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15-1600•Lydia Donati v. Ford Motor Company, General Retirement Plan, Retirement Committee
15-1600Court of Appeals for the Sixth CircuitMar 1, 2016
NOT RECOMMENDED FOR FULL-TEXT PUBLICATION
File Name: 16a0119n.06
Case No. 15-1600
UNITED STATES COURT OF APPEALS
FOR THE SIXTH CIRCUIT
LYDIA DONATI,
Plaintiff-Appellant,
v.
FORD MOTOR COMPANY, GENERAL
RETIREMENT PLAN, RETIREMENT
COMMITTEE,
Defendant-Appellee.
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ON APPEAL FROM THE UNITED
STATES DISTRICT COURT FOR
THE EASTERN DISTRICT OF
MICHIGAN
BEFORE: BOGGS, GIBBONS, and GRIFFIN, Circuit Judges.
BOGGS, Circuit Judge. When Ford offered to cash out Lydia Donati’s retirement
benefits for a lump sum, she accepted the opportunity. A few months later, Ford told Donati that
it had miscalculated the size of her lump sum. Donati died shortly thereafter, and her daughter
sued the Retirement Committee on behalf of her estate for the money Ford originally promised.
The district court granted the Committee judgment on all claims and, for the reasons discussed
below, we affirm.
I
Lydia Donati and her husband worked for Ford Motor Company and participated in
Ford’s General Retirement Plan. After the couple divorced, a Michigan court ordered Donati’s
ex-husband to redirect a portion of his retirement benefits to her. This was a Qualified Domestic
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Relations Order (QDRO), as defined by 26 U.S.C. § 414. Donati received those benefits along
with her own benefits in the form of a single monthly payment of $1,184.91 from the General
Retirement Plan.
In 2012, Ford offered retirees an opportunity to cash out their retirement benefits for a
single lump-sum payment. This allowed Ford to reduce its financial volatility and administrative
costs, while giving retirees flexibility in managing their retirement funds. In November, Ford
sent Donati a letter stating that if she chose to cash out her retirement benefits, her lump-sum
payment would be $230,361.49.
After reading the letter, Donati decided to cash out her benefits. In January 2013, Ford
sent Donati a letter acknowledging her selection of the cash-out option. In February and March,
Ford sent additional letters stating that her last monthly payment would arrive in April and that
her lump-sum payment would arrive the following month.
In April, Ford told Donati that her lump sum had been improperly calculated. Ford
claimed that, under the terms of the General Retirement Plan, Donati was entitled to cash out her
own retirement benefits, but not those derived from her ex-husband’s benefits. In its prior
calculation, Ford had mistakenly used both income streams. According to Ford, the correct lump
sum for Donati, based on her retirement benefits alone, was $38,840.34.
Less than a month after Ford informed Donati of this mistake, Donati died of cancer.
Ford revised the General Retirement Plan in August to include an express provision authorizing
people similarly situated to Donati to cash out benefits derived from an ex-spouse under a
QDRO. But because Donati passed away in April, her rights were governed by an earlier version
of the Plan, dated March 2013.
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Donati’s daughter filed a benefits claim with the Retirement Committee for $230,361.49,
the amount Ford promised Donati. The Committee denied her claim, so she sued the Committee
on behalf of her mother’s estate, asserting wrongful denial of benefits, 29 U.S.C. § 1132(a)(1)(B),
breach of fiduciary duty, id. § 1132(a)(3), and equitable estoppel, Bloemker v. Laborers’ Local
265 Pension Fund, 605 F.3d 436, 440 (6th Cir. 2010). The district court granted the Committee’s
motions for judgment on the pleadings on the breach-of-fiduciary-duty claim and summary
judgment on the claims for wrongful denial of benefits and equitable estoppel. Donati’s daughter
appealed and we now review those orders of the district court de novo. See JPMorgan Chase
Bank, N.A. v. Winget, 510 F.3d 577, 581 (6th Cir. 2007); Trustees of Mich. Laborers’ Health
Care Fund v. Gibbons, 209 F.3d 587, 590 (6th Cir. 2000).
II
Wrongful Denial of Benefits. On the wrongful-denial-of-benefits claim, the Committee is
entitled to summary judgment if its decision is unambiguously required by the Plan. If the Plan
is ambiguous, we ask whether the Committee’s decision was arbitrary and capricious, because
the Plan gives the Committee discretion to interpret its terms. See Firestone Tire & Rubber Co.
v. Bruch, 489 U.S. 101, 115 (1989). Arbitrary-and-capricious review is “extremely deferential”
and the “least demanding form of judicial review.” McClain v. Eaton Corp. Disability Plan, 740
F.3d 1059, 1064 (6th Cir. 2014) (quoting Cozzie v. Metro. Life Ins. Co., 140 F.3d 1104, 1107
(7th Cir. 1998)). The Committee’s decision must be upheld if it results from a deliberate
principled reasoning process and is supported by substantial evidence. Id. at 1065.
