An ERISA plan exists if a reasonable person can ascertain the intended benefits, beneficiaries, source of financing, and procedures for receiving benefits from the surrounding circumstances.
The Secretary of Labor brought an action alleging that certain trustees and businesses were fiduciaries under ERISA. The district court dismissed the case for lack of subject matter jurisdiction, finding no employee welfare benefit plans existed. The court must determine if a plan, fund, or program is established under ERISA. A plan, fund, or program is established if, from the surrounding circumstances, a reasonable person can ascertain the intended benefits, a class of beneficiaries, the source of financing, and procedures for receiving benefits. Because various subscribers to a group insurance trust established plans to provide health insurance for employees, the court held that subject matter jurisdiction exists.
At page 1373 Establishing an ERISA plan through surrounding circumstances244 citing cases“if from the surrounding circumstances a reasonable person can ascertain the intended benefits, a class of beneficiaries, the source of financing, and procedures for receiving benefits.”
- Adams v. Symetra Life Ins. Co., 628 F. Supp. 3d 968 (D. Ariz. 2022).published([N]o single act in itself necessarily constitutes the establishment of the plan.)
- Hayes v. Reliance Stand. Life Ins., 92 F. Supp. 3d 276 (M.D. Pa. 2015).published Contra Donovan, 688 F.2d at 1371 (“The gist of ERISA’s definitions of employer, employee organization, participant, and beneficiary is that a plan, fund, or program falls within the ambit of ERISA only if the plan, fund, or program covers…
- Solis v. Webb, 931 F. Supp. 2d 936 (N.D. Cal. 2012).published(a ‘plan, fund, or program’ under ERISA is established if from the surrounding circumstances a reasonable person can ascertain the intended benefits, a class of beneficiaries, the source of financing, and procedures for…)
- Hughes v. Zurz, 298 F. App'x 404 (6th Cir. 2008).unpublishedSee Dillingham, 688 F.2d at 1372 (“ERISA does not, however, require a formal, written plan.”).
- Cowart v. Metro. Life Ins., 444 F. Supp. 2d 1282 (M.D. Ga. 2006).published See Shipley, 352 F.Supp.2d at 1217 (discounting plaintiffs argument that her policy was not governed by ERISA because the language of the policy did not mention ERISA); see also Donovan, 688 F.2d at 1372 (“ERISA ... does not require a form…
- Wilson v. Coman, 284 F. Supp. 2d 1319 (M.D. Ala. 2003).published See 688 F.2d at 1371 (“[A] welfare plan requires (1) a ‘plan, fund, or program’ (2) established or maintained (3) by an employer ... (4) for the purpose of providing ... death ... benefits ... (5) to participants or their beneficiaries.”).
- Kirkland v. SSL Americas, Inc., 263 F. Supp. 2d 1326 (M.D. Ala. 2003).published (Acts or events that record, exemplify or implement the decision will be direct or circumstantial evidence that the decision [to establish a plan] has become reality.)
- Stanton v. Paul Revere Life Ins., 37 F. Supp. 2d 1159 (S.D. Cal. 1999).published ([N]o single act in itself necessarily constitutes the establishment of the plan, fund, or program.)
- Fort Halifax Packing Co. v. Coyne, 482 U.S. 1 (1987).published (A decision to extend benefits is not the establishment of a plan or program)
- Ardoin, No. 3:22-cv-00865 (M.D. La. Feb. 27, 2026).Whether a plan exists is a question of whether, “from the surrounding circumstances[,] a reasonable person could ascertain the intended benefits, beneficiaries, source of financing, and procedures for receiving benefits.” Id. (quoting Dono…
Show 179 more citing cases
- Hoffman v. United Airlines, Inc., No. 1:21-cv-06395 (N.D. Ill. May 1, 2025).Diak v. Dwyer, Costello & Knox, P.C., 33 F.3d 809, 812 (7th Cir. 1994) (quoting Donovan v. Dillingham, 688 F.2d 1367, 1373 (11th Cir. 1982) (en banc)).
- Barnett v. Waste Mgmt. Inc, No. 1:24-cv-06436 (N.D. Ill. Mar. 31, 2025).Namely, “a court must determine whether from the surrounding circumstances a reasonable person could ascertain the intended benefits, beneficiaries, source of financing, and procedures for receiving benefits.” Id. at 812 (citing Donovan v.…
- Butler v. Hartford Life & Accident Ins. Co., The, No. 0:23-cv-03144 (D. Minn. Feb. 21, 2025).Co., 32 F.3d 349, 354 (8th Cir. 1994) (quoting Donovan v. Dillingham, 688 F.2d 1367, 1373 (11th Cir. 1982)).
- Young v. W.-S. Agency, Inc., No. 2:23-cv-00764 (S.D. W. Va. Sept. 20, 2024).Donovan v. Dillingham¸ 688 F.2d 1367, 1373 (11th Cir. 1982) (en banc).
- Morton v. Rocky Mountain Hosp. & Med. Serv., Inc., No. 2:23-cv-01320 (D. Nev. May 21, 2024).“ascertain the intended benefits, beneficiaries, source of financing, and procedures for receiving 10 benefits”
- Cuellar v. Guardian Life Ins. Co. of Am., No. 1:23-cv-01075 (E.D. Cal. Sept. 21, 2023).Cal. 6 July 13, 2011) (citing Donovan v. Dillingham, 688 F.2d 1367, 1373 (11th Cir. 1982) (en banc)). 7 “Accordingly, [a] plaintiff who brings a claim for benefits under ERISA must identify a specific 8 plan term that confers the benefit i…
- Allen v. First UNUM Life Ins. Co., No. 2:18-cv-00069 (M.D. Fla. Feb. 17, 2022). Donovan v. Dillingham, 688 F.2d 1367, 1370 (11th Cir. 1982) (en banc); Anderson v. Unum Provident Corp., 369 F.3d 1257, 1263 (11th Cir. 2004); Garcon v. United Mut. of Omaha Ins.
- Brimmeier v. DeMaria Bldg. Co., No. 2:20-cv-10426 (E.D. Mich. Feb. 17, 2022).The Pre-2016 Program Is Not an ERISA Plan Over thirty years ago, the Sixth Circuit Court of Appeals adopted the Eleventh Circuit’s test in Donovan v. Dillingham, 688 F.2d 1367, 1373 (11th Cir. 1982) for evaluating whether a “plan, fund, or…
- Harman D.O. v. Stand. Ins. Co., 564 F. Supp. 3d 1187 (M.D. Fla. 2021).published Donovan v. Dillingham, 688 F.2d 1367, 1371 (11th Cir. 1982) (en banc).
- Blake v. Life Ins. Co. of North Am., No. 3:20-cv-00319 (W.D. Ky. Sept. 27, 2021).A “Plan” Exists An ERISA “plan” exists if “from the surrounding circumstances a reasonable person could ascertain the intended benefits, beneficiaries, source of financing, and procedures for receiving benefits.” Int’l Res., 950 F.2d at 29…
- Jordan v.The MEBA Pension Trust, No. 1:20-cv-03649 (D. Md. Sept. 10, 2021).Such an “informal” ERISA plan exists only when “‘a reasonable person’” is able to “‘ascertain the intended benefits, a class of beneficiaries, the source of financing, and procedures for receiving benefits.’” Id. (quoting Donovan v. Dillin…
- Little v. Siskin Hosp. for Physical Rehab., Inc., No. 1:20-cv-00109 (E.D. Tenn. Aug. 31, 2021).Sys., Inc., 924 F.2d 718, 720 (7th Cir. 1991) (quoting Donovan v. Dillingham, 688 F.2d 1367, 1373 (11th Cir. 1982) (en banc)). 848 (citing Cassidy v. Akzo Nobel Salt, Inc., 308 F.3d 613, 616 (6th Cir. 2002)); see also Sprague, 133 F.3d at…
- Howard Jarvis Taxpayers Ass'n v. Ca Secure Choice Retire. Svg., 997 F.3d 848 (9th Cir. 2021).publishedBut Donovan itself made clear that its criteria only come into play when “an employer or employee organization is the person that establishes or maintains the plan, fund, or program.” 688 F.2d at 1371 (emphasis added).
- Smith v. Michelin Tire Corp., No. 3:20-cv-02850 (D.S.C. Feb. 23, 2021).The Fourth Circuit further observed in Custer that “the establishment of a[n] [ERISA] plan may be accomplished through the purchase of insurance,” id. (citing 29 U.S.C. § 1002 (1)), and that “[t]he existence of a[n] [ERISA] plan may be det…
- Syrowik v. Vineyards Dev. Corp., No. 2:20-cv-00744 (M.D. Fla. Jan. 12, 2021).“decision to extend benefits is not the establishment of a plan or program”
- Barnes v. Provident Life & Accident Ins. Co., No. 6:17-cv-00586 (E.D. Tex. July 6, 2020).The Court may determine that a plan exists if “a reasonable person could ascertain the intended benefits, beneficiaries, source of financing, and procedures for receiving benefits.” Meredith, 980 F.2d at 355 (quoting Donovan v. Dillingham,…
- Alberth v. S. Lakes Plumbing & Heating Inc, No. 2:19-cv-00062 (E.D. Wis. Mar. 6, 2020). (Docket # 28 at 5-9 (citing Donovan v. Dillingham, 688 F.2d 1367, 1373 (11th Cir. 1982); Sandstrom v. Cultor Food Science, Inc., 214 F.3d 795, 797 (7th Cir. 2000); Diak v. Dwyer, Costello & Knox, P. C., 33 F.3d 809, 812 (7th Cir. 1994) (“[…
- Van Natta v. Sara Lee Corp., 439 F. Supp. 2d 911 (N.D. Iowa 2006).published
- Gross v. Sun Life Assurance Co. of Canada, 734 F.3d 1 (1st Cir. 2013).published
- Mimbs v. Com. Life Ins., 818 F. Supp. 1556 (S.D. Ga. 1993).published
- Moeller v. Bertrang, 801 F. Supp. 291 (D.S.D. 1992).published
- O'LEARY v. Provident Life & Accident Ins. Co., 456 F. Supp. 2d 285 (D. Mass. 2006).published
- Butero v. Royal MacCabees Life Ins., 174 F.3d 1207 (11th Cir. 1999).published
- Virginia Madonia v. Blue Cross & Blue Shield of Virginia, 11 F.3d 444 (4th Cir. 1993).published
- Longoria v. Cearley, 796 F. Supp. 997 (W.D. Tex. 1992).published
- Dees v. Primehealth, 894 F. Supp. 1549 (S.D. Ala. 1995).published
- Taylor v. Carter, 948 F. Supp. 1290 (W.D. Tex. 1996).published
- Curtiss v. Union Cent. Life Ins., 823 F. Supp. 851 (D. Colo. 1993).published
- Tucci v. First Unum Life Ins., 446 F. Supp. 2d 473 (D.S.C. 2006).published
- Culpepper v. Prot. Life Ins., 938 F. Supp. 794 (M.D. Ala. 1996).published
- William J. Elmore Wayne Comer, Individually & as Representatives of a Class of Similarly Situated v. Cone Mills Corp. Cone Mills Acquisition Corp. Dewey L. Trogdon Lacy G. Baynes, & Paul W. Stephanz Wachovia Bank & Trust Co., N.A., (Three Cases). William J. Elmore Wayne Comer, Individually & as Representatives of a Class of Similarly Situated v. Cone Mills Corp. Cone Mills Acquisition Corp. Dewey L. Trogdon Lacy G. Baynes, & Paul W. Stephanz Wachovia Bank & Trust Co., N.A., 6 F.3d 1028 (4th Cir. 1993).published
- William J. Elmore Wayne Comer, Individually & as Representatives of a Class of Similarly Situated v. Cone Mills Corp. Cone Mills Acquisition Corp. Dewey L. Trogdon Lacy G. Baynes, & Paul W. Stephanz Wachovia Bank & Trust Co., N.A., Robert B. Reich, Sec'y of Labor, Amicus Curiae (Three Cases). William J. Elmore Wayne Comer, Individually & as Representatives of a Class of Similarly Situated v. Cone Mills Corp. Cone Mills Acquisition Corp. Dewey L. Trogdon Lacy G. Baynes, & Paul W. Stephanz Wachovia Bank & Trust Co., N.A., Robert B. Reich, Sec'y of Labor, Amicus Curiae, 23 F.3d 855 (4th Cir. 1994).published
- James E. Stiltner v. Beretta U.S.A. Corp., 74 F.3d 1473 (4th Cir. 1996).published
- Gilmore v. Silgan Plastics Corp., 917 F. Supp. 685 (E.D. Mo. 1996).published
- Hollingshead v. Matsen, 34 Cal. App. 4th 525 (Cal. Ct. App. 1995).published
- McMunn v. Pirelli Tire, LLC., 161 F. Supp. 2d 97 (D. Conn. 2001).published
- Tigner v. Lea C. Paslay Ins., Inc., 575 F. Supp. 2d 766 (N.D. Miss. 2008).published
- Robbins v. Friedman Agency, Inc., 760 F. Supp. 2d 564 (E.D. Va. 2010).published
- Elmore v. Cone Mills Corp., 6 F.3d 1028 (4th Cir. 1993).published
- Elmore v. Cone Mills Corp., 23 F.3d 855 (4th Cir. 1994).published
- Vega v. Nat'l Life Ins. Servs., Inc., 145 F.3d 673 (5th Cir. 1998).published
- Carmack v. Printpack Inc, No. 02-41531 (5th Cir. July 3, 2003).unpublished
