Thomas v. Miller ( 2007 )


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  •                            RECOMMENDED FOR FULL-TEXT PUBLICATION
    Pursuant to Sixth Circuit Rule 206
    File Name: 07a0247p.06
    UNITED STATES COURT OF APPEALS
    FOR THE SIXTH CIRCUIT
    _________________
    X
    Plaintiff-Appellant, -
    SILVIA J. THOMAS,
    -
    -
    -
    No. 05-2404
    v.
    ,
    >
    CHANCEY MILLER and ELMWOOD CEMETERY,            -
    Defendants-Appellees. -
    N
    Appeal from the United States District Court
    for the Eastern District of Michigan at Detroit.
    No. 05-70473—Julian A. Cook, Jr., District Judge.
    Submitted: January 24, 2007
    Decided and Filed: June 27, 2007
    Before: BOGGS, Chief Judge; and MERRITT and MOORE, Circuit Judges.
    _________________
    COUNSEL
    ON BRIEF: Benjamin Whitfield, Jr., BENJAMIN WHITFIELD, JR. & ASSOCIATES, Detroit,
    Michigan, for Appellant. James F. Hermon, DYKEMA GOSSETT, Detroit, Michigan, for
    Appellees.
    _________________
    OPINION
    _________________
    BOGGS, Chief Judge. Silvia Thomas sued Elmwood Cemetery and Chancey Miller, her
    former employer and supervisor, respectively, for health benefits under the Consolidated Omnibus
    Reconciliation Act (“COBRA”). Both parties agreed that Elmwood falls below the statute’s
    application threshold of twenty or more employees, which is codified at 
    29 U.S.C. § 1161
    (b).
    Thomas argued, however, that the doctrine of equitable estoppel should bar the defendants from
    claiming that they fall below the statutory threshold. The district court granted summary judgment
    to Elmwood and Miller, holding as a matter of law that estoppel could not be applied to excuse the
    failure to meet the numerical threshold.
    This case presents two questions in the context of an action under COBRA. First, can the
    doctrine of equitable estoppel bar an employer, who employs fewer than the statute’s threshold of
    1
    No. 05-2404               Thomas v. Miller, et al.                                                                Page 2
    twenty employees, from defending an action on that basis? Second, if equitable estoppel can so
    apply, can Thomas satisfy the doctrine’s requirements in this case?
    As we explain more fully below, the Supreme Court’s decision last term in Arbaugh v. Y &
    H Corp., 
    546 U.S. 500
    , 516 (2006), which held that such an application threshold is an element of
    a claim rather than a jurisdictional bar, renders this an open question in our circuit. There is no
    principled reason we can see, in Arbaugh’s wake, to set such a threshold apart from other elements
    of claims, which parties generally may concede, be ordered by a court to admit (as in a discovery
    sanction), or be equitably estopped from contesting. Thus, we hold that equitable estoppel may, in
    appropriate cases, bar an employer from arguing that it does not satisfy a statute’s numerical
    application threshold. Nevertheless, Thomas cannot satisfy the estoppel doctrine’s requirements in
    this case. Her claim cannot withstand summary judgment. We affirm the judgment of the district
    court.1
    I
    Thomas was employed by Elmwood Cemetery from 1993 through January 16, 2004. The
    parties agree that Elmwood consistently employed fewer than twenty people during that period.
    Thomas had health insurance coverage provided by Elmwood while she was employed there,
    although she was not formally notified of that coverage’s termination until two months after
    Elmwood fired her. That notification took place during a phone call in the first week of March
    2004. During that call, her provider informed her that “Elmwood Cemetery had notified them, in
    a letter signed by Mr. Miller, to cancel [her] health insurance coverage, retroactive to January 16,
    2004, the date of [her] termination.”
    During Thomas’s employment, Elmwood offered COBRA benefits to another employee,
    John Winn.2 Thomas became aware of Elmwood’s provision of those benefits to Winn from
    “conversations overheard within the very small office in which [she] formerly worked.” Those
    conversations involved Winn’s failure to pay his COBRA premiums on time, which resulted in
    “trouble” between Miller and Elmwood’s board of directors.
    Since her termination, Thomas has suffered a series of strokes, which she believes were
    caused by her inability to obtain medical care after her termination. Thomas also developed serious
    cardiac and respiratory problems. Due to those maladies, Thomas incurred substantial medical
    expenses, portions of which remain outstanding or were paid using borrowed funds.
