The "preemption clause" (§ 514(a)) of the Employee
Retirement Income Security Act of 1974 (ERISA) provides that ERISA
supersedes all state laws insofar as they "relate to any employee
benefit plan," but ERISA's "saving clause" (§ 514(b)(2)(A))
excepts from the preemption clause any state law that "regulates
insurance." ERISA's "deemer clause" (§ 514(b)(2)(B)) provides
that no employee benefit plan shall be deemed to be an insurance
company for purposes of any state law "purporting to regulate
insurance." On the basis of a work-related injury occurring in
Mississippi in 1975, respondent began receiving permanent
disability benefits under his employer's ERISA-regulated welfare
benefit plan, under which claims were handled by petitioner, the
employer's insurer. However, after two years, petitioner terminated
respondent's benefits, and during the following three years his
benefits were reinstated and terminated by petitioner several
times. Respondent ultimately instituted a diversity action against
petitioner in Federal District Court, alleging tort and breach of
contract claims under Mississippi common law for petitioner's
failure to pay benefits under the insurance policy. The court
granted summary judgment for petitioner, finding that respondent's
common law claims were preempted by ERISA. The Court of Appeals
reversed.
Held: ERISA preempts respondent's suit under state
common law for alleged improper processing of his claim for
benefits under the ERISA-regulated benefit plan. Pp.
481 U. S.
44-57.
(a) The common law causes of action asserted in respondent's
complaint, each based on alleged improper processing of a benefit
claim under an employee benefit plan, "relate to" an employee
benefit plan, and therefore fall under ERISA's preemption clause.
Cf. Metropolitan Life Ins. Co. v. Massachusetts,
471 U. S. 724,
471 U. S. 739;
Shaw v. Delta Air Lines, Inc., 463 U. S.
85,
463 U. S.
96-100. The preemption clause is not limited to state
laws specifically designed to affect employee benefit plans. Pp.
481 U. S.
47-48.
(b) Under the guidelines set forth in
Metropolitan
Life, respondent's causes of action under state decisional
common law -- particularly the cause, presently asserted, based on
the Mississippi law of bad faith -- do not fall under ERISA's
saving clause, and thus are not excepted from
Page 481 U. S. 42
preemption. A common-sense understanding of the language of the
saving clause excepting from preemption a state law that "regulates
insurance" does not support the argument that the Mississippi law
of bad faith falls under the clause. To "regulate" insurance, a law
must not just have an impact on the insurance industry, but must be
specifically directed toward that industry. Mississippi Supreme
Court decisions establish that its law of bad faith applies to any
breach of contract, not merely a breach of an insurance contract.
Neither do the factors for interpreting the phrase "business of
insurance" under the McCarran-Ferguson Act (which factors are
appropriate for consideration here) support the assertion that the
Mississippi law of bad faith "regulates insurance" for purposes of
ERISA's saving clause. Pp.
481 U. S. 48-51.
(c) Moreover, interpretation of the saving clause must be
informed by the legislative intent concerning ERISA's civil
enforcement provisions. The language and structure of those
provisions support the conclusion that they were intended to
provide exclusive remedies for ERISA-plan participants and
beneficiaries asserting improper processing of benefit claims.
ERISA's detailed provisions set forth a comprehensive civil
enforcement scheme that represents a careful balancing of the need
for prompt and fair claims settlement procedures against the public
interest in encouraging the formation of employee benefit plans.
The policy choices reflected in the inclusion of certain remedies
and the exclusion of others under the federal scheme would be
completely undermined if ERISA-plan participants and beneficiaries
were free to obtain remedies under state law that Congress rejected
in ERISA. The conclusion that ERISA's civil enforcement provisions
were intended to be exclusive is also confirmed by the legislative
history of those provisions, particularly the history demonstrating
that the preemptive force of ERISA's enforcement provisions was
modeled after the powerful preemptive force of § 301 of the
Labor Management Relations Act, 1947. Pp.
481 U. S.
51-56.
770 F.2d 1311, reversed.
O'CONNOR, J., delivered the opinion for a unanimous Court.
Page 481 U. S. 43
JUSTICE O'CONNOR delivered the opinion of the Court.
