OPINION OF THE COURT
SEREBOFF V. MID ATLANTIC MEDICAL SERVICES, INC.
547 U. S. ____ (2006)
SUPREME COURT OF THE UNITED STATES
NO. 05-260
JOEL SEREBOFF, et ux., PETITIONERS
v. MID
ATLANTIC MEDICAL SERVICES, INC.
on writ of certiorari to the united states court of
appeals for the fourth circuit
[May 15, 2006]
Chief Justice Roberts delivered
the opinion of the Court.
In this case we consider again
the circumstances in which a fiduciary under the Employee
Retirement Income Security Act of 1974 (ERISA) may sue a
beneficiary for reimbursement of medical expenses paid by the ERISA
plan, when the beneficiary has recovered for its injuries from a
third party.
I
Marlene Sereboff ’s employer
sponsors a health insurance plan administered by respondent Mid
Atlantic Medical Services, Inc., and covered by ERISA, 88 Stat.
829, as amended, 29 U. S. C. §1001
et seq. (2000 ed.
and Supp. III). Marlene Sereboff and her husband Joel are
beneficiaries under the plan. The plan provides for payment of
certain covered medical expenses and contains an “Acts of Third
Parties” provision. This provision “applies when [a beneficiary is]
sick or injured as a result of the act or omission of another
person or party,” and requires a beneficiary who “receives
benefits” under the plan for such injuries to “reimburse [Mid
Atlantic]” for those benefits from “[a]ll recoveries from a third
party (whether by lawsuit, settlement, or otherwise).” App. to Pet.
for Cert. 38a. The provision states that “[Mid Atlantic’s] share of
the recovery will not be reduced because [the beneficiary] has not
received the full damages claimed, unless [Mid Atlantic] agrees in
writing to a reduction.”
Ibid.
The Sereboffs were involved
in an automobile accident in California and suffered injuries.
Pursuant to the plan’s coverage provisions, the plan paid the
couple’s medical expenses. The Sereboffs filed a tort action in
state court against several third parties, seeking compensatory
damages for injuries suffered as a result of the accident. Soon
after the suit was commenced, Mid Atlantic sent the Sereboffs’
attorney a letter asserting a lien on the anticipated proceeds from
the suit, for the medical expenses Mid Atlantic paid on the
Sereboffs’ behalf. App. 87–90. On several occasions over the next 2
years, Mid Atlantic sent similar correspondence to the attorney and
to the Sereboffs, repeating its claim to a lien on a portion of the
Sereboffs’ recovery, and detailing the medical expenses as they
accrued and were paid by the plan.
The Sereboffs’ tort suit eventually
settled for $750,000. Neither the Sereboffs nor their attorney sent
any money to Mid Atlantic in satisfaction of its claimed lien
which, after Mid Atlantic completed its payments on the Sereboffs’
behalf, totaled $74,869.37.
Mid Atlantic filed suit in District Court
under §502(a)(3) of ERISA, 29 U. S. C. §1132(a)(3), seeking to
collect from the Sereboffs the medical expenses it had paid on
their behalf. Since the Sereboffs’ attorney had already distributed
the settlement proceeds to them, Mid Atlantic sought a temporary
restraining order and preliminary injunction requiring the couple
to retain and set aside at least $74,869.37 from the proceeds. The
District Court approved a stipulation by the parties, under which
the Sereboffs agreed to “preserve $74,869.37 of the settlement
funds” in an investment account, “until the [District] Court rules
on the merits of this case and all appeals, if any, are exhausted.”
App. 69.
On the merits, the District Court found in
Mid Atlantic’s favor and ordered the Sereboffs to pay Mid Atlantic
the $74,869.37, plus interest, with a deduction for Mid Atlantic’s
share of the attorney’s fees and court costs the Sereboffs had
incurred in state court. See 303 F. Supp. 2d 691, 316
F. Supp. 2d 265 (Md. 2004). The Sereboffs appealed and the
Fourth Circuit affirmed in relevant part. 407 F. 3d 212
(2005). The Fourth Circuit observed that the Courts of Appeal are
divided on the question whether §502(a)(3) authorizes recovery in
these circumstances. See id., at 219–220, n. 7.[
Footnote 1] We granted certiorari to
resolve the disagreement. 546 U. S. ___ (2005).