- AIG Life Ins Co v. Blackshear, No. 00-20639 (5th Cir. Feb. 10, 2004).unpublished
- Peace v. Am. Gen. Life Ins., 462 F.3d 437 (5th Cir. 2006).published
- William O’Neal WHITT, Jr. v. SHERMAN INT’L CORP., 147 F.3d 1325 (11th Cir. 1998).published
- Nancy Gaylor v. John Hancock Mut. Life Ins. Co., 112 F.3d 460 (10th Cir. 1997).published
- Sipma v. Massachusetts Cas. Ins., 256 F.3d 1006 (10th Cir. 2001).published
- Edmund H. Belanger v. Wyman-Gordon Co., 71 F.3d 451 (1st Cir. 1995).published
- Jeanne B. DEMARS v. CIGNA Corp., 173 F.3d 443 (1st Cir. 1999).published
- Linda Randol v. Mid-West Nat'l Life Ins. Co. of Tennessee, 987 F.2d 1547 (11th Cir. 1993).published
- Custer v. Pan Am. Life Ins., 12 F.3d 410 (4th Cir. 1993).published
- Watkins v. Westinghouse Hanford Co., 12 F.3d 1517 (9th Cir. 1994).published
- Ernest F. Modzelewski v. Resolution Trust Corp., as Receiver for Merabank, a Fed. Sav. Bank, Gene E. Rice v. Resolution Trust Corp., as Receiver for Merabank, a Fed. Sav. Bank, 14 F.3d 1374 (9th Cir. 1994).published
- Nw. Airlines, Inc. v. Fed. Ins. Co., 32 F.3d 349 (8th Cir. 1994).published
- Gerald Grimo v. Blue Cross/blue Shield, 34 F.3d 148 (2d Cir. 1994).published
- Paul G. Curtis v. Nevada Bonding Corp., 53 F.3d 1023 (9th Cir. 1995).published
- Pens. Plan Guide P 23918y, 79 F.3d 1152 (9th Cir. 1996).published
- Jayedeane Thompson v. Am. Home Assurance Co., 95 F.3d 429 (6th Cir. 1996).published
- Brian G. West v. Clarke Murphy, 99 F.3d 166 (4th Cir. 1996).published
- R. Scott Bannister, as Tr. Larry W. Borden, as Tr. Missouri Pac. Employees' Health Ass'n Plans Payflex Sys., U.S.A., Inc. K. Russell Guethle, as Tr. v. Darrell Sorenson Darrell Sorenson & Assocs., Inc. Dan Sorenson, Darrell Sorenson, Counter Darrell Sorenson & Assocs., Inc., Counter Claimant/appellant v. Missouri Pac. Employees' Health Ass'n Plans, Counter Payflex Sys. U.S.A., Inc., Counter Terry Haney Dale Hogan, Counter, 103 F.3d 632 (8th Cir. 1996).published
- Anthony W. Cvelbar v. Cbi Illinois Inc., 106 F.3d 1368 (7th Cir. 1997).published
- Kenneth Sandstrom v. Cultor Food Sci., Inc., 214 F.3d 795 (7th Cir. 2000).published
- Malan F. Johnston v. Paul Revere Life Ins. Co., 241 F.3d 623 (8th Cir. 2001).published
- Winterrowd v. Am. Gen. Annuity Ins., 321 F.3d 933 (9th Cir. 2003).published
- Guilbert v. Gardner, 480 F.3d 140 (2d Cir. 2007).published
- Moore v. Life Ins. Co. of North Am., 278 F. App'x 238 (4th Cir. 2008).unpublished
- Marshall v. Bankers Life & Cas. Co., 832 P.2d 573 (Cal. 1992).published
- Stoffels v. SBC Commc'ns, Inc., 526 F. Supp. 2d 645 (W.D. Tex. 2007).published
- Timmons v. Special Ins. Servs., 984 F. Supp. 997 (E.D. Tex. 1997).published
- Alexander v. Provident Life & Accident Ins., 663 F. Supp. 2d 627 (E.D. Tenn. 2009).published
- Gruenke v. Miles, Inc., 872 F. Supp. 652 (D. Minn. 1995).published
- Champagne v. Revco D.S., Inc., 997 F. Supp. 220 (D.R.I. 1998).published
- Williams v. Jackson Stone Co., 867 F. Supp. 454 (S.D. Miss. 1994).published
- King v. Provident Life & Accident Ins., 908 F. Supp. 1395 (S.D. Miss. 1995).published
- Brech v. Prudential Ins. Co. of Am., 845 F. Supp. 829 (M.D. Ala. 1993).published
- Caterpillar, Inc. v. Int'l Union, 897 F. Supp. 1150 (C.D. Ill. 1995).published
- Hernandez v. Alcatel USA Resources, Inc., 560 F. Supp. 2d 528 (E.D. Tex. 2006).published
- Sparks v. Life Investors Ins. Co. of Am., 818 F. Supp. 945 (N.D. Miss. 1993).published
- Shea v. Road Carriers Local 707 Welfare Fund, 818 F. Supp. 631 (S.D.N.Y. 1993).published
- Gardner v. EI Dupont De Nemours & Co., 939 F. Supp. 471 (S.D. W. Va. 1996).published
- Finderne Mgmt. Co. v. Barrett, 809 A.2d 842 (N.J. Super. Ct. App. Div. 2002).published
- Employers Health Ins. v. Leach ex rel. Leach, 976 F. Supp. 1062 (S.D. Tex. 1997).published
- Knott v. Provident Life & Accident Ins. Co., 70 S.W.3d 924 (Tex. App.—Eastland 2002).published
- Singletary v. State Farm Fire & Cas. Co., 982 So. 2d 216 (La. Ct. App. 2008).published
- Grimo v. Blue Cross & Blue Shield of Vermont, 899 F. Supp. 196 (D. Vt. 1995).published
- Bellisario v. Lone Star Life Ins., 871 F. Supp. 374 (C.D. Cal. 1994).published
- Craft v. Northbrook Life Ins., 813 F. Supp. 464 (S.D. Miss. 1993).published
- Chao v. Duncan (In re Duncan), 331 B.R. 70 (Bankr. E.D.N.Y. 2005).published
- Burkett v. Sun Life Assurance Co. of Canada, 958 F. Supp. 432 (E.D. Ark. 1997).published
- Adler v. Aztech Chas. P. Young Co., 807 F. Supp. 1068 (S.D.N.Y. 1992).published
- Joy Global, Inc. v. Wisconsin Dep't of Workforce Dev. (In re Joy Global, Inc.), 346 B.R. 659 (D. Del. 2006).published
- Madden v. Country Life Ins., 835 F. Supp. 1081 (N.D. Ill. 1993).published
- Urbino v. Pan Am. Life Ins., 822 F. Supp. 1556 (S.D. Fla. 1993).published
- Novak v. TRW, INC., 822 F. Supp. 963 (E.D.N.Y. 1993).published
- Segovia v. Shoenmann, 404 B.R. 896 (N.D. Cal. 2009).published
- Chatelain v. S. Baptist Health Sys., 907 F. Supp. 206 (E.D. La. 1995).published
- Glover v. Jobmate of Mississippi, Inc., 887 F. Supp. 926 (S.D. Miss. 1995).published
- Salameh v. Provident Life & Accident Ins., 23 F. Supp. 2d 704 (S.D. Tex. 1998).published
- Hand v. Church & Dwight Co., 962 F. Supp. 742 (D.S.C. 1997).published
- Guiragoss v. Khoury, 444 F. Supp. 2d 649 (E.D. Va. 2006).published
- Greathouse v. Glidden Co., 40 S.W.3d 560 (Tex. App.—Houston [14th Dist.] 2001).published
- Lain v. UNUM Life Ins. Co. of Am., 27 F. Supp. 2d 926 (S.D. Tex. 1998).published
- Aiena v. Olsen, 69 F. Supp. 2d 521 (S.D.N.Y. 1999).published
- Rosati v. Cleveland-Cliffs, Inc., 259 F. Supp. 2d 861 (D. Minn. 2003).published
- Bulls v. Norton Cmty. Hosp., Inc., 76 F. Supp. 2d 710 (W.D. Va. 1999).published
- Acuna v. Connecticut Gen. Life Ins., 572 F. Supp. 2d 713 (E.D. Tex. 2008).published
- Waddell v. Kaiser Found. Health Plan, 877 S.W.2d 341 (Tex. App.—Dallas 1994).published
- Moore v. Powers, 279 F. Supp. 2d 821 (E.D. Tex. 2003).published
- Castiglione v. US Life Ins. Co. in City of NY, 262 F. Supp. 2d 1025 (D. Ariz. 2003).published
- McNeil v. Time Ins., 977 F. Supp. 424 (N.D. Tex. 1997).published
- Jones v. LMR Int'l, 351 F. Supp. 2d 1308 (M.D. Ala. 2005).published
- Blaylock v. Mut. of New York Life Ins., 228 F. Supp. 2d 778 (S.D. Miss. 2002).published
- Wharton v. Duke Realty, LLP, 467 F. Supp. 2d 381 (S.D.N.Y. 2006).published
- Woods v. Golden Triangle Convalescent Ctr., 22 F. Supp. 2d 570 (E.D. Tex. 1998).published
- Lacour v. Life Ins. Co. of North Am., 200 F. Supp. 2d 622 (W.D. La. 2002).published
- Adams v. Unum Life Ins. Co. of Am., 200 F. Supp. 2d 796 (N.D. Ohio 2002).published
- Spillane v. AXA Fin., Inc., 648 F. Supp. 2d 690 (E.D. Pa. 2009).published
- Franks v. Prudential Health Care Plan, Inc., 164 F. Supp. 2d 865 (W.D. Tex. 2001).published
- Moon v. BWX Tech., Inc., 742 F. Supp. 2d 827 (W.D. Va. 2010).published
- Termini v. Life Ins. Co. of North Am., 464 F. Supp. 2d 508 (E.D. Va. 2006).published
- Spires v. Sunflower Elec. Coop., Inc., 280 F. Supp. 2d 1271 (D. Kan. 2003).published
- Williams v. HealthAlliance Hospitals, Inc., 135 F. Supp. 2d 106 (D. Mass. 2001).published
- Nowell v. Cent. Serv. Ass'n, 106 F. Supp. 2d 888 (S.D. Miss. 2000).published
- Chero-Key Piping Co. v. Great-West Life & Annuity Ins., 646 F. Supp. 2d 853 (S.D. Tex. 2009).published
- Campbell v. Chevron Phillips Chem. Co., LP, 587 F. Supp. 2d 773 (E.D. Tex. 2006).published
- Clancy v. Employers Health Ins., 82 F. Supp. 2d 589 (E.D. La. 1999).published
- Bonestroo v. Cont'l Life & Accident Co., 79 F. Supp. 2d 1041 (N.D. Iowa 1999).published
- Tyco Valves & Controls, L.P. v. Colorado, 365 S.W.3d 750 (Tex. App.—Houston [1st Dist.] 2012).published
- Searles v. First Fortis Life Ins., 98 F. Supp. 2d 456 (S.D.N.Y. 2000).published
- Raskin v. CyNet, Inc., 131 F. Supp. 2d 906 (S.D. Tex. 2001).published
- Roehrs v. Minnesota Life Ins., 390 F. Supp. 2d 886 (D. Ariz. 2005).published
- NGS Am., Inc. v. Barnes, 805 F. Supp. 462 (W.D. Tex. 1992).published
- Whitfield v. Torch Operating Co., 935 F. Supp. 822 (E.D. La. 1996).published
- Alexander Menkes v. Prudential Ins. Co of Ame, 762 F.3d 285 (3d Cir. 2014).published
- Dr. James Knott v. Provident Life & Accident Ins. Co., No. 11-00-00243-CV (Tex. App.—Eastland Mar. 21, 2002).published
- Stiltner v. Beretta USA Corp, No. 94-1323 (4th Cir. Feb. 5, 1996).published
- West v. Clarke Murphy Jr Sel, No. 95-1745 (4th Cir. Nov. 5, 1996).published
- Lettrich v. JC Penney Co Inc, 90 F. App'x 604 (3d Cir. 2004).unpublished
- Minnis v. Baldwin Bros Inc, 150 F. App'x 118 (3d Cir. 2005).unpublished
- D. Sorenson & Assoc. v. PayFlex Sys., USA, 103 F.3d 632 (8th Cir. 1996).published
- Lou Woerner v. Fram Grp. Operations LLC, 658 F. App'x 90 (3d Cir. 2016).unpublished
- Medley v. A.W. Chesterton Co., 912 S.W.2d 748 (Tenn. Ct. App. 1995).published
- Daniel Warmenhoven v. Netapp, Inc., 13 F.4th 717 (9th Cir. 2021).published
- Plymouth & Brockton Street Ry. Co. v. Leyland, 664 N.E.2d 17 (Mass. 1996).published
- Watkins v. Westinghouse Hanford Co., 12 F.3d 1517 (9th Cir. 1993).published
- Modzelewski v. Resolution Trust Corp., 14 F.3d 1374 (9th Cir. 1994).published
- Baldo v. Zippo Mfg. Co., 48 F. App'x 10 (2d Cir. 2002).unpublished
- Coggins v. Keystone Foods, LLC, 111 F. Supp. 3d 630 (E.D. Pa. 2015).published
- Latham v. Lincoln Nat'l Life Ins., 133 F. Supp. 3d 875 (E.D. Ky. 2015).published
- Dairy v. Dairy Employees Union Local No. 17 Christian Labor Ass'n of the United States Pension Trust, 153 F. Supp. 3d 1217 (E.D. Cal. 2015).published
- Gooden v. Unum Life Ins. Co. of Am., 181 F. Supp. 3d 465 (E.D. Tenn. 2016).published
- Elite Ctr. for Minimally Invasive Surgery, LLC v. Health Care Serv. Corp., 221 F. Supp. 3d 853 (S.D. Tex. 2016).published
- D'Elia v. Unum Life Ins. Co., 223 F. Supp. 3d 380 (E.D. Pa. 2016).published
- Mance v. Quest Diagnostics Inc. Voluntary Separation Agreement Plan, 237 F. Supp. 3d 217 (D.N.J. 2017).published
- Guilbert v. Gardner, 480 F.3d 140 (2d Cir. 2007).published
- Reedstrom v. Nova Chemicals, Inc., 96 F. App'x 331 (6th Cir. 2004).unpublished
- Castiglione v. United States Life Ins. Co. of New York, 262 F. Supp. 2d 1025 (D. Ariz. 2003).published
- Harding v. Provident Life & Accident Ins., 809 F. Supp. 2d 403 (W.D. Pa. 2011).published
- Barrett v. Ins. Co. of North Am., 813 F. Supp. 798 (N.D. Ala. 1993).published
- Solis v. Koresko, 884 F. Supp. 2d 261 (E.D. Pa. 2012).published
- DuBrul v. Citrosuco North Am., Inc., 892 F. Supp. 2d 892 (S.D. Ohio 2012).published
- Gustafson v. Warner-Lambert Co., 827 F. Supp. 724 (M.D. Fla. 1993).published
- Pitts v. Am. Nat'l Ins., 836 F. Supp. 1280 (S.D. Miss. 1993).published
- Troy v. Marquette Nat'l Life Ins., 844 F. Supp. 1149 (N.D. Tex. 1994).published
- Weigle v. AIG Ins., 908 F. Supp. 371 (M.D. La. 1995).published
- Mem'l Hosp. Sys. v. John Hancock Mut. Life Ins., 952 F. Supp. 449 (S.D. Tex. 1996).published
- Laverty v. Savoy Indus., Inc., 954 F. Supp. 86 (S.D.N.Y. 1997).published
- Eckardt v. Wiebel Tool Co., 965 F. Supp. 357 (E.D.N.Y. 1997).published
- Guilbeaux v. 3927 Found., Inc., 177 F.R.D. 387 (E.D. Tex. 1998).published
- Miller v. Starkey Labs., Inc., No. 0:17-cv-03996 (D. Minn. Mar. 2, 2018).
