Professional Documents
Culture Documents
Golas v. Homeview, Inc., 1st Cir. (1997)
Golas v. Homeview, Inc., 1st Cir. (1997)
Golas v. Homeview, Inc., 1st Cir. (1997)
No. 96-1696
v.
____________________
APPEAL FROM THE UNITED STATES DISTRICT COURT
____________________
Before
Stahl, Circuit Judge,
_____________
was on
brief,
appellant.
Joan O. Vorster,
_________________
with
whom
Joseph M. Hamilton
____________________
and
____________________
Miri
____
Rev
February 7, 1997
____________________
This is an appeal
from the
denial
of plaintiff's motion
arising out
to
pay
to amend her
broker, as a defendant in
disability
complaint to add
insurance benefits
to
plaintiff's late
motion
to
amend,
defendant
on
district
court
plaintiff
state law
was
review
the
denial
sought
claim
to
in
add
an
being preempted by
of the
motion
to
In her
new
party
action which
simultaneously dismissing
original defendants as
a suit
the
against
the
federal law.
We
amend
for abuse
of
circumstances.
We
do not reach
the issue of
1001 et
__
seq. ("ERISA").
____
In
disability
Inc.
sought
related
August
1992,
insurance policy
plaintiff's
through his
husband
obtained a
employer, HomeView
disability benefits.
to
preexisting
condition for
which
he
sought
After
-22
The complaint
alleged
that
HomeView
supplied
Donald
Golas,
with a
pamphlet,
explaining
Plaintiff
the
governing
contends that
indicated that
benefits
rules
employees,
prepared
by Paul
preexisting
this pamphlet
including
Revere,
conditions.
was misleading.
It
as long
sickness that
its
as
the disability
required him
to consult
was
not caused
a doctor during
by
the
three
month enrollment
reliance
during
only.
time.
on this
period.
statement,
the enrollment
period
her husband
for
that, in
visited a
administrative
doctor
purposes
It was this
ineligible
to
receive
benefits.
until
Plaintiff claims
Plaintiff
argues
that,
Plaintiff
late
sought damages
husband's emotional
consortium.
in
state court
for her
distress and
loss of
due
ERISA
under the
disability policy
case
to
continues
Massachusetts.
federal court,
by ERISA.
Defendants
be
pursuant to
pending
removed
in
the
the state
That
District of
law suit
to
-33
ERISA.
the state
ERISA.1
law claims,
were preempted
that, since
to add Kaplan as
filing her
critical
relied
misrepresentations
were made
to him
by Ellen
upon
had "discovered
which
Kaplan."
her
husband
The complaint
coverage, Mr.
regarding
that,
to
a defendant, asserting
Golas
by
court.
that
his
"[a]s
provision
HomeView
of
coverage under
the
broker
disability
the
disability policy,"
responsible
insurance
for
from
overseeing
Paul
Revere
and
the
to
Defendants opposed
the motion
to add Kaplan
as a
claim
against
Kaplan
Plaintiff argued
preempted
by
would
that a
ERISA
also be
preempted
because
Kaplan was
not
by
ERISA.
would not
be
an
of
agent
____________________
1.
-44
in
The
district
recommendation to grant
claims
against
preemption.
to adopt
HomeView
adopted
the
magistrate's
and
Paul Revere
based
state law
on
ERISA
Having
court
already decided
to dismiss
the claims
a defendant.
against Paul
Revere
anomalous situation.
case
which was
defendants.
In
district court
was faced
with an
being dismissed
as
to the
two original
action against
Paul Revere and HomeView was pending in the same court but in
a different
was filed.
the magistrate's
decision to adopt
motion to amend
context.
Thread Die Co., 49 F.3d 790, 792 (1st Cir. 1995) (noting that
______________
decision
-55
or
declared"
omitted)).
from
our
It
(internal
quotation
is well-settled,
respected
colleague
marks
as the
points
and
citation
concurring opinion
out,
that,
when
its discretion.
us here.
the
they make it
unnecessary to reach
was no
Furthermore, a parallel
in
____________________
2.
