Opinion · Court of Appeals for the Fifth Circuit
Roxanne Hook v. The Morrison Milling Company
Roxanne Hook v. Morrison Milling Co., 38 F.3d 776 (5th Cir. 1994)
- Type
- Opinion
- Court
- Court of Appeals for the Fifth Circuit
- Jurisdiction
- Federal
- Date
- 1994-12-13
- Topic
- employee-benefits-and-executive-compensation
concluding that the plaintiffs common law negligence claim is not preempted by ERISA | holding a “common law negligence claim which alleges only that the employer failed to maintain a safe workplace does not ‘relate to’ an ERISA plan | noting that “numerous federal district courts in Texas have concluded that a tort claim alleging an unsafe workplace does not relate to an ERISA plan” | finding that plaintiff’s negligence claim was not preempted where it related to employer’s failure to maintain a safe workplace and not from a dispute over the administration of the employee welfare plan or the disbursement of benefits from the plan | affirming remand of common law negligence suit after finding claim did not relate to and therefore was not preempted by ERISA | affirming remand of common law negligence suit after finding claim did not relate to and therefore was not preempted by ERISA | ERISA does not preempt all state law claims between an employee and an employer, merely because the employer administers an ERISA plan to which the employee belongs | “[A] post-removal amendment to a petition that deletes all federal claims, leaving only pendent state claims, does not divest the district court of its properly triggered subject matter jurisdiction.” | employee’s negligence claim against employer for an unsafe workplace not preempted by ERISA | “We have stated on several occasions that a post-removal amendment to a petition that deletes all federal claims, leaving only pendent state claims, does not divest the district court of its properly triggered subject matter jurisdiction.” (emphasis in original)
Citator
- Cited by
- 68 opinions
Diane Barlow Sparkman, Angela Melina Raab (lead counsel), David C. Mattax, Asst. Atty. Gen., and John M. Hohengarten, Div. Chief, Fin. Litigation Div., Austin, TX, Marcia Bove, Associate Sol. of the Plan Benefits Sec. Div., U.S. Dept. of Labor, Washington, DC, amicus.
Roxanne Hook, pro se.
[3] Notwithstanding the risks associated with "opting out," MMC in March 1989 elected to discontinue workers' compensation insurance and began offering the Interim Employee Welfare Benefit Plan. The Plan pays enrollees:
certain benefits for personal injuries suffered in the course of their employment, or for death resulting from such injuries, without the necessity of showing negligence on the part of the Company, and to provide for the continuation or partial continuation of their weekly salary or wages that would otherwise be lost as a result of their inability to work because of injury or illness incurred on the job.
[4] The parties do not dispute that the Plan is governed by ERISA.See29 U.S.C. § 1002(1). While participation in the plan is voluntary, MMC requires employees who elect to participate to sign an enrollment and waiver form, which is an entirely separate document. Paragraph 3 of the form states:
In consideration of my election to enroll in, and thus become eligible to receive benefits under, the Interim Plan, I hereby waive my rights under TEX.REV.CIV.STAT.Page 779ANN. art. 8306, § 4,[3] to bring suit and recover judgment against the Company and its directors, officers, agents, and employees for any damages sustained by reason of any personal injury received in the course of my employment by the Company, or by reason of death resulting from such injury. By electing to enroll in the Interim Plan, I agree that benefits payable under the Interim Plan shall be the exclusive remedy for me or my legal beneficiaries arising from any such personal injury or death.
[5] Hook began working for MMC in October 1990 after she elected to participate in the Plan and completed the enrollment and waiver form. In December 1990, Hook fell down a staircase at work and was injured. Hook filed for benefits under the Plan with MMC, the Plan's administrator. The Plan paid her a total of $5,383.03: $4,749.28 for medical expenses and $633.75 for salary continuation benefits. Hook then left her job with MMC in July 1991.
[6] In February 1992, Hook filed a wrongful discharge and negligence action in Texas state court against MMC. MMC removed the case to federal court, arguing that the wrongful discharge claim was preempted by ERISA. Hook then filed her first motion to remand the case back to state court, which the federal district court denied in July 1992 on the grounds that ERISA preempted her wrongful discharge claim. Hook amended her petition to omit the wrongful discharge claim, leaving the negligence claim as the sole basis for her suit. She again moved to remand the case, claiming that the negligence action was governed by state law.