II
A
A fiduciary may bring a civil
action under §502(a)(3) of ERISA “(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.” 29 U. S. C. §1132(a)(3).
There is no dispute that Mid Atlantic is a fiduciary under ERISA
and that its suit in District Court was to “enforce … the terms
of ” the “Acts of Third Parties” provision in the Sereboffs’
plan. The only question is whether the relief Mid Atlantic
requested from the District Court was “equitable” under
§502(a)(3)(B).
This is not the first time we
have had occasion to clarify the scope of the remedial power
conferred on district courts by §502(a)(3)(B). In
Mertens
v.
Hewitt Associates, 508 U. S. 248 (1993), we
construed the provision to authorize only “those categories of
relief that were
typically available in equity,” and thus
rejected a claim that we found sought “nothing other than
compensatory
damages.”
Id., at 255–256. We
elaborated on this construction of §502(a)(3)(B) in
Great-West
Life & Annuity Ins. Co. v.
Knudson, 534 U. S. 204 (2002),
which involved facts similar to those in this case. Much like the
“Acts of Third Parties” provision in the Sereboffs’ plan, the plan
in
Knudson reserved “ ‘a first lien upon any
recovery, whether by settlement, judgment or otherwise,’ that the
beneficiary receives from [a] third party.”
Id., at 207.
After Knudson was involved in a car accident, Great-West paid
medical bills on her behalf and, when she recovered in tort from a
third party for her injuries, Great-West sought to collect from her
for the medical bills it had paid.
Id., at 207–209.
In response to the argument that Great-West’s
claim in
Knudson was for “restitution” and thus equitable
under §502(a)(3)(B) and
Mertens, we noted that “not all
relief falling under the rubric of restitution [was] available in
equity.” 534 U. S.
, at 212. To decide whether the
restitutionary relief sought by Great-West was equitable or legal,
we examined cases and secondary legal materials to determine if the
relief would have been equitable “[i]n the days of the divided
bench.”
Ibid. We explained that one feature of equitable
restitution was that it sought to impose a constructive trust or
equitable lien on “particular funds or property in the defendant’s
possession.”
Id., at 213. That requirement was not met in
Knudson, because “the funds to which petitioners claim[ed]
an entitlement” were not in Knudson’s possession, but had instead
been placed in a “Special Needs Trust” under California law.
Id., at 207, 214. The kind of relief Great-West sought,
therefore, was “not equitable—the imposition of a constructive
trust or equitable lien on particular property—but legal—the
imposition of personal liability for the benefits that [Great-West]
conferred upon [Knudson].”
Id., at 214. We accordingly
determined that the suit could not proceed under §502(a)(3).
Ibid.
That impediment to characterizing the relief
in
Knudson as equitable is not present here. As the Fourth
Circuit explained below, in this case Mid Atlantic sought
“specifically identifiable” funds that were “within the possession
and control of the Sereboffs”—that portion of the tort settlement
due Mid Atlantic under the terms of the ERISA plan, set aside and
“preserved [in the Sereboffs’] investment accounts.” 407
F. 3d
, at 218. Unlike Great-West, Mid Atlantic did
not simply seek “to impose personal liability … for a contractual
obligation to pay money.”
Knudson, 534 U. S.
, at
210. It alleged breach of contract and sought money, to be sure,
but it sought its recovery through a constructive trust or
equitable lien on a specifically identified fund, not from the
Sereboffs’ assets generally, as would be the case with a contract
action at law. ERISA provides for equitable remedies
to enforce
plan terms, so the fact that the action involves a breach of
contract can hardly be enough to prove relief is not equitable;
that would make §502(a)(3)(B)(ii) an empty promise. This Court in
Knudson did not reject Great-West’s suit out of hand
because it alleged a breach of contract and sought money, but
because Great-West did not seek to recover a particular fund from
the defendant. Mid Atlantic does.