- Bd. of Trs. v. ILA Local 1740, AFL-CIO, No. 3:18-cv-01598 (D.P.R. Nov. 27, 2019).
- Davis v. Metro. Life Ins. C o ., No. CV-03-463-JD (D.N.H. Sept. 13, 2004).published
- Lohmann v. Green Bay Packaging, Inc., 39 F.3d 1192 (10th Cir. 1994).published
- Herbert A. SLAMEN v. PAUL REVERE LIFE Ins. Co., 166 F.3d 1102 (11th Cir. 1999).published
- Robert Stern v. Int'l Bus. Machines (IBM), 326 F.3d 1367 (11th Cir. 2003).published
- Shaver v. Siemens Corp., 670 F.3d 462 (3d Cir. 2012).published
- Wheeler v. Westmoreland Ret. Plan, No. 98-2173 (4th Cir. June 8, 1999).unpublished
- Perez v. Koresko, 86 F. Supp. 3d 293 (E.D. Pa. 2015).published
- Hendrix v. Resource Real Est. Mgmt., Inc., 170 F. Supp. 3d 879 (D.S.C. 2016).published
At page 1371 Defining employee welfare benefit plan under ERISA113 citing casesThe gist of ERISA’s definitions of employer, employee organization, participant, and beneficiary is that a plan, fund, or program falls within the ambit of ERISA only if the plan, fund, or program covers ERISA participants because of their employee status in an employment relationship, and an empl…
- Hayes v. Reliance Stand. Life Ins., 92 F. Supp. 3d 276 (M.D. Pa. 2015).published (The gist of ERISA’s definitions of employer, employee organization, participant, and beneficiary is that a plan, fund, or program falls within the ambit of ERISA only if the plan, fund, or program covers ERISA particip…)
- Crooms v. Provident Life & Accident Ins., 484 F. Supp. 2d 1286 (N.D. Ga. 2007).published (Prerequisites (3), (4) and (5) are either self-explanatory or defined by statute.)
- Cowart v. Metro. Life Ins., 444 F. Supp. 2d 1282 (M.D. Ga. 2006).published See Shipley, 352 F.Supp.2d at 1217 (discounting plaintiffs argument that her policy was not governed by ERISA because the language of the policy did not mention ERISA); see also Donovan, 688 F.2d at 1372 (“ERISA ... does not require a form…
- Wilson v. Coman, 284 F. Supp. 2d 1319 (M.D. Ala. 2003).published ([A] welfare plan requires (1) a ‘plan, fund, or program’ (2) established or maintained (3) by an employer ... (4) for the purpose of providing ... death ... benefits ... (5) to participants or their beneficiaries.)
- Stanton v. Paul Revere Life Ins., 37 F. Supp. 2d 1159 (S.D. Cal. 1999).published Finally, Donovan and subsequent Ninth Circuit case law clearly states that the determination of whether or not a plan exists turns on all the benefits provided viewed together, and not on a “single act.” See, e.g., Donovan, 688 F.2d at 137…
- MDPhysicians & Assocs., Inc. v. State Bd. of Ins., No. 91-1469 (5th Cir. May 20, 1992).published ([C]ourts, congressional comittees, and the Secretary have uniformly held that [a multiple employer trust -- the enterprise -- is] not an employee welfare benefit plan.)
- Nechero v. Provident Life & Accident Ins., 795 F. Supp. 374 (D.N.M. 1992).published (The gist of ERISA’s definitions ... is that a plan, fund, or program falls within the ambit of ERISA only if the plan, fund, or program covers ERISA participants because of their employee status in an employment relati…)
- Grosso v. UNUM Life Ins. Co. of Am., No. 1:24-cv-01432 (D. Md. Mar. 25, 2025).The U.S. Court of Appeals for the Fourth Circuit has further clarified that ERISA applies only to “(1) a plan, fund or program, (2) established or maintained (3) by an employer, . . . (4) for the purpose of providing a benefit, (5) to empl…
- Harman D.O. v. Stand. Ins. Co., 564 F. Supp. 3d 1187 (M.D. Fla. 2021).published Donovan v. Dillingham, 688 F.2d 1367, 1371 (11th Cir. 1982) (en banc).
- Shrago v. UNUM Life Ins. Co. of Am., No. 8:20-cv-01097 (D. Md. July 28, 2021).Co., 12 F.3d 410, 417 (4th Cir. 1993) (citing Donovan v. Dillingham, 688 F.2d 1367, 1371 (11th Cir. 1982)).
Show 100 more citing cases
- Anand v. Indep. Blue Cross, No. 2:20-cv-06246 (E.D. Pa. July 23, 2021).A valid claim under the Employee Retirement Income Security Act requires the existence of an insurance policy “obtained through (1) a plan, fund, or program (2) that is established or maintained (3) by an employer (4) for the purpose of pr…
- Patterson v. Hartford Life & Accident Ins. Co., No. 1:21-cv-21255 (S.D. Fla. May 14, 2021).An “employee welfare benefit plan” under ERISA, is “any (1) plan, fund or program, (2) established or maintained (3) by an employer (4) to provide beneficiaries (5) [] benefits through an insurance policy.” (citing 29 U.S.C. § 1002 (1) and…
- Howard Jarvis Taxpayers Ass'n v. Ca Secure Choice Retire. Svg., 997 F.3d 848 (9th Cir. 2021).published“an employer or employee organization is the person that establishes or maintains the plan, fund, or program”
- Wright v. Regions Bank, No. 2:18-cv-01897 (N.D. Ala. Mar. 25, 2021).Donovan v. Dillingham, 688 F.2d 1367, 1371 (11th Cir. 1982) (citing 29 U.S.C. § 1002 (1)).
- Gimeno v. NCHMD, Inc., No. 1:20-cv-24870 (S.D. Fla. Feb. 17, 2021).Co., 174 F.3d 1207, 1214 (11th Cir. 1999) (citing 29 U.S.C. § 1002 (1) and Donovan v. Dillingham, 688 F.2d 1367, 1371 (11th Cir. 1982)) (quotations omitted).
- Doe v. Anthem Health Plans of Virginia, Inc., No. 2:20-cv-00408 (E.D. Va. Dec. 22, 2020).See 29 U.S.C. § 1002 (1); Donovan,688 F.2d at 1371.
- Mebane v. GKN Driveline North Am., Inc., 499 F. Supp. 3d 220 (M.D.N.C. 2020).publishedCo., 12 F.3d 410, 417 (4th Cir. 1993) (citing Donovan v. Dillingham, 688 F.2d 1367, 1371 (11th Cir. 1982) (en banc)).
- Caggiano v. Teva Pharm. USA Inc., No. 5:19-cv-03074 (E.D. Pa. Sept. 9, 2020).Donovan v. Dillingham, 688 F.2d 1367, 1371 (11th Cir. 1982); accord Smith v. Hartford Ins.