[7] In December 1992, the district court granted Hook's second motion to remand. The court addressed two possible grounds for preemption and rejected them. First, the court held that Hook's negligence action is not preempted because it does not relate to MMC's ERISA Plan. Second, the court concluded that the waiver does not independently trigger preemption because it is incidental to her negligence action and that, alternatively, such waivers are void under Texas law.4MMC then appealed the court's decision to remand Hook's negligence action. Hook did not file a brief on appeal and instead chose to rely on the district court's opinion as her brief. After oral argument, we requested5the United States and the State of Texas to submit amicus curiae briefs to address the significant issues raised in this case, particularly because Hook did not file a brief. Amici's briefs were thorough and helpful, and we thank the United States and Texas for their assistance.
[9] The issue of whether we have appellate jurisdiction arises from the district court's decision to remand the case to state court. On the one hand, we do not have jurisdiction to review a remand order if it is made pursuant to28 U.S.C. § 1447(c). In particular, if a district court remands a case because of either a defect in removal procedure or lack of subject matter jurisdiction, we are powerless to review that remand order.28 U.S.C. § 1447(d);see also Thermtron Prods. v.Hermansdorfer,423 U.S. 336,350-52,96 S.Ct. 584,593-94,46 L.Ed.2d 542(1976);Burks v. Amerada Hess Corp.,8 F.3d 301,303-04n. 4 (5th Cir. 1993). On the other hand, if the court provides a reason unrelated to § 1447(c), such as pendent jurisdiction, then we may properly review that order. We have stated that "a federal district court has discretion to remand a properly removed case to state court when all federal-law claims have been eliminated and only pendent state-law claims remain."Jones v. Roadway Express, Inc.,936 F.2d 789,792(5th Cir. 1991) (citingCarnegie-Mellon Univ. v. Cohill,484 U.S. 343,108 S.Ct. 614,98 L.Ed.2d 720(1988)). If the court exercises its discretion to remand pursuant to this doctrine, then we may review the remand order.Carnegie-Mellon,484 U.S. at 343n. 11,108 S.Ct. at 621n. 11 ("the remand authority conferred by the removal by the doctrine of pendent jurisdiction overlap not at all"). The district court below made clear that it was remanding Hook's state law negligence claim, i.e., her only remaining claim, pursuant to its discretion. We therefore may review the court's remand order.Burks,8 F.3d at 303-04.
[12] But as broad as ERISA's preemptive scope has been stated to be, it has its limits. The Supreme Court noted inShawthat "[s]ome state actions may affect employee benefit plans in too tenuous, remote, or peripheral a manner to warrant a finding that the law `relates to' the plan."Shaw,463 U.S. at 100n. 21,103 S.Ct. at 2901n. 21. The Court's warning inShawon the limits of ERISA preemption stems from the Court's view that ERISA's scope, though comprehensive, remains subject to the traditional principle of federalism. In determining ERISA's preemptive scope, the Court has advised that we "must be guided by respect for the separate spheres of governmental authority preserved in our federalist system."Alessi,451 U.S. at 522,101 S.Ct. at 1905;see also MemorialHosp. Sys. v. Northbrook Life Inc. Co.,904 F.2d 236,244(5th Cir. 1990). To further aid us in narrowing our preemption inquiry, we have devised a two-prong test. We have found preemption of a state law claim if (1) the claim addresses areas of exclusive federal concern, such as the right to receive benefits under the terms of an ERISA plan, and (2) the claim directly affects the relationship among the traditional ERISA entities (i.e., plan administrators/fiduciaries and plan participants/beneficiaries).Memorial Hosp.,904 F.2d at 245;see alsoSommers Drug Stores Co. v. Corrigan Enterprises, Inc.,793 F.2d 1456,1467-68(5th Cir. 1986).
