Anderson v. Suburban Teamsters , 588 F.3d 641 ( 2009 )


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  •                     FOR PUBLICATION
    UNITED STATES COURT OF APPEALS
    FOR THE NINTH CIRCUIT
    BRUCE W. ANDERSON,                       
    Plaintiff-Appellant,
    v.
    SUBURBAN TEAMSTERS OF NORTHERN                  No. 07-15532
    ILLINOIS PENSION FUND BOARD OF
    TRUSTEES, in its capacity as                     D.C. No.
    CV-05-01377-DGC
    Administrator of the Suburban
    Teamsters of Northern Illinois                   OPINION
    Pension Plan; SUBURBAN
    TEAMSTERS OF NORTHERN ILLINOIS
    PENSION PLAN,
    Defendants-Appellees.
    
    Appeal from the United States District Court
    for the District of Arizona
    David G. Campbell, District Judge, Presiding
    Argued and Submitted
    September 14, 2009—San Francisco, California
    Filed December 1, 2009
    Before: Stephen S. Trott and Carlos T. Bea, Circuit Judges,
    and Suzanne B. Conlon,* District Judge.
    Opinion by Judge Trott
    *The Honorable Suzanne B. Conlon, United States District Judge for
    the Northern District of Illinois, sitting by designation.
    15639
    15642         ANDERSON v. SUBURBAN TEAMSTERS
    COUNSEL
    Andrea A. Ambrose and Colin B. Vandell, Latham & Watkins
    LLP, Los Angeles, California, for the plaintiff/appellant.
    Barry G. Collins, Asher, Gittler, Greenfield & D’Alba, Ltd.,
    Chicago, Illinois, for the defendants/appellees.
    OPINION
    TROTT, Circuit Judge:
    Bruce Anderson appeals the district court’s determination,
    following a bench trial, that the Suburban Teamsters of North-
    ern Illinois Pension Fund Board of Trustees (“the Trustees”)
    ANDERSON v. SUBURBAN TEAMSTERS              15643
    did not abuse their discretion in partially denying his claim for
    disability benefits pursuant to a plan maintained under the
    Employee Retirement Income Security Act (“ERISA”). In the
    past, the Plan specified one way to calculate disability bene-
    fits. Before Anderson applied for benefits, the Plan was
    amended to change the formula for calculating benefits
    depending on the date the employee became disabled. Ander-
    son claims the Trustees improperly determined the date of his
    disability, resulting in a lower benefit. Anderson claims also
    that if the Trustees appropriately determined the date of his
    disability, then the 1999 amendment violates ERISA’s anti-
    cutback rule. Finally, Anderson claims the Trustees improp-
    erly applied a Qualified Domestic Relations Order
    (“QDRO”), allocating half of his pre-divorce disability bene-
    fits to his ex-wife. We affirm.
    I
    BACKGROUND
    For much of his life, Anderson worked as a mechanic. In
    July 1996, Anderson suffered an on-the-job knee injury that
    required surgery. In December 2006, Anderson was diag-
    nosed with osteoarthritis. In addition to his bad knee, Ander-
    son suffers from degenerative disk disease, carpal tunnel
    syndrome, tinnitus, depression, and bone spurs in his shoul-
    ders.
    Believing that he might be able to find a job that would
    allow him to work despite his injury, Anderson went to school
    from 1997 to 2001 and did not work. He earned a degree in
    Business Administration and hoped to work in the computer
    field.
    Anderson and his wife divorced in 1999. The QDRO
    entered in the Andersons’ state court divorce proceeding pro-
    vided that Anderson’s ex-wife was to receive the actuarial
    equivalent of fifty percent of Anderson’s accrued pension as
    15644          ANDERSON v. SUBURBAN TEAMSTERS
    of February 25, 1999. The payments to Anderson’s ex-wife
    were to begin “at her election following the Participant attain-
    ing his earliest retirement age as defined by the Plan.”
    Unable to find a job in the computer field, Anderson went
    back to union employment in 2001. From June to October, he
    worked fifty-one days as a truck driver. Finding himself
    unable to continue to perform this work because of his pain,
    Anderson stopped working and has not worked since. In
    August 2003, Anderson applied to the Suburban Teamsters of
    Northern Illinois Pension Fund (“the Fund”) for disability
    benefits under its pension plan (“the Plan”). The applicable
    version of the Plan at that time was the Plan as amended on
    January 1, 1999 (“1999 Plan”).
    The Fund is a multi-employer benefit trust fund. Participat-
    ing employers contribute to the Plan pursuant to various col-
    lective bargaining agreements. The Board of Trustees —
    which administers the Plan — is made up of both employer
    and employee representatives.
    The Plan provides for several different types of pensions.
    For example, an employee might be eligible for a Normal
    Retirement Pension under § 5.01, an Early Retirement Pen-
