Bollman Hat Co. v. Kevin T. Root Dale E. Anstine, P.C. Bollman Hat Co., as Sponsor of the Bollman Hat Co. Health & Welfare Benefits Plan, 112 F.3d 113 (3d Cir. 1997). · Go Syfert
Bollman Hat Co. v. Kevin T. Root Dale E. Anstine, P.C. Bollman Hat Co., as Sponsor of the Bollman Hat Co. Health & Welfare Benefits Plan, 112 F.3d 113 (3d Cir. 1997). Cases Citing This Book View Copy Cite
95 citation events (32 in the last 25 years) across 26 distinct courts.
Strongest positive: Presnal v. Dearborn National Life Insurance Company (innd, 2024-01-11)
Treatment trajectory · 1997 → 2026 · click a year to view as-of
1997 2011 2026
Top citers, strongest first. 43 distinct citers. How cited ↗
discussed Cited as authority (rule) Presnal v. Dearborn National Life Insurance Company
N.D. Ind. · 2024 · confidence medium
Beacon supplied many cases in support of the notion that federal courts may not apply common law principles to ERISA claims where doing so would “alter the express terms of [the] written benefit plan[].” Health Cost Controls v. Isbell, 139 F.3d 1070, 1072 (6th Cir. 1997) (affirming summary judgment and denying plaintiff’s request for equitable revision of defined plan terms); see also Land v. Chicago Truck Drivers, Helpers, and Warehouse Workers Union (Independent) Health and Welfare Fund, 25 F.3d 509, 511 (7th Cir. 1994) (affirming dismissal of claim and finding “ERISA supersedes any …
discussed Cited as authority (rule) Galvin v. Scottrade, Inc.
D. Mass. · 2018 · confidence medium
Accordingly, a common law claim is appropriate only “if necessary to fill in interstitially or otherwise effectuate the statutory pattern enacted in large by Congress.” Bollman Hat Co. v. Root, 112 F.3d 113, 118 (3d Cir. 1997) (internal quotation omitted).
discussed Cited as authority (rule) ELECTRIC ENERGY, INC. v. Lambert
W.D. Tenn. · 2010 · confidence medium
Co. v. O’Hara, 604 F.3d 1232, 1237 (11th Cir.2010); Vareo, 338 F.3d at 690 ; Harris, 208 F.3d at 277 ; Walker v. Wal-Mart Stores, Inc., 159 F.3d 938, 940 (5th Cir. 1998); United McGill Corp. v. Stinnett, 154 F.3d 168, 172-73 (4th Cir.1998); Health Cost Controls v. Isbell, 139 F.3d 1070, 1072 (6th Cir.1997); Bollman Hat Co. v. Root, 112 F.3d 113, 116-17 (3d Cir.1997); Ryanv.
cited Cited as authority (rule) Mallon v. Trust Company of New Jersey Severance Pay Plan
3rd Cir. · 2008 · confidence medium
We begin with the “words of the Plan.” Bollman Hat Co. v. Root, 112 F.3d 113, 116 (3d Cir.1997).
discussed Cited as authority (rule) Travelers Casualty & Surety Co. of America v. IADA Services, Inc.
8th Cir. · 2007 · confidence medium
Several circuits have soundly concluded, however, that federal courts may adopt a common law principle under ERISA “only if necessary to fill in interstitially or otherwise effectuate the statutory pattern enacted in the large by Congress.” Bollman Hat Co. v. Root, 112 F.3d 113, 118 (3d Cir.1997) (internal quotation omitted); accord White v. Sun Life Assur.
discussed Cited as authority (rule) Travelers Casualty v. IADA Services
8th Cir. · 2007 · confidence medium
Several circuits have soundly concluded, however, that federal courts may adopt a common law principle under ERISA “only if necessary to fill in interstitially or otherwise effectuate the statutory pattern enacted in the large by Congress.” Bollman Hat Co. v. Root, 112 F.3d 113, 118 (3d Cir. 1997) (internal quotation omitted); accord White v. Sun Life Assur.
discussed Cited as authority (rule) Toledo Blade Newspaper Unions-Blade Pension Plan v. Investment Performance Services, LLC
N.D. Ohio · 2006 · confidence medium
Courts only need develop the federal common law of ERISA when doing so is “necessary to fill in interstitially or otherwise effectuate the statutory pattern enacted in the large by Congress.” Bollman Hat Co. v. Root, 112 F.3d 113, 118 (3d Cir.1997).
discussed Cited as authority (rule) In Re: Kaiser Alum
3rd Cir. · 2006 · confidence medium
Fund of 1974, 165 F.3d 209, 211-212 (3d Cir. 1998) (quoting Bollman Hat Co. v. Root, 112 F.3d 113, 118 (3d Cir. 1997)); see also Bill Gray Enters., Inc. Employee Health and Welfare Plan v. Gourley, 248 F.3d 206 , 220 n.13 (3d Cir. 2001) (“[C]ourts have held that importing federal common law doctrines to ERISA plan interpretation is generally inappropriate . . . .”).
discussed Cited as authority (rule) In Re Kaiser Aluminum Corporation, Debtor. Pension Benefit Guaranty Corporation
3rd Cir. · 2006 · confidence medium
Fund of 1974, 165 F.3d 209, 211-212 (3d Cir.1998) (quoting Bollman Hat Co. v. Root, 112 F.3d 113, 118 (3d Cir.1997)); see also Bill Gray Enters., Inc. Employee Health and Welfare Plan v. Gourley, 248 F.3d 206 , 220 n. 13 (3d Cir.2001) (“[CJourts have held that importing federal common law doctrines to ERISA plan interpretation is generally inappropriate .... ”).
cited Cited as authority (rule) Miller v. Fortis Benefits Insurance Co.
D.N.J. · 2005 · confidence medium
Co. v. Root, 112 F.3d 113, 116 (3d Cir.1997).
examined Cited as authority (rule) Pascack Valley Hospital, Inc. v. Local 464a Ufcw Welfare Reimbursement Plan (3×) also: Cited "see"
3rd Cir. · 2004 · confidence medium
Bollman Hat Co. v. Root, 112 F.3d 113, 115 (3d Cir.1997); Airco Indus.
examined Cited as authority (rule) Pascack Valley Hospital, Inc. v. Local 464A UFCW Welfare Reimbursement Plan Pascack Valley Hospital, Inc. (3×) also: Cited "see"
3rd Cir. · 2004 · confidence medium
Bollman Hat Co. v. Root, 112 F.3d 113, 115 (3d Cir.1997); Airco Indus.
