Jackson B. Smith & Vivian E. Smith v. Blue Cross & Blue Shield United of Wisconsin & Delco Elec. Corp., Jackson B. Smith & Vivian E. Smith, & Marjan R. Kmiec, One of the Attorneys for v. Blue Cross & Blue Shield United of Wisconsin & Delco Elec. Corp., 959 F.2d 655 (7th Cir. 1992). · Go Syfert
Jackson B. Smith & Vivian E. Smith v. Blue Cross & Blue Shield United of Wisconsin & Delco Elec. Corp., Jackson B. Smith & Vivian E. Smith, & Marjan R. Kmiec, One of the Attorneys for v. Blue Cross & Blue Shield United of Wisconsin & Delco Elec. Corp., 959 F.2d 655 (7th Cir. 1992). Cases Citing This Book View Copy Cite
“in order to come under the futility exception, must show that it is certain that their claim will be denied on appeal, not merely that they doubt an appeal will result in a different decision.”
126 citation events (54 in the last 25 years) across 30 distinct courts.
Strongest positive: Peria v. Washington Metropolitan Area Transit Authority (mdd, 2020-09-28)
Treatment trajectory · 1992 → 2026 · click a year to view as-of
1992 2009 2026
Top citers, strongest first. 47 distinct citers. How cited ↗
discussed Cited as authority (quoted) Peria v. Washington Metropolitan Area Transit Authority
D. Maryland · 2020 · quote attribution · 1 verbatim quote · confidence low
in order to come under the futility exception, must show that it is certain that their claim will be denied on appeal, not merely that they doubt an appeal will result in a different decision.
discussed Cited as authority (quoted) Burclaw, Saramarie v. Standard Insurance Company
W.D. Wis. · 2020 · quote attribution · 1 verbatim quote · confidence low
he smiths' claims are clearly preempted by erisa.
discussed Cited as authority (rule) MICHAEL THOMASON v. SOUTHERN ILLINOIS LABORERS’ AND EMPLOYERS’ HEALTH & WELFARE TRUST FUND
S.D. Ill. · 2026 · confidence medium
Co., 130 F.3d 1231, 1238 (7th Cir. 1997) (citing Smith v. Blue Cross & Blue Shield United of Wisconsin, 959 F.2d 655, 659 (7th Cir. 1992)).2 Second, as to the unavailability of the administrative process, Plaintiff maintains that “Defendant has made no showing that it created any procedures for review much 2 After briefing closed on this motion, Plaintiff, without any legal support, moved to supplement the record to include 28 pages of explanation of benefits which he claims show denial based upon fraud.
discussed Cited as authority (rule) Central States, Southeast and Southwest Areas Pension Fund v. Al Peake and Sons, Inc.
N.D. Ill. · 2025 · confidence medium
In Smith v. BlueCross and Blue Shield United of Wisconsin, 959 F.2d 655, 658 (7th Cir. 1992), where plaintiff sought relief regarding his employee benefit plan, the Seventh Circuit found that all state law claims, including the plaintiffs’ contract claims which imposed upon each party a duty of good faith and fair dealing, were preempted because “ERISA preempts all state laws which relate to any employee benefit plan,” id. at 657 , citing 29 U.S.C. § 1144 (a) (preemption clause).
discussed Cited as authority (rule) Goral v. Dart
Ill. App. Ct. · 2019 · confidence medium
In the Seventh Circuit, the futility exception requires plaintiffs to show “ ‘that it is certain that their claim will be denied on appeal, not merely that they doubt an appeal will result in a different decision.’ ” Citadel Securities, LLC v. Chicago Board Options Exchange, Inc., 808 F.3d 694, 700 (7th Cir. 2015) (quoting Smith v. Blue Cross & Blue Shield United of Wisconsin, 959 F.2d 655, 659 (7th Cir. 1992)). ¶ 69 The fact that the Board members adjudicating plaintiffs’ cases were appointed by one of the parties to the administrative proceeding, the Sheriff, certainly leaves open…
discussed Cited as authority (rule) Goral v. Dart
Ill. App. Ct. · 2019 · confidence medium
In the Seventh Circuit, the futility exception requires plaintiffs to show “ ‘that it is certain that their claim will be denied on appeal, 15 No. 1-18-1646 not merely that they doubt an appeal will result in a different decision.’ ” Citadel Securities, LLC v. Chicago Board Options Exchange, Inc., 808 F.3d 694, 700 (7th Cir. 2015) (quoting Smith v. Blue Cross & Blue Shield United of Wisconsin, 959 F.2d 655, 659 (7th Cir.1992)). ¶ 69 The fact that the Board members adjudicating plaintiffs’ cases were appointed by one of the parties to the administrative proceeding, the Sheriff, certa…
discussed Cited as authority (rule) Craig v. Fed Ex Ground Package System, Inc.
N.D. Ind. · 2010 · confidence medium
Id. (citing Smith v. Blue Cross and Blue Shield United of Wis., 959 F.2d 655, 659 (7th Cir.1992)); see also Koenig v. Waste Mgmt., Inc., 104 F.Supp.2d 961, 966 (N.D.Ill.2000) (finding the plaintiff wasn’t denied meaningful access of review even though he alleged he was unaware of the review procedure because there was no denial of his claim; “this [was] a classic case of jumping the gun”) (citations omitted).
discussed Cited as authority (rule) Joelle Ogletree v. Glen Rose Independent School District (2×) also: Cited "see"