    sion under § 5.02, a 30-Year Pension under § 5.03, or a “25
    and Out” Pension under § 5.06.
    In addition to these types of pensions, Article 6 of the Plan
    provides disability benefits — called a “disability retirement
    pension” — for employees who become “totally and perma-
    nently disabled.” The Plan defines “totally and permanently
    disabled” as follows:
    A Participant shall be considered totally and perma-
    nently disabled only if he suffers from a physical or
    mental condition which will continue for a long and
    indeterminate period of time and which will prevent
    him from pursuing any and all gainful occupations
    ANDERSON v. SUBURBAN TEAMSTERS            15645
    and from performing any work for compensation or
    benefit during that period of time.
    1999 Plan, § 6.03.
    The Plan calculates benefits based on Benefit Credits par-
    ticipants earn during their employment. Normally, an
    employee receives Benefit Credits only for periods when the
    employee actually works. However, before the Plan was
    amended in 1999, employees were covered by the 1995 ver-
    sion of the Plan (“1995 Plan”). Under the 1995 Plan, if an
    employee became disabled,
    [t]he amount of such Disability Retirement Benefit
    shall be equal to 100% of the amount of Age Retire-
    ment Benefit to which the Participant would be enti-
    tled at his Normal Retirement Age, calculated as if
    he remained in Covered Employment continuously
    from the onset of his total and permanent disability
    until his Normal Retirement Age, except that with
    respect to a Participant whose Disability Retirement
    Benefit becomes effective on or after April 1, 1977,
    each payment prior to his Normal Retirement Age
    shall be equal to 75% of such Age Retirement Bene-
    fit, increasing to 100% of such Age Retirement Ben-
    efit at the Participant’s Normal Retirement Age.
    1995 Plan, § 6.02 (emphasis added). Thus, the disabled
    employee was allocated Benefit Credits for future years even
    though the employee would not be working.
    The 1999 Plan, in contrast, contains two different ways to
    calculate a disability benefit. If an employee became disabled
    prior to May 1, 1998, the employee’s benefit would be deter-
    mined using the same calculation described above: the
    employee would receive extra Benefit Credits for years not
    actually worked. 1999 Plan, § 6.02(b).
    15646          ANDERSON v. SUBURBAN TEAMSTERS
    If, however, an employee became disabled after May 1,
    1998, the disability benefit would be equal to “100% of the
    amount of Age Retirement Benefit to which the Participant
    would be entitled at his Normal Retirement Age, based on
    Benefit Credits actually earned.” 1999 Plan, § 6.02(a)
    (emphasis added). Under this formula, the employee would
    not receive any extra Benefit Credits for future years of unem-
    ployment due to disability.
    Anderson claimed he was disabled as of June 1, 1997. The
    Trustees, however, determined that Anderson was totally and
    permanently disabled as of November 2001 and partially
    denied his application. The Trustees informed Anderson they
    could not “reconcile a disability date prior to November 2001
    with the fact that you worked for a significant period from
    June through October 2001.” Because Anderson became dis-
    abled after May 1, 1998, the Trustees applied § 6.02(a) of the
    1999 Plan instead of § 6.02(b). Anderson’s disability benefit
    was based only on those Benefit Credits he actually earned
    while he was working. Anderson earned 11.3 Benefit Credits
    before 1997 and 0.3 Benefit Credits in 2001. Based on this
    number of Benefit Credits, the Trustees found that the amount
    of Anderson’s disability benefit was $878.08 per month. This
    amount consisted of $869.31 attributable to his pre-1997
    employment, and $8.77 attributable to his 2001 employment.
    The Trustees then applied Anderson’s QDRO to divide
    Anderson’s portion and his ex-wife’s portion of his benefits.
    They split the $869.31, which accrued while Anderson was
    married, by fifty percent. Anderson was therefore entitled to
    $434.66 (half of the amount attributable to his pre-divorce
    employment) plus the $8.77 from his 2001 employment, for
    a total monthly benefit of $443.43.
    Anderson appealed the partial denial of his claim, as well
    as the QDRO reduction, but the Trustees came to the same
    conclusion on appeal. Anderson then filed a complaint in the
    Arizona District Court. After a bench trial, the district court
    ANDERSON v. SUBURBAN TEAMSTERS                     15647
    entered judgment in favor of the Trustees. The court also
    denied Anderson’s motion for a new trial. Anderson timely
    appealed to this court.
    II
    STANDARD OF REVIEW