B
While Mid Atlantic’s case for
characterizing its relief as equitable thus does not falter because
of the nature of the recovery it seeks, Mid Atlantic must still
establish that the basis for its claim is equitable. See
id., at 213 (whether remedy “is legal or equitable depends
on ‘the basis for [the plaintiff ’s] claim’ and the nature of
the underlying remedies sought”). Our case law from the days of the
divided bench confirms that Mid Atlantic’s claim is equitable. In
Barnes v.
Alexander, 232 U. S. 117 (1914),
for instance, attorneys Street and Alexander performed work for
Barnes, another attorney, who promised them “one-third of the
contingent fee” he expected in the case.
Id., at 119. In
upholding their equitable claim to this portion of the fee, Justice
Holmes recited “the familiar rul[e] of equity that a contract to
convey a specific object even before it is acquired will make the
contractor a trustee as soon as he gets a title to the thing.”
Id., at 121. On the basis of this rule, he concluded that
Barnes’ undertaking “create[d] a lien” upon the portion of the
monetary recovery due Barnes from the client,
ibid., which
Street and Alexander could “follow … into the hands of … Barnes,”
“as soon as [the fund] was identified,”
id., at 123.
Much like Barnes’ promise to
Street and Alexander, the “Acts of Third Parties” provision in the
Sereboffs’ plan specifically identified a particular fund, distinct
from the Sereboffs’ general assets—“[a]ll recoveries from a third
party (whether by lawsuit, settlement, or otherwise)”—and a
particular share of that fund to which Mid Atlantic was
entitled—“that portion of the total recovery which is due [Mid
Atlantic] for benefits paid.” App. to Pet. for Cert. 38a. Like
Street and Alexander in
Barnes, therefore, Mid Atlantic
could rely on a “familiar rul[e] of equity” to collect for the
medical bills it had paid on the Sereboffs’ behalf.
Barnes,
supra, at 121. This rule allowed them to
“follow” a portion of the recovery “into the [Sereboffs’] hands”
“as soon as [the settlement fund] was identified,” and impose on
that portion a constructive trust or equitable lien. 232 U.
S.
, at 123.
The Sereboffs object that Mid Atlantic’s suit
would not have satisfied the conditions for “equitable restitution”
at common law, particularly the “strict tracing rules” that
allegedly accompanied this form of relief. Reply Brief for
Petitioners 8. When an equitable lien was imposed as restitutionary
relief, it was often the case that an asset belonging to the
plaintiff had been improperly acquired by the defendant and
exchanged by him for other property. A central requirement of
equitable relief in these circumstances, the Sereboffs argue, was
the plaintiff ’s ability to “ ‘trac[e]’ the asset into
its products or substitutes,” or “trace his money or property to
some particular funds or assets.” 1 D. Dobbs, Law of Remedies
§4.3(2), pp. 591, n. 10, 592 (2d ed. 1993).
But as the Sereboffs themselves recognize, an
equitable lien sought as a matter of restitution, and an equitable
lien “by agreement,” of the sort at issue in
Barnes, were
different species of relief. See Brief for Petitioners 24–25; Reply
Brief for Petitioners 11; see also 1 Dobbs,
supra,
§4.3(3), at 601; 1 G. Palmer, Law of Restitution §1.5, p. 20
(1978).
Barnes confirms that no tracing requirement of the
sort asserted by the Sereboffs applies to equitable liens by
agreement or assignment: The plaintiffs in
Barnes could
not identify an asset they originally possessed, which was
improperly acquired and converted into property the defendant held,
yet that did not preclude them from securing an equitable lien. To
the extent Mid Atlantic’s action is proper under
Barnes,
therefore, its asserted inability to satisfy the “strict tracing
rules” for “equit- able restitution” is of no consequence. Reply
Brief for Petitioners 8.
