimony stating a legal
standard or conclusion is “generally inadmissible.” United States v. McIver, 470 F.3d 550, 562
(4th Cir. 2006). The Court bears the ultimate responsibility of advising the finder of fact on the
governing law. See United States v. Savage, 885 F.3d 212, 222-23 (4th Cir. 2018); United States
v. Miltier, 882 F.3d 81, 89 (4th Cir. 2018). Testimony in the form of legal conclusions is not
beneficial to the finder of fact because it “supplies the [finder of fact] with no information other
than the witness’s view of how the verdict should read.” United States v. Offill, 666 F.3d 168, 175
(4th Cir. 2011).
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Mr. Long’s expert report has been provided to the Court. (See Doc. No. 30-2, pp. 4–10.)
The expert report goes beyond the permissible bounds of legal testimony. Mr. Long provides the
governing law and his ultimate legal conclusion, as applied to Plaintiff’s case. Therefore, this
report is not “important” evidence; rather, it duplicates the role of Plaintiff’s counsel and
encroaches on the role of this Court. Honeywell Int’l Inc. v. Opto Elec. Co., Ltd., No. 3:21-CV00506, 2023 WL 3029264, at *12 (concluding a law professor proffered as an expert witness fails
to “assist” the trier of fact, instead encroaching on the trier of facts’ role in the trial “while also
duplicating the role of counsel in closing argument”). Ultimately, this factor does not weigh in
favor of finding harmlessness.
Finally, the Court considers Plaintiff’s explanation for its failure to timely disclose the
expert report. Plaintiff fails to provide a sufficient explanation for the delay in disclosing the expert
report. In fact, Plaintiff does not provide any reason for the untimely disclosure. Instead, Plaintiff
contends the report is timely because it was submitted on the final day of discovery and Defendant
had notice. However, Plaintiff’s position ignores both the mutually drafted Report indicating a due
date for expert reports and relevant case law. See Duke Energy Carolinas, LLC, 2022 WL 884275,
at *9 (concluding a “’notice’ defense . . . cannot serve as independent ‘justification’ for delayed
disclosure”). Therefore, the Plaintiff fails to present a substantial justification for its untimely
disclosure of the expert report.
In sum, weighing all relevant factors, the Court finds Plaintiff has failed to carry it burden
to prove disclosure of the expert report is either timely, or in the alternative, harmless or
substantially justified.
2.
ERISA Administrative Record
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Even if Plaintiff demonstrated the expert report as timely, or in the alternative, its untimeliness
as harmless or substantially justified, the expert report should not be included because it is not in
the administrative record.
The Fourth Circuit utilizes an abuse of discretion standard of review of ERISA benefits
claims. Firestone Tire & Rubber Co. v. Burch, 489 U.S. 101, 103 (1989). Here, Plaintiff’s use of
a practicing attorney’s legal conclusions as applied to the facts of his case does no more than
present cumulative evidence of the legal arguments Plaintiff’s attorney should make. Quesinberry
v. Life Ins. Co of North America, 987 F.2d 1017, 1027 (4th Cir. 1993) (“If the evidence is
cumulative of what is presented to the plan administrator, or is simply better evidence than the
claimant mustered for the claim review, then its admission is not necessary.”). The expert report
is not a part of the administrative record and will not be considered by this Court. See Gallagher
v. Reliance Standard Life Ins. Co., 305 F.3d 264, 276, n.12 (4th Cir. 2002), as amended (Oct. 24,
2002) (concluding there will be no consideration of a declaration submitted in a support of a motion
for summary judgment in ERISA benefit denial case where plaintiff fails to allege exceptional
circumstances); see also Dippel v. Phillips Prod. Inc., No. 1:09cv253, 2011 WL 1233705, at *3
(W.D.N.C. Mar. 29, 2011) (“The Court therefore will exclude the matters submitted by the parties
which are not contained within the administrative record.”). Therefore, the Court will not consider
the expert report because it is not within the administrative record.
Therefore, in accordance with Rule 37(c)(1) and ERISA specific case law on a district
court’s review of the administrative record, the Court grants Defendant’s Motion.
B.
Summary Judgment
1.
Statute of Limitations
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The parties agree Plaintiff’s final denial of benefits under ERISA occurred on September
29, 2020. However, the parties disagree on the applicable statute of limitations period. State law
outlines the limitations period, while federal law defines when an ERISA cause of action accrues.