    We face first a threshold question: what standard of review
    applies to the Trustees’ determination regarding the date of
    disability and thus their decision partially to deny Anderson’s
    application? The court will review de novo the district court’s
    decision to apply an abuse of discretion standard to the Trust-
    ees’ decision. Abatie v. Alta Health & Life Ins. Co., 
    458 F.3d 955
    , 962 (9th Cir. 2006) (en banc).
    When a court reviews an ERISA plan administrator’s deci-
    sion to grant or deny benefits, de novo is “the default standard
    of review.” 
    Id. at 963
    . However, if the plan grants discretion
    to the plan administrator “to determine eligibility for benefits
    or to construe the terms of the plan,” the court reviews the
    administrator’s decision for an abuse of discretion. 
    Id.
     (quota-
    tion omitted).
    Even if a plan grants discretion to the administrator, the
    standard of review shifts to de novo if the administrator
    engages in “wholesale and flagrant violations of the proce-
    dural requirements of ERISA, and thus acts in utter disregard
    of the underlying purpose of the plan as well.” 
    Id. at 971
    .1
    1
    In Abatie, the plan administrator added a new reason on appeal for its
    denial of the participant’s benefits such that the participant never had the
    opportunity to respond to that reason for the denial. 
    Id. at 961
    . Sitting en
    banc, we concluded that error was not so flagrant as to preclude abuse of
    discretion review. 
    Id. at 972
    . As an example of “that rare class of cases”
    in which a procedural violation crosses the line so as to warrant de novo
    review, 
    id.,
     the court cited Blau v. Del Monte Corp., 
    748 F.2d 1348
     (9th
    Cir. 1984), abrogation on other grounds recognized by Dytrt v. Mtn.
    15648             ANDERSON v. SUBURBAN TEAMSTERS
    That is, de novo review is justified if the administrator’s deci-
    sion was so plagued with errors and “so far outside the stric-
    tures of ERISA” that we cannot say the administrator actually
    exercised discretion. Id. at 972. Most procedural errors do not
    alter the abuse of discretion standard, but the court should
    consider such errors when deciding whether the administrator
    abused its discretion. Id.
    The parties agree that the Plan grants discretion to the
    Trustees. Therefore, unless the Trustees committed wholesale
    and flagrant procedural violations, the court will review their
    decision for an abuse of discretion.
    [1] The Trustees did not comply with all of ERISA’s proce-
    dural requirements.2 ERISA provides that:
    States Tel. & Tel. Co., 
    921 F.2d 889
     (9th Cir. 1990). In Blau, the ERISA
    administrator kept the plan details secret from employees, provided no
    claims procedure, and never gave employees in writing the details of the
    plan: the administrator “ ‘failed to comply with virtually every applicable
    mandate of ERISA.’ ” Abatie, 
    458 F.3d at 971
     (quoting Blau, 748 F.2d at
    1353).
    2
    ERISA plans established pursuant to collective bargaining agreements
    are exempt from certain of ERISA’s claims procedures, including those
    that Anderson alleges the Trustees violated in this case. See 
    29 C.F.R. § 2560.503-1
    (b)(6) (explaining that for certain plans established pursuant
    to collective bargaining, certain of ERISA’s procedural regulations will
    not apply if the collective bargaining agreement “sets forth or incorporates
    by specific reference — (A) [p]rovisions concerning the filing of benefit
    claims and the initial disposition of benefit claims, and (B) [a] grievance
    and arbitration procedure to which adverse benefit determinations are sub-
    ject.”).
    For two reasons, however, we assume the standard regulations apply.
    First, the Trustees have not contended that the Plan falls under this excep-
    tion. See Bard v. Boston Shipping Ass’n, 
    471 F.3d 229
    , 239 n.11 (1st Cir.
    2006). Second, the record lacks the collective bargaining agreement under
    which the Plan was established, so we cannot decide whether the agree-
    ment suffices to trigger the exemption.
    ANDERSON v. SUBURBAN TEAMSTERS                     15649
    In accordance with regulations of the Secretary,
    every employee benefit plan shall —
    (1) provide adequate notice in writing to
    any participant or beneficiary whose claim
    for benefits under the plan has been denied,
    setting forth the specific reasons for such
    denial, written in a manner calculated to be
    understood by the participant, and
    (2) afford a reasonable opportunity to any
    participant whose claim for benefits has
    been denied for a full and fair review by the
    appropriate named fiduciary of the decision
    denying the claim.
    