The parties agree that the following provision in Appendix L, Section 1, of the General
Retirement Plan governs the calculation of Donati’s lump-sum payout:
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1. A lump sum retirement benefit . . . shall be an amount equal to the Actuarial
Equivalent lump sum value of the remaining monthly benefits payable,
including the following, if applicable:
(i) Life Income Benefit;
(ii) Supplemental Allowance and/or Temporary Benefit;
(iii) survivor’s benefit;
(iv) Special Age 65 Benefit; or
(v) cancellation of survivorship coverage upon death of spouse.
Plaintiff’s first argument is that Donati’s income from her ex-husband was part of her
“Life Income Benefit.” The Plan defines Life Income Benefit as “the portion of the retirement
benefits provided in Article VI and in Article VII that continues to be payable, subject to the
provisions of the Plan, to a Retired Member during the Member’s lifetime.” This definition is at
odds with Plaintiff’s position in two ways.
First, the payments that Donati received from her ex-husband were not provided by
Articles VI or VII. Rather, they were provided by Article XII, Section 6, which makes benefits
earned by a Ford employee, but assigned to an ex-spouse through a QDRO, payable to the ex-
spouse (known as the alternate payee). Given that the benefits from Donati’s ex-husband were
provided by Article XII, rather than Articles VI or VII, they could not have been a part of her
Life Income Benefit.
Second, a retiree’s Life Income Benefit only includes “retirement benefits . . . payable . . .
to a Retired Member during the Member’s lifetime.” Under Plaintiff’s reading of this provision,
Donati was the “Retired Member,” and her Life Income Benefit included any benefits payable to
her during her lifetime. But according to the Plan, the benefits from Donati’s ex-husband’s
account, including those paid out to Donati, were payable during his lifetime. Therefore, those
payments were not a part of Donati’s Life Income Benefit.
Plaintiff responds by arguing that the definition of Life Income Benefit is made “subject
to the provisions of the Plan,” which opens the door to additional sources of income, such as
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Article XII income from Donati’s ex-husband. However, the words “subject to” only modify the
word “payable” in the definition of Life Income Benefit. They do not contradict the
unambiguous definition of Life Income Benefit as including only benefits provided by Articles
VI and VII that are “payable . . . to a Retired Member during the Member’s lifetime.”
Plaintiff’s next argument is that the phrase “monthly benefits payable” covers the benefits
from Donati’s ex-husband because those benefits were “payable.” But that argument begs the
question. This case turns on whether “monthly benefits” is broad enough to cover the payments
Donati was receiving from her ex-husband. Plaintiff assumes that these payments were among
the “monthly benefits” that could be cashed out, but that is the very point she seeks to prove.
The same problem occurs with Plaintiff’s argument that the phrase “monthly benefits
payable” “includ[es]” the retiree’s Life Income Benefit, leaving open the possibility that
unenumerated benefits—such as payments from Donati’s ex-husband—are included. Even if we
read the word “including” as illustrative, rather than restrictive, that argument does not touch on
the question of whether “monthly benefits” refers to benefits earned by Donati only, or whether
it also includes the benefits she received from her ex-husband as an alternate payee.
At best, Plaintiff has established that the words “monthly benefits payable” do not
explicitly foreclose her interpretation. But that does not make Plaintiff’s interpretation
reasonable or permissible. “[T]he fact that the parties offer competing interpretations does not
dictate a finding that the provision is ambiguous.” Shelby Cty. Health Care Corp. v. Majestic
Star Casino, 581 F.3d 355, 370 (6th Cir. 2009). The competing interpretation “must be a
plausible one.” Zirnhelt v. Mich. Consol. Gas Co., 526 F.3d 282, 287 (6th Cir. 2008).
Plaintiff’s interpretation is not plausible because it potentially subjects the pension plan to
double liability. Although we do not have the specific terms of the QDRO in the record, a
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hypothetical example illustrates this point.1 Assume that, under the terms of the order, the
monthly benefits Donati was receiving from her ex-husband reverted to him upon her death. In
that case, Plaintiff’s interpretation would require Ford to pay a lump sum to Donati’s estate and
pay Donati’s ex-husband the monthly benefits that reverted to him. Even though Donati cashed
out, Ford’s liability to Donati’s ex-husband would remain unchanged. Rather than “cashing out”
Donati’s benefits, which implies the substitution of a lump sum for future payments, Ford would
simply be paying out an extra lump sum to Donati’s estate. In other words, Ford would be
subject to double liability. Such an unreasonable outcome cannot be the result of a plausible
interpretation of the Plan.