Tex. App. · 2010 · confidence medium
Smith, 959 F.2d at 659.
discussed Cited as authority (rule) Ogletree v. GLEN ROSE INDEPENDENT SCHOOL DISTRICT (2×) also: Cited "see"
Tex. App. · 2010 · confidence medium
Smith, 959 F.2d at 659.
discussed Cited as authority (rule) Losinske v. Wisconsin Carpenters' Pension Fund
W.D. Wis. · 2007 · confidence medium
In order to qualify for the futility exception, participants “must show that it is certain that their claim will be denied on appeal, not merely that they doubt an appeal will result in a different decision.” Smith v. Blue Cross & Blue Shield United of Wisconsin, 959 F.2d 655, 659 (7th Cir. 1992).
cited Cited as authority (rule) Goewert v. Hartford Life & Acc. Ins. Co.
E.D. Mo. · 2006 · confidence medium
Smith v. Blue Cross & Blue Shield United of Wisconsin, 959 F.2d 655, 659 (7th Cir.1992).
discussed Cited as authority (rule) Weatherall v. Reliastar Life Insurance
W.D. Wis. · 2005 · confidence medium
ERISA preempts all state laws which “relate to any employee benefit plan” unless the state law “regulates insurance, banking, or securities.” Smith v. Blue Cross & Blue Shield United of Wisconsin, 959 F.2d 655, 657 (7th Cir.1992) (citing 29 U.S.C. § 1144 (a) and 29 U.S.C. § 1144 (b)(2)(A)).
cited Cited as authority (rule) Van Den Eng v. Cigna Life. Ins. Co.
E.D. Wis. · 2004 · confidence medium
Pilot Life v. Dedeaux, 481 U.S. 41, 57 , 107 S.Ct. 1549 , 95 L.Ed.2d 39 (1987); Smith v. Blue Cross & Blue Shield United of Wisconsin, 959 F.2d 655, 657 (7th Cir.1992).
discussed Cited as authority (rule) Marino v. Continental Casualty Co.
E.D. Wis. · 2003 · confidence medium
With respect to the award of attorney’s fees under Rule 11, the Seventh Circuit stated “[n]o reasonable attorney having read Pilot Life and Taylor could manufacture a good faith argument as to why this suit should be brought.” 959 F.2d at 659.
discussed Cited as authority (rule) Morris v. Highmark Life Insurance (2×)
D.R.I. · 2003 · confidence medium
In Smith v. Blue Cross & Blue Shield United of Wisconsin, 959 F.2d 655, 657 (7th Cir.1992), the plaintiff attempted to convince the circuit that Pilot Life did not apply to Wisconsin’s bad faith common law, because unlike the general bad faith statute in Pilot Life , Wisconsin’s law of bad faith was specifically directed at the insurance industry.
cited Cited as authority (rule) In the Matter Of: David M. Bagdade
7th Cir. · 2003 · confidence medium
Smith v. Blue Cross & Blue Shield United of Wisconsin, 959 F.2d 655, 661 (7th Cir.1992).
discussed Cited as authority (rule) Vallone v. CNA Financial Corp.
N.D. Ill. · 1999 · confidence medium
In order to come within this futility exception, plaintiffs must show that “it is certain that their claim will be denied on appeal, not merely that they doubt an appeal will result in a different decision.” Smith v. Blue Cross & Blue Shield United of Wisconsin, 959 F.2d 655, 659 (7th Cir.1992).
examined Cited as authority (rule) Potter v. ICI Americas, Inc. (10×) also: Cited "see", Cited "see, e.g."
S.D. Ind. · 1999 · confidence medium
See Wilczynski, 93 F.3d at 402; Smith, 959 F.2d at 658-59; Powell, 938 F.2d at 826-27 .
examined Cited as authority (rule) Sarah Robyns v. Reliance Standard Life Insurance Company and Community Centers of Indianapolis, Inc. (4×) also: Cited "see", Cited "see, e.g."
7th Cir. · 1997 · confidence medium
To satisfy the futility exception to the exhaustion requirement, a plaintiff must show that “it is certain that [her] claim will be denied on appeal, not merely that [she] doubts that an appeal will result in a different decision.” Lindemann, 79 F.3d at 650 (quoting Smith, 959 F.2d at 659).
discussed Cited as authority (rule) Coyne & Delany Company v. Blue Cross & Blue Shield of Virginia, Incorporated, and Standard Security Life Insurance Company of New York
4th Cir. · 1996 · confidence medium
Muer Corp., 941 F.2d 451 (6th Cir.1991); Smith v. Blue Cross & Blue Shield United of *717 Wisconsin, 959 F.2d 655, 658-59 (7th Cir.1992); Horan v. Kaiser Steel Retirement Plan, 947 F.2d 1412, 1416 (9th Cir.1991); Springer v. Wal-Mart Associates’ Group Health Plan, 908 F.2d 897, 899 (11th Cir.1990).
discussed Cited as authority (rule) Coyne & Delany Co v. Blue Cross of VA
4th Cir. · 1996 · confidence medium
Muer Corp., 941 F.2d 451 (6th Cir. 1991); Smith v. Blue Cross & Blue Shield United of Wisconsin, 959 F.2d 655, 658-59 (7th Cir. 1992); Horan v. Kaiser Steel Retirement Plan, 947 F.2d 1412, 1416 (9th Cir. 1991); Springer v. Wal-Mart Associates' Group Health Plan, 908 F.2d 897, 899 (11th Cir. 1990). 9 A final difficulty with Coyne's reading of section 502(a)(3) is the inconsistent treatment of fiduciaries that it entails.
discussed Cited as authority (rule) Pens. Plan Guide P 23925i Faith Wilczynski v. Lumbermens Mutual Casualty Company (2×)
7th Cir. · 1996 · confidence medium