The Sereboffs concede as much, stating that
they “do not contend—and have never suggested—that any tracing was
historically required when an equitable lien was imposed
by
agreement.”
Id., at 11. Their argument is that such
tracing was required when an equitable lien was “predicated on a
theory of
equitable restitution.”
Ibid. The
Sereboffs appear to assume that
Knudson endorsed
application of all the restitutionary conditions—including
restitutionary tracing rules—to every action for an equitable lien
under §502(a)(3). This assumption is inaccurate.
Knudson
simply described in general terms the conditions under which a
fiduciary might recover when it was seeking equitable restitution
under a provision like that at issue in this case. There was no
need in
Knudson to catalog all the circumstances in which
equitable liens were available in equity; Great-West claimed a
right to recover in restitution, and the Court concluded only that
equitable restitution was unavailable because the funds sought were
not in Knudson’s possession. 534 U. S.
, at 214.
The Sereboffs argue that, even under
Barnes, equitable relief would not have been available to
fiduciaries relying on plan provisions like the one at issue here,
because when the beneficiary agrees to such a provision “no
third-party recovery” exists which the beneficiary can “place …
beyond his control and grant [the fiduciary] a complete and present
right therein.” Brief for Petitioners 25–26 (internal quotation
marks omitted). It may be true that, in contract cases, equity
originally required identification at the time the contract was
made of the fund to which a lien specified in the contract
attached. See,
e.g., Trist v.
Child, 21
Wall. 441, 447 (1875) (“[A] mere agreement to pay out of such fund
is not sufficient. Something more is necessary. There must be an
appropriation of the fund
pro tanto”). But
Barnes
explicitly disapproved of this rule, observing that
Trist
addressed the issue only in dicta (since the contract containing
the lien provision in
Trist was illegal), and treating the
“question as at large,” even in light of earlier opinions that had
dealt with it head on.
Barnes,
supra, at 120
(citing
Trist,
supra; Christmas v.
Russell, 14 Wall. 69 (1872);
Wright v.
Ellison, 1 Wall. 16 (1864)).
Apart from those cases, which
Barnes
discredited, the Sereboffs offer little to undermine the plain
indication in
Barnes that the fund over which a lien is
asserted need not be in existence when the contract containing the
lien provision is executed. See 4 S. Symons, Pomeroy’s Equity
Jurisprudence §1236, pp. 699–700 (5th ed. 1941) (“[A]n agreement to
charge, or to assign … property not yet in existence,” although
“creat[ing] no legal estate or interest in the things when they
afterwards come into existence … does constitute an equitable lien
upon the property” just as would “a lien upon specific things
existing and owned by the contracting party at the date of the
contract”);
Peugh v.
Porter, 112 U. S. 737, 742
(1885) (“[I]n contemplation of equity, [it] is not material” that
the “very fund now in dispute” was “not … in existence” when an
equitable lien over that fund was created). Indeed, the most they
can muster in this regard are several state cases predating
Barnes and a single decision that rests, contrary to the
Sereboffs’ characterization, on the simple conclusion that a
contractual provision purporting to secure an equitable lien did
not properly do so. See Brief for Petitioners 26; Reply Brief for
Petitioners 12;
Taylor v.
Wharton, 43 App.
D. C. 104 (1915).
The Sereboffs finally fall back on the
argument that
Barnes announced a special rule for
attorneys claiming an equitable lien over funds promised under a
contingency fee arrangement. Outside of this context, they say, the
“typical rules regarding equitable liens by assignment” persisted
and would have prevented recovery here. Reply Brief for Petitioners
13.
But
Barnes did not attach any
particular significance to the identity of the parties seeking
recovery. See 232 U. S.
, at 119. And as
Barnes
itself makes clear, other cases of this Court—not involving
attorneys’ contingency fees—apply the same “familiar rul[e] of
equity that a contract to convey a specific object even before it
is acquired will make the contractor a trustee as soon as he gets a
title to the thing.”
Id., at 121. In
Walker v.