Heimeshoff v. Hartford Life & Acc. Ins. Co., 571 U.S. 99, 105 (2013) (“A participant’s cause of
action under ERISA accordingly does not accrue until the plan issues a final denial.”). Plaintiff
contends North Carolina’s three-year statute of limitations for breach of contract claims should
apply to claims under ERISA §§ 502(a)(1)(B) and (c). Alternatively, Defendant contends
Plaintiff’s claims under ERISA §§ 502(a)(1)(B) and (c) are untimely pursuant to North Carolina
choice of law rules, applying Delaware’s one year statute of limitations for breach of contract law.
The Court agrees with Plaintiff.
Statute of limitations provide the period during which a claim must be brought.
Heimeshoff, 571 U.S. at 105. ERISA does not provide a statute of limitations for ERISA
§§ 502(a)(1)(B) or (c). Therefore, the Court must examine the most analogous state law statute of
limitations. Dameron v. Sinai Hosp. of Balt., Inc., 815 F.2d 975, 981 (4th Cir. 1987).
Here, the Court adopts North Carolina’s three-year statute of limitations for breach of
contract claims pursuant to N.C. Gen. Stat. § 1-52(1) for Plaintiff’s § 502(a)(1)(B) claim. See Bond
v. Marriott Intern., Inc., 637 F. App’x 726, 733 (4th Cir. 2016) (adopting Maryland’s three-year
statute of limitations for contract actions pursuant to ERISA benefits claim); Singleton v.
Temporary Disability Benefits Plan, 183 F. App’x 293, 295 n.2 (4th Cir. 2006) (parties agreeing
to the application of N.C. Gen. Stat. § 1-52(1) for ERISA benefits claim); Dameron, 815 F.2d at
981 (adopting Maryland’s three-year statute of limitations for contract actions pursuant to ERISA
benefits claim); Smith v. Genuine Auto Parts Inc., No. 3:12-cv-273, 2012 WL 6728279, at *4
(W.D.N.C. 2012) (adopting N.C. Gen. Stat. § 1-52(1) three year statute of limitations for contract
12
claims pursuant to ERISA § 502(a)(1)(B)); Woody v. Walters, 54 F. Supp. 2d 574, 578–79
(W.D.N.C. 1999) (“[T]he applicable statute of limitations for § 1132 actions in North Carolina is
three years.”); United Food & Com. Workers Local 204 v. Harris Teeter Super Markets Inc., 716
F. Supp. 1551, 1560–61 (W.D.N.C. 1989) (“While this matter is not free from doubt, this Court is
of the opinion that Plaintiffs’ claims [pursuant to 29 U.S.C. § 1132(a)(1)(B)] are most analogous
to claims for breach of contract . . . North Carolina has a three year statute of limitations for actions
upon contracts.”).
Likewise, the Court adopts N.C. Gen. Stat. § 1-52(1) for Plaintiff’s ERISA § 502(c), 29
U.S.C. § 1132(c) claim. See Middleton v. Russell Group, Ltd., 924 F. Supp. 48, 51–52 (M.D.N.C.
1996) (agreeing with United Food, 716 F. Supp at 1560–61, and applying North Carolina’s threeyear statute of limitations to 29 U.S.C. § 1132(c) claim).
Accordingly, since the parties agree Plaintiff’s final denial occurred on September 29,
2020, Plaintiff’s August 14, 2023, claims under ERISA §§ 502(a)(1)(B) and (c) are timely pursuant
to N.C. Gen. Stat. § 1-52(1).
2.
ERISA Standard of Review
The parties disagree on the appropriate standard of review to apply in evaluating the cross
motions for summary judgment. Plaintiff contends the de novo standard of review applies because
the instant case does not involve interpretation of the Plan terms; rather, Plaintiff argues it involves
interpretation of the QDRO which is a state order and contract between the parties. Alternatively,
Defendant contends the Plan document and benefits “are reviewed under an abuse of discretion
standard or ‘arbitrary and capricious’ standard of review” because the Plan Administrator was
granted discretionary review to construe the terms of the Plan and calculate benefits. (Doc No. 291, p. 14.)
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In the ERISA context, courts conduct de novo review of an administrator’s denial of
benefits unless the plan grants the administrator discretion to determine a claimant’s eligibility for
benefits or to construe the terms of the plan, in which case the administrator’s decision is reviewed
for abuse of discretion. Firestone Tire & Rubber Co. v. Bruch, 489 U.S. 101, 111 (1989); Cosey
v. Prudential Ins. Co. of America, 735 F.3d 161, 165 (4th Cir. 2013). Comparatively, a Plan
Administrator’s interpretation of a QDRO is subject to de novo, rather than deferential review.