- Letner v. UNUM Life Ins. Co. of Am., 203 F. Supp. 2d 1291 (N.D. Fla. 2001).published
- Stoudemire v. Provident Life & Accident Ins. Co., 24 F. Supp. 2d 1252 (M.D. Ala. 1998).published
- Butero v. Royal MacCabees Life Ins., 174 F.3d 1207 (11th Cir. 1999).published
- Donya Leigh Anderson v Unum Provident Corp., 369 F.3d 1257 (11th Cir. 2004).published
- James P. Cotton, Jr. v. Massachusetts Mut. Life, 402 F.3d 1267 (11th Cir. 2005).published
- Ross Glenn Moorman, Jr. v. UnumProvident, 464 F.3d 1260 (11th Cir. 2006).published
- La Mure v. Mut. Life Ins Co, No. 95-2172 (10th Cir. Jan. 14, 1997).unpublished
- Ed Miniat, Inc. v. Globe Life Ins. Grp., Inc., 805 F.2d 732 (7th Cir. 1986).published
- Theodore Kanne & Beatriz Kanne v. Connecticut Gen. Life Ins. Co., Lincoln Nat'l Life Ins. Co. & Harlow Carpets, Inc., Theodore Kanne & Beatriz Kanne v. Connecticut Gen. Life Ins. Co., 859 F.2d 96 (9th Cir. 1988).published
- Theodore Kanne & Beatriz Kanne v. Connecticut Gen. Life Ins. Co., Lincoln Nat'l Life Ins. Co. & Harlow Carpets, Inc., Theodore Kanne & Beatriz Kanne v. Connecticut Gen. Life Ins. Co., 867 F.2d 489 (9th Cir. 1989).published
- No. 88-2594, 884 F.2d 423 (9th Cir. 1989).published
- Laurie Ann Stewart v. Mut. Benefit Life Ins. Co., 942 F.2d 794 (9th Cir. 1991).unpublished
- Andrea Peckham v. Gem State Mut. Of Utah, 964 F.2d 1043 (10th Cir. 1992).published
- Virginia Madonia v. Blue Cross & Blue Shield of Virginia, 11 F.3d 444 (4th Cir. 1993).published
- Crawford B. Smith, Jr. v. Jefferson Pilot Life Ins. Co., 14 F.3d 562 (11th Cir. 1994).published
- Lordmann Enter., Inc. v. Equicor, Inc., 32 F.3d 1529 (11th Cir. 1994).published
- Richard C. Glass v. United of Omaha Life Ins. Co., 33 F.3d 1341 (11th Cir. 1994).published
- Randall D. Ivanciw v. Unum Life Ins. Co. of Am., 91 F.3d 152 (9th Cir. 1996).unpublished
- David S. Lamure, Sr. v. Mut. Life Ins. Co. of New York, 106 F.3d 413 (10th Cir. 1997).published
- Sanders v. Gravel Prods., Inc., 2008 ND 161, 755 N.W.2d 826.published
- Garcia v. Kaiser Found. Hospitals, 978 P.2d 863 (Haw. 1999).published
- Nichols v. Se. Health Plan of Alabama, Inc., 859 F. Supp. 553 (S.D. Ala. 1993).published
- ELCO Mech. Contractors, Inc. v. Builders Supply Ass'n, 832 F. Supp. 1054 (S.D. W. Va. 1993).published
- Cerasoli v. Xomed, Inc., 952 F. Supp. 152 (W.D.N.Y. 1997).published
- Morris v. Paul Revere Ins. Grp., 986 F. Supp. 872 (D.N.J. 1997).published
- Ridens v. Voluntary Separation Prog., 610 F. Supp. 770 (D. Minn. 1985).published
- McClellan v. Health Maint. Org., 604 A.2d 1053 (Pa. Super. Ct. 1992).published
- Plog v. Colorado Ass'n of Soil Conservation Districts, 841 F. Supp. 350 (D. Colo. 1993).published
- In re Pruner, 140 B.R. 1 (M.D. Fla. 1992).published
- Lee v. Prudential Ins. Co. of Am., 673 F. Supp. 998 (N.D. Cal. 1987).published
- Longoria v. Cearley, 796 F. Supp. 997 (W.D. Tex. 1992).published
- Thomas ex rel. Est. of Robinson v. Burlington Indus., Inc., 763 F. Supp. 1570 (S.D. Fla. 1991).published
- Palmore v. First Unum, 841 So. 2d 233 (Ala. 2002).published
- MDPhysicians & Assocs., Inc. v. Wrotenbery, 762 F. Supp. 695 (N.D. Tex. 1991).published
- McLendon v. Cont'l Grp., Inc., 602 F. Supp. 1492 (D.N.J. 1985).published
- Robinson v. Fikes of Alabama, Inc., 804 F. Supp. 277 (M.D. Ala. 1992).published
- Trogner v. New York Life Ins., 633 F. Supp. 503 (D. Md. 1986).published
- Toledo v. Ayerst-Wyeth Pharm., Inc., 852 F. Supp. 91 (D.P.R. 1993).published
- Carbonell v. Nw. Mut. Life Ins., 905 F. Supp. 308 (E.D.N.C. 1995).published
- Mattive v. Healthsource of Savannah, Inc., 893 F. Supp. 1559 (S.D. Ga. 1995).published
- Mattive v. Healthsource of Savannah, Inc., 893 F. Supp. 1556 (S.D. Ga. 1995).published
- Narda, Inc. v. Rhode Island Hosp. Trust Nat'l Bank, 744 F. Supp. 685 (D. Md. 1990).published
- Slye v. Cent. States Se. & Sw. Areas Health & Welfare Fund, 956 F. Supp. 1357 (S.D. Ohio 1997).published
- Hemphill v. Unisys Corp., 855 F. Supp. 1225 (D. Utah 1994).published
- Bernstein v. Greenpoint Sav. Bank (In re Lane), 149 B.R. 760 (Bankr. E.D.N.Y. 1993).published
- Dees v. Primehealth, 894 F. Supp. 1549 (S.D. Ala. 1995).published
- Taylor v. Carter, 948 F. Supp. 1290 (W.D. Tex. 1996).published
- Curtiss v. Union Cent. Life Ins., 823 F. Supp. 851 (D. Colo. 1993).published
- Reber v. Provident Life & Accident Ins., 93 F. Supp. 2d 995 (S.D. Ind. 2000).published
- Hall v. Maine Mun. Employees Health Trust, 93 F. Supp. 2d 73 (D. Me. 2000).published
- O'Brien v. Mut. of Omaha Ins., 99 F. Supp. 2d 744 (E.D. La. 1999).published
- Shipley v. Provident Life & Accident Ins. Co., 352 F. Supp. 2d 1213 (S.D. Ala. 2004).published
- Stern v. Provident Life & Accident Ins. Co., 295 F. Supp. 2d 1321 (M.D. Fla. 2003).published
- McCaslin v. Blue Cross & Blue Shield of Alabama, 779 F. Supp. 1312 (N.D. Ala. 1991).published
- Tucci v. First Unum Life Ins., 446 F. Supp. 2d 473 (D.S.C. 2006).published
- Harman ex rel. Seybold v. UNITED HEALTH. OF FLA., 207 F. Supp. 2d 1355 (M.D. Fla. 2002).published
- Reed v. Prudential Ins. Co. of Am., 4 F. Supp. 2d 1148 (M.D. Fla. 1998).published
- Cote v. Durham Life Ins., 754 F. Supp. 18 (D. Conn. 1991).published
- Davis v. Time Ins., 698 F. Supp. 1317 (S.D. Miss. 1988).published
- Boone v. Health Strategies, Inc., 213 F. Supp. 2d 1304 (M.D. Ala. 2002).published
- Duckett v. Blue Cross & Blue Shield of Alabama, 75 F. Supp. 2d 1310 (M.D. Ala. 1999).published
- Giardiello v. Balboa Ins., 661 F. Supp. 644 (S.D. Fla. 1985).published
- Dickerson v. Alexander Hamilton Life Ins. Co. of Am., 130 F. Supp. 2d 1271 (N.D. Ala. 2001).published
- Haley v. Metro. Life Ins., 189 F. Supp. 2d 567 (S.D. Miss. 2001).published
- Arora v. Hartford Life & Annuity Ins. Co., 519 F. Supp. 2d 1021 (N.D. Cal. 2007).published
- Robles v. Combined Ins. Co. of Am., 275 F. Supp. 2d 168 (D.P.R. 2003).published
- Regency Hosp. Co. v. United Healthcare of Georgia, Inc., 403 F. Supp. 2d 1221 (N.D. Ga. 2005).published
- Belknap v. Hartford Life & Accident Ins. Co., 389 F. Supp. 2d 1320 (M.D. Fla. 2005).published
- Stanley v. Life Ins. Co. of North Am., 426 F. Supp. 2d 1275 (M.D. Fla. 2006).published
- Corp. Health Ins. v. Texas Dep't of Ins., 12 F. Supp. 2d 597 (S.D. Tex. 1998).published
- Love v. Fortis Benefits Ins. Co., 120 F. Supp. 2d 997 (M.D. Ala. 2000).published
- Vardag v. Motorola, Inc., 264 F. Supp. 2d 1056 (S.D. Fla. 2003).published
- Mehaffey v. Boston Mut. Life Ins., 31 F. Supp. 2d 1329 (M.D. Ala. 1998).published
- Barringer-Willis v. Healthsource North Carolina Inc., 14 F. Supp. 2d 780 (E.D.N.C. 1998).published
- Moore v. Life Ins. Co. of North Am., 708 F. Supp. 2d 597 (N.D. W. Va. 2010).published
- Mapp v. Am. Gen. Assurance Co., 589 F. Supp. 2d 1257 (M.D. Ala. 2008).published
- Anderson v. UnumProvident Corp., 322 F. Supp. 2d 1272 (M.D. Ala. 2002).published
- Hooper v. Albany Int'l Corp., 149 F. Supp. 2d 1315 (M.D. Ala. 2001).published
- Halprin v. Equitable Life Assurance Soc'y of the United States, 267 F. Supp. 2d 1030 (D. Colo. 2003).published
- Gilbert v. Alta Health & Life Ins., 122 F. Supp. 2d 1267 (N.D. Ala. 2000).published
- Spann v. Nw. Mut. Life Ins., 795 F. Supp. 386 (M.D. Ala. 1992).published
- Culpepper v. Prot. Life Ins., 938 F. Supp. 794 (M.D. Ala. 1996).published
- Lionel Garcon v. United Mut. of Omaha Ins. Co., No. 18-12220 (11th Cir. June 24, 2019).unpublished
- Clark v. Unum Life Ins. Co. of Am., 95 F. Supp. 3d 1335 (M.D. Fla. 2015).published
- Harman v. United Healthcare of Florida, Inc., 207 F. Supp. 2d 1355 (M.D. Fla. 2002).published
- Walters v. Pan Am. Life Ins., 800 F. Supp. 436 (S.D. Miss. 1990).published
- Allmendinger v. Aetna Life Ins., 804 F. Supp. 432 (D. Conn. 1992).published
- Kanne v. Connecticut Gen. Life Ins., 859 F.2d 96 (9th Cir. 1988).published
- Kanne v. Connecticut Gen. Life Ins., 867 F.2d 489 (9th Cir. 1988).published
- Silvera v. Mut. Life Ins. Co. of New York, 884 F.2d 423 (9th Cir. 1989).published
- Peckham v. Gem State Mut., 964 F.2d 1043 (10th Cir. 1992).published
- Mony Life Ins. Co. v. Perez, No. 8:19-cv-02031 (M.D. Fla. Feb. 22, 2022).
At page 1372 Defining ERISA plan requirements and lack of formal written plan104 citing cases“the existence of intended benefits, intended beneficiaries, a source of financing, and a procedure to apply for and collect benefits.”
- Bush v. Liberty Life Assurance Co., 77 F. Supp. 3d 900 (N.D. Cal. 2015).published (in discussing section 102 and 402 requirements, stating that “these are only the responsibilities of administrators and fiduciaries of plans covered by ERISA and are not prerequisites to coverage under the Act” (emphasi…)
- Campbell v. Unum Grp., 633 F. Supp. 3d 378 (D. Mass. 2022).published (ERISA does not... require a formal written plan.)
- Fannaly v. LEI, Inc., 488 F. Supp. 3d 450 (E.D. La. 2020).published (ERISA does not, however, require a formal, written plan.)
- Gilliland v. Air Line Pilots Ass'n Intern., 741 F. Supp. 2d 1334 (N.D. Ga. 2009).published(At a minimum ... a `plan, fund, or program' under ERISA implies the existence of intended benefits, intended beneficiaries, a source of financing, and a procedure to apply for and collect benefits.)
- Gilliland v. Air Line Pilots Ass'n, 741 F. Supp. 2d 1334 (N.D. Ga. 2009).published(At a minimum ... a ‘plan, fund, or program’ under ERISA implies the existence of intended benefits, intended beneficiaries, a source of financing, and a procedure to apply for and collect benefits.)
- Hughes v. Zurz, 298 F. App'x 404 (6th Cir. 2008).unpublished(ERISA does not, however, require a formal, written plan.)
- Cowart v. Metro. Life Ins., 444 F. Supp. 2d 1282 (M.D. Ga. 2006).published (ERISA ... does not require a formal written plan.)
- Wilson v. Coman, 284 F. Supp. 2d 1319 (M.D. Ala. 2003).published See 688 F.2d at 1371 (“[A] welfare plan requires (1) a ‘plan, fund, or program’ (2) established or maintained (3) by an employer ... (4) for the purpose of providing ... death ... benefits ... (5) to participants or their beneficiaries.”).
- Kirkland v. SSL Americas, Inc., 263 F. Supp. 2d 1326 (M.D. Ala. 2003).published Established or Maintained The next requirement is that Procedures 16 and 30 be “established or maintained.” According to the Butero court, “[a] plan is ‘established’ when there has been some degree of implementation by the employer beyond…
- Stanton v. Paul Revere Life Ins., 37 F. Supp. 2d 1159 (S.D. Cal. 1999).published Finally, Donovan and subsequent Ninth Circuit case law clearly states that the determination of whether or not a plan exists turns on all the benefits provided viewed together, and not on a “single act.” See, e.g., Donovan, 688 F.2d at 137…
Show 87 more citing cases
- MDPhysicians & Assocs., Inc. v. State Bd. of Ins., No. 91-1469 (5th Cir. May 20, 1992).published Cf. Donovan, 688 F.2d at 1371 ("[C]ourts, congressional comittees, and the Secretary have uniformly held that [a multiple employer trust -- the enterprise -- is] not an employee welfare benefit plan.").
- In re Fairchild Indus., Inc. & GMF Investments, Inc., \ERISA\" Litig.", 768 F. Supp. 1528 (N.D. Fla. 1990).published(There is no requirement of a formal, written plan in either ERISA’s coverage section ... or its definitions section ... [T]hese ... are not prerequisites to coverage under the Act.)
- Gomez v. Bradford, No. C097809 (Cal. Ct. App. Sept. 2, 2025).unpublished(Marshall, supra, 2 Cal.4th at p. 1054 ; Dillingham, supra, 688 F.2d at p. 1372; see Scott v. Gulf Oil Corp. (9th Cir. 1985) 754 F.2d 1499 , 1503, disapproval on other grounds by Golden Gate Restaurant Assn. v. City and County of San Franc…
- Moore v. Keurig Dr. Pepper, Inc., No. 5:24-cv-00141 (W.D.N.C. Mar. 27, 2025).No. 20 at 10 (quoting Donovan v. Dillingham, 688 F.2d 1367, 1372 (11th Cir. 1982)).
