Court Opinion

ID: 53798
Source: CourtListenerOpinion
Date Created: 2010-04-26 01:25:49+00
Date Added: 2024-06-11T17:19:22.589536
License: Public Domain

IN THE UNITED STATES COURT OF APPEALS
                    FOR THE FIFTH CIRCUIT United States Court of Appeals
                                                   Fifth Circuit

                                                                            FILED
                                                                         November 5, 2007

                                     No. 07-60289                     Charles R. Fulbruge III
                                   Summary Calendar                           Clerk

MICHAEL L WILSON; FRANKLIN LAVELL PRETWOOD; ROBERT
DRAUGHN; WALTER BOWENS; TRACY BOWENS; ET AL,

                                                  Plaintiffs-Appellants,
v.

KIMBERLY-CLARK CORPORATION,

                                                  Defendant-Appellee.

                   Appeal from the United States District Court
           of the Southern District of Mississippi, Hattiesburg Division
                                   (2:06-CV-43)

Before HIGGINBOTHAM, STEWART, and OWEN, Circuit Judges.
PER CURIAM:*

       Plaintiffs, originally a group of 61 (and now 59) former employees of
Kimberly-Clark Corporation, brought a suit for fraud, equitable estoppel, breach
of contract, and misrepresentation in Mississippi state court, arguing that
Kimberly-Clark had wrongfully denied them severance pay when the corporation

       *
         Pursuant to 5TH CIR. R. 47.5, the court has determined that this opinion should not
be published and is not precedent except under the limited circumstances set forth in 5TH CIR.
R. 47.5.4.
                                      No. 07-60289

terminated their positions on December 31, 2004. Appellees removed the case
to federal district court and filed a 12(b)(6) Motion to Dismiss. Plaintiffs filed a
Motion to Remand. The district court granted Defendants’ Motion to Dismiss
and denied Plaintiffs’ Motion to Remand,1 finding that ERISA preempted
Plaintiffs’ claims, and that Plaintiffs had failed to plead that they exhausted
their administrative remedies under ERISA and had incorrectly named
Kimberly-Clark, rather than the plan administrator, as the defendant.2
      Plaintiffs had worked at Kimberly-Clark since January 4, 1982, and
alleged that they were entitled to severance pay pursuant to benefits promised
in the Kimberly-Clark Hattiesburg Organization Handbook. The Kimberly-
Clark Corporation Severance Pay Plan was effective as of January 1, 1998, and
provided, as originally written:
      Each participant whose employment is involuntarily terminated shall
      receive Severance Pay; provided, however, that Severance Pay shall not
      be paid to any Participant who: (a) is terminated for Cause; (b) voluntarily
      quits or retires; (c) dies; or (d) is terminated as part of a Group
      Termination . . . The Committee [“appointed to administer and regulate
      the plan] Shall have the sole discretion to determine whether a
      termination is voluntarily or involuntary, and whether a Participant’s
      termination is for Cause.

The original plan did not allow for severance pay in the event of “the outsourcing
of an Employee to a company other than an Employer” and “a sale or shutdown
of a portion of the Corporation . . . .” To receive severance pay, employees under
the plan were required to complete a Severance Agreement and Release for the
Committee.        It included a formula for calculating severance benefits and
Provided that “[a]ny action on matters within the discretion of the committee

      1
Wilson v. Kimberly-Clark Corp., 2007 U.S. Dist. LEXIS 16842 *12-*13 (2007).
      2
          Id. at *10 -*12.

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                                        No. 07-60289

. . . shall be final and conclusive as to all Eligible Employees and other persons
claiming rights under the Plan.” The Kimberly-Clark Board administering the
plan amended it on September 10, 2004, to disallow severance pay in the event
of “any separation or reorganization of the Corporation including, but not limited
to, a sale, spin-off or shutdown of a portion of the Corporation” and “the
outsourcing of an Employee to a company other than an Employer . . . .”
       Because ERISA (29 U.S.C. § 1132 (e)(1)) grants the federal courts
“exclusive jurisdiction” in civil actions involving ERISA plans,3 the parties
dispute whether or not this plan is an Employee Welfare Benefit Plan under
ERISA. We do not typically have jurisdiction to review a district court’s denial
of a Motion to Remand.4 Here, however, because the denial is accompanied by
the district court’s granting of the Motion to Dismiss,5 we review de novo the
court’s denial of the remand motion6 and find that the district court properly
refused to remand plaintiffs’ case to state court on the grounds that it was
preempted by ERISA. Although, as Plaintiffs argue, a plan does not fall under
ERISA simply because a defendant corporation has called it a “plan,” here a plan