    29 U.S.C. § 1133
    . Pursuant to § 1133, the Secretary promul-
    gated 
    29 C.F.R. § 2560.503-1
    (h)(3)(ii), which states that a
    plan must provide for a review of disability benefit determina-
    tions “conducted by an appropriate named fiduciary of the
    plan who is neither the individual who made the adverse ben-
    efit determination . . . nor the subordinate of such individual.”
    As the express terms of the Plan provided for them to do, the
    Trustees decided both Anderson’s initial application and his
    appeal of that decision.
    [2] This procedural violation, however, was not so egre-
    gious as to fall into “that rare class of cases” in which de novo
    review should apply. Abatie, 
    458 F.3d at 972
    . Assuming with-
    out deciding that the term “individual” in 
    29 C.F.R. § 2560.503-1
    (h)(3)(ii) applies to a deliberative body,3 we find
    that Anderson has not shown that in deciding both his initial
    3
    See Johnston Envt’l Corp. v. Knight (In re Goodman), 
    991 F.2d 613
    ,
    619 (9th Cir. 1993) (“ ‘[I]ndividual’ means individual, and not a corpora-
    tion or other artificial entity.”). But see United States v. Middleton, 
    231 F.3d 1207
    , 1210 (9th Cir. 2000) (“Neither is ‘individual’ a legal term of
    art that applies only to natural persons.”).
    15650          ANDERSON v. SUBURBAN TEAMSTERS
    claim and his appeal, the Trustees committed “wholesale and
    flagrant violations of the procedural requirements of ERISA,
    and thus act[ed] in utter disregard of the underlying purpose
    of the plan as well.” Abatie, 
    458 F.3d at 971
    . In their decision
    on both Anderson’s initial claim and his appeal, the Trustees
    provided detailed reasons for their denial and did not appear
    substantively to defer to their initial decision. The minutes of
    the Trustees’ meeting on Anderson’s appeal reflect their
    detailed consideration of all the evidence before them. That
    the result of both meetings was the same does not itself show
    that the Trustees flagrantly disregarded ERISA’s requirement
    that individuals receive full and fair review of claim denials,
    because Anderson did not submit additional evidence — only
    argument — between the two meetings of the Trustees on his
    claim. Finally, both the composition of the board and the
    attendance at the meetings changed such that three of the
    eight members of the Board of Trustees present at the meeting
    considering Anderson’s appeal were not present at the meet-
    ing on his initial claim. Therefore, the Court will review for
    an abuse of discretion the Trustees’ partial denial of Ander-
    son’s application for disability benefits, taking into account
    the Trustees’ procedural errors.
    III
    CONFLICT OF INTEREST
    [3] We must also decide whether the Trustees had a conflict
    of interest. If a plan administrator labors under a conflict of
    interest, the court must consider that conflict of interest as a
    factor in determining whether the administrator abused its dis-
    cretion. Metropolitan Life Ins. Co. v. Glenn, ___ U.S. ___,
    