Brown, 165
U. S. 654 (1897), for instance, the Court approved an equitable
lien over municipal bonds transferred to a company to facilitate
its business. When a supplier of the company suspended shipments
because of delinquent debts, the individual who had transferred the
bonds assured the supplier that “ ‘any indebtedness that they
may be owing you at any time, shall be paid before the return to me
of these bonds … and that these bonds … are at the risk of the
business of [the company], so far as any claim you may have against
[it].’ ”
Id., at 663. The Court found that this
undertaking created an equitable lien on the bonds, which the
supplier could enforce against the individual after the bonds had
been returned to him when the company became insolvent.
Id., at 666. As in
Barnes, the Court resolved the
case by applying general equitable principles, stating that “[t]o
dedicate property to a particular purpose, to provide that a
specified creditor and that creditor alone shall be authorized to
seek payment of his debt from the property or its value, is
unmistakably to create an equitable lien.” 165 U. S., at 666.
C
Shifting gears, the Sereboffs
contend that the lower courts erred in allowing enforcement of the
“Acts of Third Parties” provision, without imposing various
limitations that they say would apply to “truly equitable relief
grounded in principles of subrogation.” Reply Brief for Petitioners
5. According to the Sereboffs, they would in an equitable
subrogation action be able to assert certain equitable
defenses, such as the defense that subrogation may be pursued only
after a victim had been made whole for his injuries.
Id.,
at 5–6. Such defenses should be available against Mid Atlantic’s
action, the Sereboffs claim, despite the plan provision that “[Mid
Atlantic’s] share of the recovery will not be reduced because [the
beneficiary] has not received the full damages claimed, unless [Mid
Atlantic] agrees in writing to a reduction.” App. to Pet. for Cert.
38a.
But Mid Atlantic’s claim is not
considered equitable because it is a subrogation claim. As
explained, Mid Atlantic’s action to enforce the “Acts of Third
Parties” provision qualifies as an equitable remedy because it is
indistinguishable from an action to enforce an equitable lien
established by agreement, of the sort epitomized by our decision in
Barnes. See 4 Palmer, Law of Restitution
§23.18
(d), at 470 (A subrogation lien “is not an express
lien based on agreement, but instead is an equitable lien impressed
on moneys on the ground that they ought to go to the insurer”). Mid
Atlantic need not characterize its claim as a freestanding action
for equitable subrogation. Accordingly, the parcel of equitable
defenses the Sereboffs claim accompany any such action are beside
the point.[
Footnote 2]
* * *
Under the teaching of
Barnes and similar cases, Mid Atlantic’s action in the
District Court properly sought “equitable relief ” under
§502(a)(3); the judgment of the Fourth Circuit is affirmed in
relevant part.
It is so ordered.
Footnote 1
Compare
Administrative Comm. of Wal-Mart
Assoc. Health & Welfare Plan v.
Willard, 393
F. 3d 1119 (CA10 2004),
Bombardier Aerospace Employee
Welfare Benefits Plan v.
Ferrer, Poirot &
Wansbrough, 354 F. 3d 348 (CA5 2003), and
Administrative Comm. of Wal-Mart Stores, Inc. v.
Varco, 338 F. 3d 680 (CA7 2003), with
Qualchoice,
Inc. v.
Rowland, 367 F. 3d 638 (CA6 2004), and
Westaff (USA) Inc. v.
Arce, 298 F. 3d 1164
(CA9 2002).
Footnote 2
The Sereboffs argue that, even if the relief
Mid Atlantic sought was “equitable” under §502(a)(3), it was not
“appropriate” under that provision in that it contravened
principles like the make-whole doctrine. Neither the District Court
nor the Court of Appeals considered the argument that Mid
Atlantic’s claim was not “appropriate” apart from the contention
that it was not “equitable,” and from our examination of the record
it does not appear that the Sereboffs raised this distinct
assertion below. We decline to consider it for the first time here.
See
National Collegiate Athletic Assn. v.
Smith,
525 U. S. 459,
470 (1999).
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