The
reached
concurrence
because
first and, in
basis
for
argues that
issues of
the absence
the
jurisdiction
issue must
must be
of diversity, there
federal jurisdiction.
disagree with
ERISA
This is
addressed
is no
other
incorrect.
be
We
not address
ERISA,
the
district
court
would
action over
jurisdiction,
all
other
that
and
HomeView
part
of
1367.
the state
under
the
In any
have original
form
28 U.S.C.
jurisdiction over
supplemental
district courts
controversy.
have
which the
claims
the
same
The district
preemption
case
or
court had
Paul Revere
doctrine.
is sufficient
district courts.
Vacation
Trust,
________________
to confer
original jurisdiction
on the
U.S.
1,
23-24
(1983);
American
________
______________________
___________________
-66
federal court.
parties than
Under these
circumstances,
it denied
Kaplan
plaintiff's motion to
as the sole
defendant.
novo,
____
as the concurrence
legal
Even
if our review
suggests, we
record.
were de
__
could affirm
See,
___
to add
on any
e.g., Eagan v.
____ _____
We
therefore uphold
amend, albeit on
preemption issue.
claims,
silentio.
the denial
and thus
of the
those relied on
we express no
motion to
opinion on
by
the
the concurrence
________
____________________
3.
The
codification
doctrine in
includes
the
of
1990, which
the
supplemental
joinder of
additional
jurisdiction
such jurisdiction
parties,
28 U.S.C.
4.
express
brought,
no opinion),
a viable
the
1996.
However, to
state law
claim could
claim (on
the extent
which we
apparently still
be
32.
-77
ruling
that
any claim
presents
no bar.
effect.
If
action,
the
preemption
against
would be
preempted
a motion
is made
court will
have
developed in discovery.
Inc. v.
____
Kaplan
Nadal-Ginard, 73
____________
to add
Kaplan to
the ability
of the facts
to
the ERISA
consider the
F.3d 429,
1996)
whether
____________________
5.
taken on
The
she
company.
In Kaplan's
employee
benefits
meeting for
HomeView
insurance
HomeView
Kaplan was
policy
employees.
that
was
also
This undermines
an independent broker.
being
offered
Golas' argument
to
that
by now be
established, but
Kaplan
was
no
findings are
an agent
factual assumption
of either
before us.
of
the two
However,
companies, the
if
is incorrect,
conclusions unjustified.
Indeed, if
Kaplan
within
v. Monsanto Co.,
____________
14 F.3d 697
-88
I concur
in the
case
I do not
district
court
plaintiff's
Kaplan as
did
not
discretion
in
denying
a defendant.
adopted by
abuse its
In his
the district
the following
reason
report and
recommendation,
for denying
the motion
judge stated
to amend
the
complaint:
Ellen Kaplan as a
assert
her
against
claim
for
claim
would
be
pre-empted
by
ERISA.
was compelled
by
pre-empted
by
denial of the
than
for
ERISA.
.
court
Accordingly,
motion is
abuse of
Supreme
See
___
F.3d 790,
793 (1st
stated
court's
de novo,
__ ____
rather
Cir.
unequivocally that
by definition abuses
error of law."
district
subject to review
discretion.
49
Court has
the
Kaplan would be
1995).
The
"[a] district
it makes an
To
be sure,
in
the ordinary
case, the
decision
-9-
is
discretionary
with
the
trial
court, and
so
is
normally
not ordinary
respect.
motion
was
in this
denied
because
Here it
of
matter
of
law,
and
his unstated
the
is clear
us is
that the
magistrate's
stated
but
apparent
corollary
conclusion
that, as a result,
Thus,
district court
the question
before us
is not
whether the
in denying plaintiff's
motion to amend the complaint, but whether the basis for this
was erroneous,
was
correct.
as I think it
not "futile"
ground.