[14] As for the waiver in MMC's plan, the amici parties insist that its inclusion in the plan does not alter their analysis. The mere fact, they argue, that a court may have to consider, by looking to the plan, whether Hook has waived her claim does not mean the cause of action "relates to" MMC's plan. They argue that Hook's claim, whether or not it has been waived, does not involve the administration of MMC's plan or the disbursement of benefits under the plan. Furthermore, they contend, the waiver is nothing more than a gimmick by MMC to trigger preemption, thereby avoiding litigation in state court. The amici rely onWestbrookv. Beverly Enterprises,832 F. Supp. 188(W.D.Tex. 1993), a case remarkably similar to this one. InWestbrook,a non-subscribing employer offered an ERISA plan that provided medical benefits for work-related injuries. The plan also contained a "waiver-of-right-to-sue" clause, whereby the employee waived his right to sue for work-related injuries in exchange for medical benefits. In rejecting the employer's preemption claim, the court concluded that neither the cause of action nor the waiver related to the ERISA plan because both involved only the employee-employer relationship andnotthe administrator-beneficiary relationship.Id.at 189-92. Amici urge us to reach the same conclusion. Otherwise, non-subscribing employers in Texas could avoid a variety of obligations merely by requiring employees to waive their right to sueforanythingas as a condition for participation in the plan. Such a result, they conclude, is inconsistent with the goal of ERISA, which is "to protect employee benefits, not to provide succor for schemes that are designed to take rights from employees.'"Id.at 192 (quotingNunez v.Wyatt Cafeterias, Inc.,771 F. Supp. 165,169(N.D.Tex. 1991));see alsoTexas Health Enters. v. Reece,No. MO-93-CA-057 (W.D.Tex. Mar. 2, 1994);Pyle v. Beverly Enters.-Texas,826 F. Supp. 206(N.D.Tex. 1993);O'Neillv. Pro-Set Press,1992 WL 404456 (N.D.Tex. 1992).
[15] MMC's argument that Hook's claim is preempted hinges on the waiver. MMC, in other words, bypasses the issue of whether an unsafe workplace claim, by itself, relates to an ERISA plan and argues only that the inclusion of the waiver in its plan means Hook's cause of action is one that necessarily relates to the plan. MMC contends that this case is controlled byChristopher v. Mobil Oil Corporation,950 F.2d 1209(5th Cir. 1992). InChristopher,the employer sponsored an ERISA retirement plan that permitted employees, subject to certain criteria, to receive their pension benefits in one lump-sum payment rather than by the typical method of monthly installments. The employer subsequently modified the plan by changing the criteria that employees had to meet to qualify for the lump-sum option. The employer, however, failed to disclose the plan amendment to its employees. Several employees sued their former employer. They alleged that the employer's actions in amending the plan, and then failing to disclose the newPage 783terms of the plan, fraudulently induced them to retire earlier than they otherwise would have and, therefore, violated state common law.
[16] We noted, that a court, in addressing the employees' claims, "would have to examine, at a minimum, the operation of the plan prior to the amendment."Id.at 1218. The employees' claim therefore closely resembled employee claims of wrongful termination, wherein the employee asserts that the employer fired him to avoid vesting of pension befits.Id.(citingIngersoll-Rand Co. v. McClendon,498 U.S. 133,111 S.Ct. 478,112 L.Ed.2d 474(1990)). We concluded that, in both instances, the employees' common law claims were preempted, i.e., the claim relates to an ERISA plan, "[b]ecause the underlying conduct at issue here cannot be divorced from its connection to the employee benefit plan."Id.at 1220. MMC insists thatChristophercontrols this case because a court considering Hook's claim will have to "examine" MMC's plan. The waiver, which is an integral part of the plan, is also a significant factor in determining the validity of Hook's claim, MMC argues. Thus, while an unsafe workplace claim may otherwise be unrelated to an ERISA plan, MMC concludes, the claim necessarily relates to the plan once a court has to consider whether Hook has waived her claim, evidence of which is included in the plan.
[17] In addition toChristopher,MMC relies on a Sixth Circuit opinion to argue that mere consideration of the waiver by a court triggers preemption.Van Camp v. AT T Info. Sys.,963 F.2d 119(6th Cir. 1992). InVan Camp,an employee, who refused to be reassigned, was faced with the option of either retiring early or being demoted. The employee chose to retire, whereupon the employee signed a statement saying he was retiring voluntarily and that he understood that his election to retire under the employer's ERISA pension plan was irrevocable. The employee later sued the employer, alleging that the employer's efforts to reassign him were discriminatorily motivated and, therefore, violated state laws against discrimination. Without relinquishing his rights under the pension plan, the employee sought back pay, front pay, and compensatory and exemplary damages.