In order to come under the futility exception to the exhaustion requirement, a plaintiff must show that “it is certain that [her] claim will be denied on appeal, not merely that [she] doubts that an appeal will result in a different decision.” Lindemann, 79 F.3d at 650 (quoting Smith, 959 F.2d at 659). 6 At this early stage of the proceedings, we believe that the allegations contained in the amended complaint are sufficient to bring her claim for COBRA benefits under the *405 futility exception to the requirement of exhaustion of administrative remedies.
discussed Cited as authority (rule) Paric Corp. v. Murphy (2×) also: Cited "see"
Mo. Ct. App. · 1995 · confidence medium
Smith, 959 F.2d at 659. 6 Thus, futility can be a defense to a claim of failure to exhaust administrative remedies.
cited Cited as authority (rule) Principal Mutual Life Insurance v. Eady
N.D. Ill. · 1995 · confidence medium
Smith v. Blue Cross & Blue Shield United of Wisconsin, 959 F.2d 655, 659 (7th Cir.1992).
discussed Cited as authority (rule) Ross v. Diversified Benefit Plans, Inc. (2×)
N.D. Ill. · 1995 · confidence medium
Communications, Inc., 938 F.2d 823, 825 (7th Cir.1991) (citations omitted); Smith v. Blue Cross & Blue Shield United of Wisconsin, 959 F.2d 655, 658 (7th Cir.1992) (citations omitted).
discussed Cited as authority (rule) Lindemann v. Mobil Oil Corp.
N.D. Ill. · 1994 · confidence medium
The Futility Exception 3 “In order to come under the futility exception, the [plaintiff] must show that it is certain that [her] claim will be denied on appeal, not merely that [she] doubts that an appeal will result in a different decision.” Smith v. Blue Cross & Blue Shield United of Wisconsin, 959 F.2d 655, 659 (7th Cir.1992).
examined Cited as authority (rule) Talamine v. Unum Life Insurance Co. of America (4×) also: Cited "see"
N.D. Ill. · 1992 · confidence medium
Smith, 959 F.2d at 658; Powell v. A.T. & T.
cited Cited "see" Pierce v. FLSmidth, Inc.
C.D. Ill. · 2021 · signal: see · confidence high
See Smith, 959 F.2d at 659.
discussed Cited "see" Citadel Securities LLC v. Chicago Board Options Exchange (2×)
7th Cir. · 2015 · signal: see · confidence high
See Smith Nos. 14‐2912, 14‐3071 9 v. Blue Cross & Blue Shield United of Wisconsin, 959 F.2d 655 , 658–59 (7th Cir. 1992).
discussed Cited "see" Citadel Securities, LLC v. Chicago Board Options Exchange, Inc. (2×)
7th Cir. · 2015 · signal: see · confidence high
See Smith v. Blue Cross & Blue Shield United of Wisconsin, 959 F.2d 655, 658-59 (7th Cir.1992).
discussed Cited "see" Villegas v. United States
E.D. Wash. · 2013 · signal: see · confidence high
See Smith v. Blue Cross & Blue Shield United of Wise., 959 F.2d 655 , 659 (7th Cir.1992) (“In order to come under the futility exception [to the exhaustion requirement], the [plaintiffs] must show that it is certain that their claim will be denied on appeal, not merely that they doubt an appeal will result in a different decision.”).
discussed Cited "see" Ayers v. Maple Press Co. & Affiliated Companies
M.D. Penn. · 2001 · signal: see · confidence high
See, Smith v. Blue Cross & Blue Shield United of Wisconsin, 959 F.2d 655, 659 (7th Cir.1992); Tomczyscyn v. Teamsters, Local 115 Health & Welfare Fund, 590 F.Supp. 211, 216 (E.D.Pa.1984) (holding that Plaintiffs must prove that the Defendants’ position had become so fixed that an appeal would serve no purpose).
cited Cited "see" Gallegos, Rita M. v. Mt. Sinai Medical
7th Cir. · 2000 · signal: see · confidence high
See Smith, 959 F.2d at 658.
cited Cited "see" Rita Moreno Gallegos v. Mt. Sinai Medical Center and Unum Life Insurance Company of America
7th Cir. · 2000 · signal: see · confidence high
See Smith, 959 F.2d at 658.
discussed Cited "see" Engelhardt v. Paul Revere Life Ins. Co.
M.D. Ala. · 1999 · signal: see · confidence high
See Smith v. Blue Cross & Blue Shield United, 959 F.2d 655 , 659 (7th Cir.1992) (“In order to come under the futility exception, [plaintiffs] must show that it is certain that their claim will be denied on appeal, not merely that they doubt an appeal will result in a different decision.”).
cited Cited "see" Mers v. Marriott International Group Accidental Death & Dismemberment Plan
N.D. Ill. · 1996 · signal: see · confidence high
See Smith v. Blue Cross & Blue Shield United of Wis., 959 F.2d 655 , 658-59 (7th Cir.1992); Dale v. Chicago Tribune Co., 797 F.2d 458, 466 (7th Cir.1986).
discussed Cited "see" Goldberg v. Prudential Insurance Co. of America
N.D. Ill. · 1995 · signal: see · confidence high
It “knocks out any effort to use state law, including state common law, to obtain benefits under [an ERISA] plan.” Pohl v. National Benefits Consultants, Inc., 956 F.2d 126, 128 (7th Cir.1992); see Smith v. Blue Cross & Blue Shield, 959 F.2d 655 , 657 (7th Cir.1992).
discussed Cited "see" Swedish American Hospital v. Midwest Operating Engineers Fringe Benefit Funds
N.D. Ill. · 1993 · signal: see · confidence high
See Smith v. Blue Cross & Blue Shield, 959 F.2d 655 , 658 (7th Cir.1992) (“Judgment on this theory will not prevent plaintiffs from exhausting their plan remedy, assuming they are not barred by lapse of time, and then suing upon the merits.”).