    128 S. Ct. 2343
    , 2348 (2008).
    [4] A conflict of interest exists “where it is the employer
    that both funds the plan and evaluates the claims.” 
    Id.
     This is
    because “ ‘every dollar provided in benefits is a dollar spent
    by . . . the employer; and every dollar saved . . . is a dollar
    ANDERSON v. SUBURBAN TEAMSTERS              15651
    in [the employer’s] pocket.’ ” 
    Id.
     (quoting Bruch v. Firestone
    Tire & Rubber Co., 
    828 F.2d 134
    , 144 (3d Cir. 1987), aff’d
    in part, rev’d in part, 
    489 U.S. 101
     (1989)) (omissions and
    alteration in original). The Plan here does not meet that stan-
    dard.
    [5] The Plan is a multi-employer benefit trust fund main-
    tained under the Taft-Hartley Act. The various participating
    employers — not the Trustees — fund the Plan. The Trustees
    have no personal economic interest in the decision to grant or
    deny benefits. Additionally, the Board of Trustees consists of
    both employer and employee representatives, who determine
    employee eligibility under the Plan. Both sides are at the
    table. See Jones v. Laborers Health & Welfare Trust Fund,
    
    906 F.2d 480
    , 481 (9th Cir. 1990) (“Because the Board of
    Trustees consists of both management and union employees,
    there is no conflict of interest to justify less deferential
    review.”). For these reasons, the Trustees did not have a con-
    flict of interest.
    IV
    THE DATE OF ANDERSON’S DISABILITY
    [6] We must now determine whether the Trustees abused
    their discretion when they determined the date of Anderson’s
    disability. A plan administrator abuses its discretion if it ren-
    ders a decision without any explanation, construes provisions
    of the plan in a way that conflicts with the plain language of
    the plan, or fails to develop facts necessary to its determina-
    tion. Schikore v. BankAmerica Supplemental Ret. Plan, 
    269 F.3d 956
    , 960 (9th Cir. 2001).
    The date of Anderson’s disability is crucial to his benefits
    calculation. If Anderson became disabled after May 1, 1998,
    he would receive disability payments based on Benefit Credits
    he actually earned during his years of employment. However,
    if Anderson became disabled before May 1, 1998, he would
    15652            ANDERSON v. SUBURBAN TEAMSTERS
    receive disability payments calculated as if he continued to
    work from the date of his disability all the way up until his
    normal retirement age. All of the future years Anderson
    would not be working would still count toward his accumula-
    tion of Benefit Credits. Based on this enhanced number of
    Benefit Credits, Anderson would receive a greater monthly
    payment than if he were disabled after May 1, 1998.
    The Trustees did not abuse their discretion in determining
    the date of Anderson’s disability. The standard for disability
    in both the 1995 Plan and the 1999 Plan requires that the dis-
    ability prevent the employee “from pursuing any and all gain-