See, e.g., Matassarin v. Lynch, 174 F.3d 549, 563 (5th Cir.1999) (“The QDRO, unlike the Plan, is
a separate, judicially approved contract between Jenkins and Matassarin, which the Plan
administrator has no special discretion to interpret.”); Hullett v. Towers, Perrin, Forster & Crosby,
Inc., 38 F.3d 107, 114 (3d Cir. 1994) (“The district court did not err in holding that it should review
de novo the plan administrator’s construction of the [QDRO], which involved issues of contract
interpretation under the [QDRO] and not the Plan.”); Amron v. Yardain Inc. Pension Plan, No. 18
Civ. 11336, 2019 WL 6619107, at *3 (S.D.N.Y. Dec. 5, 2019).
Here, Defendants are correct in that the Plan clearly grants the Plan Administrator “final
authority and discretion to interpret the Plan, [and] resolve any ambiguities and determine
eligibility for benefits.” (Doc. No. 17, p. 160, 191.) However, the true tension over the appropriate
standard of review seemingly stems from the interpretation of the DRO2 used to determine it can
be construed as a QDRO3. The Court will review the Plan Administrator’s interpretation of the
QDRO de novo.
A DRO, for purposes of ERISA, is any order relating “to the provision of . . . marital property rights to a spouse
. . . and is made pursuant to a State or Tribal domestic relations law. 29 U.S.C. § 1056(d)(3)(B)(ii).
3
A QDRO is defined in 29 U.S.C. § 1056(d)(3)(B)(i). Prior to 1984, ERISA's provisions failed to clearly delineate
the interest of a non-employee spouse in pension benefits of the employee spouse. Under the 1984 amendments to
ERISA, if a domestic relations order provides for distribution of part or all of a participant's benefits under a
qualified pension plan to an alternate payee and meets the requirements set forth in the statute, then the creation,
recognition, or assignment of these benefits to the alternate payee is not considered an assignment or alienation
prohibited by ERISA's spendthrift provisions.
2
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The DRO signed by a North Carolina state court judge reads in pertinent part, “The
Alternate Payee’s benefit may be reduced as necessary to cover the cost of the QJSA awarded to
the Alternate Payee.” (Doc. No. 17, p. 614.) Through a Determination Report, the DRO was
determined to meet the requirements for a QDRO. The Determination Report additionally stated,
“At the participant’s benefit commencement date, the total monthly benefit will be reduced to
cover the cost associated with the QJSA.” (Doc. No. 17, p. 355.) Meaning, the Plan Administrator
did not allocate the entire “cost” of the QJSA to the Alternate Payee as Plaintiff contends the
QDRO required. In addition to the term “cost” being disputed4, Defendants ultimately argue the
interpretation of the QDRO is consistent because the QDRO does not require the “cost” of the
QJSA be exclusively borne by the Alternate Payee. This Court looks to North Carolina law to
interpret terms of the QDRO. Parsons v. Bd. of Trustees of Boilermaker-Blacksmith Nat’l Pension
Trust, 487 F. Supp. 3d. 489, 496 (S.D.W.Va. 2020) (“Courts treat QDROs as binding contracts, to
be interpreted in accordance with the law of the state where the QDRO was entered.”) (citing
Matthews v. E.I. DuPont De Nemours & Co., 682 F. App’x 148, 151 (3d Cir. 2017).
Under North Carolina law, “the terms of a contract are to be interpreted according to the
expressed intent of the parties unless such intent is contrary to law.” Offis, Inc. v. First Union Nat’l
Bank, 150 N.C. App. 356, 363 (2002); Lane v. Scarborough, 284 N.C. 407, 410–11 (1973). “If the
plain language of a contract is clear, the intention of the parties is inferred from the words of the
contract.” Walton v. City of Raleigh, 342 N.C. 879, 881 (1996). “When the parties use clear and
unambiguous terms, such contracts can be interpreted by the court as a matter of law.” Robertson
v. Hartman, 90 N.C. App. 250, 252 (1988). In construing a contract, “words are to be given their
According to Corteva, the “cost” of a QJSA benefit is in fact an actuarial adjustment to covert a benefit payable
over the participant’s lifetime to a benefit payable over the joint lifetimes of both the participant and surviving
spouse. Thus, there is no actual “cost” assignable to the alternate payee. (Doc. No. 17, p. 252.)