    Thomas filed suit in February 2005 against Elmwood and Miller. She alleged that they had
    a duty under 
    29 U.S.C. § 1162
    (a)(2), a provision of COBRA, to notify her “of her right to continue
    in force without interruption the health insurance that she had been provided as a perquisite of her
    employment.” Thomas alleged that the defendants failed to meet that duty. As a consequence, she
    1
    For the purposes of all questions, the analysis for Elmwood and Miller is identical. The law is settled in this
    circuit that, in cases where a COBRA claimant seeks relief for her employer’s failure to provide her with statutorily-
    required notice, personal liability does not attach to a representative of her former employer unless that representative
    is the administrator of the ERISA/COBRA plan. McDowell v. Krawchison, 
    125 F.3d 954
    , 962 (6th Cir. 1997). Here,
    it is likely that Miller was the administrator of whatever plan was at issue, because he seems to have been responsible
    for awarding COBRA benefits to the one employee who received them. Thomas alleged in her complaint that Miller
    was the ERISA plan administrator, and Elmwood never disputed that assertion. Nevertheless, because both defendants’
    liability depends on whether Elmwood is covered by COBRA at all, the arguments that warrant affirming the judgment
    of the district court warrant doing so as to both defendants equally.
    2
    For covered employers, COBRA requires continuation health coverage to covered employees for eighteen
    months after a qualifying event (including termination) and notice to employees of their rights thereto. McDowell, 
    125 F.3d at 957-58
    .
    No. 05-2404                Thomas v. Miller, et al.                                                                Page 3
    requested relief in the form of continued health coverage during the litigation, notification of her
    rights under COBRA, $100 per day as a penalty for failure to comply with the statute, and other
    appropriate remedies. She also sought attorney’s fees and costs.
    The defendants moved for summary judgment without filing an answer. They argued that
    COBRA did not apply to Elmwood3 because, at all times relevant to the litigation, Elmwood
    employed fewer than twenty people. COBRA applies only to employers with twenty or more
    employees. See 
    29 U.S.C. § 1161
    (b) (“Subsection (a) shall not apply to any group health plan for
    any calendar year if all employers maintaining such plan normally employed fewer than [twenty]
    employees on a typical business day during the preceding calendar year.”).
    Thomas conceded that Elmwood did not employ twenty or more people. Nevertheless, she
    claimed that the defendants offered continuing COBRA benefits to a white male employee and
    denied those benefits to her, a black female. She further claimed that Elmwood knowingly engaged
    in racist and sexist practices. She thus argued:
    Plaintiff is entitled to the application of an equitable estoppel as to Defendants who,
    by their wholly voluntary conduct in (a) providing as [sic] BC/BS health insurance,
    a perquisite to all of its employees, which included COBRA coverage upon
    separation and (b) actually providing COBRA coverage to one John Winn,
    (apparently because he was a white male) after he left Elmwood, created a condition
    suitable for the application of the doctrine to bar them from raising § 1162(b) as a
    defense.
    Defendants should be equitably estopped from asserting any rights or defenses which
    might otherwise be available to them under the so-called small business exemption
    set forth at 
    29 USC § 1161
    (b) against Plaintiff herein, who,4in good faith relied upon
    the promises or offers of COBRA set forth in the manual,[ ] and further relied upon
    COBRA being available to her, should she ever leave Elmwood’s employ, because
    she knew that Winn got COBRA when he left.
    The district court sought authority from Thomas supporting her contention that equitable
    estoppel should apply in this case, but she provided little other than generic cases discussing the
    doctrine itself. At the time, our precedent precluded the use of estoppel in the fashion sought by
    Thomas because we had deemed statutory thresholds, such as COBRA’s, to be issues of subject
    matter jurisdiction. See, e.g., Douglas v. E.G. Baldwin & Assocs., Inc., 
    150 F.3d 604
    , 607 (6th Cir.
    1998). Thus, the district court granted the defendants’ motion for summary judgment because
    3
    The defendants also argued that the numerical threshold in the statute was jurisdictional, rather than an element
    of a plaintiff’s claim for relief. Circuit precedent would have supported that claim at the time. See Douglas v. E.G.