discussed Cited "see, e.g." Murphy Med. Assocs., LLC v. 1199SEIU Nat'l Benefit Fund
2d Cir. · 2025 · signal: see, e.g. · confidence low
See, e.g., Smith v. Blue Cross & Blue Shield United of Wis., 959 F.2d 655 , 659 (7th Cir. 1992) (distinguishing the futility exception from another exception wherein “claimants are not required to appeal when there is a lack of meaningful access to the review procedures”).
discussed Cited "see, e.g." Carter v. Pallito
Vt. Super. Ct. · 2015 · signal: see, e.g. · confidence medium
See, e.g., Smith v. Blue Cross & Blue Shield United of Wisconsin, 959 F.2d 655, 659 (7th Cir. 1992) (rejecting a futility exception where the result before the agency is not “certain”).
discussed Cited "see, e.g." Tesoro Refining & Marketing Co. v. Federal Energy Regulatory Commission
D.C. Cir. · 2009 · signal: see also · confidence low
The futility exception is “ ‘quite restricted,’ ” id. (quoting Comm. of Blind Vendors of D.C. v. District of Columbia, 28 F.3d 130 , 133 n. 5 (D.C.Cir.1994)), and limited to situations “when resort to administrative remedies [would be] ‘clearly useless,’ ” id. (quoting Randolph-Sheppard Vendors of Am. v. Weinberger, 795 F.2d 90, 105 (D.C.Cir.1986)); see also Smith v. Blue Cross & Blue Shield United of Wisc., 959 F.2d 655 , 659 (7th Cir.1992) (“In order to come under the futility exception, [plaintiffs] must show that it is certain that their claim will be denied on appeal, no…
discussed Cited "see, e.g." Perkins v. Prudential Insurance Co. of America
C.D. Cal. · 2006 · signal: see also · confidence low
As one court has observed, the exhaustion requirement may be waived “where resort to administrative remedies would be futile because of the certainty of an adverse decision ... [and] when resort to administrative remedies is clearly useless.” Communications Workers, 40 F.3d at 432 ; see also Smith v. Blue Cross & Blue Shield, 959 F.2d 655 , 659 (7th Cir.1992) (“In order to come under the futility exception, [plaintiffs] must show that it is certain that their claim will be denied on appeal, not merely that they doubt an appeal will result in a different decision.”).
cited Cited "see, e.g." Walsvick v. Cuna Mutual Insurance Society
7th Cir. · 2005 · signal: see, e.g. · confidence low
See, e.g., Smith v. Blue Cross & Blue Shield United of Wis., 959 F.2d 655 , 657-58 (7th Cir.1992).
discussed Cited "see, e.g." Estate of Coggins Ex Rel. Madis v. Wagner Hopkins, Inc.
W.D. Wis. · 2001 · signal: see also · confidence low
Co. v. Dedeaux, 481 U.S. 41, 48-51 , 107 S.Ct. 1549 , 95 L.Ed.2d 39 (1987) (Mississippi law of bad faith not “saved” from preemption); see also Smith v. Blue Cross & Blue Shield, 959 F.2d 655 , 656-62 (7th Cir.1992) (Wisconsin laws of bad faith and breach of fiduciary duty causing emotional distress preempted by ERISA).
cited Cited "see, e.g." Marine Mammal Conservancy, Inc. v. Department of Agriculture
D.C. Cir. · 1998 · signal: see also · confidence low
See, e.g., UDC Chairs, 56 F.3d at 1476 ; Communications Workers of Am., 40 F.3d at 433 ; see also Smith v. Blue Cross & Blue Shield United, 959 F.2d 655 , 659 (7th Cir.1992).
discussed Cited "see, e.g." Communications Workers of America Lyle Wingate v. American Telephone and Telegraph Company American Telephone and Telegraph Pension Plan
D.C. Cir. · 1994 · signal: see also · confidence medium
“The futility exception is, however, quite restricted,” id., and has been applied only when resort to administrative remedies is “clearly useless.” Randolph-Sheppard Vendors, 795 F.2d at 105 ; see also Smith, 959 F.2d at 659 (“In order to come under the futility exception, [plaintiffs] must show that it is certain that their claim will be denied on appeal, not merely that they doubt an appeal will result in a different decision.” (emphasis added)).
discussed Cited "see, e.g." Mary Ann Carter RENNIE, Plaintiff-Appellant, v. John DALTON, Secretary of the Navy,* Defendant-Appellee
7th Cir. · 1993 · signal: see also · confidence low
See Spiegel v. Continental Illinois Nat’l Bank, 790 F.2d 638 , 650 (7th Cir.) (“[a]n appeal is frivolous where the result is obvious or when the appellant’s argument is wholly without merit”), cert. denied, 479 U.S. 987 , 107 S.Ct. 579 , 93 L.Ed.2d 582 (1986); see also Smith v. Blue Cross & Blue Shield, 959 F.2d 655 , 661 (7th Cir.1992) (“[sanctions are appropriate if the appeal was prosecuted with no reasonable expectation of altering the district court’s judgment and for purposes of delay or harassment or sheer obstinacy”).
Retrieving the full opinion text from the archive…
Jackson B. Smith and Vivian E. Smith
v.
Blue Cross & Blue Shield United of Wisconsin and Delco Electronics Corporation, Jackson B. Smith and Vivian E. Smith, and Marjan R. Kmiec, One of the Attorneys for v. Blue Cross & Blue Shield United of Wisconsin and Delco Electronics Corporation
90-1378.
Court of Appeals for the Seventh Circuit.
Mar 27, 1992.
959 F.2d 655