4
15
usual and ordinary meaning and all the terms of the agreement are to be reconciled if possible.”
Nationwide Mut. Ins. Co. v. Mabe, 115 N.C. App. 193, 198 (1999). Where ambiguities arise, the
“basic contract law principle contra proferentem counsels that we construe any ambiguities in the
contract against its draftsman.” Maersk Line, Ltd. v. United States, 513 F.3d 418, 423 (4th Cir.
2008).5
Generally, the word “may” has two ordinary meanings. First, “may” can be used to convey
discretion. Second, “may” can also be used to convey the possibility of something coming to pass.
However, “may” is not usually or ordinarily used to convey a requirement or exclusivity. When
evaluating the QDRO holistically, there is no indication from any of the terms that Plaintiff and
the Alternate Payee intended for “costs” of the QJSA to be deducted only from the Alternate Payee.
As noted above, a QDRO provides a mechanism through which a former spouse may be designated
as an alternate payee and thereby “receive all or a portion of the benefits payable with respect to a
participant under the plan.” 29 U.S.C. § 1056(d)(3)(B)(i)(l). Importantly, there are specific
requirements for a DRO to constitute a QDRO including one forbidding a DRO “to provide any
type or form of benefit, or any option, not otherwise provided under the plan.” Id.
§ 1056(d)(3)(D)(i). The “may” was interpreted to convey discretion in order for the DRO to
comport with the Plan options because the Plan expressly provides the QJSA “cost” is paid for by
a reduction to the total benefit amount under the fifty percent SBO option. Clearly, interpreting
the QDRO in accordance with Plaintiff’s preferred reading would lead to the DRO not meeting
the requirements of a QDRO because it would require a division of the benefit not provided for
under the Plan.
Plaintiff seems to argue any ambiguity related to allocation of QJSA “costs” should be construed in favor of
Plaintiff and against the Plan Administrator. While the Plan Administrator appears to have reviewed a draft of the
DRO prior to its filing with the North Carolina state court, the Plan Administrator did not draft the DRO and only
determined it constituted a QDRO.
5
16
Given the clear language in the QDRO, coupled with the structure of the QDRO and the
Plan, this Court finds the contract to be unambiguous. Therefore, interpretation of the contract is
a matter of law and there are no factual issues to be determined. Accordingly, the Court finds the
Plan Administrator’s interpretation of the QDRO proper.
3.
Denial of Benefits Claim Under ERISA § 502(a)(1)(B)
As the Court stated above, the Plan clearly grants the Plan Administrator discretion to
determine benefits. Therefore, the Court will review the Plan Administrator’s denial of benefits
for abuse of discretion.
The abuse of discretion standard is a highly deferential standard. Cosey, 735 F.3d at 168.
As a result, the plan administrator’s decision will remain undisturbed if reasonable. Williams v.
Metropolitan Life Ins. Co., 609 F.3d 622, 630 (4th Cir. 2010). A reasonable decision is product of
“deliberate, principled reasoning process and if it is supported by substantial evidence.” Brogan v.
Holland, 105 F.3d 158, 161 (4th Cir. 1997) (internal quotation marks omitted) (quoting Bernstein
v. Capital Care, 70 F.3d 783, 788 (4th Cir. 1995)). The Court considers eight nonexclusive factors
to determine the reasonableness of a plan administrator’s decision. Booth v. Wal-Mart Stores, Inc.
Assoc. Health & Welfare Plan, 201 F.3d 335, 342 (4th Cir. 2000). The eight Booth factors are as
follows:
(1) the language of the plan; (2) the purposes and goals of the plan; (3) the adequacy
of the materials considered to make the decision and the degree to which they
support it; (4) whether the fiduciary's interpretation was consistent with other
provisions in the plan and with earlier interpretations of the plan; (5) whether the
decision making process was reasoned and principled; (6) whether the decision was
consistent with the procedural and substantive requirements of ERISA; (7) any
external standard relevant to the exercise of discretion; and (8) the fiduciary's
motives and any conflict of interest it may have.
Id. However, “[a]ll eight Booth factor need not be, and may not be, relevant in a given case.”