    Baldwin & Assocs., Inc., 
    150 F.3d 604
    , 607 (6th Cir. 1998) (holding that the court lacked subject matter jurisdiction
    because estoppel could not extend the reach of Family and Medical Leave Act beyond employers with at least fifty
    employees). However, the Supreme Court recently made clear that such numerical thresholds in federal statutes, absent
    clear direction from Congress, are elements of claims for relief, rather than limits controlling the subject matter
    jurisdiction of the federal courts. See Arbaugh, 
    546 U.S. at 515-16
    .
    4
    The manual’s provision, which is included in the joint appendix and is cited by both parties in their briefs,
    reads: “When you are no longer eligible for health care coverage through your employer, coverage for you and your
    dependents ends. However, if your group has 20 or more employees there are two options available to you. If your
    group has fewer than 20 employees, then only Group Conversion is available to you.”
    No. 05-2404                Thomas v. Miller, et al.                                                                 Page 4
    Thomas had not shown that COBRA applied to Elmwood.5 Thomas timely appealed and we have
    jurisdiction pursuant to 
    28 U.S.C. § 1291
    .
    II
    We review a district court’s grant of summary judgment de novo. Trustees of the Mich.
    Laborers’ Health Care Fund v. Gibbons, 
    209 F.3d 587
    , 590 (6th Cir. 2000). The decision below
    may be affirmed only if the pleadings, affidavits, and other submissions show “that there is no
    genuine issue as to any material fact and that the moving party is entitled to a judgment as a matter
    of law.” Fed. R. Civ. P. 56(c). We must draw all reasonable inferences in the light most favorable
    to the non-movant. See Matsushita Elec. Indus. Co., Ltd. v. Zenith Radio Corp., 
    475 U.S. 574
    ,
    587-88 (1986).
    III
    The first question for our decision is whether the doctrine of equitable estoppel can, in
    appropriate cases, bar an employer, concededly not meeting COBRA’s numerical application
    threshold, from defending an action under that statute on that basis. We hold, in the wake of the
    Supreme Court’s decision in Arbaugh, 
    546 U.S. at 515-16
    , that it can.
    COBRA is an amendment to the Employment Retirement Income Security Act (“ERISA”).
    See McDowell, 
    125 F.3d at 961
    . We already have held that the doctrine of equitable estoppel can
    apply in ERISA cases when welfare benefits plans, rather than pension plans, are at issue. See
    Armistead v. Vernitron Corp., 
    944 F.2d 1287
    , 1298-1300 (6th Cir. 1991). In Armistead, we wrote
    that ERISA authorizes the courts “to fashion a body of federal common law to enforce the
    agreement[s] that these statutes bring within their jurisdiction.” 
    Ibid.
     That body of federal common
    law includes equitable estoppel. 
    Ibid.
    Despite our application of estoppel in ERISA and other cases, we previously have refused
    to apply the doctrine when the issue was whether that party satisfied a statute’s numerical threshold.
    See, e.g., Douglas, 
    150 F.3d at 607
    . Our precedent makes clear, however, that the basis for our
    earlier decisions was a view that numerical-threshold requirements were jurisdictional matters rather
    than elements of claims. 
    Id.
     at 607-08 (citing Armbruster v. Quinn, 
    711 F.2d 1332
    , 1335 (6th Cir.
    1981) (“The essential question in this case is whether the plaintiffs’ [sic] are barred from bringing
    their claim in federal court by the Title VII jurisdictional requirement of fifteen employees.”)). See
    also Mickler v. Nimishillen & Tuscarawas Ry. Co., 
    13 F.3d 184
    , 189 (6th Cir. 1993) (“This Court
    has no jurisdiction over plaintiff’s estoppel claim. . . . Federal jurisdiction simply cannot be
    conferred by estoppel.”). Thus, when we addressed this question in Douglas, our decision was
    dictated by the maxim that parties can neither consent to federal jurisdiction nor waive a court’s lack
    of jurisdiction. Douglas, 
    150 F.3d at 608-09
     (“Parties cannot create subject matter jurisdiction by
    contract where none exists, nor can they waive a court’s lack of subject matter jurisdiction because,
    5
    At the time the district court rendered its decision, it should have dismissed the case for want of subject matter
    jurisdiction because it was clear that our precedent required that result. Under our earlier cases, the federal courts did
    not have subject matter jurisdiction to hear a claim against an employer under a particular statute if the employer fell
    below that statute’s numerical threshold. It is not clear that the district court reached the result that was appropriate at
    the time it issued its decision. However, because it is clear from the record that Thomas cannot prevail on her estoppel
    claim, we affirm the district court’s grant of summary judgment on other grounds. Cf. Russ’ Kwik Car Wash, Inc. v.