Plaintiff notes that the Plan drafters knew how to use language expressly excluding
parties to a QDRO because they included such a provision in Appendix L, Section 2, which deals
with surviving beneficiaries. Plaintiff argues that the lack of such a provision in Section 1
proves that her interpretation is correct. But the absence of express language negating Plaintiff’s
position does not make it plausible. Indeed, the absence of such language is entirely consistent
with the Committee’s interpretation. It suggests that such language was unnecessary because the
Plan already clearly excluded retirees in Donati’s situation from cashing out alternate-payee
benefits.
Notwithstanding Ford’s unfortunate mistake in promising Donati $230,361.49 as a full
settlement of her rights under the General Retirement Plan, the terms of the Plan unambiguously
precluded Donati from cashing out the benefits she was deriving from her ex-husband’s account
1 Because the QDRO is not in the record, we cannot determine the wording or intent of the
Michigan court order. If the Michigan court intended for Donati to get her ex-husband’s benefits
in perpetuity (that is, even if she died, or some other contingency occurred), her remedy would
be in Michigan state court, to the extent that Mr. Donati, in effect, got a windfall by retrieving his
benefits by the terms of the Plan.
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under the QDRO. Because the Plan is unambiguous, we need not reach the question of whether
the Committee’s decision was arbitrary and capricious. We affirm the district court’s grant of
summary judgment to the Committee on Plaintiff’s claim for wrongful denial of benefits.
Breach of Fiduciary Duty. Plaintiff argues that the district court erred in granting the
Committee judgment on the pleadings on her breach-of-fiduciary-duty claim under 29 U.S.C.
§ 1132(a)(3). In reviewing the district court’s decision, we assume all facts in the plaintiff’s
pleadings to be true, and affirm the district court only if the Committee is clearly entitled to
judgment on the pleadings. See Winget, 510 F.3d at 581.
The breach-of-fiduciary-duty provision in ERISA is intended to serve “as a safety net” by
providing equitable relief for violations that the statute “does not elsewhere adequately remedy.”
Varity Corp. v. Howe, 516 U.S. 489, 512 (1996). In Varity, the Supreme Court allowed plaintiffs
to bring a claim for breach of fiduciary duty under § 1132(a)(3) because they were misled into
withdrawing from the plan. Id. at 515. The plaintiffs could not sue for denial of benefits
because “they were no longer members of the . . . plan.” Ibid. The Court therefore allowed them
to sue under § 1132(a)(3). Unlike the plaintiffs in Varity, the plaintiff in this case can, and has,
brought a claim for wrongful denial of benefits under § 1132(a)(1)(b).
Since Varity, this court has repeatedly held that beneficiaries can bring a claim under
§ 1132(a)(3) only if they “may not avail themselves of § 1132’s other remedies.” Wilkins v.
Baptist Healthcare Sys., Inc., 150 F.3d 609, 615 (6th Cir. 1998); see also Marks v. Newcourt
Credit Grp., Inc., 342 F.3d 444, 454 (6th Cir. 2003). In deciding whether a plaintiff may bring a
claim under § 1132(a)(3), it is essential to look at the “adequacy of relief to redress the
claimant’s injury, not the nature of the defendant’s wrongdoing.” Rochow v. Life Ins. Co. of
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N. Am., 780 F.3d 364, 371 (6th Cir. 2015) (en banc); see also Moss v. Unum Life Ins. Co., 495
F. App’x 583, 589–90 (6th Cir. 2012).
Here, Plaintiff seeks the exact same relief in both of her claims: the $230,361.49 that
Ford originally promised Donati. She does not seek any equitable relief in addition to the money
Ford promised. The only difference between her two claims is the nature of the alleged
wrongdoing—misrepresenting the cash-out value of her benefits, as opposed to wrongfully
denying her benefits. Under Rochow, this distinction alone is insufficient to allow a breach-of-
fiduciary-duty claim.
Plaintiff argues that she pleaded her breach-of-fiduciary-duty claim as an alternative to
her wrongful-denial-of-benefits claim, but that fact makes no difference. “The deciding factor”
in determining whether a plaintiff can state a claim for breach of fiduciary duty under
§ 1132(a)(3) “is not whether a plaintiff has recovered under § 1132(a)(1)(B)” successfully, “but
rather, whether a plaintiff may recover.” Moss, 495 F. App’x at 589 (emphasis added). Because
Plaintiff’s two claims are for the same relief, her breach-of-fiduciary-duty claim is barred by our
precedents in Wilkins, Marks, and Rochow.
Plaintiff cites Hill v. Blue Cross & Blue Shield of Michigan, 409 F.3d 710, 718 (6th Cir.