    ful occupations and from performing any work for
    compensation or benefit.” 1995 and 1999 Plans, § 6.03
    (emphasis added).
    [7] Although he claims to have been disabled as of June 1,
    1997, Anderson worked for fifty-one days from June to Octo-
    ber in 2001. His employment was a “gainful occupation.” In
    return for his work, he earned a paycheck and even received
    Benefit Credits under the Plan. Following the plain language
    of the Plan, the Trustees had a reasonable basis to conclude
    that Anderson was not “totally and permanently disabled”
    until the end of his employment in 2001.4 The Trustees did
    not abuse their discretion in applying § 6.02(a) of the Plan and
    calculating Anderson’s benefits based on the Benefit Credits
    he actually earned.
    4
    In his reply brief, Anderson argues that the Summary Plan Description
    contains a more lenient standard of disability than the Plan. See Bergt v.
    Ret. Plan for Pilots Employed by MarkAir, Inc., 
    293 F.3d 1139
    , 1145 (9th
    Cir. 2002). However, Anderson forfeited this argument by failing to raise
    it in his opening brief. See Dilley v. Gunn, 
    64 F.3d 1365
    , 1367 (9th Cir.
    1995). Additionally, Anderson’s counsel did not argue this point at oral
    argument.
    ANDERSON v. SUBURBAN TEAMSTERS              15653
    V
    THE ANTI-CUTBACK RULE
    Anderson argues alternatively that if he did not become dis-
    abled until November 2001 — which he did not — then the
    1999 Plan amendment is invalid under 
    29 U.S.C. § 1054
    (g).
    Anderson raised this issue in the district court, but the court
    did not address it. Anderson v. Suburban Teamsters of N. Ill.
    Pension Fund Bd. of Trustees, No. CV-05-1377-DGC (D.
    Ariz.), Memorandum in Support of Plaintiff’s Complaint
    (Docket No. 97) at 1-2; Order (Docket No. 106).
    [8] Section 1054(g) is ERISA’s so-called “anti-cutback”
    provision. It states that “[t]he accrued benefit of a participant
    under a plan may not be decreased by an amendment of the
    plan,” subject to certain exceptions not applicable here. 
    29 U.S.C. § 1054
    (g)(1) (2006). The purpose of the anti-cutback
    rule is to “prevent employers from pulling the rug out from
    under plan participants by eliminating or reducing certain
    forms of benefits through a plan amendment.” McDaniel v.
    Chevron Corp., 
    203 F.3d 1099
    , 1119 (9th Cir. 2000) (quota-
    tion omitted).
    [9] However, § 1054(g) does not apply to “employee wel-
    fare benefit plans.” 
    29 U.S.C. § 1051
    (1) (2006) (excluding
    such plans from Part 2 of ERISA). An “employee welfare
    benefit plan,” or “welfare plan,” is defined as
    any plan, fund, or program which was heretofore or
    is hereafter established or maintained by an
    employer or by an employee organization, or by
    both, to the extent that such plan, fund, or program
    was established or is maintained for the purpose of
    providing . . . benefits in the event of sickness, acci-
    dent, disability, death or unemployment . . . .
    