    Marathon Petroleum Co., 
    772 F.2d 214
    , 216 (6th Cir. 1985) (citing J. E. Riley Inv. Co. v. Comm’r, 
    311 U.S. 55
    , 59
    (1940)).
    No. 05-2404                 Thomas v. Miller, et al.                                                                   Page 5
    quite simply, subject matter jurisdiction cannot be created where none exists.”) (citing Stock West,
    Inc. v. Confederated Tribes of the Colville Reservation, 
    873 F.2d 1221
    , 1228 (9th Cir. 1989)).
    The Supreme Court effectively overruled Douglas’s jurisdictional holding in Arbaugh, 
    546 U.S. at 515-16
    . In Cobb v. Contract Transportation, Inc., we recently wrote that “several recent
    Supreme Court cases have overruled the holding in Douglas. Most directly on point is Arbaugh, in
    which the Supreme Court held that Title VII’s employee-numerosity requirement is not
    jurisdictional in nature.” 
    452 F.3d 543
    , 549-50 (6th Cir. 2006) (citing Arbaugh, 
    546 U.S. at 509-15
    ;6
    Eberhart v. United States, 
    546 U.S. 12
     (2005); and Kontrick v. Ryan, 
    540 U.S. 443
    , 453-54 (2004)).
    We continued, noting that Arbaugh expressly overruled Armbruster, the Title VII decision on which
    Douglas based its holding. 
    Ibid.
     Douglas’s jurisdictional holding no longer binds this court.
    The question, then, is whether anything remains of Douglas that would bar the application
    of estoppel here. Equitable estoppel often operates to prevent a party from contesting an issue of
    fact or advancing a particular claim or defense. Armistead, 
    944 F.2d at 1298
    ; Apponi v. Sunshine
    Biscuits, Inc., 
    652 F.2d 643
    , 649 (6th Cir. 1981). Because we previously dealt with such cases on
    jurisdictional grounds, precedent in our own circuit is sparse on the question of whether, absent a
    jurisdictional bar, estoppel can apply in these circumstances.
    At bottom, though, the issue here is the power of a court to compel a party either to admit,
    or not to deny, the existence of a particular fact relevant to a claim for relief. Here, the factual issue
    is whether an employer has a certain number of employees. On non-jurisdictional issues, the power
    of the federal courts to take such action is well established. For example, federal courts may order
    as discovery sanctions that certain facts be taken as established or that a party be precluded from
    supporting or opposing claims or defenses. A court may even enter default judgment or dismissal
    against a party in that context. See Fed. R. Civ. P. 37(b)(2)(A-C). See also Taylor v. Medtronics,
    Inc., 
    861 F.2d 980
    , 985 (6th Cir. 1988); Smith v. Chicago Sch. Reform Bd. of Trs., 
    165 F.3d 1142
    ,
    1145 (7th Cir. 1999); In re Attorney Gen. of United States, 
    596 F.2d 58
    , 65 (2d Cir. 1979).
    The power to enter default judgment is critical to this inquiry because it conclusively
    establishes every factual predicate of a claim for relief. Harmon v. CSX Transp., 
    110 F.3d 364
    , 368
    (6th Cir. 1997); Goldman, Antonetti, Ferraiuoli, Axtmayer & Hertell v. Medfit Int’l, Inc., 
    982 F.2d 686
    , 693 (1st Cir. 1993) (“Defendant’s argument ignores the maxim that an entry of a default against
    a defendant establishes the defendant’s liability.”) (citing Brockton Savings Bank v. Peat, Marwick,
    Mitchell & Co., 
    771 F.2d 5
     (1st Cir. 1985) (“There is no question that, default having been entered,
    each of [plaintiff’s] allegations of fact must be taken as true and each of its [] claims must be
    considered established as a matter of law.”)).