959 F.2d 655

22 Fed.R.Serv.3d 812

Jackson B. SMITH and Vivian E. Smith, Plaintiffs-Appellants,
v.
BLUE CROSS & BLUE SHIELD UNITED OF WISCONSIN and Delco
Electronics Corporation, Defendants-Appellees.
Jackson B. SMITH and Vivian E. Smith, Plaintiffs-Appellants,
and
Marjan R. Kmiec, one of the Attorneys for Plaintiffs, Appellant,
v.
BLUE CROSS & BLUE SHIELD UNITED OF WISCONSIN and Delco
Electronics Corporation, Defendants-Appellees.

Nos. 89-3523, 90-1378.

United States Court of Appeals,
Seventh Circuit.

Argued Feb. 14, 1991.
Decided March 27, 1992.

Marjan R. Kmiec (argued), Christopher A. McConville (argued), Milwaukee, Wis., for plaintiffs-appellants.

Kim M. Cafaro (argued), Laurel Barnes, Blue Cross & Blue Shield of Wisconsin, Susan R. Maisa (argued), George D. Cunningham, Foley & Lardner, Milwaukee, Wis., for defendants-appellees.

Christopher A. McConville, Marjan R. Kmiec, Milwaukee, Wis., for appellant.

Before WOOD, Jr.[1] and POSNER, Circuit Judges, and FAIRCHILD, Senior Circuit Judge.

FAIRCHILD, Senior Circuit Judge.

[*~655]1

In March 1989, the Smiths filed a complaint against Delco Electronics and Blue Cross and Blue Shield in a Wisconsin court. The complaint alleged that Mr. Smith was employed by Delco Electronics and that he and his wife were beneficiaries of Delco's group insurance plan, which was insured by Blue Cross. It alleged in an introductory portion that the plan provided remedies both under the Employment Retirement Income Security Act of 1974 (ERISA), 29 U.S.C. § 1001 et seq. and state law. Because of Mr. Smith's arthritis and Mrs. Smith's diabetes, they undertook a weight loss program under medical supervision and submitted the bills to Blue Cross for payment. On August 20, 1987, Blue Cross denied the Smiths' claims. Although the complaint asserted plaintiffs' entitlement to ERISA remedies, it set forth as separate claims for relief state law claims that the denial was a breach of contract, was done in bad faith, that the denial was a breach of fiduciary duty, caused emotional distress, and deprived them of constitutional rights to life, liberty and property.

2

Delco and Blue Cross removed the case to federal court on the ground that the action arose under the constitution and laws of the United States, including ERISA. See Metropolitan Life Ins. Co. v. Taylor, 481 U.S. 58, 107 S.Ct. 1542, 95 L.Ed.2d 55 (1987) (exception to well-pleaded complaint rule when ERISA preemption is a defense). Delco and Blue Cross then moved to dismiss the case on grounds that the state causes of action were preempted by ERISA and that the constitutional claims could be based only on actions by government entities. In the alternative, they moved for summary judgment on the ground that if the complaint be construed as an ERISA claim for benefits, it must be dismissed because the Smiths did not exhaust their internal remedies under the plan. Delco and Blue Cross also moved for sanctions pursuant to Rule 11 of the Federal Rules of Civil Procedure. The district court dismissed the action and imposed sanctions against the plaintiffs' attorneys, awarding defendants their costs and reasonable attorneys' fees. Smith v. Blue Cross & Blue Shield United of Wisconsin, 724 F.Supp. 618 (E.D.Wis.1989). Delco and Blue Cross requested fees and costs of $17,244.32, and the district court awarded $12,874.32. The Smiths and Mr. Kmiec, one of their attorneys, have appealed. The issues before us are whether the Smiths' state law claims are preempted by ERISA, whether they exhausted their internal remedies under the plan, and whether the court erred by awarding sanctions.

ERISA PREEMPTION

3

ERISA preempts all state laws which "relate to any employee benefit plan," 29 U.S.C. § 1144(a) (preemption clause), unless the state law "regulates insurance, banking, or securities," 29 U.S.C. § 1144(b)(2)(A) (saving clause). However, self-funded plans are exempt from state laws that regulate insurance. 29 U.S.C. § 1144(b)(2)(B) (deemer clause); FMC Corp. v. Holliday, --- U.S. ----, 111 S.Ct. 403, 409, 112 L.Ed.2d 356 (1990). The Supreme Court has held that ERISA preempts state common law tort and contract actions, including bad faith claims, "asserting improper processing of a claim for benefits under an ERISA-regulated plan." Pilot Life Ins. Co. v. Dedeaux, 481 U.S. 41, 57, 107 S.Ct. 1549, 1558, 95 L.Ed.2d 39 (1987). In Pilot Life, the Court said that the bad faith common law cause of action asserted there relates to an employee benefit plan. The cause of action therefore comes under the preemption clause, and is not saved because the state (Mississippi) law of bad faith does not regulate insurance.