This case presents the question whether the Employee Retirement
Income Security Act of 1974 (ERISA), 88 Stat. 829, as amended, 29
U.S.C. § 1001
et seq., preempts state common law tort
and contract actions asserting improper processing of a claim for
benefits under an insured employee benefit plan.
I
In March, 1975, in Gulfport, Mississippi, respondent Everate W.
Dedeaux injured his back in an accident related to his employment
for Entex, Inc. (Entex). Entex had at this time a long-term
disability employee benefit plan established by purchasing a group
insurance policy from petitioner, Pilot Life Insurance Co. (Pilot
Life). Entex collected and matched its employees' contributions to
the plan and forwarded those funds to Pilot Life; the employer also
provided forms to its employees for processing disability claims,
and forwarded completed forms to Pilot Life. Pilot Life bore the
responsibility of determining who would receive disability
benefits. Although Dedeaux sought permanent disability benefits
following the 1975 accident, Pilot Life terminated his benefits
after two years. During the following three years, Dedeaux's
benefits were reinstated and terminated by Pilot Life several
times.
In 1980, Dedeaux instituted a diversity action against Pilot
Life in the United States District Court for the Southern District
of Mississippi. Dedeaux's complaint contained three counts:
"Tortious Breach of Contract"; "Breach of Fiduciary Duties"; and
"Fraud in the Inducement." App. 18-23. Dedeaux sought "[d]amages
for failure to provide benefits under the insurance policy in a sum
to be determined at the time of trial," "[g]eneral damages for
mental and emotional distress and other incidental damages in the
sum of $250,000.00," and "[p]unitive and exemplary damages in
the
Page 481 U. S. 44
sum of $500,000.00."
Id. at 23-24. Dedeaux did not
assert any of the several causes of action available to him under
ERISA,
see infra at
481 U. S.
53.
At the close of discovery, Pilot Life moved for summary
judgment, arguing that ERISA preempted Dedeaux's common law claim
for failure to pay benefits on the group insurance policy. The
District Court granted Pilot Life summary judgment, finding all
Dedeaux's claims preempted. App. to Pet. Cert. 16a.
The Court of Appeals for the Fifth Circuit reversed, primarily
on the basis of this Court's decision in
Metropolitan Life Ins.
Co. v. Massachusetts, 471 U. S. 724
(1985).
See 770 F.2d 1311 (1985). We granted certiorari,
478 U.S. 1004 (1986), and now reverse.
II
In ERISA, Congress set out to
"protect . . . participants in employee benefit plans and their
beneficiaries, by requiring the disclosure and reporting to
participants and beneficiaries of financial and other information
with respect thereto, by establishing standards of conduct,
responsibility, and obligation for fiduciaries of employee benefit
plans, and by providing for appropriate remedies, sanctions, and
ready access to the Federal courts."
§ 2, as set forth in 29 U.S.C. § 1001(b). ERISA
comprehensively regulates, among other things, employee welfare
benefit plans that, "through the purchase of insurance or
otherwise," provide medical, surgical, or hospital care, or
benefits in the event of sickness, accident, disability, or death.
§ 3(1), 29 U.S.C. § 1002(1).
Congress capped off the massive undertaking of ERISA with three
provisions relating to the preemptive effect of the federal
legislation:
"Except as provided in subsection (b) of this section [the
saving clause], the provisions of this subchapter and
Page 481 U. S. 45
subchapter III of this chapter shall supersede any and all State
laws insofar as they may now or hereafter relate to any employee
benefit plan. . . ."
§ 514(a), as set forth in 29 U.S.C. § 1144(a)
(preemption clause).
"Except as provided in subparagraph (B) [the deemer clause],
nothing in this subchapter shall be construed to exempt or relieve
any person from any law of any State which regulates insurance,
banking, or securities."
§ 514(b)(2)(A), as set forth in 29 U.S.C. §
1144(b)(2)(A) (saving clause).
"Neither an employee benefit plan . . . nor any trust
established under such a plan, shall be deemed to be an insurance
company or other insurer, bank, trust company, or investment
company or to be engaged in the business of insurance or banking
for purposes of any law of any State purporting to regulate
insurance companies, insurance contracts, banks, trust companies,
or investment companies."