[18] The Sixth Circuit, relying in part on our decision inSommers DrugStores,held that the employee's claims were preempted.Van Camp,963 F.2d at 122-24. The court began by noting that the employee's state law claims obviously were inconsistent with the retirement agreement: the employee claimed he was discriminatorily forced into retirement, whereas the plan indicated that he had voluntarily retired. Thus, the court reasoned, the determination of whether the employer's ERISA plan was valid became the "fulcrum" upon which the case turned.Id.at 123. Because "[s]uch a determination could be made only with reference to ERISA and would affect the existing benefit plan and the relations between [the employee and the employer] as `principal ERISA entities,'" the Sixth Circuit concluded that the claims related to the plan and therefore were preempted.Id.(indirectly quotingSommers Drug Stores,793 F.2d at 1467). MMC maintains that Hook's claim similarly relates to its ERISA plan in that her claim is inconsistent with the plan. To consider her claim, a court must determine the validity of MMC's plan and its waiver. MMC argues that, as the Sixth Circuit concluded, such a determination involves the relationship between ERISA entities and thus comes within ERISA's preemptive sweep.
[19] We agree with amici that Hook's claim, standing alone, is not preempted by ERISA because it affects only her employer/employee relationship with MMC andnother administrator/beneficiary relationship with the company. In this sense, the claim is distinctly different from various other common law claims found to be preempted by ERISA. InIngersoll-Rand,for example, an employee sued his employer for wrongful discharge, alleging that the employer fired him to avoid making contributions to his ERISA-covered pension fund. The Court ruled that the employee's claim was preempted because it "makes specific reference to, and indeed is premised on, the existence of a pension plan."Ingersoll-Rand,498 U.S. at 140,111 S.Ct. at 483. Similarly,Christopher,the case on which MMC relies, involved common lawPage 784claims alleging that the employer improperly administered the company's ERISA plan. The claims clearly stemmed from the existence of an ERISA plan, such that "if the appellants' claims were stripped of their link to the pension plans, they would cease to exist."Christopher,950 F.2d at 1220;see also Pilot Life,481 U.S. at 47-48(contract and tort claims alleging improper processing of ERISA benefits);Metropolitan Life Ins.v. Taylor,481 U.S. 58,62-63,107 S.Ct. 1542,1546,95 L.Ed.2d 55(1987) (same);Memorial Hosp.,904 F.2d at 239, 250 (contract claim alleging improper denial of ERISA benefits);Lee v. E.I. DuPont de Nemours Co.,894 F.2d 755,756-58(5th Cir. 1990) (tort claim alleging misrepresentation of details of ERISA plan);Ramirez v. Inter-ContinentalHotels,890 F.2d 760,762-63(5th Cir. 1989) (contract, tort, and statutory claims alleging improper denial of benefits);Cefalu v. B.F.Goodrich Co.,871 F.2d 1290,1292-95(5th Cir. 1989) (contract claim alleging improper denial of benefits);Degan v. Ford Motor Co.,869 F.2d 889,893-95(5th Cir. 1989) (same).
[20] Hook's unsafe workplace claim, however, is totally independent from the existence and administration of MMC's ERISA plan. She neither seeks benefits under the plan nor claims that MMC improperly processed her claim for benefits. She seeks only damages for MMC's alleged negligent maintenance of its workplace. Numerous federal district courts in Texas have concluded that a tort claim alleging an unsafe workplace does not relate to an ERISA plan.See e.g., Westbrook v. Beverly Enters.,832 F. Supp. 188(W.D.Tex. 1993);Pyle v. Beverly Enters.-Texas,826 F. Supp. 206(N.D.Tex. 1993);Gibson v. Wyatt Cafeterias,782 F. Supp. 331(E.D.Tex. 1992);O'Neill v. Pro-Set Press,1992 WL 404456 (N.D.Tex. 1992);Nunez v. Wyatt Cafeterias,771 F. Supp. 165(N.D.Tex. 1991). In our view, Hook's claim is evenfurtherremoved from ERISA's preemptive reach than other common law claims which somehow involved an ERISA plan but nonetheless did not relate to it. InSommers Drug Stores,for example, the ERISA plan itself sued the parent company and the company's principal shareholder for breach of fiduciary duty. We noted that although the claim seemed to affect relations among the principal ERISA entities, that appearance was misleading.Sommers Drug Stores,793 F.2d at 1468. The claim, we found, actually centered on relations between a corporate director and a shareholder and thus was not preempted. Likewise, inMemorial Hospital,a hospital sued an insurance company for breach of contract as well as negligent misrepresentation.10We concluded that, while the breach of contract claim clearly was preempted because it was a claim for benefits, the negligent misrepresentation claim wasnotpreempted because it neither sought benefits under the plan nor alleged improper processing of benefits.Memorial Hosp.,904 F.2d at 243-50;seealso Hartle v. Packard Elec.,877 F.2d 354(5th Cir. 1989).11Thus, ERISA's preemptive scope may be broad but it does not reach claims that do not involve the administration of plans, even though the plan may be a party to the suit or the claim relies on the details of the plan.