discussed Cited as authority (rule) Henglein v. Colt Industries Operating Corp. Informal Plan
3rd Cir. · 2004 · confidence medium
When interpreting ERISA plans, the starting point is the “words of the Plan” Bollman Hat Co. v. Root, 112 F.3d 113, 116 (3d Cir.1997) and the parties remain bound by the “appropriate objective definition of the words they use to express their intent.” In re Unisys Corp. Long-Term Disability Plan ERISA Litig., 97 F.3d 710, 715 (3d Cir.1996).
discussed Cited as authority (rule) Williams v. Provident Investment Counsel, Inc.
N.D. Ohio · 2003 · confidence medium
The development of federal common law under ERISA is appropriate only when “necessary to fill in interstitially or otherwise effectuate the statutory pattern enacted in the large by Congress.” Bollman Hat Co. v. Root, 112 F.3d 113, 118 (3d Cir.1997).
discussed Cited as authority (rule) Franks v. Prudential Health Care Plan, Inc.
W.D. Tex. · 2001 · confidence medium
See e.g., Walker, 159 F.3d at 940 ; United McGill Corp. v. Stinnett, 154 F.3d 168, 172-73 (4th Cir.1998); Health Cost Controls v. Isbell, 139 F.3d 1070, 1072 (6th Cir.1997); Bollman Hat Co. v. Root, 112 F.3d 113, 116-17 (3d Cir.), cert. denied, 522 U.S. 952 , 118 S.Ct. 373 , 139 L.Ed.2d 290 (1997).
discussed Cited as authority (rule) Demutiis v. United States
Fed. Cl. · 2000 · confidence medium
See also United States v. Rosenwasser, 323 U.S. 360, 362-63 , 65 S.Ct. 295 , 89 L.Ed. 301 , (1945) ("any” employee means all employees under the Fair Labor Standards Act, unless specifically excluded); Bollman Hat Co. v. Root, 112 F.3d 113, 116-17 (3d Cir.1997), reh’g denied, cert. denied, 522 U.S. 952 , 118 S.Ct. 373 , 139 L.Ed.2d 290 (1997) (holding the words "any" and "all” both mean "the whole of” or "every” in ERISA plan); Kalmbach, Inc. v. Insurance Co. of the State of Pa., Inc., 529 F.2d 552, 556 (9th Cir.1976) ("[T]he word ‘any’ has a comprehensive meaning and has been ju…
cited Cited as authority (rule) Wal-Mart Stores Heal v. Wells, Denise
7th Cir. · 2000 · confidence medium
United McGill Corp. v. Stinnett, 154 F.3d 168, 172-73 (4th Cir. 1998), and Bollman Hat Co. v. Root, 112 F.3d 113, 116-18 (3d Cir. 1997), are only superficially in conflict with this result.
discussed Cited as authority (rule) Wal-Mart Stores, Incorporated Associates' Health and Welfare Plan and Administrative Committee, Administrator of the Plan v. Denise Wells (2×)
7th Cir. · 2000 · confidence medium
United McGill Corp. v. Stinnett, 154 F.3d 168, 172-73 (4th Cir.1998), and Bollman Hat Co. v. Root, 112 F.3d 113, 116-18 (3d Cir.1997), are only superficially in conflict with this result, They refuse to invalidate a plan provision interpreted to bar the application of common-fund principles; we pose the issue as one not of validity but of sound application of principles of contract *403 interpretation.
examined Cited as authority (rule) Harris v. Harvard Pilgrim Health Care, Inc. (3×) also: Cited "see"
1st Cir. · 2000 · confidence medium
See, e.g., Walker v. Wal-Mart Stores, Inc., 159 F.3d 938, 940 (5th Cir.1998); United McGill Corp. v. Stinnett, 154 F.3d 168, 172-73 (4th Cir.1998); Health Cost Controls v. Isbell, 139 F.3d 1070, 1072 (6th Cir.1997); Bollman Hat Co. v. Root, 112 F.3d 113, 116-17 (3d Cir.1997); Ryan v. Federal Express Corp., 78 F.3d 123, 127-28 (3d Cir.1996).
discussed Cited as authority (rule) Cagle v. Ford (2×) also: Cited "see"
E.D.N.C. · 1999 · confidence medium
However, this lawmaking authority is limited to situations in which it is “necessary to fill in interstitially or otherwise effectuate the [ERISA] statutory pattern enacted in the large by Congress.” Bollman Hat Co. v. Root, 112 F.3d 113, 118 (3d Cir.), cert. denied, — U.S.-, 118 S.Ct. 373 , 139 L.Ed.2d 290 (1997) (quotation and citation omitted); see Jenkins, 77 F.3d at 743 (noting that the federal common law of rights and obligations under ERISA-regulated plans exists merely to fill in the statute’s gaps).
discussed Cited as authority (rule) Office of Thrift Supervision v. Overland Park Financial Corp. (In Re Overland Park Financial Corp.)
D. Kan. · 1999 · confidence medium
OTS further contends that the phrase “any commitment” as used in Section 365(o) connotes “every” commitment, e.g., Bollman Hat Co. v. Root, 112 F.3d 113, 116 (3d Cir.) (words “any” and “all” in contract mean “every”) (citing Black’s Law Dictionary 74, 94 (6th ed.1990)), cert. denied, — U.S. —, 118 S.Ct. 373 , 139 L.Ed.2d 290 (1997), and argues that Financial’s stipulation constitutes a “commitment” within the meaning of Section 365(o).
discussed Cited as authority (rule) Fotta v. Trustees of the United Mine Workers of America, Health & Retirement Fund of 1974 (2×)
3rd Cir. · 1998 · confidence medium
This is, of course, not a boundless grant of authority; the development of federal common law under ERISA is appropriate only when "necessary to fill in interstitially or otherwise effectuate the statutory pattern enacted in the large by Congress." Bollman Hat Co. v. Root, 112 F.3d 113, 118 (3d Cir. 1997) (quotation marks and citation omitted).
discussed Cited as authority (rule) 22 Employee Benefits Cas. 2169, Pens. Plan Guide (Cch) P 23950a
3rd Cir. · 1998 · confidence medium
This is, of course, not a boundless grant of authority; the development of federal common law under ERISA is appropriate only when "necessary to fill in interstitially or otherwise effectuate the statutory pattern enacted in the large by Congress." Bollman Hat Co. v. Root, 112 F.3d 113, 118 (3d Cir.1997) (quotation marks and citation omitted).