§ 514(b)(2)(B), 29 U.S.C. § 1144(b)(2)(B) (deemer
clause).
To summarize the pure mechanics of the provisions quoted above:
If a state law "relate[s] to . . . employee benefit plan[s]," it is
preempted. § 514(a). The saving clause excepts from the
preemption clause laws that "regulat[e] insurance." §
514(b)(2)(A). The deemer clause makes clear that a state law that
"purport[s] to regulate insurance" cannot deem an employee benefit
plan to be an insurance company. § 514(b)(2)(B).
"[T]he question whether a certain state action is preempted by
federal law is one of congressional intent. "
The purpose of
Congress is the ultimate touchstone.'""
Allis-Chalmers Corp. v. Lueck, 471 U.
S. 202,
471 U. S. 208
(1985), quoting
Malone v. White Motor Corp., 435 U.
S. 497,
435 U. S. 504
(1978), quoting
Retail Clerks v. Schermerhorn,
375 U. S. 96,
375 U. S. 103
(1963). We have observed in the past that the express
preemption
Page 481 U. S. 46
provisions of ERISA are deliberately expansive, and designed to
"establish pension plan regulation as exclusively a federal
concern."
Alessi v. Raybestos-Manhattan, Inc.,
451 U. S. 504,
451 U. S. 523
(1981). As we explained in
Shaw v. Delta Air Lines, Inc.,
463 U. S. 85,
463 U. S. 98
(1983):
"The bill that became ERISA originally contained a limited
preemption clause, applicable only to state laws relating to the
specific subjects covered by ERISA. The Conference Committee
rejected those provisions in favor of the present language, and
indicated that section's preemptive scope was as broad as its
language.
See H.R.Conf.Rep. No. 93-1280, p. 383 (1974);
S.Conf.Rep. No. 93-1090, p. 383 (1974)."
The House and Senate sponsors emphasized both the breadth and
importance of the preemption provisions. Representative Dent
described the "reservation to Federal authority [of] the sole power
to regulate the field of employee benefit plans" as ERISA's
"crowning achievement." 120 Cong.Rec. 29197 (1974). Senator
Williams said:
"It should be stressed that, with the narrow exceptions
specified in the bill, the substantive and enforcement provisions
of the conference substitute are intended to preempt the field for
Federal regulations, thus eliminating the threat of conflicting or
inconsistent State and local regulation of employee benefit plans.
This principle is intended to apply in its broadest sense to all
actions of State or local governments, or any instrumentality
thereof, which have the force or effect of law."
Id. at 29933.
See also Shaw v. Delta Air Lines,
Inc., supra, at
463 U. S.
99-100, n. 20 (describing remarks of Sen. Javits).
In
Metropolitan Life, this Court, noting that the
preemption and saving clauses "perhaps are not a model of
legislative drafting," 471 U.S. at
471 U. S. 739,
interpreted these clauses in relation to a Massachusetts statute
that required minimum
Page 481 U. S. 47
mental health care benefits to be provided Massachusetts
residents covered by general health insurance policies. The
appellants in Metropolitan Life argued that the state statute, as
applied to insurance policies purchased by employee health care
plans regulated by ERISA, was preempted.
The Court concluded, first, that the Massachusetts statute did
"relate to . . . employee benefit plan[s]," thus placing the state
statute within the broad sweep of the preemption clause, §
514(a).
Metropolitan Life, supra, at
471 U. S. 739.
However, the Court held that, because the state statute was one
that "regulate[d] insurance," the saving clause prevented the state
law from being preempted. In determining whether the Massachusetts
statute regulated insurance, the Court was guided by case law
interpreting the phrase "business of insurance" in the
McCarran-Ferguson Act, 59 Stat. 33, as amended, 15 U.S.C. §
1011
et seq.
Given the "statutory complexity" of ERISA's three preemption
provisions,
Metropolitan Life, supra, at
471 U. S. 740,
as well as the wide variety of state statutory and decisional law
arguably affected by the federal preemption provisions, it is not
surprising that we are again called on to interpret these
provisions.