- Hester v. Whatever It Takes Transmissions & Parts, Inc. Deferred Comp. Plan, No. 3:21-cv-00578 (W.D. Ky. Jan. 7, 2022).Motors Corp., 46 F.3d 512 , 517 (6th Cir. 1995)); Hughes v. Zurz, 298 F. App’x 404, 412 (6th Cir. 2008) (quoting Donovan v. Dillingham, 688 F.2d 1367, 1372 (11th Cir. 1982)) (internal quotations omitted); see also Int’l Res., Inc. v. New Y…
- Thoms v. Sun Life Assurance Co. of Canada, No. 1:20-cv-00235 (M.D. Ala. Nov. 22, 2021).“An ERISA plan exists whenever there are ‘intended benefits, intended beneficiaries, a source of financing, and a procedure to apply for and collect benefits.’” Id. (quoting Donovan v. Dillingham, 688 F.2d 1367, 1372 (11th Cir. 1982)).
- Blau v. Del Monte Corp., 748 F.2d 1348 (9th Cir. 1984).published
- Gross v. Sun Life Assurance Co. of Canada, 734 F.3d 1 (1st Cir. 2013).published
- Kelly v. Blue Cross & Blue Shield of Rhode Island, 814 F. Supp. 220 (D.R.I. 1993).published
- Moeller v. Bertrang, 801 F. Supp. 291 (D.S.D. 1992).published
- Anastos v. IKEA Prop., Inc., 634 F. Supp. 3d 1305 (N.D. Ga. 2022).published
- Butero v. Royal MacCabees Life Ins., 174 F.3d 1207 (11th Cir. 1999).published
- Andrea Peckham v. Gem State Mut. Of Utah, 964 F.2d 1043 (10th Cir. 1992).published
- Thomas ex rel. Est. of Robinson v. Burlington Indus., Inc., 763 F. Supp. 1570 (S.D. Fla. 1991).published
- Slye v. Cent. States Se. & Sw. Areas Health & Welfare Fund, 956 F. Supp. 1357 (S.D. Ohio 1997).published
- Dees v. Primehealth, 894 F. Supp. 1549 (S.D. Ala. 1995).published
- Culpepper v. Prot. Life Ins., 938 F. Supp. 794 (M.D. Ala. 1996).published
- Peckham v. Gem State Mut., 964 F.2d 1043 (10th Cir. 1992).published
- Jeneal Meredith v. Time Ins. Co., 980 F.2d 352 (5th Cir. 1993).published
- Scott v. Gulf Oil Corp., 754 F.2d 1499 (9th Cir. 1985).published
- Gilbert v. Burlington Indus., Inc., 765 F.2d 320 (2d Cir. 1985).published
- Sally Gahn v. Allstate Life Ins. Co., 926 F.2d 1449 (5th Cir. 1991).published
- Edward Pritchard v. Rainfair, Inc., 945 F.2d 185 (7th Cir. 1991).published
- Sys. 99 Minority Shareholders v. Alan W. Robison Bernie G. Head Bradley Lusk Golden Sanwa Bank, 953 F.2d 1388 (9th Cir. 1992).unpublished
- Mdphysicians & Assocs., Inc. v. State Bd. of Ins., 957 F.2d 178 (5th Cir. 1992).published
- Harold G. Deibler v. United Food & Com. Workers' Local Union 23, 973 F.2d 206 (3d Cir. 1992).published
- William J. Elmore Wayne Comer, Individually & as Representatives of a Class of Similarly Situated v. Cone Mills Corp. Cone Mills Acquisition Corp. Dewey L. Trogdon Lacy G. Baynes, & Paul W. Stephanz Wachovia Bank & Trust Co., N.A., (Three Cases). William J. Elmore Wayne Comer, Individually & as Representatives of a Class of Similarly Situated v. Cone Mills Corp. Cone Mills Acquisition Corp. Dewey L. Trogdon Lacy G. Baynes, & Paul W. Stephanz Wachovia Bank & Trust Co., N.A., 6 F.3d 1028 (4th Cir. 1993).published
- William J. Elmore Wayne Comer, Individually & as Representatives of a Class of Similarly Situated v. Cone Mills Corp. Cone Mills Acquisition Corp. Dewey L. Trogdon Lacy G. Baynes, & Paul W. Stephanz Wachovia Bank & Trust Co., N.A., Robert B. Reich, Sec'y of Labor, Amicus Curiae (Three Cases). William J. Elmore Wayne Comer, Individually & as Representatives of a Class of Similarly Situated v. Cone Mills Corp. Cone Mills Acquisition Corp. Dewey L. Trogdon Lacy G. Baynes, & Paul W. Stephanz Wachovia Bank & Trust Co., N.A., Robert B. Reich, Sec'y of Labor, Amicus Curiae, 23 F.3d 855 (4th Cir. 1994).published
- John J. Kenney, Jr. v. Roland Parson Contracting Corp., 28 F.3d 1254 (D.C. Cir. 1994).published
- Mark Diak v. Dwyer, Costello & Knox, P.C., Terrance D. Knox, & John E. Dwyer, 33 F.3d 809 (7th Cir. 1994).published
- Joseph C. Miller v. Taylor Insulation Co., 39 F.3d 755 (7th Cir. 1994).published
- Est. of Duffin v. United Olympic Life Ins. Co., 50 F.3d 14 (9th Cir. 1995).unpublished
- 19 Emp. Benefits Cas. 2168, Pens. Plan Guide P 23915v, 66 F.3d 956 (8th Cir. 1986).published
- James E. Stiltner v. Beretta U.S.A. Corp., 74 F.3d 1473 (4th Cir. 1996).published
- New England Mut. Life Ins. Co. v. Mirza W. Baig, 166 F.3d 1 (1st Cir. 1999).published
- Jim Voyk Paul Kerrigan James L. Bellessa v. Bhd. of Locomotive Engineers, 198 F.3d 599 (6th Cir. 1999).published
- Kelly Brines v. Xtra Corp., 304 F.3d 699 (7th Cir. 2002).published
- Carmen Peralta v. Hispanic Bus., Inc., 419 F.3d 1064 (9th Cir. 2005).published
- Frances Alday v. Raytheon Co., 693 F.3d 772 (9th Cir. 2012).published
- Frances Alday v. Raytheon Co., No. 08-16984 (9th Cir. Aug. 27, 2012).published
- Clark v. Golden Rule Ins., 737 F. Supp. 376 (W.D. La. 1989).published
- Shackelton v. Connecticut Gen. Life Ins., 817 F. Supp. 277 (N.D.N.Y. 1993).published
- Hamilton v. Air Jamaica, Ltd., 750 F. Supp. 1259 (E.D. Pa. 1990).published
- Hollingshead v. Burford Equip. Co., 747 F. Supp. 1421 (M.D. Ala. 1990).published
- Haggard v. Armstrong Rubber Co., 767 F. Supp. 119 (M.D. La. 1991).published
- Lipscomb v. Transac, Inc., 749 F. Supp. 1128 (M.D. Ga. 1990).published
- Harris v. TMG Life Ins., 915 F. Supp. 869 (S.D. Tex. 1996).published
- Frankoff v. Mut. Life Ins. Co. of New York, 792 S.W.2d 764 (Tex. App. 1990).published
- Garred v. Gen. Am. Life Ins., 723 F. Supp. 1325 (W.D. Ark. 1989).published
- Silverman v. Barbizon Sch. of Modeling & Fashion, Inc., 720 F. Supp. 966 (S.D. Fla. 1989).published
- Riofrio Anda v. Ralston Purina Co., 772 F. Supp. 46 (D.P.R. 1991).published
- Kenney v. Roland Parson Contracting Corp., 790 F. Supp. 12 (D.D.C. 1992).published
- Harnischfeger Indus., Inc. v. Wisconsin Dep't of Workforce Dev. (In re Harnischfeger Indus., Inc.), 270 B.R. 188 (D. Del. 2001).published
- Gilmore v. Silgan Plastics Corp., 917 F. Supp. 685 (E.D. Mo. 1996).published
- Barry v. Dymo Graphic Sys., Inc., 478 N.E.2d 707 (Mass. 1985).published
- Hollingshead v. Matsen, 34 Cal. App. 4th 525 (Cal. Ct. App. 1995).published
- Reynolds v. Massachusetts Cas. Ins., 900 F. Supp. 915 (E.D. Tenn. 1995).published
- Zydel v. Dresser Indus., Inc., 764 F. Supp. 277 (W.D.N.Y. 1991).published
- Fiene v. v. & J Foods, Inc., 962 F. Supp. 1172 (E.D. Wis. 1997).published
- Bausch & Lomb Inc. v. Smith, 630 F. Supp. 262 (W.D.N.Y. 1986).published
- Davis v. Old Dominion Tobacco Co., 688 F. Supp. 2d 466 (E.D. Va. 2010).published
- Cantrell v. Currey, 407 F. Supp. 2d 1280 (M.D. Ala. 2005).published
- Cecil v. AAA Mid-Atl., Inc., 118 F. Supp. 2d 659 (D. Md. 2000).published
- Dear v. Union Cent. Life Ins., 573 F. Supp. 2d 958 (W.D. Tex. 2008).published
- Gould v. GTE North Inc., 40 F. Supp. 2d 434 (W.D. Mich. 1999).published
- McMunn v. Pirelli Tire, LLC., 161 F. Supp. 2d 97 (D. Conn. 2001).published
- Schwartz v. Liberty Life Assurance Co. of Boston, 470 F. Supp. 2d 511 (E.D. Pa. 2007).published
- Stoffels ex rel. SBC Tel. Concession Plan v. SBC Commc'ns, Inc., 555 F. Supp. 2d 745 (W.D. Tex. 2008).published
- Tigner v. Lea C. Paslay Ins., Inc., 575 F. Supp. 2d 766 (N.D. Miss. 2008).published
- Giordano v. Thomson, 438 F. Supp. 2d 35 (E.D.N.Y. 2005).published
- Robbins v. Friedman Agency, Inc., 760 F. Supp. 2d 564 (E.D. Va. 2010).published
- Nix v. United Health Care of Ala., Inc., 179 F. Supp. 2d 1363 (M.D. Ala. 2001).published
- G.R. Herberger's, Inc. v. Erickson, 17 F. Supp. 2d 932 (D. Minn. 1998).published
- Cerasoli v. Xomed, Inc., 47 F. Supp. 2d 401 (W.D.N.Y. 1999).published
- Donovan v. Branch Banking & Trust Co., 220 F. Supp. 2d 560 (S.D. W. Va. 2002).published
- Rathbun v. Qwest Commc'ns Int'l, Inc., 458 F. Supp. 2d 1238 (D. Colo. 2006).published
- Mattie v. Evans Indus., Inc., 21 F. Supp. 2d 746 (E.D. Mich. 1998).published
- Robert Buchanan v. Delphi Corp., 597 F. App'x 305 (6th Cir. 2015).unpublished
- Elmore v. Cone Mills Corp., 6 F.3d 1028 (4th Cir. 1993).published
- Elmore v. Cone Mills Corp., 23 F.3d 855 (4th Cir. 1994).published
- Anderson v. Resolution Trust Corp., 66 F.3d 956 (8th Cir. 1995).published
- Frascone v. Gen. Pension Bd. of the Cont'l Pension Plan, 761 F. Supp. 529 (N.D. Ill. 1990).published
- Williams v. Walmart Stores East, LP, No. 1:18-cv-00874 (M.D. Ala. June 25, 2019).
- Lund v. Citizens, No. CV-97-183-M (D.N.H. Sept. 30, 1999).published
- Lohmann v. Green Bay Packaging, Inc., 39 F.3d 1192 (10th Cir. 1994).published
- Miller v. Nat'l Brokerage Servs., Inc., 782 F. Supp. 1440 (D. Nev. 1991).published
- Pitre v. Louisiana Health Serv. & Indem. Co., 122 F.R.D. 497 (W.D. La. 1988).published
At page 1370 Enumerating necessary components of an ERISA plan44 citing cases“to protect working men and women from abuses in the administration and investment of private retirement plans and employee welfare plans.”
- Campbell v. Unum Grp., 633 F. Supp. 3d 378 (D. Mass. 2022).published See Donovan, 688 F.2d at 1372 (“ERISA does not... require a formal written plan.”).
- Wilson v. Coman, 284 F. Supp. 2d 1319 (M.D. Ala. 2003).published See 688 F.2d at 1371 (“[A] welfare plan requires (1) a ‘plan, fund, or program’ (2) established or maintained (3) by an employer ... (4) for the purpose of providing ... death ... benefits ... (5) to participants or their beneficiaries.”).
- Nechero v. Provident Life & Accident Ins., 795 F. Supp. 374 (D.N.M. 1992).published See Memorial, supra at 243 (purchase of group insurance policy revealed a “employer-employee-plan relationship”); Donovan, supra at 1371 (“The gist of ERISA’s definitions ... is that a plan, fund, or program falls within the ambit of ERISA…
- Bernier v. Metro. Life Ins. Co., 706 F. Supp. 3d 197 (D. Mass. 2023).published Co., 908 F.2d 1077, 1082 (1st Cir. 1990) (quoting Donovan v. Dillingham, 688 F.2d 1367, 1370 (11th Cir. 1982) (en banc))). “[T]he crucial factor in determining if a ‘plan’ has been established is whether the purchase of the insurance polic…
- Allen v. First UNUM Life Ins. Co., No. 2:18-cv-00069 (M.D. Fla. Feb. 17, 2022). Donovan v. Dillingham, 688 F.2d 1367, 1370 (11th Cir. 1982) (en banc); Anderson v. Unum Provident Corp., 369 F.3d 1257, 1263 (11th Cir. 2004); Garcon v. United Mut. of Omaha Ins.