Skinder v. Fed. Express Long Term Disability Plan, NO. 5:19-CV-00153-KDB-DCK, 2021 WL
17
1377982, at *1 (W.D.N.C. Apr. 12, 2021). The Court will not substitute its own judgment for a
reasonable plan administrator’s decision. See Berry v. Ciba-Geigy Corp., 761 F.2d 1003, 1008
(4th Cir. 1985). The Court will only evaluate relevant Booth factors. See Skinder, 2021 WL
1377982, at *7 (W.D.N.C. Apr. 12, 2021) (citing Helton v. AT&T, 709 F.3d 343, 357 (4th Cir.
2013)).
A review of the record reveals the Plan Administrator’s decision was reasonable. The
purpose and goal of the Plan, as related to the QJSA benefit, is “to ensure that the Alternate Payee
has a benefit paid to her if she survives [Plaintiff].” (Doc. No. 17, p. 357.) Looking to the express
language of the Plan, the Plan states the “cost for the post-retirement spouse benefit option is paid
for by a reduction to your [Plaintiff’s] monthly pension payment. The amount of the reduction is
actuarially determined, taking into account your age and the age of your spouse as of your pension
payment start date, the level of benefit elected [ ], and the Plan’s investment-return rate.” (Doc.
No. 17, p. 148, 153.) When Plaintiff elected the Plan, he certified his choice which explained the
monthly benefit would be $3,400 and not the higher amount he now contends he is entitled to.
(Doc. No. 17, p. 332.) It was this certification in conjunction with the various sections of the over
hundred-page Plan and the QDRO which the Plan Administrator relied on to deny the portion of
Plaintiff’s benefits requested. Then, after Plaintiff raised a question regarding the amount of his
benefit, the Informational Notice interpreted the Plan the same. Again, nearly a year later, the
Appeals Council interpreted the QDRO and Plan consistent with how it had been interpreted. As
this Court has made clear, requiring the QJSA “cost” be allocated solely against the Alternate
Payee’s distribution would go against the ERISA requirements because a QDRO is prohibited
from providing a benefit or option not available under the Plan. This Court finds no evidence in
18
the record supporting a conclusion the Plan Administrator came to its decision through a process
that was unprincipled or unreasonable.
The sum relevant Booth factors weigh in favor of finding the Plan Administrator’s denial
of benefits reasonable. Because sufficient evidence is contained in the record to support the
determination the “cost” of the QJSA could not be allocated in the manner in which Plaintiff wants
and the QDRO does not require such allocation, the Plan Administrator did not abuse its discretion
in denying Plaintiff’s benefits.
4.
Statutory Penalty Claim Under ERISA § 502(c)
Plaintiff alleges Defendant failed to provide him with “full copies of all Plan documents
in a timely manner.” (Doc. No. 31-1, p. 16.)
ERISA § 104(b)(4) provides:
The administrator shall, upon written request of any participant or beneficiary,
furnish a copy of the latest updated summary plan description, plan description, and
the latest annual report, any terminal report, the bargaining agreement, trust
agreement, contract, or other instruments under which the plan is established or
operated. The administrator may make a reasonable charge to cover the cost of
furnishing such complete copies. The Secretary may by regulation prescribe the
maximum amount which will constitute a reasonable charge under the preceding
sentence.
29 U.S.C. § 1024(b)(4) (emphasis added). “Other instruments under which the plan is established
or operated” includes legal or formal documents a plan is premised on. Faircloth v. Lundy Packing
Co., 91 F.3d 648, 653 (4th Cir. 1996), cert. denied, 519 U.S. 1077 (1997). Further, § 104(b)(4) is
not interpreted broadly. Id. This means, a defendant is not required to turn over any and every
document related to a pension plan. Vincent v. Lucent Tech., Inc., 733 F. Supp. 2d 729, 740
(W.D.N.C. 2010) (citing Faircloth, 91 F.3d at 652).
ERISA authorizes courts, pursuant to 29 U.S.C. § 1132(c)(1), to authorize a $110/day fine
against a plan administrator for failure to provide the requested information within thirty days.
19
Two factors guide a district court’s discretion is whether to award statutory fees under 29 U.S.C.
§ 1132(c)(1): (1) prejudice to plaintiff; and (2) the administrator’s conduct in response to a
plaintiff’s request. Davis v. Featherstone, 97 F.3d 734, 738 (4th Cir. 1996). Prejudice may include
“frustration, trouble, and expense.” Id. A finding of prejudice is not required for a district court to
assess damages. Carroll v. Cont’l Auto., Inc., 685 F. App’x 272, 276–77 (4th Cir. 2017).
Plaintiff, by written request, requested Plan documents for the first time on July 20, 2020.