    In other words, federal courts already possess the power, in certain contexts, to establish
    conclusively each element of a claim. After the Supreme Court’s holding in Arbaugh, we must view
    6
    The Supreme Court’s recent decision in Bowles v. Russell, No. 06-5306, 
    2007 U.S. LEXIS 7721
     (U.S. June 14,
    2007) does not undermine the vitality of Arbaugh or the other cited cases. Arbaugh was decided unanimously by eight
    justices and acknowledges that, when Congress creates a federal cause of action, it does not make any element of a claim
    jurisdictional without saying so. 546 U.S. at 515 (“ If the Legislature clearly states that a threshold limitation on a
    statute’s scope shall count as jurisdictional, then courts and litigants will be duly instructed and will not be left to wrestle
    with the issue.”). Bowles, in contrast, rests on a long-held interpretation of the congressional enactments that confer
    jurisdiction upon the courts of appeals. 
    2007 U.S. LEXIS 7721
     at *8 (“This Court has long held that the taking of an
    appeal within the prescribed time is ‘mandatory and jurisdictional.’”); 
    id.
     at *15 (citing 
    28 U.S.C. § 2107
    (c)). See also
    
    id. at *13
     (noting that Court has repeatedly held that the timely-filing requirements for writs of certiorari in civil cases
    are jurisdictional). Indeed, as we noted when Bowles was before this court, Congress had limited by statute our
    jurisdiction to consider Bowles’s appeal. Bowles v. Russell, 
    432 F.3d 668
    , 672 (6th Cir. 2004) (citing 
    28 U.S.C. § 2107
    ).
    There is no contradiction between Bowles and Arbaugh. In the former, Congress limited jurisdiction by statute; in the
    latter, it did not.
    No. 05-2404             Thomas v. Miller, et al.                                                          Page 6
    statutes’ numerical thresholds in that light; they are merely elements of claims. 546 U.S. at 516.
    Many other federal statutes have similar thresholds. See 42 U.S.C. § 2000e(b) (Title VII); 
    29 U.S.C. § 2611
    (2)(B)(ii) (Family and Medical Leave Act); 
    29 U.S.C. § 2101
    (a)(1) (Worker Adjustment and
    Retraining Notification Act). We cannot accept the general proposition that courts could enter
    default judgments and compel factual admissions on all elements of claims except an employer’s
    number of employees. Doing so would separate one element of a claim from another without any
    statutory or logical reason. Cf. Arbaugh, 546 U.S. at 515-16.
    Equitable estoppel is not materially different, in this context, from discovery sanctions or the
    entry of a default judgment. Discovery sanctions often require the showing of bad faith by the
    disobedient party. See, e.g., Regional Refuse Sys., Inc. v. Inland Reclamation Co., 
    842 F.2d 150
    ,
    154-55 (6th Cir. 1988). “Estoppel is an equitable doctrine invoked to avoid injustice in particular
    cases.” Heckler v. Community Health Servs., 
    467 U.S. 51
    , 59 (1984). Like discovery sanctions, the
    doctrine often operates to prevent a party who engaged in bad faith conduct from making certain
    arguments or claims in court. Armistead, 
    944 F.2d at 1298
     (affirming district court’s estoppel of
    defendant from arguing that plaintiffs could not collect ERISA retirement benefits because
    defendant had made representations promising them such benefits).
    Certainly, “bad faith” conduct under the discovery rules necessarily can occur only during
    the litigation itself, whereas a court considering the estoppel issue could consider conduct that
    occurred prior to parties’ resort to the courts. However, it seems to us that such a distinction is of
    no moment where the question is whether a federal court possesses a particular power. Estoppel,
    like all equitable doctrines, is a flexible doctrine that seeks to balance the equities in particular cases.
    Valentine-Johnson v. Roche, 
    386 F.3d 800
    , 812 (6th Cir. 2004) (citing Alternative Sys. Concepts,
    Inc. v. Synopsys, Inc., 
    374 F.3d 23
    , 30-31 (1st Cir. 2004)). Cf. Sweeton v. Brown, 
    27 F.3d 1162
    ,
    1164 (6th Cir. 1994) (en banc) (noting that the standard for modifying equitable decrees is “flexible”
    and “has an ancient lineage in our common law.”). Given the flexible nature of the doctrine, and
    that we already have held that it applies in ERISA welfare-benefit cases, see Armistead, 
    944 F.2d at 1298
    , we break little new ground by holding that it applies to a particular element of a COBRA
    claim.