discussed Cited as authority (rule) Wal-Mart Stores, Inc. Associates' Health & Welfare Plan v. Scott (2×)
W.D. Ark. · 1998 · confidence medium
The court construed this argument to be for a “pro rata reduction of the Plan’s subrogation lien, i.e. the Plan’s recovery should be limited, as Root’s recovery was limited, by a pro rata portion of the attorney’s fees.” Id. at 118 (citation omitted).
examined Cited as authority (rule) United McGill Corporation v. Sharon Stinnett (4×) also: Cited "see"
4th Cir. · 1998 · confidence medium
This law-making authority is limited however to situations in which it is “necessary to fill in interstitially or otherwise effectuate the [ERISA] statutory pattern enacted in the large by Congress.” Bollman Hat Co. v. Root, 112 F.3d 113, 118 (3d Cir.1997), cert. denied, — U.S. -, 118 S.Ct. 373 , 139 L.Ed.2d 290 (1997) (quotation and citation omitted); see Jenkins, 77 F.3d at 743 (indicating that the federal common law of rights and obligations under ERISA-regulated plans exists merely to fill in the statute’s gaps).
examined Cited as authority (rule) United McGill Corp v. Stinnett (4×) also: Cited "see"
4th Cir. · 1998 · confidence medium
This law-making authority is limited however to situations in which it is "necessary to fill in interstitially or otherwise effectuate the [ERISA] statutory pattern enacted in the large by Congress." Bollman Hat Co. v. Root, 112 F.3d 113, 118 (3d Cir.), cert. denied, 118 S. Ct. 373 (1997) (quotation and citation omitted); see Jenkins, 77 F.3d at 743 (indicating that the federal common law of rights and obligations under ERISA-regulated plans exists merely to fill in the statute's gaps).
examined Cited as authority (rule) Manginaro v. Welfare Fund of Local 771, IATSE (3×) also: Cited "see, e.g."
S.D.N.Y. · 1998 · confidence medium
See U.S. Healthcare, Inc. (N.Y.), v. O’Brien, 868 *307 F.Supp. 607, 611 (S.D.N.Y.1994) (“the terms of the particular plan involved control the resolution of the case”) (quotation omitted); see also Waller v. Hormel Foods Corp., 120 F.3d 138 , 140 (8th Cir.1997); Bollman Hat Co. v. Root, 112 F.3d 113, 118 (3d Cir.), cert. denied, — U.S. -, 118 S.Ct. 373 , 139 L.Ed.2d 290 (1997); Cutting v. Jerome Foods, Inc., 993 F.2d 1293, 1298-99 (7th Cir.1993) (Posner, J.).
discussed Cited as authority (rule) Ward v. Wal-Mart Stores, Inc. Associates Health & Welfare Plan
W.D. Mich. · 1998 · confidence medium
In Bollman Hat Co. v. Root, 112 F.3d 113, 116-17 (3rd Cir.1997), the Third Circuit held that the phrase “any payments” and a provision for subrogation of “all ... rights of recovery” were “materially identical” to the “100%” language in Ryan . 1 A widely recognized principle in ERISA law is that although federal common law fills the gaps of ERISA and assists in the interpretation of ERISA plans, federal courts will not apply common law theories to alter the express terms of written benefit plans.
examined Cited as authority (rule) IBP, Inc. v. Foust (3×) also: Cited "see"
N.D. Iowa · 1997 · confidence medium
Bollman Hat Co. v. Root, 112 F.3d 113, 116 (3d Cir.) cert. denied, — U.S. -, 118 S.Ct. 373 , - L.Ed.2d - (1997); Cinelli v. Security Pacific Corp., 61 F.3d 1437, 1444-1445 (9th Cir.1995); Van Orman, 680 F.2d at 312 ; Land, 25 F.3d at 511 .
discussed Cited as authority (rule) Health Cost Controls v. Ralph Isbell, Father and Next Friend of Tammy Isbell
6th Cir. · 1997 · confidence medium
Bollman Hat Co. v. Root, 112 F.3d 113, 116 (3rd Cir.1997); Cinelli v. Security Pacific Corp., 61 F.3d 1437, 1444-45 (9th Cir.1995); Parker v. BankAmerica Corp., 50 F.3d 757, 769 (9th Cir.1995); Singer, 964 F.2d at 1452 ; Land v. Chicago Truck Drivers, Helpers, and Warehouse Workers Union (Independent) Health and Welfare Fund, 25 F.3d 509, 511 (7th Cir.1994).
discussed Cited as authority (rule) 21 Employee Benefits Cas. 1469, Pens. Plan Guide (Cch) P 23936b Hawkeye National Life Insurance Company v. Avis Industrial Corporation Edgerton Forge, Inc., Steel Technologies, Inc. Midwest Plating and Chemical Corporation, Metal Polishers, Buffers, Platers and Allied Workers International Union Metal Polishers, Buffers, Platers and Allied Workers International Union, Local 15 Metal Polishers, Buffers, Platers and Allied Workers International Union, Local 24 Metal Polishers, Buffers, Platers and Allied Workers International Union, Local 301 Metal Polishers, Buffers, Platers and Allied Workers International Union, Local 305, Hawkeye National Life Insurance Company v. Avis Industrial Corporation Edgerton Forge, Inc., Steel Technologies, Inc. Midwest Plating and Chemical Corporation, Metal Polishers, Buffers, Platers and Allied Workers International Union Metal Polishers, Buffers, Platers and Allied Workers International Union, Local 15 Metal Polishers, Buffers, Platers and Allied Workers International Union, Local 24 Metal Polishers, Buffers, Platers and Allied Workers International Union, Local 301 Metal Polishers, Buffers, Platers and Allied Workers International Union, Local 305
8th Cir. · 1997 · signal: cf. · confidence medium
See Ryan v. Federal Express Corp., 78 F.3d 123, 127 (3d Cir.1996) (noting that "[t]he Supreme Court has emphasized the primacy of plan provisions absent a conflict with the statutory policies of ERISA" (quotations and citations omitted)); cf. Bollman Hat Co. v. Root, 112 F.3d 113, 118 (3d Cir.1997) ("[T]he policies underlying ERISA generally counsel reliance on unambiguous plan language.").