    29 U.S.C. § 1002
    (1) (2006) (emphasis added).
    15654          ANDERSON v. SUBURBAN TEAMSTERS
    A welfare plan is distinguished from an “employee pension
    benefit plan” in that the latter is
    established or maintained by an employer or by an
    employee organization, or by both, to the extent that
    by its express terms or as a result of surrounding cir-
    cumstances such plan, fund, or program —
    (i) provides retirement income to employees, or
    (ii) results in a deferral of income by employees
    for periods extending to the termination of covered
    employment or beyond . . . .
    
    29 U.S.C. § 1002
    (2)(A) (2006).
    [10] The question here is whether disability benefits such
    as those provided by the Plan constitute an employee welfare
    benefit plan that ERISA permits employers to cut. The Sec-
    ond, Sixth, and Eleventh Circuits have all answered, “Yes.”
    The Second Circuit case of Rombach v. Nestle, USA, Inc.,
    
    211 F.3d 190
     (2d Cir. 2000), is quite similar to Anderson’s.
    The plan in Rombach was a comprehensive plan that provided
    for several different pensions, including a normal retirement
    pension, an early retirement pension, and a “disability retire-
    ment pension.” 
    Id.
     at 191 n.1.
    The plan had previously calculated the amount of the dis-
    ability retirement pension as if the disabled employee’s “pe-
    riod of service as an Employee had been extended from the
    commencement date of such pension up to his or her Normal
    Retirement Date.” 
    Id. at 192
    . Under this provision, the
    employee received credit not only for actual service, but also
    for service the employee would have performed had the
    employee not become disabled. The plan was amended to cal-
    culate the disability retirement pension in accordance with
    “the normal retirement benefit accrued by the [employee] as
    ANDERSON v. SUBURBAN TEAMSTERS              15655
    of the date of retirement due to disability.” 
    Id.
     (alteration in
    original). This calculation allowed no credit for service not
    actually performed.
    Rombach, an employee covered by the plan, became dis-
    abled and applied for benefits. In accordance with the amend-
    ment, the plan administrator calculated the amount of her
    disability pension with reference only to her actual service.
    Rombach argued that the amendment violated § 1054(g) by
    failing to follow the requirements necessary for an exception
    to the anti-cutback rule. Id. at 191-92.
    The Second Circuit held that “the disability provisions of
    the Pension Plan are an ‘employee welfare benefit plan’ under
    