       3
         See also Metropolitan Life Ins. Co. v. Taylor, 481 U.S. 58, 62-63 (1987) (finding
exclusive federal jurisdiction under ERISA for lawsuits that “relate to an employee benefit
plan” and that are brought “by a beneficiary to recover benefits from a covered plan”).
       4
        Chicago, R. I. & P. R. Co. v. Stude, 346 U.S. 574, 578 (1954) (citing Deckert v.
Independence Shares Corp., 311 U.S. 282, 287 (1940)) (“the order denying the motion to
remand standing alone would not be appealable”).
       5
         See id. (Where a motion to dismiss and motion to remand are treated in the same case
and “involve the same subject,” the motion to remand is reviewable on appeal). See also Swint
v. Chambers County Comm’n, 514 U.S. 35, 50 (“Court of Appeals reviewing order granting
motion to dismiss properly reviewed order denying opposing party’s motion to remand”) (citing
Chicago, R. I. & P. R. Co. v. Stude, 346 U.S. 574, 578 (1954)). The court here found that the
plan was subject to ERISA, which preempted state law determination of the issues. Therefore,
it denied the Motion to Remand. Upon finding that the plan was subject to ERISA, the court
also dismissed the case on the grounds that the plaintiffs had failed to state a claim with
respect to ERISA. Therefore, the denial of remand and granting of dismissal were linked
determinations.
       6
           Heritage Bank v. Redcom Labs, Inc., 250 F.3d 319, 323 (5th Cir. 2001).

                                               3
                                            No. 07-60289

existed both in label and in practice. To determine whether ERISA governs a
benefit plan, we follow a “three-factor test,”7 asking whether: “(1) the plan exists;
(2) the plan falls within the safe-harbor provision established by the Department
of Labor; and (3) the employer established or maintained the plan with the
intent to benefit employees.”8 To determine the existence of a plan under the
first factor, we look to Fort Halifax Packing Co. v. Coyne,9 which defines the
existence of an ERISA benefit plan by an “ongoing administrative scheme”10 as
opposed to a “one-time, lump-sum payment triggered by a single event . . .
[which] requires no administrative scheme whatsoever.”11 The Supreme Court
suggested that “determining the eligibility of claimants, calculating benefit
levels, making disbursements, monitoring the availability of funds for benefit
payments, and keeping appropriate records in order to comply with applicable
reporting requirements”12 is evidence of an administrative scheme. The
pleadings and the discovery ordered by the district judge in determining whether
to grant Plaintiffs’ Motion to Remand show that Kimberly-Clark’s plan existed.
The Kimberly-Clark Corporation Severance Pay Plan, originally and as
amended, set forth specific eligibility criteria that disqualified some potential
plan participants. The plan and its amended versions provided increasingly
detailed formulas for calculating plan benefits, specified how the payment was
to be disbursed, and required its Committee to establish “a procedure for

          7
              Peace v. American General Life Ins. Co., 462 F.3d 437, 439 (5th Cir. 2006).
          8
              Id. (citing the three-part test in Meredith v. Time Ins., 980 F.2d 352, 355 (5th Cir.
1993)).
          9
              482 U.S. 1 (1987).
          10
               Id. at 9.
          11
               Id. at 12.
          12
               Id. at 9.