discussed Cited as authority (rule) Hawkeye National Life Insurance v. Avis Industrial Corp.
8th Cir. · 1997 · signal: cf. · confidence medium
See Ryan v. Federal Express Corp., 78 F.3d 123, 127 (3d Cir.1996) (noting that “[t]he Supreme Court has emphasized the primacy of plan provisions absent a conflict with the statutory policies of ERISA” (quotations and citations omitted)); cf. Bollman Hat Co. v. Root, 112 F.3d 113, 118 (3d Cir.1997) (“[T]he policies underlying ERISA generally counsel reliance on unambiguous plan language.”).
cited Cited "see" K-VA-T Food Stores, Inc. v. Hutchins
W.D. Va. · 2012 · signal: see · confidence high
See Bollman Hat Co. v. Root, 112 F.3d 113 , 117 n. 3 (3d Cir.1997).
cited Cited "see" Trustees of the Amalgamated Insurance Fund v. Crown Clothing, Inc.
D.N.J. · 1998 · signal: see · confidence high
See Bollman Hat Co. v. Root, 112 F.3d 113, 115 (3rd Cir.), cert. denied, — U.S. -, 118 S.Ct. 373 , 139 L.Ed.2d 290 (1997).
discussed Cited "see" Eastern States Health & Welfare Fund v. Philip Morris, Inc. (2×)
S.D.N.Y. · 1998 · signal: see · confidence high
See Bollman, 112 F.3d at 115 ; Waller, 906 F.2d at 987; Airco, 850 F.2d at 1031.
discussed Cited "see, e.g." Administrative Committee of the Wal-Mart Stores, Inc. Associates' Health & Welfare Plan v. Shank Ex Rel. Shank
8th Cir. · 2007 · signal: see also · confidence medium
See, e.g., Varco, 338 F.3d at 691 ; Waller v. Hormel Foods Corp., 120 F.3d 138 , 141 (8th Cir.1997); see also Bollman Hat Co. v. Root, 112 F.3d 113, 118 (3d Cir.1997) (federal courts may adopt a common law principle under ERISA “only if necessary to fill in interstitially or otherwise effectuate the statutory pattern enacted in the large by Congress”) (internal quotation omitted).
discussed Cited "see, e.g." Admin. Committee v. James A. Shank
8th Cir. · 2007 · signal: see also · confidence medium
See, e.g., Varco, 338 F.3d at 691 ; Waller v. Hormel Foods Corp., 120 F.3d 138 , 141 (8th Cir. 1997); see also Bollman Hat Co. v. Root, 112 F.3d 113, 118 (3d Cir. 1997) (federal courts may adopt a common law principle under ERISA “only if necessary to fill in interstitially or otherwise effectuate the statutory pattern enacted in the large by Congress”) (internal quotation omitted).
discussed Cited "see, e.g." Culp, Inc. v. Cain
M.D. Ala. · 2006 · signal: see also · confidence low
Lee v. Blue Cross/Blue Shield, 10 F.3d 1547, 1551 (11th Cir.1994); see also Cagle, 112 F.3d at 1519 ; HCA Health Servs., 240 F.3d at 994 (both holding that the doctrine of contra proferentem applies on de novo review but does not apply when the court applies a deferential standard of review).
discussed Cited "see, e.g." Silver Leaf, LLC v. Tasty Fries, Inc.
3rd Cir. · 2002 · signal: see also · confidence low
Biomaterials Corp., 954 F.2d 919 , 927-28 (3d Cir.1992)); see also Bollman Hat Co. v. Root, 112 F.3d 113 , 117 n. 2 (3d Cir.1997) (declining to address new contention that a disputed *370 agreement was an unconscionable contract of adhesion).
discussed Cited "see, e.g." PRC, Inc. v. O'Bryan
Fairfax Cir. Ct. · 1998 · signal: see, e.g. · confidence low
See, e.g., Bollman Hat Co. v. Root, 112 F.3d 113 (3d Cir.), cert. denied, 118 S. Ct. 373 (1997); Ryan v. Federal Express Corp., 78 F.2d 123 (3d Cir. 1996); Health Cost Controls v. Isbell, 1997 WL 863987 (6th Cir. 1997); IBP, Inc. v. Foust, 987 F. Supp. 714 (N.D.
discussed Cited "see, e.g." Walbro Corp. v. Amerisure Companies
6th Cir. · 1998 · signal: see, e.g. · confidence medium
See, e.g., Bollman Hat Co. v. Root, 112 F.3d 113, 115 (3d Cir.), cert. denied — U.S. -, 118 S.Ct. 373 , 139 L.Ed.2d 290 (1997) (finding federal question jurisdiction in suit by plan sponsor to recover funds advanced by ERISA plan to cover medical expense of plan participant); Auto Owners Ins.
discussed Cited "see, e.g." Walbro Corporation v. Amerisure Companies
6th Cir. · 1998 · signal: see, e.g. · confidence medium
See, e.g., Bollman Hat Co. v. Root, 112 F.3d 113, 115 (3d Cir.), cert. denied --- U.S. ----, 118 S.Ct. 373 , 139 L.Ed.2d 290 (1997) (finding federal question jurisdiction in suit by plan sponsor to recover funds advanced by ERISA plan to cover medical expense of plan participant); Auto Owners Ins.
cited Cited "see, e.g." Wood v. Prosser
Tenn. Ct. App. · 1997 · signal: see, e.g. · confidence medium
See e.g., Bollman Hat Co. v. Root, 112 F.3d 113, 116 (3d Cir. 1997); Unisys Med.
Retrieving the full opinion text from the archive…
BOLLMAN HAT COMPANY
v.
Kevin T. ROOT; Dale E. Anstine, P.C. Bollman Hat Company, as Sponsor of the Bollman Hat Company Health and Welfare Benefits Plan, Appellant
96-1191.
Court of Appeals for the Third Circuit.
May 15, 1997.
112 F.3d 113
J. Freedley Hunsicker, Jr. (Argued), Susan M. Roche, Drinker, Biddle & Reath, Philadelphia, Pennsylvania, for Appellant., Thomas P. Lang (Argued), Law Offices of Dale E. Anstine, P.C., York, Pennsylvania, Wayne C. Parsil, Law Offices of Dale E. Anstine, P.C., Lancaster, Pennsylvania, for Appellees Kevin T. Root and Dale E. Anstine, P.C., Joseph M. Melillo, Angino & Rovner, Harrisburg, Pennsylvania, for Amicus Curiae Appellee, Pennsylvania Trial Lawyers Association.
Sloviter, Greenberg, Scirica, Becker, Stapleton, Mansmann, Cowen, Nygaard, Alito, Roth, Lewis, McKee.
Cited by 55 opinions  |  Published
Pinpoint authority: bottom 53%
Reporter's Syllabus editorial summary, not part of the Court's opinion