    We also acknowledge that our holding might seem at first blush to run counter to COBRA’s
    text, which says clearly that the statute does not apply to employers with fewer than twenty
    employees. 
    29 U.S.C. § 1161
    (b). Under that reasoning, a court could never compel a defendant to
    concede an element or admit a fact that a legislature determined was a prerequisite to liability. Thus,
    a party in a negligence case could not acknowledge that he breached his duty of care; a party in a
    fraud case could not acknowledge intentional deceit. We cannot accept that logic. Courts long have
    exercised the power to compel admission on elements of claims. Under the reasoning of Arbaugh,
    
    546 U.S. at 509-16
    , COBRA’s number-of-employees requirement is no different. We can see no
    meaningful distinction between numerical requirements and other elements of claims, such that we
    could ignore well established equitable principles and procedural rules.
    There is an argument that refusing to apply estoppel in these particular cases would better
    respect the separation between federal and state causes of action that Congress has established. Cf.
    Grable & Sons Metal Prods. v. Darue Eng’g & Mfg., 
    545 U.S. 308
    , 314 (2005). There are
    established bodies of law in nearly every state that could cover a situation, like that at issue here,
    in which an  individual allegedly makes a misrepresentation and another supposedly relies to her
    detriment.7
    7
    For example, Michigan law authorizes actions for breach of contract, promissory estoppel, and fraudulent
    misrepresentation. See, e.g., Rowe v. Montgomery Ward & Co., 
    473 N.W.2d 268
     (Mich. 1991) (common law contract
    claim); State Bank of Standish v. Curry, 
    500 N.W.2d 104
    , 107 (Mich. 1993) (promissory estoppel); Hord v.
    Environmental Research Inst., 
    617 N.W.2d 543
    , 546 (Mich. 2000) (fraudulent misrepresentation).
    No. 05-2404           Thomas v. Miller, et al.                                                 Page 7
    Why should we permit estoppel to operate in a COBRA case, when the underlying conduct
    otherwise might be covered by a state-law cause of action? We believe that in the limited context
    of colorable estoppel claims based on misrepresentations about COBRA or ERISA benefits, there
    is a not-insignificant danger that state law actions will be preempted. See, e.g., Ramsey v. Formica
    Corp., 
    398 F.3d 421
    , 424 (6th Cir. 2005). ERISA contains an expansive preemption provision,
    which mandates that ERISA preempts “any and all State laws insofar as they may now or hereafter
    relate to any employee benefit plan” governed by ERISA. See 
    29 U.S.C. § 1144
    (a); Ramsey, 
    398 F.3d at 424
    . We previously have held that, in certain situations, § 1144(a) may preempt state-law
    estoppel claims. Briscoe v. Fine, 
    444 F.3d 478
    , 498-99 (6th Cir. 2006); Lion’s Volunteer Blind
    Industries, Inc. v. Automated Group Administration, Inc., 
    195 F.3d 803
     (6th Cir. 1999); Davis v.
    Kentucky Finance Cos. Retirement Plan, 
    887 F.2d 689
    , 696 (6th Cir. 1989).
    Thus, were we to cut off the limited avenue of equitable estoppel, many claims premised on
    misrepresentation might be simultaneously preempted by ERISA and foreclosed by COBRA’s
    twenty-employee requirement. A recent decision of this court illustrates just how finely the ERISA
    preemption line must be drawn in cases where misrepresentations by employers and the ERISA
    framework intersect. See Thurman v. Pfizer, 
    484 F.3d 855
     (6th Cir. 2007). In that case, we drew
    a distinction between expectation and reliance damages in a claim based on a prospective
    employer’s false promise of retirement benefits, which lured the plaintiff away from his former job.
    
    Id. at 862
    . We reasoned that only the former was preempted because it would have required a
    calculation of benefits under the prospective plan. 
    Id. at 862-64
    . The latter would have required a
    calculation only of what the injured party relinquished – the stock options, wages, and other
    perquisites he gave up in order to enter the defendant’s employ. Because those claims did not relate
    to the ERISA plan, we held that they survived ERISA’s preemption provision. 
    Ibid.
    Thurman makes clear that, in any given case, there is a chance that a state-law tort claim
    based on a misrepresentation in some way connected to an ERISA plan might survive preemption.
    
    Ibid.