- Alberth v. S. Lakes Plumbing & Heating Inc, No. 2:19-cv-00062 (E.D. Wis. Mar. 6, 2020). (Docket # 28 at 5-9 (citing Donovan v. Dillingham, 688 F.2d 1367, 1373 (11th Cir. 1982); Sandstrom v. Cultor Food Science, Inc., 214 F.3d 795, 797 (7th Cir. 2000); Diak v. Dwyer, Costello & Knox, P. C., 33 F.3d 809, 812 (7th Cir. 1994) (“[…
- James Johnson v. Watts Regulator Co., 63 F.3d 1129 (1st Cir. 1995).published
- Blau v. Del Monte Corp., 748 F.2d 1348 (9th Cir. 1984).published
- Mary Jane Wickman v. Nw. Nat'l Ins. Co., 908 F.2d 1077 (1st Cir. 1990).published
- Martin Hansen v. Cont'l Ins. Co., 940 F.2d 971 (5th Cir. 1991).published
Show 31 more citing cases
- Gross v. Sun Life Assurance Co. of Canada, 734 F.3d 1 (1st Cir. 2013).published
- Mohalley v. Kendall Health Care Prods. Co., 903 F. Supp. 1530 (M.D. Ga. 1995).published
- Golden Gate Restaurant v. City & Cnty. of San Francisco, 546 F.3d 639 (9th Cir. 2008).published
- Indus. Technical Servs. v. Phoenix Home Life Mut. Ins., 866 F. Supp. 48 (D. Mass. 1994).published
- Sawinski v. Bill Currie Ford, Inc., 866 F. Supp. 1383 (M.D. Fla. 1994).published
- Suggs v. Pan Am. Life Ins., 847 F. Supp. 1324 (S.D. Miss. 1994).published
- Hensley v. Philadelphia Life Ins., 878 F. Supp. 1465 (N.D. Ala. 1995).published
- Shaw v. PACC Health Plan, Inc., 881 P.2d 143 (Or. Ct. App. 1994).published
- Atl. Health Care Benefits Trust v. Foster, 809 F. Supp. 365 (M.D. Pa. 1992).published
- Davis v. AIG Life Ins., 945 F. Supp. 961 (S.D. Miss. 1995).published
- Redman v. Fed. Deposit Ins., 794 F. Supp. 20 (D. Me. 1992).published
- Wright v. Sterling Investors Life Ins., 747 F. Supp. 653 (N.D. Ala. 1990).published
- Richard v. Blue Cross, 604 A.2d 1260 (R.I. 1992).published
- Mimbs v. Com. Life Ins., 818 F. Supp. 1556 (S.D. Ga. 1993).published
- Nat'l Metalcrafters v. McNeil, 602 F. Supp. 232 (N.D. Ill. 1985).published
- Grainger v. W. Cas. Life Ins. Co., 930 S.W.2d 609 (Tex. App.—Houston [1st Dist.] 1996).published
- Kelly v. Blue Cross & Blue Shield of Rhode Island, 814 F. Supp. 220 (D.R.I. 1993).published
- Donovan v. Walton, 609 F. Supp. 1221 (S.D. Fla. 1985).published
- Carson v. Local 1588, Int'l Longshoremen's Ass'n, 769 F. Supp. 141 (S.D.N.Y. 1991).published
- Moeller v. Bertrang, 801 F. Supp. 291 (D.S.D. 1992).published
- Sawinski v. Bill Currie Ford, Inc., 881 F. Supp. 1571 (M.D. Fla. 1995).published
- O'LEARY v. Provident Life & Accident Ins. Co., 456 F. Supp. 2d 285 (D. Mass. 2006).published
- Letner v. UNUM Life Ins. Co. of Am., 203 F. Supp. 2d 1291 (N.D. Fla. 2001).published
- Stoudemire v. Provident Life & Accident Ins. Co., 24 F. Supp. 2d 1252 (M.D. Ala. 1998).published
- Golden Gate Restaurant Ass'n v. City & Cnty. of San Francisco, No. 07-17370 (9th Cir. Sept. 29, 2008).published
- Rasmussen v. Time Ins. Co., 884 So. 2d 354 (Fla. 2d DCA 2004).published
- McCann v. Unum Provident, 921 F. Supp. 2d 353 (D.N.J. 2013).published
- Grady v. Bunzl Packaging Supply Co., 874 F. Supp. 387 (N.D. Ga. 1994).published
- Anastos v. IKEA Prop., Inc., 634 F. Supp. 3d 1305 (N.D. Ga. 2022).published
- Geaghan v. Prudential Ins. C o ., 2009 DNH 178 (D.N.H. 2009).published
- Jacobson v. Healthsource, Inc., No. CV-97-157-JD (D.N.H. Aug. 12, 1997).published
At page 1375 Limiting scope of employee benefit plan regulation13 citing casesbare purchase of insurance does not by itself constitute an ERISA plan
- MDPhysicians & Assocs., Inc. v. State Bd. of Ins., No. 91-1469 (5th Cir. May 20, 1992).published Cf. Donovan, 688 F.2d at 1371 ("[C]ourts, congressional comittees, and the Secretary have uniformly held that [a multiple employer trust -- the enterprise -- is] not an employee welfare benefit plan.").
- Atl. Health Care Benefits Trust v. Foster, 809 F. Supp. 365 (M.D. Pa. 1992).published
- Jacobson v. Healthsource, Inc., No. CV-97-157-JD (D.N.H. Aug. 12, 1997).published
- Cote v. Durham Life Ins., 754 F. Supp. 18 (D. Conn. 1991).published
- Mdphysicians & Assocs., Inc. v. State Bd. of Ins., 957 F.2d 178 (5th Cir. 1992).published
- Custer v. Pan Am. Life Ins., 12 F.3d 410 (4th Cir. 1993).published
- Glover v. Jobmate of Mississippi, Inc., 887 F. Supp. 926 (S.D. Miss. 1995).published
- Jerry Herbst v. Humana Health Ins. of Nevada, Inc., 956 F.2d 274 (9th Cir. 1992).unpublished
- Richard Fugarino v. Hartford Life & Accident Ins. Co. & Consol. Grp., 969 F.2d 178 (6th Cir. 1992).published
- Alan Stuart G. Raleigh Hanbury v. Unum Life Ins. Co. of Am., 217 F.3d 1145 (9th Cir. 2000).published
Show 2 more citing cases
- Int'l Ass'n of Entrepreneurs of Am. v. Foster, 883 F. Supp. 1050 (E.D. Va. 1995).published
- Russo v. Abington Mem'l Hosp., 881 F. Supp. 177 (E.D. Pa. 1995).published
At page 1374 Anticipated continuing furnishing of health benefits8 citing cases“subscribers that previously had not furnished health insurance to their employees or members, and that did not subscribe to an insurance trust pursuant to an agreement to furnish health benefits, but nevertheless did purchase benefits for a substantial percentage of a class of employees or members…”
- Fannaly v. LEI, Inc., 488 F. Supp. 3d 450 (E.D. La. 2020).published However, as argued by defendant, "[a] specific claims procedure need not be set out in writing in order for the third Dillingham factor to be satisfied." Hughes v. Zurz, 298 F. App'x 404 , 414–15 (6th Cir. 2008) (citing Dillingham, 688 F.2…
- Ed Miniat, Inc. v. Globe Life Ins. Grp., Inc., 805 F.2d 732 (7th Cir. 1986).published
- Andrea Peckham v. Gem State Mut. Of Utah, 964 F.2d 1043 (10th Cir. 1992).published
- Peckham v. Gem State Mut., 964 F.2d 1043 (10th Cir. 1992).published
- Robinson v. Linomaz, 58 F.3d 365 (8th Cir. 1995).published
- Turnbow v. Pac. Mut. Life Ins., 765 P.2d 1160 (Nev. 1988).published
At page 1367 Determining plan existence through surrounding circumstances4 citing casesstandard for determining plan's existence
- George W. Henglein, L.C. Albacker, R.B. Andrews, R.L. Appeldorn, R.H. Ashenbaugh, A.L. Austin, J.W. Bagosi, J.D. Balser, A. Barrasso, J.O. Bauer, E.E. Best, H.W. Bigleman, C.R. Blazier, J.P. Bressanelli, G.D. Brown, F.C. Buchholz, E.C. Calvin, R.R. Campbell, P.D. Castellano, J.L. Cerasi, E. Chapman, S. Christy, T.M. Costello, C.A. Dauka, A.J. Decosta, M.G. Degrande, A.S. Diccio, A.P. Dimarzio, C.J. Dimarzio, R.J. Dougherty, M. Druga, E.P. Erath, E.P. Fahnert, H. Farrington, M. Ferlaino, R.D. Feydo, E.R. Finger, J.N. Flara, N.E. Frederick, J.P. Frenn, R.E. Fronko, L.L. Gibbs, W.L. Gleason, L.E. Gordon, R.W. Gott, J.E. Grimm, P.E. Grubbs, E.R. Guerra, A.J. Gulutz, J.T. Haaf, J.D. Hamacher, Jr., P.J. Hannon, R.M. Hansen, M.I. Harpham, D.H. Heldman, J.K. Hile, R.S. Hogsett, R.T. Hopper, H.M. Howell, W.M. Hyams, J.M. Janke, C.L. Jobe, Jr., K.H. Johns, R.O. Johnson, Jr., E.T. Jones, R. Kao, D.P. Kerr, Jr., P.A. Keys, R.W. Knallay, E.E. Knapek, W.J. Kofalt, S.W. Kohler, T. Kominitsky, T.R. Krupa, P.R. Kullen, J.R. Kundick, W. Lake, D.F. Lavene, T.T. Lehmann, R.H. Lewis, R.A. Lippert, W.R. Livingston, J.H. Lutton, A.J. Lynn, D.B. McClain J.L. McKain P.F. McNicol E.L. Marsh, F.S. Matsukas, H.J. Mercer, A.R. Middleton, M. Mitrovich, M.A. Molchan, R.A. Montgomery, R.T. Morelli, A.N. Morrison, H. Mraunac, M.R. Muckian, C.W. Murray, Iii, C.J. Muers, L v. Nagle, D.A. Nobers, J.A. Nuzo, E. Ordich, W.H. Orr, T.H. Parsons, A.J. Pasko, Jr., H.S. Pease, Iii, G.J. Pescion, G v. Peterson, J.J. Popp, G.P. Porto, G. Postich, D.E. Powell, R.W. Prentice, J v. Presutti, W.C. Price, L.E. Raykovics, T.R. Reed, J.W. Reider, J.J. Rose, A.J. Rosepiller, C.S. Russell, K.E. Sanders, M.A. Sarver, P.K. Schake, J.W. Scholtz, A.H. Sheline, M.L. Sherry, F.R. Shuss, W.W. Simpson, A.E. Six, J.E. Smith, E.H. Spaziani, W.H. Stephens, C.D. Strosnider, J.F. Suffoletta, H.L. Taylor, K.E. Thomas, F.S. Thornberry, Jr., J.R. Tice, D.A. Townley, R. Trbovich, R.T. Turner, H.B. Van Fossen, R.R. Vlah, A. Vranes, S. Vranes, D.W. Ware, K.G. Wassman, Jr., G.T. Weekley, E.M. Werries, Jr., D.L. Westfall, J.A. Whithead, R.J. Whitten, C.K. Wildman, T. Williams, Jr., T.H. Wills, Jr., A.J. Yanni, L.H. Young, Jr., R.C. Young, H.F. Yute, W.I. Zazwirsky, in No. 91-3379 v. Informal Plan for Plant Shutdown Benefits for Salaried Employees, Informal Plan for Plant Shutdown Benefits for Salaried Employees Informal Plan for Plant Shutdown Benefits for Salaried Employees, Plan for Maintaining Benefits for Salaried Employees in Parity With Benefits Granted to Union Represented Employees. George W. Henglein, L.C. Albacker, R.B. Andrews, R.L. Appeldorn, R.H. Ashenbaugh, A.L. Austin, J.W. Bagosi, J.D. Balser, A. Barrasso, J.O. Bauer, E.E. Best, H.W. Bigleman, C.R. Blazier, J.P. Bressanelli, G.D. Brown, F.C. Buchholz, E.C. Calvin, R.R. Campbell, P.D. Castellano, J.L. Cerasi, E. Chapman, S. Christy, T.M. Costello, C.A. Dauka, A.J. Decosta, M.G. Degrande, A.S. Diccio, A.P. Dimarzio, C.J. Dimarzio, R.J. Dougherty, M. Druga, E.P. Erath, E.P. Fahnert, H. Farrington, M. Ferlaino, R.D. Feydo, E.R. Finger, J.N. Flara, N.E. Frederick, J.P. Frenn, R.E. Fronko, L.L. Gibbs, W.L. Gleason, L.E. Gordon, R.W. Gott, J.E. Grimm, P.E. Grubbs, E.R. Guerra, A.J. Gulutz, J.T. Haaf, J.D. Hamacher, Jr., P.J. Hannon, R.M. Hansen, M.I. Harpham, D.H. Heldman, J.K. Hile, R.S. Hogsett, R.T. Hopper, H.M. Howell, W.M. Hyams, J.M. Janke, C.L. Jobe, Jr., K.H. Johns, R.O. Johnson, Jr., E.T. Jones, R. Kao, D.P. Kerr, Jr., P.A. Keys, R.W. Knallay, E.E. Knapek, W.J. Kofalt, S.W. Kohler, T. Kominitsky, T.R. Krupa, P.R. Kullen, J.R. Kundick, W. Lake, D.F. Lavene, T.T. Lehmann, R.H. Lewis, R.A. Lippert, W.R. Livingston, J.H. Lutton, A.J. Lynn, D.B. McClain J.L. McKain P.F. McNicol E.L. Marsh, F.S. Matsukas, H.J. Mercer, A.R. Middleton, M. Mitrovich, M.A. Molchan, R.A. Montgomery, R.T. Morelli, A.N. Morrison, H. Mraunac, M.R. Muckian, C.W. Murray, Iii, C.J. Muers, L v. Nagle, D.A. Nobers, J.A. Nuzo, E. Ordich, W.H. Orr, T.H. Parsons, A.J. Pasko, Jr., H.S. Pease, Iii, G.J. Pescion, G v. Peterson, J.J. Popp, G.P. Porto, G. Postich, D.E. Powell, R.W. Prentice, J v. Presutti, W.C. Price, L.E. Raykovics, T.R. Reed, J.W. Reider, J.J. Rose, A.J. Rosepiller, C.S. Russell, K.E. Sanders, M.A. Sarver, P.K. Schake, J.W. Scholtz, A.H. Sheline, M.L. Sherry, F.R. Shuss, W.W. Simpson, A.E. Six, J.E. Smith, E.H. Spaziani, W.H. Stephens, C.D. Strosnider, J.F. Suffoletta, H.L. Taylor, K.E. Thomas, F.S. Thornberry, Jr., J.R. Tice, D.A. Townley, R. Trbovich, R.T. Turner, H.B. Van Fossen, R.R. Vlah, A. Vranes, S. Vranes, D.W. Ware, K.G. Wassman, Jr., G.T. Weekley, E.M. Werries, Jr., D.L. Westfall, J.A. Whithead, R.J. Whitten, C.K. Wildman, T. Williams, Jr., T.H. Wills, Jr., A.J. Yanni, L.H. Young, Jr., R.C. Young, H.F. Yute, W.I. Zazwirsky v. Informal Plan for Plant Shutdown Benefits for Salaried Employees, Informal Plan for Plant Shutdown Benefits for Salaried Employees Informal Plan for Plant Shutdown Benefits for Salaried Employees, Plan for Maintaining Benefits for Salaried Employees in Parity With Benefits Granted to Union Represented Employees Colt Indus. Operating Corp. Informal Plan for Plant Shutdown Benefits for Salaried Employees, in No. 91-3413, 974 F.2d 391 (3d Cir. 1992).published
- Dyce v. Salaried Employees' Pension Plan of Allied Corp., 15 F.3d 163 (11th Cir. 1994).published
- Van Natta v. Sara Lee Corp., 439 F. Supp. 2d 911 (N.D. Iowa 2006).published
- Henglein v. Informal Plan for Plant Shutdown Benefits for Salaried Employees, 974 F.2d 391 (3d Cir. 1992).published
v.