III
There is no dispute that the common law causes of action
asserted in Dedeaux's complaint "relate to" an employee benefit
plan, and therefore fall under ERISA's express preemption clause,
§ 514(a). In both
Metropolitan Life, supra, and
Shaw v. Delta Air Lines, Inc., supra, at
463 U. S.
96-100, we noted the expansive sweep of the preemption
clause. In both cases
"[t]he phrase 'relate to' was given its broad common-sense
meaning, such that a state law 'relate[s] to' a benefit plan 'in
the normal sense of the phrase, if it has a connection with or
reference to such a plan.'"
Metropolitan Life, supra, at
471 U. S. 739,
quoting
Shaw v. Delta Air Lines, supra, at
463 U. S. 97. In
particular, we have emphasized that the preemption clause is not
limited to "state laws specifically designed
Page 481 U. S. 48
to affect employee benefit plans."
Shaw v. Delta Air Lines,
supra, at
463 U. S. 98.
The common law causes of action raised in Dedeaux's complaint, each
based on alleged improper processing of a claim for benefits under
an employee benefit plan, undoubtedly meet the criteria for
preemption under § 514(a).
Unless these common law causes of action fall under an exception
to § 514(a), therefore, they are expressly preempted. Although
Dedeaux's complaint pleaded several state common law causes of
action, before this Court Dedeaux has described only one of the
three counts -- called "tortious breach of contract" in the
complaint, and "the Mississippi law of bad faith" in respondent's
brief -- as protected from the preemptive effect of § 514(a).
The Mississippi law of bad faith, Dedeaux argues, is a law "which
regulates insurance," and thus is saved from preemption by §
514(b)(2)(A). [
Footnote 1]
In
Metropolitan Life, we were guided by several
considerations in determining whether a state law falls under the
saving clause. First, we took what guidance was available from a
"common-sense view" of the language of the saving clause itself.
471 U.S. at
471 U. S. 740.
Second, we made use of the case law interpreting the phrase
"business of insurance" under the McCarran-Ferguson Act, 15 U.S.C.
§ 1011
et seq., in interpreting the saving clause.
[
Footnote 2] Three criteria
have been used to determine whether a practice falls under the
"business of insurance" for purposes of the McCarran-Ferguson
Act:
"
[F]irst, whether the practice has the effect of
transferring or spreading a policyholder's risk;
second,
whether"
the practice is an integral part of the policy relationship
Page 481 U. S. 49
between the insurer and the insured; and
third, whether
the practice is limited to entities within the insurance
industry.
Union Labor Life Ins. Co. v. Pireno, 458 U.
S. 119,
458 U. S. 129
(1982) (emphasis in original).
In the present case, the considerations weighed in
Metropolitan Life argue against the assertion that the
Mississippi law of bad faith is a state law that "regulates
insurance."
As early as 1915, the Mississippi Supreme Court had recognized
that punitive damages were available in a contract case when "the
act or omission constituting the breach of the contract amounts
also to the commission of a tort."
See Nood v. Moffett,
109 Miss. 757, 767, 69 So. 664, 666 (1915) (involving a physician's
breach of a contract to attend to a woman at her approaching
"accouchement"). In
American Railway Express Co. v.
Bailey, 142 Miss. 622, 631, 107 So. 761, 763 (1926), a case
involving a failure of a finance company to deliver to the
plaintiff the correct amount of money cabled to the plaintiff
through the finance company's offices, the Mississippi Supreme
Court explained that punitive damages could be available when the
breach of contract was "attended by some intentional wrong, insult,
abuse, or gross negligence, which amounts to an independent tort."
In
Standard Life Insurance Co. v. Veal, 354 So. 2d
239 (1977), the Mississippi Supreme Court, citing
D. L.
Fair Lumber Co. v. Weems, 196 Miss. 201, 16 So. 2d 770 (1944)
(breach of contract was accompanied by "the breaking down and
destruction of another's fence"),
American Railway Express Co.
v. Bailey, supra, and
Hood v. Moffett, supra, upheld
an award of punitive damages against a defendant insurance company
for failure to pay on a credit life policy. Since
Veal,
the Mississippi Supreme Court has considered a large number of
cases in which plaintiffs have sought punitive damages from
insurance companies for failure to pay a claim under an insurance
contract, and in a great many of these cases the court has used the
identical formulation, first stated in
Bailey, of what
must "attend" the breach of contract in order for punitive
Page 481 U. S. 50
damages to be recoverable.