                                                   4
                                         No. 07-60289

handling all claims.”         The original plan also specified the Board’s ability to
amend the plan, provided it would not increase the annual cost above a certain
amount ($1 million or $25 million if approved and executed by the CEO).
Although the form of payment under the plan was to be “a lump sum cash
payment . . . no more than 90 days” following a participant’s termination, this
does not negate the existence of a clear administrative scheme governing the
plan. Nor does the fact that the company itself formed and operated the plan
through a committee diminish the plan’s administrative nature; in Fort Halifax,
the court recognized that “an employer that makes a commitment systematically
to pay certain benefits”13 and takes on administrative duties such as those
described above operates a plan as defined by ERISA. And although some lump-
sum severance payment arrangements do not fall under ERISA, those
arrangements have involved a discrete payment of one benefit that was not
distributed according to a plan.14 Defendant, to the contrary, has shown that it
follows specific administrative procedures under a clearly-defined plan in
distributing severance benefits. Where other employers have similarly operated
severance pay pursuant to a plan – providing the terms in an employees’
handbook and policy manual and setting forth eligibility criteria15 – we and other
circuits have found that the plan squarely falls under ERISA, despite being
funded by an employer’s general resources rather than a specific trust fund.16

       13
            Id. at 9 (emphasis added).
       14
         See id. at 16. See also Whittemore v. Schlumberger Technology Corp., 976 F.2d 922,
923 (5th Cir. 1992) (distinguishing Fort Halifax and Wells v. General Motors Corp., 881 F.2d
166 (5th Cir. 1989) as cases where companies distributed severance pay without a plan or
administration of benefits).
       15
        Holland v. Burlington Industries, Inc., 772 F.2d 1141, 1143-44 (4th Cir. 1985),
summarily aff’d, 477 U.S. 901 (1986).
       16
         Id. at 1145-46. See also Whittemore, 976 F.2d at 923 (unfunded severance plan that
“plainly required some sort of an administrative set-up in order to make payments to
employees” was a plan within the meaning of ERISA); Gilbert v. Burlington Industries, Inc.,

                                              5
                                         No. 07-60289

       Plaintiffs do not contend on appeal that the plan fell within a safe harbor
provision. And the plan language itself demonstrates that the plan was intended
to benefit employees,17 as do the multiple disbursements that Defendant has
made to terminated employees under the plan. Because Plaintiffs failed to show
how the severance plan was not a benefits plan under ERISA, the district court
properly refused to remand the case to state court.
       Plaintiffs next contend that, in granting Defendant’s 12(b)(6) Motion to
Dismiss, the court improperly looked beyond the pleadings in finding that
Plaintiffs had not exhausted their administrative remedies under ERISA. The
court accepted Defendant’s assertion that Plaintiffs had not exhausted their
remedies, finding that a plan existed and: “The burden . . . rests with the
plaintiffs to first allege, then prove if necessary, exhaustion [through the plan]
. . . Exhaustion is a prerequisite to bringing suit.”18 Defendant attached a copy
of its Severance Pay Plan – the amended version, as of September 10, 2004 – to
its 12(b)(6) motion to show that the plan was governed by ERISA and therefore
required exhaustion of remedies, but Plaintiffs argue that the court improperly
considered the plan because it was not authenticated and was outside of the
pleadings. We find that the district court properly considered the plan but erred
in dismissing the case on the grounds of failure to exhaust administrative
remedies.
       We review the grant of a motion to dismiss de novo,19 asking “whether in
the light most favorable to the plaintiff and with every doubt resolved in his

765 F.2d 320, 325 (2d. Cir. 1985) (unfunded severance payment plan is a “plan” under ERISA).

       17
          “The purpose of the Plan is to provide Eligible Employees a severance benefit in the
event of involuntary termination of employment.”
       18
            2007 U.S. Dist. LEXIS 16842 at *12.
       19
            Causey v. Sewell Cadillac-Chevrolet, Inc., 394 F.3d 285, 288 (5th Cir. 2004).