2005), in which the plaintiffs were allowed to bring claims under both § 1132(a)(1)(b) and
§ 1132(a)(3). But in Hill, the claim under § 1132(a)(1)(b) was for the recovery of benefits
allegedly owed to the plaintiffs, while the claim under § 1132(a)(3) was for an injunction
mandating the correction of systemic, plan-wide problems. Ibid. The two claims sought
different forms of relief. Here, Plaintiff does not seek a plan-wide injunction. Both of her claims
involve her individual claim for benefits. Hill is therefore inapplicable.
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Plaintiff also cites Gore v. El Paso Energy Corp. Long Term Disability Plan, 477 F.3d
833, 842 (6th Cir. 2007), in which a plaintiff was allowed to sue his plan administrator (Liberty)
under § 1132(a)(1)(b), and his employer (El Paso) under § 1132(a)(3). While there are
similarities between this case and Gore, there are also important differences. Gore was allowed
to sue El Paso for breach of fiduciary duty because:
El Paso cannot be sued under 29 U.S.C. § 1132(a)(1)(B) because Liberty was
solely responsible for the denial of benefits. Moreover, the policy clearly states
that Liberty is the proper party in a denial of benefits case. The question would
be different had Gore brought his misrepresentation claim under 29 U.S.C.
§ 1132(a)(3) for breach of fiduciary duty based on a misrepresentation by Liberty,
the fiduciary who controlled the claims. However, in this case the § 1132(a)(3)
action based on misrepresentation was brought against a fiduciary, El Paso, who
did not control the claims. Thus, Gore properly brought his claim of
misrepresentation [against El Paso] under § 1132(a)(3) . . . .
477 F.3d at 842. Key to the panel’s decision was the fact that the plaintiff’s breach-of-fiduciary-
duty claim was against a defendant whom the plaintiff could not sue for wrongful denial of
benefits. If the plaintiff had tried to bring a wrongful-denial-of-benefits claim and a breach-of-
fiduciary-duty claim against the same defendant, the outcome “would be different.” Ibid. The
district court correctly held that Gore does not apply because Plaintiff’s claims are against the
same defendant for the same relief. Plaintiff’s breach-of-fiduciary-duty claim impermissibly
repackages her wrongful-denial-of-benefits claim, and for that reason, we affirm the district
court’s grant of judgment to the Committee on Plaintiff’s breach-of-fiduciary-duty claim.
Equitable Estoppel. Plaintiff’s estoppel claim runs into difficulty because her claim for
$230,361.49 is foreclosed by the unambiguous language of the Plan. Principles of estoppel
“cannot be applied to vary the terms of unambiguous plan documents; estoppel can only be
invoked in the context of ambiguous plan provisions.” Sprague v. Gen. Motors Corp., 133 F.3d
388, 404 (6th Cir. 1998) (en banc).
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This court has carved out a narrow exception to the Sprague rule in cases where the
plaintiff can show “(1) a written representation; (2) plan provisions which, although
unambiguous, did not allow for individual calculation of benefits; and (3) extraordinary
circumstances in which the balance of equities strongly favors the application of estoppel,” in
addition to “the traditional elements of estoppel, including that the defendant engaged in
intended deception or such gross negligence as to amount to constructive fraud.” Bloemker, 605
F.3d at 444.
The exception established in Bloemker does not apply here because the circumstances are
not extraordinary. In that case, Bloemker was told that he would get $2,339.47 per month for the
rest of his life if he retired early. Id. at 439. Bloemker retired early based on this information,
only to receive a letter stating that his benefits were miscalculated and that he was entitled to
only $1,829.71 per month. Ibid. Bloemker relied on the larger figure in deciding to retire early,
and was faced with a very significant decrease in his pension income, as well as a demand for
repayment of $11,215.16. Ibid. Here, the Committee’s miscalculation of benefits did not
detrimentally induce Donati to make a decision that she would not have otherwise made. Donati
was, tragically, dying of cancer, and she probably elected to cash out her benefits because it was
financially advantageous to do so. That option would have been attractive regardless of whether
the correct sum was $38,840.34 or $230,361.49. Bloemker is therefore inapplicable.
Plaintiff argues that Donati “expended considerable energy evaluating her situation,
discussing with Ford representatives what her options were, and ensuring that paperwork would
be completed accurately to ensure her pension would be paid out properly.” However, in
Haviland v. Metropolitan Life Insurance Co., this court held that the circumstances were not
extraordinary when “MetLife falsely promised that [the plaintiffs’] continuing life insurance
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benefits would not be reduced for the rest of their lives, when in fact their benefits were reduced
to $10,000,” and “these false promises affected the plaintiffs’ retirement and estate planning
decisions.” 730 F.3d 563, 567, 569 (6th Cir. 2013). Haviland established that mere reliance on
misinformation in estate planning does not rise to the level of the extraordinary circumstances
contemplated by Bloemker. Because the circumstances in this case are not extraordinary, we
affirm the district court’s grant of summary judgment to the Committee.
III
We AFFIRM the district court’s grant of judgment to the Committee on all three claims.
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