     See also Marks v. Newcourt Credit Group, Inc., 
    342 F.3d 444
    , 453 (6th Cir. 2003). It also
    makes clear, however, that it is the rare Magellan who could navigate those straits. Forcing parties
    who can establish estoppel’s traditional elements to choose between potentially preempted state-law
    claims and claims ostensibly foreclosed by COBRA’s numerical threshold would impose too great
    a burden for little practical gain, particularly when we already have held that equitable estoppel may
    apply in ERISA welfare-benefit cases. Armistead, 
    944 F.2d at 1298-1300
    . Absent a compelling
    reason to foreclose completely the narrow avenue of equitable estoppel, we decline to do so. We
    thus express agreement with the circuits that, prior to Arbaugh, had held statutory numerical
    thresholds, such as that at issue here, to be non-jurisdictional elements of claims. See, e.g., Kosakow
    v. New Rochelle Radiology Assocs., P.C., 
    274 F.3d 706
    , 725 (2d Cir. 2001); Dormeyer v. Comerica
    Bank-Illinois, 
    223 F.3d 579
    , 582 (7th Cir. 2000).
    Coincidentally, those circuits also developed positions on the question of whether equitable
    estoppel could apply on such an issue. They held that it could. Kosakow, 
    274 F.3d at 725
    ;
    Dormeyer, 
    223 F.3d at 582
    . More recently, the Fifth Circuit, post-Arbaugh, held that, as with any
    other element of a claim, a party may be estopped from arguing that it employs fewer than the
    number required by a particular federal statute for coverage. See Minard v. ITC Deltacom
    Communs., Inc., 
    447 F.3d 352
    , 359 (5th Cir. 2006) (“Accordingly, an employer who without intent
    to deceive makes a definite but erroneous representation to his employee that she is an ‘eligible
    employee’ and entitled to leave under [the Family and Medical Leave Act], and has reason to believe
    that the employee will rely upon it, may be estopped to assert a defense of non-coverage, if the
    employee reasonably relies on that representation and takes action thereon to her detriment.”).
    Prior to the Supreme Court’s decision in Arbaugh, the Fifth Circuit’s jurisprudence had
    mirrored ours on the jurisdictional question. See Arbaugh v. Y&H Corp., 
    380 F.3d 219
    , 224 (5th
    Cir. 2004), rev’d, 
    546 U.S. at 509-16
    . After the Supreme Court resolved a conflict among the
    No. 05-2404           Thomas v. Miller, et al.                                                  Page 8
    circuits against the Fifth Circuit’s and our jurisdictional stance, the Fifth Circuit permitted estoppel
    to operate on the numerical-threshold question. See Minard, 
    447 F.3d at 359
    . We now follow the
    Fifth Circuit’s lead. Accordingly, we hold that, in appropriate cases, courts may exercise their
    equitable powers to estop defendants from arguing that they fall below a statute’s numerical
    threshold.
    IV
    We now turn to the question of whether Thomas can satisfy the requirements of estoppel,
    such that she could prevent Elmwood and Miller from defending against her claim on the ground
    that Elmwood has, at every time relevant to this case, employed fewer than the twenty people
    required by COBRA for coverage. 
    29 U.S.C. § 1161
    (b).
    In order for a party to employ equitable estoppel against another party, the following
    elements must be satisfied. First, the party to be estopped must have used “conduct or language
    amounting to a representation of material fact.” Second, that party must have been aware of the true
    facts. Third, that party must have had an intention that the representation be acted on, or have
    conducted himself in such a way toward the party asserting estoppel that the latter had a right to
    believe that the former’s conduct was so intended. Fourth, the party asserting estoppel must have
    been unaware of the true facts. Finally, the party asserting estoppel must have detrimentally and
    justifiably relied on the representation. Armistead, 
    944 F.2d at 1298
    . “All of these elements must
    be present before the court may order estoppel.” Gibbons, 
    209 F.3d at 591
    . Because Thomas can
    satisfy neither the first nor the third element, she cannot prevail on her estoppel claim and we decline
    to address the doctrine’s other elements.