                                                6
                                         No. 07-60289

behalf, the complaint states any valid claim for relief.”20                 We uphold the
dismissal “only if it appears beyond doubt that the plaintiff can prove no set of
facts in support of his claim which would entitle him to relief.”21 More recently.
however, the Supreme Court has established a more stringent pleading
requirement, finding that plaintiffs’ “[f]actual allegations [under Rule 8(a)(2)]
must be enough to raise a right to relief above a speculative level”22 and that
mere allegations without a suggestion of a loss, for example, and the cause of
that loss, are insufficient.23 Appellate courts are “not bound to accept as true a
legal conclusion couched as a factual allegation.”24 When granting a motion to
dismiss, district courts must limit their review to the pleadings before them.25
       With respect to the exhaustion requirement, we have recognized that
“ERISA contains no exhaustion requirement whatsoever”26 but that “we [have]
adopted the common law rule that a plaintiff generally must exhaust
administrative remedies afforded by an ERISA plan before suing to obtain
benefits wrongfully denied.”27 A plaintiff must exhaust his remedies where “the
grievance upon which the lawsuit is based arises from some action of a plan
covered by ERISA, and . . . the plan is capable of providing the relief sought by

       20
            Collins v. Morgan Stanley Dean Witter, 224 F.3d 496, 498 (5th Cir. 2000).
       21
            Causey, 394 F.3d at 288 (internal quotations and citations omitted).
       22
            Bell Atl. Corp. v. Twombly, 127 S. Ct. 1955, 1965 (2007).
       23
            Dura Pharm., Inc. v. Broudo, 544 U.S. 336, 347 (2005).
       24
            Papasan v. Allain, 478 U.S. 265, 286 (1986).
       25
            Colle v. Brazos County, Texas, 981 F.2d 237, 231 (5th Cir. 1993).
       26
            Chailland v. Brown & Root, Inc., 45 F.3d 947, 950 (5th Cir. 1995).
       27
         Id. at 950 (citing Denton v. First National Bank, 765 F.2d 1295, 1300-03 (5th Cir.
1985)). See also McGowin v. ManPower Int’l., Inc., 363 F.3d 556, 559 (5th Cir. 2004) (quoting
Bourgeois v. Pension Plan for Employees of Santa Fe Int’l Corp., 215 F.3d 475, 479 (5th Cir.
2000)).

                                                7
                                       No. 07-60289

the plaintiff.”28 More recently, we have more broadly required exhaustion,
finding: “A claimant who is denied benefits under an ERISA plan must exhaust
all administrative remedies afforded by the plan before instituting litigation for
recovery of benefits.”29
      Here, Plaintiffs’ pleadings adequately stated a claim for relief. Plaintiffs’
complaint alleged that Kimberly-Clark “represented to each Plaintiff that his or
her employment benefits included a right to severance pay” and that they relied
upon these representations when they accepted employment with Kimberly-
Clark.     Further, they alleged that Kimberly-Clark was required to make
severance payments within 90 days following Plaintiffs’ termination and “wholly
failed to make severance payments to those plaintiffs.” Wrongful denial of
benefits is a cause of action under ERISA § 502(a)(1)(B).30 Because their
pleadings were based wholly on a general assertion that Defendant denied them
promised benefits,31 without relying upon a reference to the plan, Plaintiffs
argue that it was improper for the court to find that they were required to
exhaust their administrative remedies under this plan.
      Plaintiffs’ contention that the district court should not have considered the
severance pay plan in its granting of Defendant’s Motion to Dismiss and
determining that Plaintiffs were required to exhaust their administrative
remedies under an ERISA plan is without merit. Although district courts “in
ruling on Rule 12(b)(6) motions generally may rely only on the complaint and its

      28
           Id. at 950.
      29
           Lacy v. Fulbright & Jaworski, 405 F.3d 254, 256 (5th Cir. 2005).
      30
           See Hall v. National Gypsum Co., 105 F.3d 225, 228 (5th Cir. 1997).
      31
          Plaintiffs demonstrated Kimberly-Clark’s promised benefits by attaching a copy of
a page from the Hattiesburg Organization Handbook, which made no reference to a “plan” for
severance pay and simply stated: Severance Pay 1 week/yr service (min. 6 - max 26 wks.).