See, e.g., Employers Mutual
Casualty Co. v. Tompkins, 490 So. 2d
897, 902 (1986);
State Farm Fire & Casualty Co. v.
Simpson, 477 So. 2d
242, 248 (1985);
Consolidated American Life Ins. Co. v.
Toche, 410 So. 2d
1303, 1304 (1982);
Gulf Guaranty Life Ins. Co. v.
Kelley, 389 So. 2d
920, 922 (1980);
State Farm Mutual Automobile Ins. Co. v.
Roberts, 379 So. 2d
321, 322 (1980);
New Hampshire Ins. Co. v.
Smith, 357 So. 2d
119, 121 (1978);
Lincoln National Life Ins. Co. v.
Crews, 341 So. 2d
1321, 1322 (1977). Recently, the Mississippi Supreme Court
stated that
"[w]e have come to term an insurance carrier which refuses to
pay a claim when there is no reasonably arguable basis to deny it
as acting in 'bad faith,' and a lawsuit based upon such an
arbitrary refusal as a 'bad faith' cause of action."
Blue Cross & Blue Shield of Mississippi, Inc. v.
Campbell, 466 So. 2d
833, 842 (1984).
Certainly a common-sense understanding of the phrase "regulates
insurance" does not support the argument that the Mississippi law
of bad faith falls under the saving clause. A common-sense view of
the word "regulates" would lead to the conclusion that, in order to
regulate insurance, a law must not just have an impact on the
insurance industry, but must be specifically directed toward that
industry. Even though the Mississippi Supreme Court has identified
its law of bad faith with the insurance industry, the roots of this
law are firmly planted in the general principles of Mississippi
tort and contract law. Any breach of contract, and not merely
breach of an insurance contract, may lead to liability for punitive
damages under Mississippi law.
Neither do the McCarran-Ferguson Act factors support the
assertion that the Mississippi law of bad faith "regulates
insurance." Unlike the mandated-benefits law at issue in
Metropolitan Life, the Mississippi common law of bad faith
does not effect a spreading of policyholder risk. The state common
law of bad faith may be said to concern "the policy relationship
between the insurer and the insured. " The connection
Page 481 U. S. 51
to the insurer-insured relationship is attenuated, at best,
however. In contrast to the mandated-benefits law in
Metropolitan Life, the common law of bad faith does not
define the terms of the relationship between the insurer and the
insured; it declares only that, whatever terms have been agreed
upon in the insurance contract, a breach of that contract may in
certain circumstances allow the policyholder to obtain punitive
damages. The state common law of bad faith is therefore no more
"integral" to the insurer-insured relationship than any State's
general contract law is integral to a contract made in that State.
Finally, as we have just noted, Mississippi's law of bad faith,
even if associated with the insurance industry, has developed from
general principles of tort and contract law available in any
Mississippi breach of contract case.
Cf. Hart v. Orion Ins.
Co., 453 F.2d 1358 (CA10 1971) (general state arbitration
statutes do not regulate the business of insurance under the
McCarran-Ferguson Act);
Hamilton Life Ins. Co. v. Republic
National Life Ins. Co., 408 F.2d 606 (CA2 1969) (same).
Accordingly, the Mississippi common law of bad faith, at most,
meets one of the three criteria used to identify the "business of
insurance" under the McCarran-Ferguson Act, and used in
Metropolitan Life to identify laws that "regulat[e]
insurance" under the saving clause.
In the present case, moreover, we are obliged in interpreting
the saving clause to consider not only the factors by which we were
guided in
Metropolitan Life, but also the role of the
saving clause in ERISA as a whole. On numerous occasions we have
noted that
""
"[i]n expounding a statute, we must not be guided by a
single sentence or member of a sentence, but look to the provisions
of the whole law, and to its object and policy."'""