C. H. DILLINGHAM, C. H. Dillingham, III, W. Lamar Mathis, National Administrators, Inc. and Time Control, Inc., Defendants-Appellees-Cross
The Secretary of Labor pursuant to his authority under ERISA[1] § 502(a), 29 U.S.C. § 1132(a), brought this action against the trustees of Union Insurance Trust (UIT) and businesses owned and operated by them, alleging they are fiduciaries[2] subject to the fiduciary responsibility provisions contained in Part 4 of Title I of ERI-SA, 29 U.S.C. §§ 1101 et seq. Fiduciary duties under ERISA, however, arise only if there are employee benefit plans as defined[*1370] by the Act. The district court held that this case is controlled by Taggart Corp. v. Life & Health Benefits Administration, 617 F.2d 1208 (5th Cir. 1980), cert. denied sub nom. Taggart Corp. v. Efros, 450 U.S. 1030, 101 S.Ct. 1739, 68 L.Ed.2d 225 (1981), and dismissed for lack of subject matter jurisdiction because there were no employee benefit plans involved. A panel of this court agreed. Donovan v. Dillingham, 668 F.2d 1196 (11th Cir. 1982).[3] Upon reconsideration en banc we find there was subject matter jurisdiction and reverse.
I.
Congress enacted ERISA to protect working men and women from abuses in the administration and investment of private retirement plans and employee welfare plans. Broadly stated, ERISA established minimum standards for vesting of benefits, funding of benefits, carrying out fiduciary responsibilities, reporting to the government and making disclosures to participants. See generally H.R. Rep. No. 93-533, 93d Cong. 2d Sess., reprinted in [1974] U.S. Code Cong. & Ad. News 4639.
With a few specific exceptions not pertinent to this decision, Title I of ERISA applies to any “employee benefit plan” if it is established or maintained by any employer or employee organization engaged in commerce or in any industry or activity affecting commerce, or by both an employer and an employee organization. ERISA § 4(a), 29 U.S.C. § 1003(a). “Employee benefit plan” or “plan” means an “employee welfare benefit plan” or an “employee pension benefit plan” or a plan which is both a welfare plan and a pension plan. ERISA § 3(3), 29 U.S.C. § 1002(3).
UIT is a group insurance trust, commonly known as a multiple employer trust (“MET”), whose purpose is to allow employers of small numbers of employees to secure group health insurance coverage for their employees at rates more favorable than offered directly by an insurer. UIT obtained a group health insurance policy from Occidental Life Insurance Company of California to furnish specified insurance benefits. Employers and various employee organizations “subscribe” to UIT to receive the coverage of the blanket Occidental Life policy. Appellees contend that ERISA does not apply because there is involved only the “bare purchase of health insurance” and that no employee welfare benefit plans are implicated. The parties have debated whether UIT is a fiduciary and how that status or lack thereof bears on the presence of an employee welfare benefit plan. We agree with the Secretary that whether UIT merely sells insurance or is a fiduciary does not determine whether employee welfare benefit plans exist. Likewise, we agree with appellees that the existence of appellees’ management of the trust or their falling within ERISA’s fiduciary definition (which they challenge) does not necessarily mandate a finding that employee welfare benefit plans exist.
II.
ERISA § 3(1), 29 U.S.C. § 1002(1), defines “employee welfare benefit plan” or “welfare plan” as
any plan, fund, or program which was heretofore or is hereafter established or maintained by an employer or by an employee organization, or by both, to the extent that such plan, fund, or program was established or is maintained for the purpose of providing for its participants or their beneficiaries, through the purchase of insurance or otherwise, (A) medical, surgical, or hospital care or benefits, or benefits in the event of sickness, acci[*1371]dent, disability, death or unemployment, or vacation benefits, apprenticeship or other training programs, or day care centers, scholarship funds, or prepaid legal services, or (B) any benefit described in § 302(c) of the Labor Management Relations Act, 1947 (other than pensions on retirement or death, and insurance to provide such pensions).[4]
By definition, then, a welfare plan requires (1) a “plan, fund, or program" (2) established or maintained (3) by an employer or by an employee organization, or by both, (4) for the purpose of providing medical, surgical, hospital care, sickness, accident, disability, death, unemployment or vacation benefits, apprenticeship or other training programs, day care centers, scholarship funds, prepaid legal services or severance benefits (5) to participants or their beneficiaries.
A.
Prerequisites (3), (4) and (5) are either self-explanatory or defined by statute. A plan, fund, or program must be established or maintained “for the purpose of providing for its participants or their beneficiaries, through the purchase of insurance or otherwise,” health, accident, disability, death, or unemployment or vacation benefits or apprenticeship or other training programs, day care centers, scholarship funds, prepaid legal services or severance benefits.[5]
The gist of ERISA’s definitions of employer,[6] employee organization,[7] participant,[8] and beneficiary[9] is that a plan, fund, or program falls within the ambit of ERISA only if the plan, fund, or program covers ERISA participants because of their employee status in an employment relationship, and an employer or employee organization is the person that establishes or maintains the plan, fund, or program. Thus, plans, funds, or programs under which no union members, employees or former employees participate are not employee welfare benefit plans under Title I of ERI-SA. See 29 C.F.R. 2510.3-3(b), (c).
[*1372] An issue in other cases has been whether a multiple employer trust — the enterprise — is itself an employee welfare benefit plan. The courts, congressional committees, and the Secretary uniformly have held they are not. See, e.g., Activity Report of the Comm, on Education and Labor, H.R. Rep. No. 94-1785, 94th Cong. 2d Sess. 48 (1977); Taggart Corp. v. Life & Health Benefits Administration, Inc., 617 F.2d 1208 (5th Cir. 1980), cert. denied sub nom. Taggart Corp. v. Efros, 450 U.S. 1030, 101 S.Ct. 1739, 68 L.Ed.2d 225 (1981); Wayne Chemical, Inc. v. Columbus Agency Service Corp., 567 F.2d 692 (7th Cir. 1977); Bell v. Employee Security Benefit Ass’n, 437 F.Supp. 382 (D. Kan. 1977). All parties to this appeal agree that UIT is subject to state laws regulating insurance and is not itself an employee welfare benefit plan.[10]
B.
Not so well defined are the first two prerequisites: “plan, fund, or program” and “established or maintained.” Commentators and courts define “plan, fund, or program” by synonym — arrangement, scheme, unitary scheme, program of action, method of putting into effect an intention or proposal, design — but do not specify the prerequisites of a “plan, fund, or program.” At a minimum, however, a “plan, fund, or program” under ERISA implies the existence of intended benefits, intended beneficiaries, a source of financing, and a procedure to apply for and collect benefits.
“Established or maintained” appears twice in the definition of an employee welfare benefit plan: first, an employer or employee organization or both must establish or maintain a plan, fund, or program, and, second, the plan, fund, or program must be established or maintained for specified purposes. In many instances a plan is established or maintained, or both, in writing. It is obvious that a system of providing benefits pursuant to a written instrument that satisfies ERISA §§ 102 and 402, 29 U.S.C. §§ 1022 and 1102, would constitute a “plan, fund or program.”
ERISA does not, however, require a formal, written plan. ERISA’s coverage provision reaches “any employee benefit plan if it is established or maintained” by an employer or an employee organization, or both, who are engaged in any activities or industry affecting commerce. ERISA § 4(a), 29 U.S.C. § 1003(a) (emphasis added). There is no requirement of a formal, written plan in either ERISA’s coverage section, ERISA § 4(a), 29 U.S.C. § 1003(a), or its definitions section, ERISA § 3(1), 29 U.S.C. § 1002(1). Once it is determined that ERISA covers a plan, the Act’s fiduciary and reporting provisions do require the plan to be established pursuant to a written instrument, ERISA §§ 102 and 402, 29 U.S.C. §§ 1022 and 1102; but clearly these are only the responsibilities of administrators and fiduciaries of plans covered by ERISA and are not prerequisites to coverage under the Act. Furthermore, because the policy of ERISA is to safeguard the well-being and security of working men and women and to apprise them of their rights and obligations under any employee benefit plan, see ERISA § 2, 29 U.S.C. § 1001, it would be incongruous for persons establishing or maintaining informal or unwritten employee benefit plans, or assuming the responsibility of safeguarding plan assets, to circumvent the Act merely because an administrator or other fiduciary failed to satisfy reporting or fiduciary standards. Accord, Dependahl v. Falstaff Brewing Corp., 491 F.Supp. 1188, 1195 (E.D. Mo. 1980), aff’d 653 F.2d 1208 (8th Cir. 1981).
The Secretary contends that “establish” means no more than an ultimate deci[*1373]sion by an employer or an employee organization to provide the type of benefits described in ERISA § 3(1), 29 U.S.C. § 1002(1). This sweeps too broadly. A decision to extend benefits is not the establishment of a plan or program. Acts or events that record, exemplify or implement the decision will be direct or circumstantial evidence that the decision has become reality — e.g., financing or arranging to finance or fund the intended benefits, establishing a procedure for disbursing benefits, assuring employees that the plan or program exists — but it is the reality of a plan, fund or program and not the decision to extend certain benefits that is determinative.