                                              8
                                         No. 07-60289

proper attachments . . .[t]hey are permitted to rely on matters of public record.”32
And even if the plan was not part of the public record, the court had already
concluded that the plan existed and fell under ERISA when it denied the Motion
to Remand. It therefore need not have ignored the plan’s existence in making
its determination on the pleadings, particularly because the court had to
ascertain whether it had proper jurisdiction over the case, and administrative
exhaustion is a prerequisite to jurisdiction under ERISA.                      Furthermore,
Plaintiffs, by avoiding any mention of a “plan” in the proceedings, could not
avoid the fact that the very severance benefits they claimed had been wrongfully
denied were disbursed pursuant                to a plan.      Despite the court’s proper
consideration of the existence of a plan, however, the court’s requirement that
plaintiffs plead exhaustion of remedies under the plan was an improper ground
for dismissal here.
       Although the complaint fails to allege that Plaintiffs exhausted their
administrative remedies, Defendant’s Motion to Dismiss also fails to show how
“the plan is capable of providing the relief sought by the plaintiff.”33 Due to the
fact that Kimberly-Clark’s plan provides no procedures for appealing the denial
of benefits, and that the corporation modified its severance pay plan to explicitly
exclude severance pay for termination resulting from spin-off, the plan does not
appear to provide any remedies to Plaintiffs. We have“recognized an exception
to the affirmative defense of failure to exhaust administrative remedies when
such attempts would be futile.”34 Similarly, we have cited the Eleventh Circuit’s
finding that “there are occasions when a court is obliged to exercise its
jurisdiction . . . the most familiar examples perhaps being when resort to

       32
            Fin. Acquisition Ptnrs v. Blackwell, 440 F.3d 278, 286 (5th Cir. 2006).
       33
            Chailland, 45 F.3d at 950.
       34
          Bourgeois v. Pension Plan for the Emples. of Santa Fe Int'l Corps., 215 F.3d 475, 479
(5th Cir. 2000).

                                                9
                                            No. 07-60289

administrative remedies is futile or the remedy inadequate.”35 Viewing the facts
most favorably to the Plaintiffs, the district court should not have required them
to plead exhaustion if any attempt at exhaustion would have been futile.
Furthermore, as Defendant concedes, the Supreme Court has recently found –
with respect to exhaustion requirements under the Prison Litigation Reform Act
– that exhaustion is an affirmative defense,36 and that plaintiffs need not
“specially plead or demonstrate exhaustion in their complaints”37 to avoid
12(b)(6) dismissal. Although Plaintiffs failed to plead that they exhausted
administrative remedies, they need not have done so here.
          The district court also erred in finding, when it granted Defendant’s
Motion to Dismiss, that Plaintiffs were required to sue the Kimberly-Clark
Corporation Severance Pay Plan rather than the corporation itself, relying on
Musmeci v. Schwegmann Giant Super Mkts., Inc.38 In Musmeci, we found that
where the employer was both the “plan administrator” and “plan sponsor” and
the relevant plan has “no meaningful existence separate from” the employer, it
was proper to name the employer as a defendant.39 Plaintiffs’ pleadings alleged
that the “Defendant owned and operated a manufacturing facility . . . where each
of the named Plaintiffs were employed,” that Defendant promised employees
severance benefits “orally, in writing, by publication of benefits on a web-site,”
and that “defendant discharged each of the 61 plaintiffs and has wholly failed
and refused to make severance payments to those plaintiffs.” This evidence,

          35
         Hall, 105 F.3d at 232 (quoting Curry v. Contract Fabricators, Inc. Profit Sharing
Plan, 891 F.2d 842, 846 (11th Cir. 1990)).
          36
Jones v. Bock, 127 S. Ct. 910, 921 (2007).
          37
               Id.
          38
               Wilson, 2007 U.S. Dist. LEXIS 16842 at *12 (citing 332 F.3d 339, 349-50 (5th Cir.
2003)).
          39
               332 F.3d 339, 350 (5th Cir. 2003).

                                                    10
                                 No. 07-60289

viewed in the light most favorable to the Plaintiffs, could show that suing the
plan was unnecessary, as Plaintiffs alleged specifically that the Defendant (not
the plan) was responsible for failing to pay the benefits.
      We AFFIRM the district court’s denial of Plaintiffs’ Motion to Remand but
REVERSE its grant of Defendant’s Motion to Dismiss, REMANDING for
proceedings consistent with this opinion.

                                       11