Kelly v. Robinson, 479 U. S. 36,
479 U. S. 43
(1986), quoting
Offshore Logistics, Inc. v. Tallentire,
477 U. S. 207,
477 U. S. 221
(1986) (quoting
Mastro Plastics Corp. v. NLRB,
350 U. S. 270,
350 U. S. 285
(1956) (in turn quoting
United States v. Heirs of
Boisdore, 8 How. 113,
49 U. S. 122
(1849))). Because, in this case,
Page 481 U. S. 52
the state cause of action seeks remedies for the improper
processing of a claim for benefits under an ERISA-regulated plan,
our understanding of the saving clause must be informed by the
legislative intent concerning the civil enforcement provisions
provided by ERISA § 502(a), 29 U.S.C. § 1132(a).
The Solicitor General, for the United States as
amicus
curiae, argues that Congress clearly expressed an intent that
the civil enforcement provisions of ERISA § 502(a) be the
exclusive vehicle for actions by ERISA-plan participants and
beneficiaries asserting improper processing of a claim for
benefits, and that varying state causes of action for claims within
the scope of § 502(a) would pose an obstacle to the purposes
and objectives of Congress. Brief for United States as
Amicus
Curiae 18-19. We agree. The conclusion that § 502(a) was
intended to be exclusive is supported, first, by the language and
structure of the civil enforcement provisions, and second, by
legislative history in which Congress declared that the preemptive
force of § 502(a) was modeled on the exclusive remedy provided
by § 301 of the Labor Management Relations Act, 1947 (LMRA),
61 Stat. 156, 29 U.S.C. § 185.
The civil enforcement scheme of § 502(a) is one of the
essential tools for accomplishing the stated purposes of ERISA.
[
Footnote 3] The civil
enforcement scheme is sandwiched between
Page 481 U. S. 53
two other ERISA provisions relevant to enforcement of ERISA and
to the processing of a claim for benefits under an employee benefit
plan. Section 501, 29 U.S.C. § 1131, authorizes criminal
penalties for violations of the reporting and disclosure provisions
of ERISA. Section 503, 29 U.S.C. § 1133, requires every
employee benefit plan to comply with Department of Labor
regulations on giving notice to any participant or beneficiary
whose claim for benefits has been denied, and affording a
reasonable opportunity for review of the decision denying the
claim. Under the civil enforcement provisions of § 502(a), a
plan participant or beneficiary may sue to recover benefits due
under the plan, to enforce the participant's rights under the plan,
or to clarify rights to future benefits. Relief may take the form
of accrued benefits due, a declaratory judgment on entitlement to
benefits, or an injunction against a plan administrator's improper
refusal to pay benefits. A participant or beneficiary may also
bring a cause of action for breach of fiduciary duty, and under
this cause of action may seek removal of the fiduciary.
§§ 502(a)(2), 409. In an action under these civil
enforcement provisions, the court in its discretion may allow an
award of attorney's fees to either party. § 502(g).
See
Massachusetts Mutual Life Ins. Co. v. Russell, 473 U.
S. 134,
473 U. S. 147
(1985). In
Russell, we concluded that ERISA's breach of
fiduciary duty provision, § 409(a), 29 U.S.C.
Page 481 U. S. 54
§ 1109(a), provided no express authority for an award of
punitive damages to a beneficiary. Moreover, we declined to find an
implied cause of action for punitive damages in that section,
noting that
"'[t]he presumption that a remedy was deliberately omitted from
a statute is strongest when Congress has enacted a comprehensive
legislative scheme including an integrated system of procedures for
enforcement.'"
Russell, supra, at
473 U. S. 147,
quoting
Northwest Airlines, Inc. v. Transport Workers,
451 U. S. 77,
451 U. S. 97
(1981). Our examination of these provisions made us "reluctant to
tamper with an enforcement scheme crafted with such evident care as
the one in ERISA."
Russell, supra, at
473 U. S.
147.
In sum, the detailed provisions of § 502(a) set forth a
comprehensive civil enforcement scheme that represents a careful
balancing of the need for prompt and fair claims settlement
procedures against the public interest in encouraging the formation
of employee benefit plans. The policy choices reflected in the
inclusion of certain remedies and the exclusion of others under the
federal scheme would be completely undermined if ERISA plan
participants and beneficiaries were free to obtain remedies under
state law that Congress rejected in ERISA.