J. Freedley Hunsicker, Jr. (Argued), Susan M. Roche, Drinker, Biddle & Reath, Philadelphia, Pennsylvania, for Appellant.

Thomas P. Lang (Argued), Law Offices of Dale E. Anstine, P.C., York, Pennsylvania, Wayne C. Parsil, Law Offices of Dale E. Anstine, P.C., Lancaster, Pennsylvania, for Appellees Kevin T. Root and Dale E. Anstine, P.C.

Joseph M. Melillo, Angino & Rovner, Harrisburg, Pennsylvania, for Amicus Curiae Appellee, Pennsylvania Trial Lawyers Association.

Before SLOVITER, Chief Judge, GREENBERG and SCIRICA, Circuit Judges.

OPINION OF THE COURT

SCIRICA, Circuit Judge.

Lead Opinion

OPINION OF THE COURT

SCIRICA, Circuit Judge.

This appeal involves an ERISA plan’s subrogation rights, specifically whether a plan must contribute to the legal expenses of a plan participant’s recovery against a third party. We addressed this issue in Ryan by Capria-Ryan v. Fed. Express Corp., 78 F.3d 123 (3d Cir.1996), decided after the district court here rendered judgment. In this appeal we are asked to distinguish Ryan or in the alternative to reconsider our holding in Ryan.