(Doc. No. 17, p. 346.) In response, the Plan Administrator timely sent Plaintiff Plan documents.
(Id., p. 334.) Plaintiff acknowledged receipt of Plan documents through a September 18, 2020,
letter. However, in the same September letter, Plaintiff indicates the Plan documents sent in August
were “faulty” and further requested “appendices . . . all copies and revisions of the Plan and SPD
in effect for the entire time period relating to the QDRO determination process in 2013.” (Id.)
Plaintiff’s contentions regarding the statutory penalties under § 1132(c)(1) rely in great part on a
declaration not in the administrative record. (See Doc. No. 31-2, pp. 1–10.) The Court will not
consider Plaintiff's declaration as it is not a part of the administrative record and exceptional
circumstances have not been alleged. See Gallagher, 305 F.3d at 276 n.12 (concluding there will
be no consideration of a declaration submitted in a support of a motion for summary judgment in
ERISA benefit denial case where plaintiff fails to allege exceptional circumstances); see also
Dippel., 2011 WL 1233705, at *3 (indicating “[t]he Court therefore will exclude the matters
submitted by the parties which are not contained within the administrative record”).
It is unclear whether Plaintiff was provided with the: (1) the latest SPD; or (2) appendices.
It is also unclear whether Plaintiff’s request for “all copies and revisions of the Plan . . . in effect
for the entire time period relating to the QDRO determination process in 2013” constitutes legal
or formal documents the Plan is premised on. See Faircloth, 91 F.3d at 653; ERISA § 104(b)(4).
20
Nonetheless, if Plaintiff was not provided with the requested documents in a timely manner, it did
not seem to prejudice him in the administrative appeals process as his Level 2 Appeal was received
the same days as his first written request for Plan documents. See Wilson v. United Healthcare Ins.
Co., 27 F.4th 228, 246 (4th Cir. 2022) (finding defendant’s failure to provide a pension plan and
its guidelines “impeded the [administrative] appeal process”); (see also Doc. No. 17, pp. 346, 360.)
Further, the Plan Administrator was responsive to Plaintiff’s request for documents. The Plan
Administrator complied with Plaintiff’s verbal request for documents, an action not required under
ERISA § 104(b)(4). (Doc. No. 17, p. 395.) Upon Plaintiff’s first written request, he was again
provided with documents. (Id., pp. 334, 346.)
Accordingly, because Defendant is not required to turn over every document related to the
Plan, Plaintiff’s administrative appeal process was seemingly unimpeded, and the Plan
Administrator was responsive to document requests at all times, statutory penalties under
§ 1132(c)(1) are not warranted. See Carroll v. Continental Automotive, Inc., 685 F. App’x 272,
277 (4th Cir. 2017) (finding it within a district court’s discretion upon consideration of prejudice
to impose civil penalties pursuant to ERISA § 502(c)).
5.
Attorneys’ Fees and Costs Under ERISA § 502(g)
29 U.S.C. § 1132(g)(1) provides, “[i]n any action under this subchapter . . . by a participant,
beneficiary, or fiduciary, the court in its discretion may allow a reasonable attorney’s fee and costs
of action to either party.” Where a party achieves “some success on the merits” a district court
properly authorizes award of attorney fees under § 1132(g)(1). Hardt v. Reliance Standard Life
Ins. Co., 560 U.S. 242, 256 (2010) (quoting Ruckelshaus v. Sierra Club, 463 U.S. 680, 694 (1983)).
At this time, the Court declines to award attorneys’ fees and costs under 29 U.S.C. § 1132(g). Tyce
v. AT&T Corp., No. 3:21-CV-00040-FDW-DSC, 2021 WL 5022377, at *5 (W.D.N.C. Oct. 28,
21
2021) (finding where a plaintiff “failed to raise a genuine issue of material fact” the Court declined
the award of attorney’s fees and costs under § 1132(g). The Court grants leave for either party to
file subsequent motions for fees and costs consistent with the Court’s rulings in this Order.
III.
CONCLUSION
IT IS THEREFORE ORDERED that Defendants’ Motion to Exclude Expert Report,
(Doc. No. 30), is GRANTED.
IT IS FURTHER ORDERED that Plaintiff’s Motion for Summary Judgment, (Doc. Nos.
31), is DENIED.
IT IS FURTHER ORDERED that the Defendants’ Motion for Summary Judgment, (Doc.
Nos. 29), is GRANTED.
IT IS SO ORDERED.
Signed: August 27, 2024
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