"The six carefully integrated civil enforcement provisions found
in § 502(a) of the statute as finally enacted . . . provide
strong evidence that Congress did
not intend to authorize
other remedies that it simply forgot to incorporate expressly."
Russell, supra, at
473 U. S. 146
(emphasis in original).
The deliberate care with which ERISA's civil enforcement
remedies were drafted and the balancing of policies embodied in its
choice of remedies argue strongly for the conclusion that ERISA's
civil enforcement remedies were intended to be exclusive. This
conclusion is fully confirmed by the legislative history of the
civil enforcement provision. The legislative history demonstrates
that the preemptive force of § 502(a) was modeled after §
301 of the LMRA.
Page 481 U. S. 55
The Conference Report on ERISA describing the civil enforcement
provisions of § 502(a) says:
"Under the conference agreement, civil actions may be brought by
a participant or beneficiary to recover benefits due under the
plan, to clarify rights to receive future benefits under the plan,
and for relief from breach of fiduciary responsibility. . . .
[W]ith respect to suits to enforce benefit rights under the plan or
to recover benefits under the plan which do not involve application
of the title I provisions, they may be brought not only in U.S.
district courts, but also in State courts of competent
jurisdiction.
All such actions in Federal or State courts are
to be regarded as arising under the laws of the United States in
similar fashion to those brought under section 301 of the
Labor-Management Relations Act of 1947."
H.R.Conf.Rep. No. 93-1280, p. 327 (1974) (emphasis added).
Congress was well aware that the powerful preemptive force of
§ 301 of the LMRA displaced all state actions for violation of
contracts between an employer and a labor organization, even when
the state action purported to authorize a remedy unavailable under
the federal provision. Section 301 preempts any
"state law claim [whose resolution] is substantially dependent
upon the analysis of the terms of an agreement made between the
parties in a labor contract."
Allis-Chalmers Corp. v. Lueck, 471 U.S. at
471 U. S. 220.
As we observed in
Allis-Chalmers, the broad preemptive
effect of § 301 was first analyzed in
Teamsters v. Lucas
Flour Co., 369 U. S. 95
(1962). In
Lucas Flour, the Court found that
"[t]he dimensions of § 301 require the conclusion that
substantive principles of federal labor law must be paramount in
the area covered by the statute."
Id. at
369 U. S. 103.
"[I]n enacting § 301, Congress intended doctrines of federal
labor law uniformly to prevail over inconsistent local rules."
Id. at
369 U. S. 104.
Indeed, for purposes of determining federal jurisdiction, this
Court has singled out § 301 of the LMRA as having
"preemptive
Page 481 U. S. 56
force . . . so powerful as to displace entirely any state cause
of action 'for violation of contracts between an employer and a
labor organization.' Any such suit is purely a creature of federal
law. . . ."
Franchise Tax Board of Cal. v. Construction Laborers
Vacation Trust for Southern Cal., 463 U. S.
1,
463 U. S. 23
(1983), referring to
Avco Corp. v. Machinists,
390 U. S. 557
(1968).
Congress' specific reference to § 301 of the LMRA to
describe the civil enforcement scheme of ERISA makes clear its
intention that all suits brought by beneficiaries or participants
asserting improper processing of claims under ERISA-regulated plans
be treated as federal questions governed by § 502(a).
See
also H.R.Rep. No. 93-533, p. 12 (1973), reprinted in 2 Senate
Committee on Labor and Public Welfare, Legislative History of
ERISA, 94th Cong., 2d Sess., 2359 (Comm. Print 1976) ("The
uniformity of decision which the Act is designed to foster will
help administrators, fiduciaries and participants to predict the
legality of proposed actions without the necessity of reference to
varying state laws"); 120 Cong.Rec. 29933 (1974) (remarks of Sen.
Williams) (suits involving claims for benefits "will be regarded as
arising under the laws of the United States, in similar fashion to
those brought under section 301 of the Labor Management Relations
Act");
id. at 29942 (remarks of Sen. Javits) ("[i]t is
also intended that a body of Federal substantive law will be
developed by the courts to deal with issues involving rights and
obligations under private welfare and pension plans"). The
expectations that a federal common law of rights and obligations
under ERISA-regulated plans would develop, indeed, the entire
comparison of ERISA's § 502(a) to § 301 of the LMRA,
would make little sense if the remedies available to ERISA
participants and beneficiaries under § 502(a) could be
supplemented or supplanted by varying state laws.