I.

Bollman Hat Company sponsors a self-insured, ERISA regulated employee benefit plan. After a Bollman employee, Kevin Root, was injured in a motorcycle accident, the Plan paid him $100,197.92 for his medical expenses. Thereafter, Root sued the third party responsible for his personal injuries and obtained a $215,000.00 settlement.

Bollman sought full reimbursement from Root in accordance with § 10.8 of the Plan, which provides:

In the event of any payment under the Plan to any covered person, the Plan shall, to the extent of such payment, be subrogated, unless otherwise prohibited by law, to all the rights of recovery of the covered person arising out of any claim or cause of action which may accrue because of alleged negligent conduct of a third party. Any such covered person hereby agrees to reimburse the Plan for any payments so made hereunder out of any monies recovered from such third party as the result of judgment, settlement, or otherwise____

(emphasis added). Root complied with Boll-man’s request for reimbursement in part, but withheld $30,507.13 to pay a portion of the[*115] attorney’s fees and costs incurred in obtaining the third party settlement.

Bollman contends the terms of the Plan require full reimbursement and do not allow Root to withhold money for attorney’s fees. Bollman also maintains Root expressly agreed to full reimbursement when he signed a Reimbursement Agreement before receiving the $100,197.92 from the Plan. The Reimbursement Agreement provides:

I, Kevin T.'Root, understand and acknowledge that my medical plan has a reimbursement provision which provides that medical benefits paid under the plan are to be reimbursed up to the amount of such benefits paid from any payments, awards or settlements which may be paid by any third party.

(emphasis added).

As sponsor of the Plan, Bollman brought suit against Root in district court for $30,-507.13.[1] Following stipulations of fact and cross-motions for summary judgment, the district court granted summary judgment to Root. Finding Root’s personal injury litigation substantially benefited Bolhnan, the district court held Bollman would be unjustly enriched if Root bore the. full burden of litigation costs. Bollman appeals, citing our intervening decision in Ryan by Capria-Ryan v. Fed. Express Corp., 78 F.3d 123 (3d Cir.1996).

II.

Bollman states in its complaint that jurisdiction arises under the Employee Retirement Income Security Act of 1974 (“ERISA”), 29 U.S.C. §§ 1001-1461. A case may arise under ERISA where the suit is filed by a plan sponsor who is also a fiduciary. See Northeast Dep’t ILGWU Health and Welfare Fund v. Teamsters Local Union No. 229 Welfare Fund, 764 F.2d 147, 153 (3d Cir.1985) (we must “narrowly and literally” interpret ERISA’s civil enforcement provision, 29 U.S.C. § 1132, which allows only a participant, a beneficiary, or a fiduciary to sue). A plan sponsor is a fiduciary only “to the extent” it acts in a fiduciary capacity. 29 U.S.C, § 1002(21)(A) (definition of “fiduciary”). See also Malia v. General Elec. Co., 23 F.3d 828, 833 (3d Cir.), cert. denied, 513 U.S. 956, 115 S.Ct. 377, 130 L.Ed.2d 328 (1994).

Bollman has limited the “extent” to which it is a fiduciary by delegating some of its fiduciary duties. At least one circuit has held a suit brought by a plan sponsor as a fiduciary does not arise under ERISA unless the action is related to the fiduciary duties retained by the plan sponsor. See Coyne & Delany Co. v. Selman, 98 F.3d 1457, 1465 (4th Cir.1996). Cf. Northeast Dep’t, 764 F.2d at 154 (“[Ojne’s status as fiduciary under ERISA is dependant upon one’s relationship to a particular plan.”) It is unclear whether Bollman retained fiduciary duties which are in any way relevant to this lawsuit. But we do not need to resolve this issue here. Even if our jurisdiction does not arise under the statute itself, we nonetheless have jurisdiction arising under the federal common law developed pursuant to ERISA. See Airco Indus. Gases, Inc. Div. of the BOC Group, Inc. v. Teamsters Health and Welfare Pension Fund of Philadelphia and Vicinity, 850 F.2d 1028, 1033-34 (3d Cir.1988) (ERISA case may arise under federal common law where it does not arise directly under the statute).

Federal question jurisdiction will support claims arising under federal common law as well as those of a statutory origin. See Illinois v. City of Milwaukee, Wis., 406 U.S. 91, 100, 92 S.Ct. 1385, 1391, 31 L.Ed.2d 712 (1972). A case arises under federal common law if the issue presented is one “of central concern” to ERISA. Airco, 850 F.2d at 1033 (quoting Franchise Tax Bd. of the State of Cal. v. Construction Laborers Vacation Trust for S. Cal., 463 U.S. 1, 26-27, 103 S.Ct. 2841, 2855, 77 L.Ed.2d 420 (1983)). This is such a case. See, e.g., Provident Life & Accident Ins. Co. v. Waller, 906 F.2d 985, 991 (4th Cir.) (holding the issue of “whether federal courts should impart unjust enrichment principles into the gaps left by ERISA” is one of central concern to the statute), cert. [*116] denied, 498 U.S. 982, 111 S.Ct. 512, 112 L.Ed.2d 524 (1990); Northeast Dep’t, 764 F.2d 147 (we have federal question jurisdiction to determine a question that implicates ERISA).

We have jurisdiction under 28 U.S.C. § 1291. Our review of the district court’s grant of summary judgment is plenary. See Ryan by Capria-Ryan v. Fed. Express Corp., 78 F.3d 123, 125 (3d Cir.1996).