    With respect to the first element, Thomas can prevail only if she argues that Elmwood or
    Miller represented to her that she would retain COBRA benefits. In her brief on appeal, Thomas
    contends that conversations she overheard in the work area relating to her employer’s provision of
    COBRA to John Winn, another employee, “amounted to a misrepresentation of material fact, i.e.,
    former employees would be afforded an opportunity through COBRA to retain their health insurance
    coverage.” In her affidavit opposing summary judgment, Thomas claims to have been present in
    the work area when “Mr. Miller discussed or commented upon Winn’s receipt of COBRA.” Br. of
    Appellant, at 11 (citing JA 46) (“From conversations overheard within the very small office in which
    I formerly worked, I became aware that Winn had COBRA because [Winn’s] apparent failure to pay
    his premiums on time got Chancey [Miller] in trouble with the Board.”).
    In other words, she claims only that others near her in the office talked among themselves
    about Winn’s receipt of benefits, and that she then inferred from hearing those conversations that
    she too would receive COBRA benefits. Nothing in the record indicates, however, that Miller’s
    discussion of Winn’s COBRA benefits amounted to a representation to Thomas that she would
    receive COBRA benefits. Cf. Smith v. Ameritech, 
    129 F.3d 857
    , 867-68 (6th Cir. 1997) (“We find,
    therefore, that defendants’ provision of a certain accommodation to one disabled employee does not
    automatically entitle plaintiff to the same accommodation.”). Without more, inferences drawn by
    a party from overheard conversations about another employee do not amount to representations to
    or about the overhearing party. We therefore hold that Thomas cannot satisfy the first estoppel
    element.
    Thomas also cannot satisfy estoppel’s third element. Because Thomas only overheard
    conversations among others about another employee, she has presented no evidence that Miller or
    Elmwood intended her to rely, in conducting her own affairs, on those conversations or on
    No. 05-2404               Thomas v. Miller, et al.                                                            Page 9
    Elmwood’s provision of COBRA to Winn.8 Accordingly, although equitable estoppel can preclude
    an employer from arguing that it falls beneath the statutory threshold, Thomas does not qualify for
    such relief because she can not establish the first or third estoppel elements.
    V
    The district court granted summary judgment to the defendants in this matter because
    Elmwood falls below COBRA’s numerical threshold for coverage. The district court also held, as
    a matter of law, that equitable estoppel could not preclude Elmwood or Miller from defending
    against her COBRA claim on that ground. At the time the district court issued its decision in this
    case, our precedent categorically required the rejection of Thomas’s claims on jurisdictional
    grounds. See Douglas, 
    150 F.3d at 607
    . We thus cannot fault the district court for refusing to apply
    estoppel principles in Thomas’s case. Nevertheless, based on a change in Supreme Court precedent,
    we hold that equitable estoppel may apply on the issue of whether an employer meets a statute’s
    numerical threshold. See Minard, 
    447 F.3d at 359
    . Cf. Arbaugh, 
    546 U.S. at 516
     (holding that such
    an issue is merely an element of a claim). However, because Thomas cannot satisfy estoppel’s
    requirements, we AFFIRM the judgment of the district court.
    8
    For similar reasons, Thomas’s claim that “Elmwood deliberately chose, or elected, to waive the protection of
    § 1161(b) by voluntarily affording COBRA to Winn for the next 18 months,” Reply Br. of Appellant, at 17, lacks merit.
    To be sure, Thomas is correct that “a waiver occurs when a party intentionally relinquishes or abandons a known right.”
    See Days Inns Worldwide, Inc. v. Patel, 
    445 F.3d 899
    , 905 (6th Cir. 2006) (“Waiver is the intentional relinquishment
    or abandonment of a known right.”) (citing United States v. Osborne, 
    402 F.3d 626
    , 630 (6th Cir. 2005)). However,
    there is no indication on this record that Elmwood abandoned or intended to abandon its rights under COBRA’s twenty-
    or-more provision. Elmwood might have inadvertently provided COBRA to one employee, in which case its
    abandonment would not have been intentional. Elmwood might also have intentionally provided COBRA to one
    employee for reasons peculiar to that case, in which case it would not intentionally have abandoned its rights under
    § 1161(b) with respect to all other employees. Cf. Ameritech, 
    129 F.3d at 867-68
    . In any case, we cannot accept the
    notion that, on these facts, Elmwood can be shown intentionally to have abandoned its right not to provide COBRA to
    Thomas.
    

Document Info

Docket Number: 05-2404

Filed Date: 6/27/2007

Precedential Status: Precedential

Modified Date: 9/22/2015

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