4

Although the Smiths' state common law tort and contract claims are the same as those brought by the plaintiffs in Pilot Life, the Smiths argue that Pilot Life does not apply to Wisconsin's bad faith common law. They argue that in Pilot Life, the Court considered Mississippi's law of bad faith, and that Mississippi's law applies generally while Wisconsin's law of bad faith is applied only to insurance contracts. That distinction cannot be maintained. In Pilot Life, the Court said,

5

Even though the Mississippi Supreme Court has identified its law of bad faith with the insurance industry, the roots of this law are firmly planted in the general principles of Mississippi tort and contract law. Any breach of contract, and not merely breach of an insurance contract, may lead to liability for punitive damages under Mississippi law.

6

Id. at 50, 107 S.Ct. at 1554. Wisconsin's law of bad faith is similarly "planted in the general principles of [Wisconsin] tort and contract law." In Anderson v. Continental Ins. Co., 85 Wis.2d 675, 271 N.W.2d 368, 371 (1978), the Wisconsin Supreme Court recognized "a cause of action in tort against an insurer for the bad faith refusal to honor a claim of the insured." The court analyzed the bad faith action as a typical tort case:

7

By virtue of the relationship between the parties created by the contract, a special duty arises, the breach of which duty is a tort and is unrelated to contract damages. This tort of bad faith or malicious and intentional harassment by one party to a contract directed toward the other party, who seeks to assert his contract claim, has been referred to as a "tortious breach of contract."

[*655]8

Id. 271 N.W.2d at 374. The court also relied on standard contract principles: " 'Every contract imposes upon each party a duty of good faith and fair dealing in its performance and its enforcement.' " Id. at 375 (quoting Restatement of Contracts, Second, § 231 (tentative drafts Nos. 1-7, rev. and edited, 1973)). Thus, under Pilot Life the Smiths' claims are clearly preempted by ERISA. This court has found preemption of the same and comparable state law causes of action in two cases decided since oral argument of the Smiths' appeal. Tomczyk v. Blue Cross & Blue Shield, 951 F.2d 771, 775 (7th Cir.1991); Maciosek v. Blue Cross & Blue Shield, 930 F.2d 536, 538-40 (7th Cir.1991). Attorneys for the plaintiff were the same in all three cases.

9

The Smiths argue that even if their claims are preempted by ERISA, ERISA applies only to plan fiduciaries, and there is no evidence that Delco and Blue Cross are both fiduciaries. The Smiths, however, have waived this claim because they presented it for the first time on appeal. Maciosek, 930 F.2d at 540 n. 2. Moreover, in their complaint, the Smiths alleged, "the defendants have various fiduciary duties to the plaintiffs."

EXHAUSTION

10

The Smiths next argue that even if state law claims are preempted, their complaint also asserts claims under ERISA. The complaint sets forth as separate claims for relief only state law causes of action, and the claim alleging deprivation of constitutional rights. The complaint, in describing the employee benefit plan, says the plan provides remedies under both state law and under ERISA. The complaint would not ordinarily be treated as sufficient pleading of a claim under ERISA. This court has recently considered whether a complaint filed by the same lawyer representing the Smiths could be construed to include ERISA claims. The court held,

11

Their decision here to file only state claims in state court, thereby ignoring ERISA, can only be seen as a strategic attempt to avoid removal to federal court. The [plaintiffs] never sought to amend their complaint to add ERISA counts, even after their strategy failed and the case was removed to federal court. They are bound by those decisions.

12

Maciosek, 930 F.2d at 540-41. See, however, Bartholet v. Reishauer, 953 F.2d 1073 (7th Cir.1992) holding that a pleading which gives sufficient notice of a claim showing that the pleader is entitled to relief under ERISA should not be dismissed for failure expressly to invoke ERISA.

13

Even construing the complaint as stating an ERISA claim, we affirm. The district court wrote that summary judgment would then be appropriate because plaintiffs had not exhausted their internal plan remedies. Smith, 724 F.Supp. at 622. A district judge may so decide, and we would disturb this decision only if there has been a clear abuse of discretion. Powell v. A.T. & T. Communications, Inc., 938 F.2d 823, 925 (7th Cir.1991); Kross v. Western Electric Co., 701 F.2d 1238, 1244 (7th Cir.1983). Judgment on this theory will not prevent plaintiffs from exhausting their plan remedy, assuming they are not barred by lapse of time, and then suing upon the merits.

[*~655]14

The Smiths argue that requiring exhaustion would be an abuse of discretion because although they did not exhaust their internal plan remedies,[2] two exceptions to the exhaustion requirement apply to them. First, the Smiths claim the futility exception applies to their claims, although they do not explain why an appeal would be futile. In order to come under the futility exception, the Smiths must show that it is certain that their claim will be denied on appeal, not merely that they doubt an appeal will result in a different decision. Dale v. Chicago Tribune Co., 797 F.2d 458, 467 (7th Cir.1986) ("absence of 'neutral arbitrator' does not, by itself, render the exhaustion of such procedures futile"), cert. denied, 479 U.S. 1066, 107 S.Ct. 954, 93 L.Ed.2d 1002 (1987); Carter v. Signode Industries, Inc., 688 F.Supp. 1283, 1287 (N.D.Ill.1988) (exhaustion was futile where putative class members had appealed decision and the Director of the Plan "made it clear that no adjustments were forthcoming"). Because the Smiths have presented no facts to show that the review procedure would not work, the futility exception does not apply.