[21] Admittedly, the presence of the waiver in this case complicates the issue of whether Hook's claim is preempted. AmiciPage 785charge that this complication was intended. Specifically, amici claim that MMC, by including the waiver in its plan, is attempting to avoid state court litigation simply by "don[ning] the mantle of ERISA preemption."Combined Management v. Superintendent of the Bureau of Ins.,22 F.3d 1,5(1st Cir. 1994). Amici also claim that MMC's strategy, if successful, would undermine the viability of the Texas workers' compensation system, because Texas employers would have a greater incentive to opt out and defend themselves in federal court rather than opt in to Texas' system. MMC responds that their motive is not so sinister. Rather, MMC argues, the structure of its plan represents a reasonable accommodation between a nonsubscribing employer and its employee. In exchange for the employee's agreement not to sue, the employer offers workers' compensation-like benefits without the cost of complying with state regulations. Whatever MMC's motive may be, our conclusion that Hook's negligence cause of action is not preempted rests on our reading of ERISA and the numerous Supreme Court and Fifth Circuit cases interpreting it. We agree with amici that the waiver in MMC's plan does not transform Hook's claim into one that is preempted. By focusing on the waiver, MMC turns ERISA preemption analysis on its head; it argues that Hook's cause of action is preempted because the waiver, as part of the plan, relates to Hook's claim. Instead, the appropriate question in any ERISA preemption case is whether the state law relates to an ERISA plan.29 U.S.C. § 1144(a). MMC's inverted analysis cannot be reconciled with either ERISA's statutory language or the case law interpreting it. More importantly, MMC's analysis would lead to a broad expansion of employer authority that we believe has no basis in ERISA. Specifically, MMC's analysis would enable employers to avoidanystate law simply by referring to that law in its ERISA plan. Congress clearly did not intend to vest employers with such authority. To the contrary, ERISA was "designed to promote the interests of employees and their beneficiaries in employee benefit plans."Shaw,463 U.S. at 90,103 S.Ct. at 2896.
[22] The Ninth Circuit, inEmployee Staffing Services v. Aubry,20 F.3d 1038(9th Cir. 1994), rejected a similar attempt to broaden employers' authority under ERISA. InEmployee Staffing,the employer had argued that California's attempts to enforce its workers' compensation statute were preempted because the employer had already included benefits for work-related injuries in its ERISA plan. In rejecting the employer's arguments, the Ninth Circuit reasoned:
Syntactically, the preemption of "laws" and exemption of "plans" might be construed to place the power to exempt in the employer's hands, when it adopts a plan, instead of the state legislature's hands, when it promulgates laws. But a construction which attributes a rational purpose to Congress makes this locus of power unlikely, because it would accidentally allow employers to avoid the century-old system of workers' compensation.
[23]Id.at 1041. WhileEmployee Staffinginvolved ERISA's exemption for workers' compensation, we concur with its reasoning that ERISA was not enacted to allow employers to control which laws or claims are preempted and those which are not. With the exception ofVan Camp,963 F.2d at 122-24, we find no authority for the proposition that a law or claim is preempted merely because the employer crafts its ERISA plan in such a way that the plan is inconsistent with that law or claim. We decline to follow the Sixth Circuit's analysis inVan Camp.