    29 U.S.C. § 1002
    (1), to which the protections of § 1054(g) do
    not apply.” Id. at 192. The court emphasized that the statutory
    definition of a welfare plan includes within its scope any plan
    “to the extent” the plan provides “benefits in the event of . . .
    disability”:
    In our view, it does not matter that Nestle called the
    disability retirement pension portion of its plan a
    “pension benefit” and made it part of its master
    “pension plan.” Its meaning and function remained
    clear; it was a benefit triggered by disability. And,
    under the plain language of the statute, “to the
    extent” that Nestle’s Pension Plan provides benefits
    that are triggered by disability, that portion of the
    plan is a welfare plan under § 1002(1).
    Id. at 194 (emphasis added). See also Robinson v. Sheet Metal
    Workers’ Nat’l Pension Fund, 
    441 F. Supp. 2d 405
    , 417-18
    (D. Conn. 2006), aff’d in part, dismissed in part, 
    515 F.3d 93
    (2d Cir. 2008). The Eleventh Circuit relied on Rombach in
    holding that § 1054(g) did not apply to a no-interest award of
    retroactive disability benefits. Green v. Holland, 
    480 F.3d 1216
    , 1228 (11th Cir. 2007).
    15656          ANDERSON v. SUBURBAN TEAMSTERS
    In a similar context, the Sixth Circuit has also held that the
    disability portion of a master plan was a welfare plan. McBar-
    ron v. S & T Indus., Inc., 
    771 F.2d 94
    , 97 (6th Cir. 1985). The
    plan in McBarron provided for a disability benefit, but the
    disabled employee was not entitled to that benefit if the
    employee was also receiving payments from Workmen’s
    Compensation. 
    Id. at 96
    . The employee argued this provision
    violated 
    29 U.S.C. § 1053
    (a), ERISA’s anti-forfeiture provi-
    sion. Like the anti-cutback rule, the anti-forfeiture provision
    does not apply to welfare plans. 
    29 U.S.C. § 1051
    (1) (2006).
    The court, relying on the “to the extent” language of
    § 1002(1), held that the disability benefits constituted a wel-
    fare plan, and therefore ERISA’s anti-forfeiture rule did not
    apply to them. McBarron, 
    771 F.2d at 97
    .
    [11] We agree with our sister circuits. The statute specifies
    that a plan is a welfare plan “to the extent” that it provides
    “benefits in the event of . . . disability.” 
    29 U.S.C. § 1002
    (1)
    (2006). The “to the extent” language evidences Congress’s
    intent that the definition encompass any portion of a plan in
    which the employee’s disability triggers the right to the bene-
    fit. Rombach, 
    211 F.3d at 194
    . The disability benefit here fits
    this mold. We hold that Anderson’s disability retirement pen-
    sion is not subject to the anti-cutback rule because it is an
    employee welfare benefit plan.
    VI
    THE QDRO
    Finally, Anderson argues that the Trustees improperly
    applied the QDRO to reduce his disability benefit in favor of
    his ex-wife, the alternate payee. Anderson claims that until his
    ex-wife elects to begin receiving her portion of the benefit, he
    is entitled to the full amount, without any reduction pursuant
    to the QDRO. We review de novo a decision regarding obli-
    gations under a QDRO. Owens v. Auto. Machinists Pension
    Trust, 
    551 F.3d 1138
    , 1142 (9th Cir. 2009).
    ANDERSON v. SUBURBAN TEAMSTERS              15657
    [12] A QDRO requires a plan administrator to provide part
    or all of an employee’s pension to an ex-spouse. 
    29 U.S.C. § 1056
    (d)(3)(B) (2006). According to the Department of
    Labor, there are two basic types of QDROs: “separate inter-
    est” QDROs and “shared payment” QDROs. U.S. Dep’t of
    Labor, The Division of Pensions Through Qualified Domestic
    Relations Orders, http://www.dol.gov/ebsa/publications/
    qdros.html, Question 3-3. A separate interest QDRO divides
    the benefit into two different pensions, one for the plan partic-
    ipant and one for the alternate payee. Because there are two
    pensions, the alternate payee can receive her benefit “at a time
    and in a form different from that chosen by the participant.”
    
    Id.
    On the other hand, a shared payment QDRO assigns the
    alternate payee a portion of each monthly payment. “Under
    this approach, the alternate payee will not receive any pay-
    ments unless the participant receives a payment or is already
    in pay status.” 
    Id.
    The Trustees found the QDRO to be a separate interest
    QDRO creating two separate pensions. Once the pension was
    split, they reasoned, Anderson no longer had an interest in any
    of his ex-wife’s pension.
    [13] The Trustees were correct. The QDRO grants the alter-
    nate payee half of Anderson’s pension as of February 25,
    1999. It allows Anderson’s ex-wife to begin receiving her
    payments at Anderson’s earliest retirement age: thus, she
    could be paid even if Anderson were still working. This is
    impossible with a shared payment QDRO, where the ex-
    spouse receives a payment only when the plan participant
    does. For these reasons, Anderson’s QDRO was a separate
    interest QDRO, and he cannot share in any of the benefits
    allocated to his ex-wife.
    15658         ANDERSON v. SUBURBAN TEAMSTERS
    VII
    CONCLUSION
    The Trustees did not abuse their discretion in finding
    Anderson disabled as of November 2001 and correctly
    applied the QDRO to reduce the amount of Anderson’s bene-
    fits in favor of his ex-wife. Further, Anderson’s disability
    retirement pension is an employee welfare benefit plan, even
    though it is only part of a comprehensive ERISA plan and
    even though the Plan refers to it as a “pension.” As a welfare
    plan, the disability retirement pension is not subject to the
    anti-cutback rule.
    AFFIRMED.
    

Document Info

Docket Number: 07-15532

Citation Numbers: 588 F.3d 641

Filed Date: 12/1/2009

Precedential Status: Precedential

Modified Date: 1/12/2023

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