As
jurisdiction
If the
and should
to
not have
consequence,
the
decide
merits
the
motion to amend
been denied
district
of
on that
court
the
lacks
state-law
inferentially, the
ERISA
appeal
only basis
pre-emption.
can
be
decided
for
do not
on
federal jurisdiction
think, therefore,
principled
basis
is
that this
without
preemption issue,"
and
suggests that
the
plaintiff
could
as to add Kaplan as
-1010
a defendant.
effect
district
of its
disposition
of the
court's pre-emption
case
ruling
is to
sub silentio,
___ ________
of
uphold
and
the
to
A finding
redress in state
to
address the
court.
merits of
plaintiff exactly
and with
federal court.
the district
court's pre-emption
pre-emption
pre-emption as
the
a bar
ground of
to recourse
in
Kaplan and
case
that, therefore,
of this
jurisdiction
I.
I.
start my
analysis
with the
key
words of
the
Except as provided
of this section,
in subsection
the provisions of
(b)
this
____________________
6.
I, of course,
intimate no
opinion as to
the merits
of
-1111
subchapter
and
subchapter
III of
this
29 U.S.C.
(1)
The
includes
rules,
term
"State
all laws,
decisions,
regulations,
State action
law"
or
other
29 U.S.C.
1144(c)(1).
The
provision of
Supreme
Court
teaches
that
the pre-emption
514(a),
codified at 29 U.S.C.
1144(a), was
intended
to
ensure that
would
be subject
benefits
the
plans and
law; the
to a
among
to minimize
financial burden
between States
Government.
of plan
the
to the
beneficiaries. .
Particularly disruptive
for conflict
and the
Otherwise,
of
States or
Federal
uniform body
goal was
administrative and
of complying
plan sponsors
. .
is the potential
in substantive law.
It is
common
law powers,
might develop
different
substantive
the
the law
employer conduct,
tailoring
standards
of
plans
and
peculiarities of
jurisdiction.
Such an
that Congress
sought
to implement.
(citations omitted).
-1212
U.S. 133,
142 (1990)
In
concluding
that plaintiff's
stated
misrepresentation
49 F.3d 790.
In
Carlo we
_____
-1313
Section 514 of
and all
now or
ERISA supersedes
State laws
insofar as
hereafter relate to
______ __
added).
"any
they may
any employee
29 U.S.C.
1144(a)
includes
all
laws,
decisions,
rules,
effect of
U.S.C.
law, of
1144(c)(1).
any State."
The
Supreme Court
29
'relates to'
plan . . . if it has
plan."
498 U.S.
2890, 2900, 77 L.
specifically
Ed. 2d
meaning,' a state
empted,
85, 96-
and thereby
if
the
designed
law
to
be preis
not
affect
such
plans, or the
effect is only
Id.
___
(quoting
Dedeaux,
_______
481 U.S.
41,
47,
indirect."
107 S.
Ct.
(1st
Cir. 1996),
held that
ERISA pre-empted
794-95.
law
But
the state-law
connection with
Carlo, 49 F.3d at
_____
misrepresentation claims
into the
-1414
ERISA
corner merely
ERISA pre-
State
"tenuous,
laws
that
remote,
connection with a
have
merely
or
peripheral
covered benefit
plan"
Rosario________
F.3d
(citation
[120,]
and
123
[1st
Cir.
1995]
internal quotation
marks
omitted).
District of Columbia
v. Greater
____________________________________
U.S. at
at 123;
Superintendent
of
the
Bureau
of
_________________________________________
Insurance, 22 F.3d 1, 3 (1st Cir.), cert.
_________
_____
denied,, ___
_______
U.S. ___,
115 S. Ct.
that
350,
A court cannot
state law
is
one
of
on the form or
however.
49 F.3d
at
Shield of Michigan,
___________________
(6th Cir.
See Carlo v.
___ ________
1995).
52 F.3d
1395, 1401
Absent precedent
on a
plan
or is
merely "tenuous,
remote, or
peripheral"
requires a court
to look at
the facts
See
___
Rosario-Cordero
v. Crowley
Towing &
_________________________________________
Transp. Co., 46 F.3d at 125 n.2.
___________
In
(1st Cir.