[24] Instead, we choose to adhere to our traditional mode of analysis, as prescribed in ERISA § 514(a): a law or claim is preempted whenitrelates to an ERISA plan, and not the reverse.12The Supreme Court cautioned that our ERISA preemption analysis "must be guided by respect for the separatePage 786spheres of governmental authority preserved in our federalist system."Alessi,451 U.S. at 522,101 S.Ct. at 1905. If we were to conclude that ERISA vests employers with the type of authority MMC contemplates, we would be disregarding the Supreme Court's cautionary advice inAlessi,because the practical implications of such a conclusion are serious. If an employer, for example, crafts an ERISA plan that conditions eligibility on employees waiving their right to sue the employer for gross negligence or intentional torts and an employee subsequently sues the employer for assault and battery, the employee's suit would be preempted,even thoughthe suit has nothing to do with the ERISA plan. Congress' quest for uniform regulation of employee benefit plans could not have included the intent to permit employers to disable the states from prosecuting unrelated common law causes of action such as the assault claim in this hypothetical or Hook's claim, which is based on Texas common law dating back to the last century.See InternationalGreat R.R. Co. v. Doyle,49 Tex. 190(1878).
[25] As we stated inMemorial Hospital,"`[a] preemption provision designed to prevent state interference with federal control of ERISA plans does not require the creation of a fully insulated legal world that excludes these plans from regulation of any purely local transaction.'"Memorial Hosp.,904 F.2d at 250(quotingRebaldo v. Cuomo,749 F.2d 133,138(2d Cir. 1984)). In other words, ERISA was not meant to consume everything in its path. InShaw,the Supreme Court "express[ed] no views about where it would be appropriate to draw the line" between those claims that are too tenuous or remote to warrant preemption and those that are not.Shaw,463 U.S. at 100n. 21,103 S.Ct. at 2901n. 21. In this case, we draw the line here: a common law negligence claim which alleges only that an employer failed to maintain a safe workplace does not "relate to" an ERISA plan merely because the employer has inserted a waiver of the right to bring such a claim into its ERISA plan.13
[30] Texas is among a handful of states that do not require its employers to furnish state-mandated worker's compensation coverage. Morrison Milling availed itself of the privilege of being a nonsubscriber, but it also sought to compensate its employees for their on-the-job injuries. To do so, the company established an ERISA welfare benefits plan and permitted, but did not require, employees to enroll in that plan. Under the plan, they would receive benefits for on-the-job injuries comparable to or better than those under the state program simply by proving that an on-the-job injury occurred. In exchange for the certainty and promptness ofPage 787payment of benefits, however, the employees were asked to sign a waiver of right to sue the employer under the Texas Workers' Compensation Act.1
[31] Hook liked the plan's provision for benefits, which she collected after falling down a staircase at work. She did not like the waiver of right to sue, however, so she also filed suit against Morrison Milling for negligence.
[32] This sequence of events should make it obvious why the majority is wrong in concluding that Hook's lawsuit does not "relate to" an ERISA plan for purposes of federal preemption. If all of Morrison's employees tried to have their cake and eat it by collecting benefits and then suing Morrison Milling, Morrison Milling could not afford the luxury of providing its welfare benefit plan. The plan is a substitute for, not a vehicle to finance, employee litigation.
[33] Not only is the waiver of right to sue economically essential to Morrison Milling's plan, but Hook's claim legally "relates to" the plan by challenging the enforceability of that waiver. I cannot follow the majority's assertions to the contrary. First, the majority states that,taken alone,Hook's claim against her employer based on an unsafe workplace would not be preempted. This might well be true in the absence of a waiver. The majority then opines that even considering the waiver, the question is not whether Hook's claim "is preempted because the waiver, as a part of the plan, relates to Hook's claim. Instead, the appropriate question ... is whether the claim or law relates to an ERISA plan." Apparently, one should focus only on the negligence claim, ignoring that it squarely conflicts with a provision of this ERISA plan. This logic is rather like a borrower's accepting money under a promissory note and asking the court to ignore its reference to a security agreement.
