Potential claims related to the COVID-19 pandemic
The COVID-19 pandemic and the associated financial crisis have taken their toll on employee benefit plans. Investments across the stock market dropped overnight, and unemployment rates have skyrocketed. Many companies have been forced to furlough employees and to consider downsizing in order to remain in business, forcing many employees to consider early retirement. In addition, the precipitous drop in the financial markets has negatively affected investment funds in which many public and private employee benefit plans invest employee assets, including the termination and liquidation of several large hedge funds, resulting in significant losses to plan beneficiaries. As this market volatility continues, companies that sponsor plans, the plans themselves, and third parties that administer or provide financial or consulting services to employee benefit plans may face a growing risk of liability under the Employee Retirement Income Security Act of 1974 (ERISA or the Act), which regulates employee benefits plans, and related laws.
When an employee benefit plan does not perform as expected, as may be the case during the COVID-19 pandemic, plan beneficiaries might allege that the plan was mismanaged and seek legal recourse under ERISA or other laws. Allegations could include failing to prudently invest or diversify the assets held by the plan, failing to exercise supervisory control over financial advisors to the plan, and failing to advise plan participants of the risks inherent in certain plan investments. ERISA provides several causes of action for breach of fiduciary duty, including:
- Misleading or negligent advice on investing the plan’s funds;
- Imprudent or negligent investment practices, including failing to diversify plan assets or charging excessive fees;
- Imprudent selection or monitoring of third-party service providers; and
- Administrative errors resulting in lost benefits.
The standard that will be applied is an objective, “prudent” one: “A fiduciary’s investments are prudent if s/he has given appropriate consideration to those facts and circumstances that are relevant to the particular investment involved and has acted accordingly. ‘Appropriate consideration’ includes a determination by the fiduciary that the particular investment is reasonably designed to further the purposes of the plan, taking into consideration the risk of loss and the opportunity for gain, in addition to consideration of the portfolio’s diversification, liquidity, and projected return relative to the plan’s funding objectives. In addition, under trust law, a fiduciary normally has a continuing duty of some kind to monitor investments and remove imprudent ones. In other words, we must focus on whether the fiduciary engaged in a reasoned decision-making process, consistent with that of a prudent man acting in a like capacity. Courts have readily determined that fiduciaries who act reasonably – i.e., who appropriately investigate the merits of an investment decision prior to acting – easily clear this bar.” Pfeil v. State Street Bank & Trust Co., 806 F.3d 377, 383–85 (6th Cir. 2015) (the General Motors Corp. ‘stock drop’ case from the Great Recession).
Companies and their personnel also may face allegations of “settlor liability” for decisions related to the business of the plan, such as establishing, terminating, or amending the plan terms. It can be difficult to distinguish covered “fiduciary” actions from uncovered “settlor” actions, and claimants will often allege that settlor acts are breaches of fiduciary duty. See, e.g., Acosta v. Brain, 910 F.3d. 502 (9th Cir. 2018) (addressing the “two hat” principle). Although in the past many insurance policies did not cover purely settlor acts, today it is common for fiduciary liability insurance (FLI) policies to include coverage for settlor acts, either directly in the policy form, or by endorsement.
In addition, the precipitous drop in value of some plan investments may cause companies to consider whether they have a regulatory obligation to infuse funds into the plan to satisfy the plan’s ability to pay benefits to participants, even before a claim is made by a participant. Like most liability insurance policies, FLI policies often contain restrictions on coverage for “voluntary payments” or require the insurer’s prior written consent before taking an action that may indicate or affect the insureds’ liability. Companies should review their FLI policies carefully with coverage counsel before agreeing to make any such payment, in advance of or after a claim is made.
What is fiduciary liability insurance?
Fiduciary liability insurance is intended to help companies manage risks relating to the management or administration of employee benefit plans. ERISA broadly defines a fiduciary to include those with discretionary authority over the administration or management of the plans. ERISA also generally prohibits benefit plans from indemnifying individual fiduciaries for liability for violations of the Act. Depending on the circumstances, employers acting as plan sponsors may be considered (or alleged to be) fiduciaries and therefore subject to liability under ERISA and similar laws regulating employee benefits. Company directors, officers, or employees involved in the creation, administration, or oversight of a plan may likewise face fiduciary liability or other exposure.
FLI coverage insures companies against the costs of defending claims as well as damages, judgments, and settlements in claims made against sponsoring companies, their personnel, and their plans alleging wrongdoing related to the company’s, employees’, or plans’ fiduciary, administrative, and in some cases settlor, roles over the creation, management, or administration of the plans. In addition, many FLI policies cover civil fines and penalties assessed by regulators (including the Department of Labor, the Pension Benefit Guaranty Corporation, and the Internal Revenue Service), as well as voluntary settlement programs administered by the IRS. FLI coverage is generally claims-made insurance (meaning that the policies respond when a claim is first made, irrespective of when the underlying wrongful conduct occurred). As such, prompt notification of claims is critical to secure coverage.
Next steps
Because FLI policies generally are claims-made policies, providing timely notice to the insurer is crucial if a claim is made. Keep in mind that a “claim” may include written demands for relief, administrative benefits proceedings, and regulatory investigations, in addition to civil lawsuits. In addition, like directors and officers liability policies and similar policies, many FLI policies allow the option of providing a notice of circumstances (or “potential claim”) if facts arise that create a reasonable probability that a claim will be made in the future. Companies with knowledge of serious plan losses or other issues related to the COVID-19 pandemic affecting plans, and whose FLI policies are nearing expiration, should consider providing a notice of circumstance addressing the volatility of the stock market during the COVID-19 crisis and the likelihood of litigation based on the perceived mismanagement of plan funds.
At-risk companies should undertake a holistic review of their FLI insurance policies, as well as other insurance policies in their portfolio. In addition, companies that are preparing for renewals should leave extra time for negotiations given the current climate. If you have any questions about the content of this article or the current state of your company’s coverage for fiduciary liability claims, COVID-19 liabilities, or otherwise, please contact one of the authors of this article or any other member of Reed Smith’s Insurance Recovery Group.
Our Reed Smith Coronavirus team includes multidisciplinary lawyers from Asia, EME and the United States who stand ready to advise you on the issues above or others you may face related to COVID-19.
For more information on the legal and business implications of COVID-19, visit the Reed Smith Coronavirus (COVID-19) Resource Center or contact us at COVID-19@reedsmith.com
Client Alert 2020-355