1995), we
pointed out
the consequences
It "may cause
F.3d 1129
that may
potential state-
-1515
whether
jury
trial
is
available."
Id.
___
at
1131-32
(citations omitted).
recent
Supreme
Court
decision
has
direct
Ins. Co.,
_________
115
insurers,
acting
S.
Ct.
as
1671
(1995),
fiduciaries
of
several
ERISA
commercial
plans
they
the
claimed
provision"
brought
Court against
surcharge
authority
of
ERISA's
actions in
the
state officials
statutes.
Court, Justice
Id. at
___
preemption
United States
District
to invalidate three
hospital
1675.
Souter made a
general
Writing
for a unanimous
number of observations
by
implication,
U.S. Const.,
express
or
by
variety
a conflict
of these
federal
preeminence,
assumed
lightly
derogated
that
Art.
of state law
provision,
recognized that
either
by
between
have
never
Congress
state regulation,
has
but instead
starting
and "[o]n
presumption that
Congress
on the
does
not intend
to supplant
Indeed,
in cases
federal
law is said
in
fields
of
like
state law.
this one,
regulation,
we
have
worked
assumption
that
the
historic
powers of
the
where
States
were
state
on
not
the
police
to
be
-1616
was
the
Congress.
clear and
manifest
purpose of
employee benefit
were
extend
taken
to
indeterminacy,
would never
then for
run its
to
the
furthest
all practical
course."
stretch
simply must
text
and
Id. at
___
1677.
go beyond
the unhelpful
the frustrating
difficulty of
instead
guide to
the scope
of the
state law
Id.
___
its
purposes pre-emption
concluded:
We
of
The
Court
Indeed,
provision
to
as
read
the
pre-emption
displacing all
state laws
they
indirectly
relate
to
ERISA
memberships
services,
that
would
would cover
effectively
limiting language in
basic
principles
our
prior
of the
statutory
not be
pronouncement
the
would violate
of
read
514(a) out
such
squared
that
. . . if the
applicability.
-1717
Id.
___
at
1679-80
(citation
and
internal
quotation
marks
In discussing
Travelers
_________
Court pointed
that Congress
mandate[]
the sweep of
to three
ERISA pre-emption
categories of
employee
administration,"
id. at
benefit
the
state laws
structures
or
their
___
alternate enforcement
that
bind plan
1679.
See
___
1457, 1468-69
id.; third,
___
administrators to
thus function as a
at
mechanisms,"
state
a "particular
laws
choice and
itself," id.
___
It is obvious
that none of
The
surcharges had
made
by
Court
held
that
the
insurance
buyers,
including
Two
made.
New
other
observations
York
statutory
effect on choices
ERISA
plans"
and,
Travelers at 1679-80.
_________
about Travelers
_________
must
be
This
_____ _____
means,
of
benefit
course, that
of the
Second, none
the Carlo
_____
Court's latest
panel
views on
did not
have the
ERISA pre-emption.
decided in this
circuits.
now turn
In
to
case the
post-Travelers decisions
_________
Fourth
-1818
by other
Circuit described
as
"garden-variety
professional
malpractice
claim" the
court
held:
In
light of
(and
the Supreme
narrowing)
scope
of
Court's recent
interpretation
ERISA preemption
in
of
the
New York
________
S.
Ct.
1671,
131 L.
Ed.
U.S. ---,
2d
695
is not
the
it does
ERISA's preemption
provision, 29 U.S.C.
1144(a).
for
preempted because
proposition
F.3d at 1466-67.
that
courts
Quoting Travelers
_________
"'address
claims
of
not
intend
to
supplant
(citations
omitted), the
especially
true in
state
Fourth Circuit
cases
involving
In
plaintiff's
administrator
F.3d
at
1467
added, "[t]his
was
is
traditional
claim
since
98
fields of
malpractice
at all
law,'"
Congress does
id.
__
"not aimed
the defendants
at
plan
[were] sued
in
in that capacity."
Id.
___
at 1471.