15

The second exception to the exhaustion requirement is that claimants are not required to appeal when there is a lack of meaningful access to the review procedures. Carter, 688 F.Supp. at 1287-88 (there is a lack of meaningful access if claimant attempts to initiate higher levels of review procedure, but a party has denied claimant access to higher levels of review); Boesl v. Suburban Trust & Sav. Bank, 642 F.Supp. 1503, 1516 (N.D.Ill.1986) (claimant denied meaningful access because he was not told how to file appeal or told review procedure was available). The Smiths claim they were denied access because, subsequent to the denial of their benefits, they repeatedly requested review, but received no response. There is, however, no support in the record for this assertion. In his affidavit, Mr. Smith says that he asked his union benefit representative to request review and that his lawyer wrote to Blue Cross to request review. These requests, however, occurred in 1985 and 1986, and the Smiths' claim was not denied until August 20, 1987. At oral argument, the Smiths claimed for the first time that they could not appeal because they had never been informed of the review procedures, despite having requested a plan booklet several times. Not only is there no evidence in the record that the Smiths were unaware of the review procedures, but the Smiths waived this argument by failure to raise it before the district court.

SANCTIONS

16

The Smiths' lawyer, Mr. Kmiec, has appealed both the decision to award attorneys' fees under Rule 11 and the amount of the fee award. The district judge explained the basis for his award of sanctions:[3]

17

This action encompasses a classic violation of Rule 11. No reasonable attorney having read Pilot Life and Taylor could manufacture a good faith argument as to why this suit should be brought. Further, any attorney making a "reasonable inquiry" would have come across Pilot Life and Taylor. This case is contrary to settled precedent, and falls directly into the Eastway Construction [Corp. v. City of New York, 762 F.2d 243, 254 (2d Cir.1985),] definition of having no chance of success under existing precedent. That defense counsel alerted plaintiffs' counsel of the frivolity of the claim and pointed the attorneys to the directly contrary precedent only exacerbates the unreasonableness of plaintiffs's counsels' actions.

18

Smith, 724 F.Supp. at 623.

19

We must defer to the district judge's decision to award sanctions and reverse only if he abused his discretion. Cooter & Gell v. Hartmarx Corp., 496 U.S. 384, 110 S.Ct. 2447, 2461, 110 L.Ed.2d 359 (1990). We agree with the district court. Mr. Kmiec's constitutional arguments and preemption arguments in the response to the motion to dismiss were frivolous. Happily he does not repeat the constitutional arguments on appeal.

20

Constitutional claims clearly cannot be brought against insurance companies merely because they are subject to extensive state regulation. A year before Mr. Kmiec filed the Smiths' complaint, the Eastern District of Wisconsin forcefully rejected a similar claim brought by Mr. Kmiec, Koller v. Aetna Life Ins. Co., 717 F.Supp. 648 (E.D.Wis.1988).

21

The above discussion of preemption adequately supports the finding that the Smiths' preemption argument was frivolous. Furthermore, Mr. Kmiec did not mention Pilot Life in his brief in opposition to the defendants' motion to dismiss, let alone make a good faith argument for a modification or reversal of Pilot Life. Mr. Kmiec cannot argue that he was not aware of the weaknesses in his arguments or that a reasonable person would not have been aware of the weaknesses. Before the defendants filed their motion to dismiss, Delco's counsel wrote to Mr. Kmiec and advised him that his claims were frivolous and referred him to the applicable law. Delco's counsel warned that if Mr. Kmiec did not voluntarily dismiss the complaint, or at least amend the complaint to include only ERISA claims, she would request Rule 11 sanctions. Significantly, another panel of this court has recently upheld Rule 11 sanctions against Mr. Kmiec for bringing frivolous state common law claims that were preempted by ERISA. Maciosek, 930 F.2d at 542. In a similar case, this court has imposed sanctions on Mr. Kmiec and his associate, Mr. McConville, finding the appeal frivolous. Tomczyk v. Blue Cross & Blue Shield, 951 F.2d 771, 777-79 (7th Cir.1991).

AMOUNTS AWARDED

22

Foley & Lardner, attorneys for Delco, submitted an affidavit of costs and attorney's fees totalling $8,979.32. Blue Cross and Blue Shield's in-house counsel submitted an affidavit of costs and attorney's fees totalling $8,265.00.

23

Mr. Kmiec filed lengthy objections, a substantial part of which reargued the question whether the award of any sanctions was appropriate. He did address many of the items claimed by defendants, in some instances stating an objection, and in some merely reciting what the charge had been.

24

Judge Warren wrote a decision in which he fairly summarized the objections under 12 headings, and then dealt with them. As to arguments (1)-(3) (inappropriateness of charging for strategy sessions and general conferences between defendants), Judge Warren found them "partially persuasive" and said he applied the conclusions to disputed billings. As to argument (4), (a particular Blue Cross brief with routine citations does not merit the time billed), Judge Warren agreed and reduced the billing by half to $375.00. As to argument (5), (19.9 hours of phone conferences excessive), Judge Warren agreed and reduced by half to $995.00. As to argument (6), (excessiveness of 8 hours for an affidavit), he agreed and reduced by three-quarters, to $100.00. As to argument (7), (8 hours of reviewing claims file with inhouse counsel excessive), he agreed and reduced by three-quarters, to $100.00. As to argument (8), (challenge to charge for 4.8 hours spent by senior counsel at $205.00 per hour), Judge Warren disagreed, saying that as long as the billings are reasonable, plaintiffs cannot complain that Delco chose expensive counsel. As to argument (9), (excessiveness of combined billing rate for strategy conferences), Judge Warren agreed and reduced the item by $700.00. As to argument (10), (similar to (9)), he agreed and reduced the amount by $800.00. As to argument (11), (similar to (9)), Judge Warren agreed and reduced the amount by $400.00. As to argument (12), (similar to (9)), he agreed and reduced the total by $500.00. The court awarded $6,579.32 to Delco and $6,295.00 to Blue Cross.