III.

Shortly after the district court granted Root summary judgment, we held in Ryan by Capria-Ryan v. Fed. Express Corp., 78 F.3d 123 (3d Cir.1996), that an ERISA plan participant whose third party recovery is subrogated to the plan may not withhold attorney’s fees where the plan unambiguously requires full reimbursement. See id. at 127. Bollman contends this case is indistinguishable from Ryan.

A.

The Ryans were employees of Federal Express and participants in its ERISA plan. After Mrs. Ryan gave birth to a daughter with cerebral palsy and severe brain damage, the Federal Express plan paid medical expenses. Meanwhile, the Ryans brought suit for medical malpractice. After the suit was settled, the Federal Express plan demanded full reimbursement. The Ryans refused, insisting on withholding a portion of counsel fees incurred in pursuing their medical malpractice claim.

The Federal Express plan’s subrogation provision provided, “[I]f benefits are paid on account of an illness resulting from the intentional actions or from the negligence of a third party, the Plan shall have the right to recover, against any source which makes payments or to be reimbursed by the Covered Participant who receives such benefits, 100% of the amount of covered benefits paid.” Ryan, 78 F.3d at 124.

The Ryans sued Federal Express. The district court granted the. Ryans summary judgment based on the common law doctrine of unjust enrichment. On appeal, we reviewed the reach of federal courts to apply common law doctrines in ERISA actions and reversed, holding that common law may not “override a subrogation provision in an ERISA-regulated plan on the ground that the plan would be unjustly enriched if it were to be enforced as written.” Id. We stated:

The language of the subrogation provision at issue here unambiguously requires the Ryans to pay back all the money they received from the Plan. Since the Ryans have failed to establish that the Plan ‘conflicto] with the statutory policies of ERISA’ and have similarly failed to show that the common law right at issue ‘is necessary to ... effectuate a statutory policy,’ we must reject the Ryans’ attempt to establish the common law right they would have us recognize.

Id. at 127 (citations omitted). We also held that “[e]nrichment is not ‘unjust’ where it is allowed by the express terms of the ... plan.” Id. (quoting Cummings by Techmeier v. Briggs & Stratton Retirement Plan, 797 F.2d 383, 390 (7th Cir.), cert. denied, 479 U.S. 1008, 107 S.Ct. 648, 93 L.Ed.2d 703 (1986)).

B.

Root argues Ryan is distinguishable because the subrogation provision in the Bollman plan is ambiguous and does not require full reimbursement. Whether an ERISA plan is ambiguous is a question of law. See In re Unisys Corp. Long-Term Disability Plan ERISA Litig., 97 F.3d 710, 715 (3d Cir.1996).

We will look to the words of the Plan to make this determination. See id. (“[T]he parties remain bound by the appropriate objective definition of the words they use to express their intent.”) (quoting Mellon Bank, N.A v. Aetna Business Credit, Inc., 619 F.2d 1001, 1013 (3d Cir.1980)); Ryan, 78 F.3d at 126. The Bollman plan requires reimbursement of “any payments” made by the Plan to a participant, and provides for subrogation to “all [of Root’s] rights of recovery.” As used in the plan, the words “any” and “all” both mean “the whole of’ or “every.” Black’s Law Dictionary 74, 94 (6th ed.1990). Notwithstanding the universal scope of “any” and “all,” Root attempts to[*117] distinguish the Bollman plan, which called for “100%” reimbursement. We see no distinction. On this point, we find the Ryan plan and the Bollman plan to be materially identical and the Bollman plan to be unambiguous.

Root also contends the Plan is ambiguous on B oilman’s duty to pay Root’s attorney’s fees because it provides, “The Company shall pay fees and costs associated with the enforcement of the Plan rights.” But the application of this provision is expressly limited to “enforcement of the Plan rights,” i.e. actions in which the Plan enforces its own rights. It does not require the Plan to fund actions to enforce the independent rights of a plan beneficiary against a third party.

C.

Root maintains the Reimbursement Agreement he signed is ambiguous because it does not specifically address attorney’s fees. But the Reimbursement Agreement requires reimbursement “up to the amount of such benefits paid.” A plan or agreement need not specifically address attorney’s fees in order to unambiguously require full reimbursement.[2]

IV.

The major thrust of Root’s argument is that Ryan was incorrectly decided and should be overruled. Amicus, the Pennsylvania Trial Lawyers Association, also urges us to reconsider our holding in Ryan. Of course, a panel of our court cannot overrule a prior published decision.[3] Only the court en banc may do this. See Third Circuit I.O.P. 9.1.

Nonetheless, amicus contends Ryan will lead to inequitable results where a plan participant’s third party recovery is less than the plan’s subrogation claim plus attorney’s fees. But Root’s third party settlement fully financed his attorney’s fees and the subrogation claim. We will not address hypothetical scenarios.

Amicus also contends Ryan may hinder settlement of claims by plan participants against third parties. This prospect is troublesome. But Ryan holds only that we must uphold unambiguous plan terms that do not conflict with ERISA’s statutory policies. Depending on the circumstances, parties to a subrogation agreement may still be able to negotiate compromises on attorneys’ fees.

V.