This case is
analogous to
(11th
Cir. 1996)
(en banc),
cert. denied,
1996 WL
693349
__ ____
(U.S.
Jan. 21,
analogous
to
1997)
the case
_____ ______
(No. 96-764),
at
bar.
is
even more
Plaintiff
closely
Morstein
was
-1919
a replacement
and
the
company's other
administered
meeting
by National
with the
broker,
employee.
treatment
condition.
that the
as
policy
to
any
issued,
Over a year
plaintiff
surgery.
National
Insurance
claim for
her application.
At the
him that
preexisting
the broker
was
Inc.
to be
any
alleged that
policy was
plaintiff informed
related
Plaintiff
The
Insurance Services,
coverage
had
assured her
total
hip
Services refused
replacement
to pay
plaintiff had
93 F.3d at 716-17.
medical
her
for a
not disclosed
on
Plaintiff filed
negligence,
contract.
malfeasance,
Defendants
an action in
misrepresentations, and
breach of
to federal court
on
Id. at 717.
___
Court's decision
emption doctrine."
Id. at 721.
___
-2020
in Travelers
_________
as
an
not
ERISA.
individual
serve
As
insurance
agent
Congress's purpose
we have
for
discussed, Congress
and
other
benefit
insurance agents
for
plans.
fraudulent
objective.
beneficiary's
for
To
of
immunize
beneficiaries
would not
If ERISA
preempts
potential cause
misrepresentation,
beneficiaries,
and
among various
plans
employers
will no
promote
a
of action
employees,
choosing
longer
be
able
to rely
on the
the
plan.
Congress
regarding the
These
sought
themselves
representations of
to
unable
terms
employees,
whom
protect, will
find
to
make
informed
In
(7th Cir.
116 S.
Nothing
in
ERISA
professionals from
prevents
medical
submitting--and state
not covered by
welfare benefit
plans,
29
U.S.C.
Ct.
of
because
general
applicability
just
care.
cert.
_____
denied, 116
______
challenge to
S. Ct.
1266 (1996),
certain provisions
-2121
a case
involving a
of a Minnesota
health care
reform statute
Travelers
_________
known as
in holding
stating, "In
Travelers and
_________
that there
the context of
was no
relied on
ERISA pre-emption,
the MinnesotaCare
legislation,
in this litigation
a 'laboratory
of democracy' in
the realm
of health
care."
Id. at 1109.
___
The
rejecting an
Seventh
Circuit also
relied on
by
Travelers in
_________
such
whose
insurers
to
provide health
physical and
mental
insurance
conditions
obtaining
insurance in
case, the
held
the private
to individuals
prevented them
market.
In a
from
similar
health
insurance to
subsidize
medical care
1995).
Corp.,
_____
See
___
68
for the
F.3d 413
poor.
(2d Cir.
F.3d
561,
573-74 (2d
Cir.
1995)
(noting
the
514(a) of ERISA
by Travelers).
_________
As these cases
_________
-2222
II.
II.
I turn
to
to allow an amendment
discretion.
as a defendant.
refusal
motion
F.3d
at 28-29.
a district court's
to the complaint
See
___
is abuse of
law.
See
___
792-93.
Moreover, if there
is no pre-emption,
jurisdiction.
Thus, in my
at
the federal
view, there
Normally in
a pre-emption case
way
know
of
facts
here.
All
we
is
derived
from
the
accepted
as true
at this
stage of
the litigation.
These
misrepresentations
and/or
failed
conditions of
to
to give
plaintiff's
him
correct
eligibility for
husband,
Golas,
information about
participation
-2323
Donald
in the
the
Revere
Insurance policy.
The
Revere's insurance
linked
to
policy to
HomeView
and
misrepresentations, there
agent for
or on behalf
defendants.
alleges
The
HomeView.