In determining whether a plan, fund or program (pursuant to a writing or not) is a reality a court must determine whether from the surrounding circumstances a reasonable person could ascertain the intended benefits, beneficiaries, source of financing, and procedures for receiving benefits. Some essentials of a plan, fund, or program can be adopted, explicitly or implicitly, from sources outside the plan, fund, or program —e.g., an insurance company’s procedure for processing claims, cf. 29 C.F.R. § 2520.-102-5 (qualified health maintenance organization) — but no single act in itself necessarily constitutes the establishment of the plan, fund, or program. For example, the purchase of insurance does not conclusively establish a plan, fund, or program, but the purchase is evidence of the establishment of a plan, fund, or program; the purchase of a group policy or multiple policies covering a class of employees offers substantial evidence that a plan, fund, or program has been established.[11]
C.
In summary, a “plan, fund, or program” under ERISA is established if from the surrounding circumstances a reasonable person can ascertain the intended benefits, a class of beneficiaries, the source of financing, and procedures for receiving benefits. To be an employee welfare benefit plan, the intended benefits must be health, accident, death, disability, unemployment or vacation benefits, apprenticeship or other training programs, day care centers, scholarship funds, prepaid legal services or severance benefits; the intended beneficiaries must include union members, employees, former employees or their beneficiaries; and an employer or employee organization, or both, and not individual employees or entrepreneurial businesses, must establish or maintain the plan, fund, or program.
III.
The record[12] indicates that subscribers to UIT included single-employer, collectively bargained programs, multi-employer health and welfare funds, and union-sponsored funds. For some organizations the subscription to UIT was their initial subscription — e.g., Carpenters Local # 865 (377 members), Rahn’s Trucking (4 employees), and Porter Contracting Co., Inc. (8[*1374] employees). Most subscribers, however, replaced other METs or carriers with UIT— e.g., Alabama Metal Industries Corp. (5 employees) replaced Blue Cross/Blue Shield, Clean Rental Services, Inc. (35 employees) replaced Central States Teamster Union, and Atlanta Glaziers Local Union # 1940 Health and Welfare Fund (91 members) replaced Durham Life Insurance Co.
Without inquiring into other assets or purposes of the subscribers, the purpose stated in the Agreement and Declaration of Trust establishing UIT and thus the purpose of those who subscribed to UIT, was “to provide, through policies issued by insurers, life, accident-and-health, sickness- and-health, disability-income, hospital benefits, surgical-benefits, dental-care, and prepaid-legal-expenses insurance for the use and the benefit of insured employees and of their families and dependents.” The group health insurance policy UIT obtained from Occidental Life Insurance Company of California may provide less benefits than those listed in the UIT trust agreement, but clearly employers and employee organizations subscribe to UIT with the intent to provide health insurance, which is covered by ERISA § 3(1), 29 U.S.C. § 1002(1). It is equally clear from participation agreements found in the record that the persons benefiting from the group hospitalization are employees of employers or members of the employee organizations that subscribed to UIT and are financing the participation.
Many of the subscriptions were methods of fulfilling collective bargaining agreements between employers and unions to furnish health insurance benefits to employees.[13] In these situations the employer or employee organization, or both, were committed to providing benefits to employees or members through the purchase of health insurance on a continuing basis. In some cases, as noted above, unions or employers were already furnishing insurance benefits and merely substituted UIT for other METs or carriers while continuing to furnish health insurance coverage.
Finally, as stipulated in the Articles of Trust of UIT, the subscribers, the beneficiaries, and UIT itself looked to the group health insurance policy and insurer to determine the eligibility requirements to receive benefits and “all other terms, conditions, limitations, restrictions, and provisions applicable to a policy of group insurance.” This common sense approach adequately serves the needs of most employers and unions seeking to provide health insurance to employees at an ascertainable cost; they can agree to furnish only what the insurer contracts to furnish and avoid any unforeseen liability for, or denial of, benefits to employees. For the same reasons employers and unions normally will not require any procedures in addition to those required by the insurer.
Thus, it appears that employers or unions that subscribed to UIT to furnish health insurance for employees or members (either pursuant to an agreement or pursuant to a continuing practice of purchasing the insurance for a class of employees) established[14] employee welfare benefit plans. It also appears that some subscribers that previously had not furnished health insurance to their employees or members, and that did not subscribe to UIT pursuant to an agreement to furnish health benefits, nevertheless did purchase benefits for a substantial percentage of a class of employees or mem[*1375]bers under circumstances tending to show an anticipated continuing furnishing of such benefits (either through an MET or insurance carrier or otherwise); these subscribers too established employee welfare benefit plans. Thus, it appears that numerous subscribers to UIT established employee welfare benefit plans; with respect to each of these, ERISA conferred subject matter jurisdiction on the district court.[15]
IV.
The former Fifth Circuit in Taggart Corp. v. Life & Health Benefits Administration, 617 F.2d 1208 (5th Cir. 1980), cert. denied sub nom. Taggart Corp. v. Efros, 450 U.S. 1030, 101 S.Ct. 1739, 68 L.Ed.2d 225 (1981), held that the MET, which was providing group insurance to employers too small to qualify for group rates on their own, was not itself an employee welfare benefit plan and that Taggart Corporation’s subscription to the MET to furnish insurance coverage to Taggart Corporation’s sole employee did not constitute a “plan, fund, or program” within the meaning of ERISA § 3(1), 29 U.S.C. § 1002(1).
We agree with the holding and reasoning of the former Fifth that the MET itself was not an employee welfare benefit plan, see Taggart, 617 F.2d at 1210. We also agree that there was no employee welfare benefit plan in Taggart. Plaintiffs Kansas and Taggart Corporation alleged that the MET was the welfare plan. Neither party argued that Taggart Corporation had a plan, fund, or program. Taggart, 617 F.2d at 1211.[16] Moreover, the Taggart district court appeared to agree with the parties that Taggart Corporation did not have a welfare plan when it found that the MET insured some employees directly and the “circumstances surrounding the submission of the subscription agreement by Stanley M. Kansas .. . simply involve[d] the purchase of insurance by plaintiff, Stanley M. Kansas, for himself and his family.” Taggert [sic] Corporation v. Efros, 475 F.Supp. 124 (S.D.Tex.1979), aff’d. sub nom. Taggart Corp. v. Life & Health Benefits Administration, 617 F.2d 1208 (5th Cir. 1980), cert. denied, 450 U.S. 1030, 101 S.Ct. 1739, 68 L.Ed.2d 225 (1981). The district court’s findings of fact were not clearly erroneous, and under those facts the district court was entitled to conclude that Taggart Corporation’s involvement in the transaction was not such that it established or maintained a plan, fund, or program. See also Hamberlin v. VIP Insurance Trust, 434 F.Supp. 1196 (D. Ariz. 1977); 29 C.F.R. § 2510.3-1(j); note 13 supra.
Although we agree with the holding in Taggart, we find the reasoning of the opinion that Taggart Corporation did not have a “plan, fund or program” encourages too broad an interpretation. If Taggart is interpreted to mean ERISA does not regulate purchases of health insurance when there is no welfare plan, we agree. The purchase of insurance is only a method of implementing a plan, fund, or program and is evidence of the existence of a plan but is not itself a plan. If Taggart implies that an employer or employee organization that only purchases a group health insurance policy or subscribes to a MET to provide health insurance to its employees or members cannot be said to have established or maintained an employee welfare benefit plan, we disagree. To that extent Taggart shall no longer be binding in the Eleventh Circuit.
V.
We hold only that the district court had subject matter jurisdiction over this case.[*1376] We have not determined how many subscribers established or maintained plans or if any defendant is a fiduciary to any plan. The judgment of the district court dismissing the case is REVERSED and the case is REMANDED for proceedings not inconsistent with this opinion.
Employee Retirement Income Security Act of 1974, P.L. No. 93-406, 88 Stat. 829 (codified at 29 U.S.C. §§ 1001 et seq. (1976)).
Except for investment companies registered under the Investment Company Act of 1940, and their employees, pertaining to securities issued by the investment company, ERISA deems any person to be a fiduciary with respect to an employee benefit plan to the extent “(i) he exercises any discretionary authority or discretionary control respecting management of such plan or exercises any authority or control respecting management or disposition of its assets, (ii) he renders investment advice for a fee or other compensation, direct or indirect, with respect to any moneys or other property of such plan, or has any authority or responsibility to do so, or (iii) he has any discretionary authority or discretionary responsibility in the administration of such plan.” ERISA § 3(21), 29 U.S.C. § 1002(21).
The Eleventh Circuit has adopted as precedent the decisions of the former Fifth Circuit handed down before October 1, 1981, unless Eleventh Circuit en banc or Supreme Court decisions subsequently have considered the issue. Stein v. Reynolds Securities, Inc., 667 F.2d 33, 34 (11th Cir. 1982); Bonner v. City of Prichard, 661 F.2d 1206, 1209 (11th Cir. 1981) (en banc).
The ERISA definition refers to benefits in § 302(c) of the Labor Management Relations Act, 1947 (codified at 29 U.S.C. § 186(c)). The Secretary in regulations says § 302, 29 U.S.C. § 186(c), duplicates to a large extent the benefits enumerated in ERISA § 3(1)(A), 29 U.S.C. § 1002(1)(A), except that § 302, 29 U.S.C. § 186(c), adds holiday and severance benefits. 29 C.F.R. § 2510.3- 1(a)(3).
A plan, fund, or program furnishing both benefits listed in ERISA § 3(1), 29 U.S.C. § 1002(1) or § 302(c) of the Labor Management Relations Act, 29 U.S.C. § 186(c), and benefits not listed in those sections, is subject to ERISA to the extent the plan, fund, or program has as its purpose the providing of the enumerated benefits.
The term “employer” means any person acting directly as an employer, or indirectly in the interest of an employer, in relation to an employee benefit plan; and includes a group or association of employers acting for an employer in such capacity. ERISA § 3(5), 29 U.S.C. § 1002(5).
The term “employee organization” means any labor union or any organization of any kind, or any agency or employee representation committee, association, group, or plan, in which employees participate and which exists for the purpose, in whole or in part, of dealing with employers concerning an employee benefit plan, or other matters incidental to employment relationships; or any employees’ beneficiary association organized for the purpose in whole or in part, of establishing such a plan. ERISA § 3(4), 29 U.S.C. § 1002(4).
The term “participant” means any employee or former employee of an employer, or any member or former member of an employee organization, who is or may become eligible to receive a benefit of any type from an employee benefit plan which covers employees of such employer or members of such organization, or whose beneficiaries may be eligible to receive any such benefit. ERISA § 3(7), 29 U.S.C. § 1002(7). The term “employee” means any individual employed by an employer. ERISA § 3(6), 29 U.S.C. § 1002(6).
The term “beneficiary” means a person designated by a participant, or by the terms of an employee benefit plan, who is or may become entitled to a benefit thereunder. ERISA § 3(8), 29 U.S.C. § 1002(8).
UIT, even though it is not an employee benefit welfare plan, may nonetheless be subject to ERISA’s fiduciary responsibilities if it is a fiduciary to employee benefit plans established or maintained by other entities. See Eversole v. Metropolitan Life Insurance Co., 500 F.Supp. 1162, 1170 (C.D. Cal. 1980). UIT is not a defendant in this case; the trustees of UIT are, however.
Department of Labor regulations recognize that an employer may be involved in a plan, fund, or program without establishing or maintaining it. See 29 C.F.R. § 2510.3-1 (j). According to the regulation the term “employee welfare benefit plan” does not include group insurance if the sole functions of the employer are, without endorsing the program, to permit an insurer to publicize a program to employees, to collect premiums through payroll deductions, and to remit the premiums to the insurer, and the employer does not contribute premiums to the insurer or make a profit from the program. See also Hamberlin v. VIP Insurance Trust, 434 F.Supp. 1196 (D. Ariz. 1977) (policies sold directly to individual employees; employers had no voice in management and contributed no funds).
The Secretary filed with the district court, by affidavit, copies of “participation agreements” and “subscriptions to trust” that it stated had been seized from appellees’ offices pursuant to a search warrant. Though not formally in evidence the district court considered them in acting on the motion to dismiss. Appellees have not objected to the manner these documents were presented to the district court, or to their use in the order ruling in their favor. Therefore, we consider them on appeal.
The record contains no collective bargaining agreements. The Secretary states without contradiction that many subscriptions were to hon- or collectively bargained for commitments. Additionally, many subscribers to UIT signed “participation agreements” that acknowledged the employer entered into a collective bargaining agreement or a National Pipe Line Agreement with a union, usually the International Brotherhood of Teamsters.
Since this case went off on jurisdictional grounds without a full-blown trial, and we find that jurisdiction exists with respect to numerous plans that have been “established,” we do not attempt to cover the issue of whether any plans may have been “maintained.” This is more appropriately for the district court.
This is not to say that all subscribers to UIT established employee welfare benefit plans. The record contains numerous subscriptions to UIT that do reflect the existence of ERISA plans, but it is not clear from the record that all subscribers to UIT had established an employee benefit welfare plan.
The Secretary of Labor on appeal in an amicus brief contended the subscription to the MET itself established a single employer welfare plan. The parties to the suit “refrained from adopting the Secretary’s line of argument.”. Taggart, 617 F.2d at 1211.