In
Metropolitan Life Ins. Co. v. Massachusetts, 471
U.S. at
471 U. S. 746,
this Court rejected an interpretation of the saving clause of
ERISA's express preemption provisions, § 514(b) (2)(A), 29
U.S.C. § 1144(b)(2)(A), that saved from preemption
Page 481 U. S. 57
"only state regulations unrelated to the substantive provisions
of ERISA," finding that "[n]othing in the language, structure, or
legislative history of the Act" supported this reading of the
saving clause.
Metropolitan Life, however, did not involve
a state law that conflicted with a substantive provision of ERISA.
Therefore the Court's general observation -- that state laws
related to ERISA may also fall under the saving clause -- was not
focused on any particular relationship or conflict between a
substantive provision of ERISA and a state law. In particular, the
Court had no occasion to consider in
Metropolitan Life the
question raised in the present case: whether Congress might clearly
express, through the structure and legislative history of a
particular substantive provision of ERISA, an intention that the
federal remedy provided by that provision displace state causes of
action. Our resolution of this different question does not conflict
with the Court's earlier general observations in
Metropolitan
Life.
Considering the common-sense understanding of the saving clause,
the McCarran-Ferguson Act factors defining the business of
insurance, and, most importantly, the clear expression of
congressional intent that ERISA's civil enforcement scheme be
exclusive, we conclude that Dedeaux's state law suit asserting
improper processing of a claim for benefits under an
ERISA-regulated plan is not saved by § 514(b)(2)(A), and
therefore is preempted by § 514(a). [
Footnote 4] Accordingly, the judgment of the Court of
Appeals is
Reversed.
[
Footnote 1]
Decisional law that "regulates insurance" may fall under the
saving clause. The saving clause, § 514(b)(2)(A), covers "any
law of any State." For purposes of § 514, "[t]he term
state law' includes all laws, decisions, rules, regulations, or
other State action having the effect of law, of any State." 29
U.S.C. §§ 1144(c)(1) and (2).
[
Footnote 2]
The McCarran-Ferguson Act provides, in relevant part:
"The business of insurance, and every person engaged therein,
shall be subject to the laws of the several States which relate to
the regulation or taxation of such business."
15 U.S.C. § 1012(a).
[
Footnote 3]
Section 502(a), as set forth in 29 U.S.C. § 1132(a),
provides:
"A civil action may be brought -- "
"(1) by a participant or beneficiary -- "
"(A) for the relief provided for in subsection (c) of this
section [concerning requests to the administrator for information],
or"
"(B) to recover benefits due to him under the terms of his plan,
to enforce his rights under the terms of the plan, or to clarify
his rights to future benefits under the terms of the plan;"
"(2) by the Secretary, or by a participant, beneficiary or
fiduciary for appropriate relief under section 1109 of this title
[breach of fiduciary duty];"
"(3) by a participant, beneficiary, or fiduciary (A) to enjoin
any act or practice which violates any provision of this subchapter
or the terms of the plan, or (B) to obtain other appropriate
equitable relief (i) to redress such violations or (ii) to enforce
any provisions of this subchapter or the terms of the plan;"
"(4) by the Secretary, or by a participant, or beneficiary for
appropriate relief in the case of a violation of 1025(c) of this
title [information to be furnished to participants];"
"(5) except as otherwise provided in subsection (b) of this
subsection, by the Secretary (A) to enjoin any act or practice
which violates any provision of this subchapter, or (B) to obtain
other appropriate equitable relief (i) to redress such violation or
(ii) to enforce any provision of this subchapter;"
"(6) by the Secretary to collect any civil penalty under
subsection (i) of this section."
[
Footnote 4]
Because we conclude that Dedeaux's state common law claims fall
under the ERISA preemption clause and are not rescued by the saving
clause, we need not reach petitioner's argument that, when an
insurance company is engaged in the processing and review of claims
for benefits under an employee benefit plan, it is acting in place
of the plan's trustees, and should be protected from direct state
regulation by the deemer clause.