Revere
is no
amended
alleged
acted as
individually.
both of the
complaint,
a common-law misrepresentation
to
Kaplan is
the
of either or
as
Although
broadly
other two
construed,
plan
is
claim.
not
implicated
Donald
instead,
Golas
the
in
ERISA disability
plaintiff's
never
complaint
became
extent of insurance
involved.
not
focuses
on
about
those
plaintiff's
thus
it is
only the
eligibility
cause of
alleged
Neither the
amount of benefits
is
alleged misrepresentations
requirements
action.
employee;
the
insurance coverage.
in dispute;
misrepresentation
covered
insurance
that
give
Plaintiff's burden
rise
to
of proof
his eligibility.
F.3d at 1462
n.4.
-2424
790.
In
Carlo,
the plaintiff
was
a former
employee
of
_____
defendant
Reed and
Plaintiff
Carlo elected
monthly
participant in
early
monthly benefits
him.
retirement on
plan.
the basis
he would receive.
he received
its retirement
of
The actual
less than
Carlo did
not accept
under protest.
state
court
the offer
and
took early
retirement
for
misrepresentation.
In Carlo,
_____
breach
of
Id. at 792.
___
contract
and
negligent
participant in the
plan
and one
of
retirement pay
the plan.
employee
the
due him
issues
was
and none
with
amount
of the
of
monthly
provisions of
issues implicate
concerned
the
the substantive
misrepresentations
regarding
Golas's
v. Nadal-Ginard
________________
has
much
to
federal
district
court against
-2525
recommend
it.
In
Boston
______
429, suit
was brought
in
defendant,
who worked
for
The suit
as an officer and
director.
information concerning
When the
plan was
terminated on defendant's
provisions
had devised.
initiative, he
received
more than
appeal defendant
the
type
of
$4,000,000
severance
benefits
Here,
in severance
plan at
issue
alleged
We held:
fiduciary
action in
disclosing
the
Banks
Plan
information
that
without
a
self-
to his fellow
directors.
misconduct preceded
of
the
plan.
Nadal-
the formal
The
legal
the
the
resolution
breach does
of any
interpretation
from
its
application of
breach of
establishing
On
specifically exempted
73 F.3d at 438.
the
benefits.
not
dispute
or
Further, the
____________
that
Nadal-Ginard
plan
rather
compensation
underlying
than
some
is
Indeed, the
chose an
other
peripheral
claim
that
ERISA
form
to
of
the
Nadal-Ginard
This
said
that
being the
case, it
Massachusetts
cannot be
fiduciary
-2626
law
Based
of the scope
of pre-emption
under
established in
Travelers, and
_________
other circuits,
it is evident
the
514(a)
of the
statute
post-Travelers cases
_________
in
not pre-empt
Ellen Kaplan.
There are
eight
cited
for
reasons,
conclusion.
rights
gleaned
from
(1) No ERISA
or obligations
the
cases,
are asserted.
(2)
this
and no ERISA
Defendant Kaplan
to plaintiff.
nor
does the
alleged
misrepresentation
claim
ERISA entity,
affect
the
relationship between
categories
intended
claim
of
of
state
to pre-empt
laws
are
that
Moreover, tort
an area of state
Congress intended
Congress
did
(4) None
Travelers
_________
implicated.
misrepresentation
application.
(6)
ERISA entities.
regulation.
is
holds
(5) The
state
law
Congress
common-law
of
general
It is therefore
not
of the three
intend to
unlikely that
area by pre-emption.
shield
tortfeasors
from
(7) State
made by
depend
upon
ERISA.
(8)
The
does not
alleged
in any
way
misrepresentation
-2727
occurred prior to
the time
plan would
have
taken effect.
I would
the district
court
in denying plaintiff's
motion to
"would be
pre-empted
by ERISA."7
diversity of
basis for
Because ERISA
Plaintiff should be
Although the
on the ultimate
it.
Because
procedural path
think that
is
this
important, I
is a
in which
must respectfully
____________________
case
the
concur,
7.
would
also hold
that
the
district court
erred
in
the differences
between her
status vis-a-vis
ERISA and
the claim
pre-empt
distinctions between
that of
claim
against Revere
the
claim
and HomeView,
against Kaplan.
Kaplan's status as an
if ERISA
it must
Given
the
this failure to
consider the
error.
-2828