Finally, Root raises an issue apparently not raised in Ryan. Citing the common law on subrogation, Root maintains that a subrogee may not recover more than the subrogor. Although his argument is not explicit, it ap[*118] pears Root advocates a pro rata reduction of the Plan’s subrogation lien, i.e. the Plan’s recovery should be limited, as Root’s recovery was limited, by a pro rata portion of the attorney’s fees. See, e.g., Simmons v. Cohen, 122 Pa.Cmwlth. 70, 551 A.2d 1124, 1127 (1988) (holding that, where welfare recipients sued to recover SSI awards which were subrogated to the state department of public welfare, the state department subrogee had common law duty to contribute to their legal expenses).

ERISA is silent on the issue of subrogation. Ryan, 78 F.3d at 127. We may adopt a common law principle only if “necessary to fill in interstitially or otherwise effectuate the statutory pattern enacted in the large by Congress.” Plucinski v. I.A.M. Nat’l Pension Fund, 875 F.2d 1052, 1056 (3d Cir.1989) (quoting Van Orman v. American Ins. Co., 680 F.2d 301, 312 (3d Cir.1982)). Otherwise, we may not create substantive ERISA rights. See Hamilton v. Air Jamaica, Ltd., 945 F.2d 74, 78 (3d Cir.1991) (Courts have “no authority to draft the substantive content in [ERISA] plans.”) (quoting Blau v. Del Monte Corp., 748 F.2d 1348, 1353 (9th Cir.1984), cert. denied, 474 U.S. 865, 106 S.Ct. 183, 88 L.Ed.2d 152 (1985)), cert. denied, 503 U.S. 938, 112 S.Ct. 1479, 117 L.Ed.2d 622 (1992); Van Orman v. American Ins. Co., 680 F.2d 301, 312 (3d Cir.1982).

Root has not established that full reimbursement of subrogation claims conflicts with ERISA’s policies or that adoption of a pro rata reduction is necessary to effectuate these policies. In fact, the policies underlying ERISA generally counsel reliance on unambiguous plan language. Van Orman, 680 F.2d at 312 (“The Supreme Court has emphasized the primacy of plan provisions____”). Although circumstances may arise necessitating a pro rata reduction in reimbursement, we find Root’s argument in this case unconvincing.

VI. Conclusion

For the reasons stated, we will reverse the grant of summary judgment in favor of Root and remand to the district court to enter judgment in favor of Bollman. See Ryan by Capriar-Ryan v. Fed. Express Corp., 78 F.3d 123 (3d Cir.1996).

Present: SLOVITER, Chief Judge, BECKER, STAPLETON, MANSMANN, GREENBERG, SCIRICA, COWEN, NYGAARD, ALITO, ROTH, LEWIS and McKEE, Circuit Judges.
1

The parties stipulated that $30,507.13 is the amount due if defendants prevail. Bollman named as a defendant Dale - Anstine, P.C., who holds the disputed $30,507.13 in an escrow account pending resolution of this matter.

2

Root also argues the Reimbursement Agreement is an unconscionable adhesion contract. But the parties' stipulations of fact, which were the sole factual basis for the district court’s decision on summary judgment, do not contain facts necessary to support this argument. Generally we do not consider facts raised for the first time on appeal. See Harris v. City of Philadelphia, 35 F.3d 840, 845 (3d Cir.1994).

3

We note the holding in Ryan has support in the case law. See Cutting v. Jerome Foods, Inc., 993 F.2d 1293, 1298-99 (7th Cir.) (declining to adopt federal common law rule preventing full reimbursement where the clear language of an ERISA plan requires full reimbursement), cert. denied, 510 U.S. 916, 114 S.Ct 308, 126 L.Ed.2d 255 (1993); Blackburn v. Becker, 933 F.Supp. 724, 729 (N.D.Ill.1996) (employee may not withhold attorney’s fees because “there is no reason to fiddle with an unambiguous plan provision which the parties freely entered into.”); Trident Reg'l Health Sys. v. Polin, 948 F.Supp. 509, 514 (D.S.C.1996) ("[Fjederal courts do not rewrite the unambiguous terms of an ERISA plan.... ”); Provident Life & Accident Ins. Co. v. Williams, 858 F.Supp. 907, 912 (W.D.Ark.1994) (allowing plan participants to withhold attorney’s fees but recognizing that “if the right to reimbursement were contractually defined, the parties could expressly agree that reimbursement would be the first money out of the settlement monies with no deduction for attorneys fees and costs.”); Thompson v. Fed. Express Corp., 809 F.Supp. 950, 958 (M.D.Ga.1992) (holding plan participant may not withhold portion of attorney’s fees where plan required full reimbursement). But see Provident Life & Accident Ins. Co. v. Waller, 906 F.2d 985, 993 (4th Cir.) (requiring reimbursement under theory of unjust enrichment because ERISA indicates Congress’s desire to ensure that plans are administered equitably and "that no one party, not even plan beneficiaries, should unjustly profit."), cert. denied, 498 U.S. 982, 111 S.Ct. 512, 112 L.Ed.2d 524 (1990); Dugan v. Nickla, 763 F.Supp. 981, 984-85 (N.D.Ill.1991) (reducing reimbursement to reflect payment of attorney's fees, despite plan language requiring full reimbursement).

Rehearing

SUR PETITION FOR REHEARING

May 15, 1997.

The petition for rehearing filed by appellees in the above-entitled case having been submitted to the judges who participated in the decision of this Court and to all the other available circuit judges of the circuit in regular active service, and no judge who concurred in the decision having asked for rehearing, and a majority of the circuit judges of the circuit in regular service not having voted for rehearing, the petition for rehearing by the panel and the Court in banc, is denied. Judge Becker would grant rehearing.