[34] Without parsing the majority's analysis further, I think they have simply overlooked the breadth of the ERISA preemption doctrine, and in particular, the significance of the Supreme Court's holding inFMC Corp.v. Holliday,498 U.S. 52,111 S.Ct. 403,112 L.Ed.2d 356(1990). The Court held inFMCthat a subrogation clause by which an employee agreed to reimburse the ERISA plan for benefits paid if the employee recovered on a claim in a liability action against a third party preempted Pennsylvania's Motor Vehicle Financial Responsibility Law. That state law purported to override any right of subrogation of a tort recovery in a motor vehicle accident.498 U.S. at 55,111 S.Ct. at 406. The Supreme Court reasoned that the antisubrogation law had a "connection to" the ERISA plan because it "prohibits plans from being structured in a manner requiring reimbursement in the event of recovery from a third party."Id.at 58,111 S.Ct. at 408. Neither the amici nor the majority have in my view successfully distinguishedFMC Corp.from this case. InFMCCorp.,the injured ERISA beneficiary surrendered his right to sue free of subrogation rights to the ERISA plan, whereas in this case, the injured party has ostensibly surrendered her right to sue for work-related injuries. None of the cases cited by the majority concerning the nature or extent of an "ERISA relationship" for purposes of preemption analysis is relevant here; Hook's claim directly draws into question the enforceability of the plan's waiver of right to sue.
[35] Like the majority, I reach this conclusion without having expressly to decide whether the waiver of right to sue would be enforceable, although I have concluded that if Texas law governs this question, it ought to be enforceable.2Page 788
[36] Moreover, I am not particularly pleased to reach the conclusion that these matters are preempted by federal law. ERISA contains an explicit exemption for welfare benefit plans that are maintained to comply with state workers' compensation laws, and, as noted above, ERISA leaves unaffected the mandatory compensation schemes of nearly all the states. Had the ERISA statute been drafted differently, it might easily have excluded the plans promulgated by non-subscribers to Texas' compensation scheme. There are strong policy reasons for preferring state regulation of on-the-job injury claims to the indirect regulation that is accomplished through federal monitoring of ERISA plans. Finally, to hold that claims such as Hook's are preempted by the terms of this ERISA plan is to impose a heavy burden on federal courts.
[37] But despite my unease with this conclusion, I cannot overlook the breadth of ERISA preemption and the applicability ofFMC Corp. v.Hollidayin this case.
[38] I respectfully dissent.
- District Judge of the Eastern District of Texas, sitting by designation. ↩
- The TWCA recently was re-codified.SeeTWCA, 73rd Leg., R.S., ch. 269, § 1 (current version at TEX.LAB. CODE ANN §§ 401.001-417.004 (Vernon Pamp. 1994)). Because none of the recent amendments to the TWCA are relevant to this case, we will cite to the TWCA as codified at the commencement of this suit in February 1992. ↩
- As of 1990, Texas, New Jersey, and South Carolina were the only states that permitted employers to "opt out" of the state's worker's compensation scheme. The remaining 47 states required employers to carry worker's compensation insurance. Ellen S. Pryor,Compensation and aConsequential Model of Loss,64 TUL.L.REV. 783, 801 n. 50 (1990). ↩
- Article 8306, § 4, is the predecessor to articles 8308-3.03 and -3.04, wherein the employee of a non-subscribing employer is vested with the right to sue that employer for work-related injuries or death. ↩
- The court specifically relied on the TWCA's proscription against waivers, which states "an agreement by an employee to waive the employee's right to compensation is void." TEX.REV.CIV. STAT.ANN. art. 8308-3.09. The TWCA defines compensation as "payment of medical benefits, income benefits, or burial benefits."Id.art. 8308-1.03(11). As will be apparent below, wedo notreach the court's alternative holding that the waiver is void under Texas law because, like the district court, we conclude that ERISA does not preempt Hook's claim. The question of whether the waiver is void will be answered by the state court upon remand. ↩
- SeeFED.R.APP.P. 29. ↩
- We note that the record supports the district court's characterization of Hook's original petition as alleging wrongful discharge for filing a claim under MMC's ERISA plan andnotfor filing a workers' compensation claim. First, whereas Hook did, in fact, file a claim under MMC's plan, she never filed a workers' compensation claim. Second, to the extent she intended to file a workers' compensation claim, Hook's efforts would have been meaningless because MMC's plan is not a workers' compensation plan. ↩