25

Mr. Kmiec did include in his statement to the district court the assertion that plaintiffs would have voluntarily dismissed the action against Delco if Delco counsel had notified him that the plan was insured. Delco counsel asserted that she could not so represent because Delco (for some reason), wished to preserve its position that its plan was self-insured. In this court, Mr. Kmiec argues that Delco counsel failed to mitigate attorney's fees by informing him that the plan was insured, although he did not refer to a duty to mitigate in his objections in the district court.

26

We are not aware of Mr. Kmiec's reason for believing that he needed both defendants in the case, and why it made any difference in the outcome whether the arrangement between Blue Cross and Delco produced an insured plan or a self-insured plan. And Mr. Kmiec should have dismissed as to both defendants after the controlling authority was pointed out to him. We owe deference to the district court's computation of fees, Cooter & Gell, 110 S.Ct. at 2458. Judge Warren carefully considered the objections and made substantial reductions. There was no abuse of discretion.

SANCTIONS ON APPEAL

27

Delco and Blue Cross request that we also impose sanctions under Rule 38 of the Federal Rules of Appellate Procedure on the ground that Mr. Kmiec pursued a frivolous appeal. Sanctions are appropriate if "the appeal was prosecuted with no reasonable expectation of altering the district court's judgment and for purposes of delay or harassment or sheer obstinacy." Reid v. United States, 715 F.2d 1148, 1155 (7th Cir.1983). Although in Maciosek, 930 F.2d at 542, this court decided not to award Rule 38 sanctions against Mr. Kmiec for his argument that ERISA did not preempt state common law claims, this case is distinguishable from Maciosek.

28

In this case, not only were the preemption arguments frivolous, but also the arguments concerning exhaustion of internal plan remedies had no basis in fact. In Maciosek, Mr. Kmiec argued that breach of contract and tortious interference with contract claims were not preempted by ERISA, and this court recognized that it had not addressed whether ERISA preempted those specific issues. In this case, however, Mr. Kmiec argued that a bad faith claim was not preempted, although that was the exact issue before the Supreme Court in Pilot Life. Although the Supreme Court considered Mississippi and not Wisconsin bad faith common law, Mr. Kmiec's attempt to distinguish the laws of the two states was frivolous. His only support for the distinction was a Wisconsin case which held that a duty of good faith does not apply to the termination of a terminable at will employee. Brockmeyer v. Dun & Bradstreet, 113 Wis.2d 561, 335 N.W.2d 834, 838 (1983). Mr. Kmiec made no attempt to prove that Wisconsin bad faith law, unlike Mississippi bad faith law, was not based on principles of tort and contract.

29

Mr. Kmiec's argument that the Smiths should be excused from exhausting their internal remedies was frivolous because no evidence supports this argument. At oral argument, Mr. McConville, Mr. Kmiec's associate, argued that the Smiths could not exhaust their remedies because they had not received a plan booklet which informed them what their remedies were. There is, however, no evidence that the Smiths did not have information about how to appeal the denial of their claims, and this argument was not made until the oral argument to this court. Furthermore, at oral argument, Mr. McConville seemed to claim that he still did not have a description of the review procedures, although a description of the procedure was part of the record, and the appellees included the description in a short appendix to their brief. Mr. McConville also argued that the Smiths had attempted to appeal but had received no response. All of the communications shown in the record, however, clearly occurred before the claim was denied.

30

The combination of frivolous legal arguments with regard to preemption and frivolous factual arguments with regard to exhaustion appear to warrant the imposition of sanctions on Mr. Kmiec pursuant to Fed.R.App.P. 38. No reasonable attorney could have thought that this court would overturn the decision of the district court, and Mr. Kmiec's arguments are "sheer obstinacy." In conformance with Circuit Rule 38, this opinion will serve as notice to Mr. Kmiec that the court is contemplating sanctions, and we will allow him 14 days to submit a statement as to why sanctions should not be imposed in accordance with this opinion.

[*~656]31

Accordingly, the decision of the district court is AFFIRMED.

1

Judge Wood, Jr., assumed senior status January 16, 1992, after oral argument of this case

2

In their complaint, the Smiths allege that they exhausted their internal remedies, but in their brief they seem to concede that they did not, and an affidavit by Delco's supervisor of benefit plan administration states they did not. Although the Smiths could appeal the claims by merely notifying their local union benefit representative that their claims had been wrongly denied, they did not do so. In his affidavit, Mr. Smith said he contacted his union benefit representative four times, but he said these contacts occurred in 1986, and his claims were not denied until August 20, 1987. The appellate procedure clearly requires that the claimant contact the union benefit representative after the denial of the claim

3

Counsel's signing the complaint was not a violation of Rule 11, subject to sanctions, because the complaint was filed in state court. Schoenberger v. Oselka, 909 F.2d 1086, 1087 (7th Cir.1990). Although the district judge primarily addressed the frivolousness of the complaint, he also referred to the "arguments plaintiffs' counsel advances" and to counsel's ignoring the relevant precedent after removal to federal court, doubtless covering the frivolousness of plaintiffs' brief in opposition to the motion to dismiss. The brief was filed after removal and was a proper predicate for sanctions under Rule 11. Id., Maciosek, 930 F.2d at 541-42