- ERISA § 514(c)(1) defines "state law" to mean "all laws, decisions, rules, regulations, or other State action having the effect of law."29 U.S.C. § 1144(c). ↩
- Our colleague in dissent argues thatFMC Corporationcontrols this case. We find that case distinguishable for two reasons. First, the statute inFMC Corporationexpressly referred to ERISA plans.FMC Corp.,498 U.S. at 58-60,111 S.Ct. at 408. Second, the anti-subrogation statute triggered ERISA's "savings" and "deemer" clauses.Id.at 60-66,111 S.Ct. at 409-11(citing29 U.S.C. § 1144(b)(2)(A), (B)). Neither of those circumstances exist with regard to Hook's common law negligence claim against MMC. ↩
- Amici also raise other arguments against preemption. Because we find their argument that Hook's claim does not "relate to" MMC's plan dispositive, we do not reach the validity of amici's alternative arguments. ↩
- The hospital specifically alleged that an agent for the insurance company informed the hospital that the wife of an employee of the insured company was, in fact, covered by the insured's policy. The hospital relied on this alleged representation and treated the employee's wife. The employee then transferred to the hospital his rights to benefits under the policy. The hospital, in turn, sought payment from the insurance company, but the insurance company informed the hospital that the employee's wife was not covered and denied the claim. The hospital then filed its suit against the insurance company.Memorial Hosp.,904 F.2d at 238-39. ↩
- Hartleinvolved an employee who sued his former employer for various tort claims arising out of his termination. He alleged that he had a fixed-term employment contract and therefore could not be fired at will. To prove his case, he relied on certain details in the employer's ERISA plan, to which he had contributed. We concluded that the employee's claim "does not in any manner implicate the federal regulation of employee benefit plans" because the employee neither sought benefits nor alleged improper processing.Id.at 356. Though an ERISA plan was at issue, the employee's claim was only "peripherally connected to the concerns addressed by ERISA."Id. ↩
- Our colleague in dissent disagrees with our analytical framework because we focus solely on the negligence claim and not the fact that it squarely conflicts with a provision in MMC's plan. Again, we point out that § 514(a) requires us to do as we have done. We do not dispute our colleague's contention that Hook wants to have her cake and eat it, too. But we are not assigned the role of spoiler. A state court may perform that function upon remand if that court is persuaded, as our colleague asserts, that the waiver is enforceable under Texas law. ↩
- Our holding is consistent with the holding the United States recommends in its amicus brief. The brief, it should be pointed out, was authored by the Department of Labor, the federal agency charged with primary jurisdiction over enforcing employee benefit rights. ↩
- Under Texas law, an employee may sue a nonsubscriber to state workers compensation and his employer may not take advantage of common law defenses. ↩
- Both federal and state cases have held that a nonsubscriber may require a release from an employee as a condition of receiving insurance benefits.Collier v. Allstate Ins. Co.,395 F.2d 719(5th Cir. 1968);Tigrett v. Heritage Bldg. Co.,533 S.W.2d 65(Tex.Civ.App. — Texarkana 1976 writ ref'd n.r.e.);Employers Mutual Casualty Co. v.Poorman,428 S.W.2d 698(Tex.Civ.App.-San Antonio 1968, writ ref'd n.r.e.);United States Fidelity Guaranty Co. v. Valdez,390 S.W.2d 485(Tex.Civ.App.-Houston 1965, writ ref'd n.r.e.). One Texas case cites these authorities and then holds that a waiver is "against public policy" unless it expressly precluded the employer's reliance on common law defenses.Hazelwood v. Mandrell Industries, Inc.,596 S.W.2d 204,206(Tex.Civ.App.-Houston 1980). Because the coverage inHazelwoodrequired proof of negligence, whereas this plan does not,Hazelwoodis distinguishable.
More recently, the Beaumont Court of Appeals held that a waiver of the right to sue the employer for negligence, contained in an ERISA benefits plan offered by a nonsubscriber to Texas workers compensation, was void and against public policy.Texas Health Enterprises, Inc. v. Kirkgard,882 S.W.2d 630(Tex.App.-Beaumont 1994). Even if this decision is correct, in light of the above-cited authorities, the case is distinguishable from the one before us. First, the waiver in that case was involuntary, whereas participation in Morrison Milling's ERISA plan is voluntary. Second, unlike Ms. Hook, appellees in that case did not seek benefits under the employer's plan. ↩