With the myriad of participant disclosures, notices, and plan explanations the Department of Labor requires plan sponsors provide to participants, it comes as no surprise that at some point any two of these documents may present conflicting information. Big problems arise when the provisions of the Summary Plan Description conflict with the provisions of the base document.
Aside from the base document itself, the SPD is subject to the greatest amount of scrutiny and usually is of the greatest use to the plan participants. The DOL has specific requirements on the style of the SPD as well as a requirement that the SPD be written in a “manner calculated to be understood by the average plan participant and…sufficiently comprehensive to apprise the plan’s participants of their rights and obligations under the plan.” Since ERISA is usually best understood by people who tend to write everything in long, complicated sentences filled with industry jargon, the task of writing an SPD with legal specificity using non-legal terminology can be challenging. When the SPD and the plan document do not match, the question of which one controls arises.
This question was recently discussed in the case of Washington v. Murphy Oil USA, Inc.. In Washington, the plan document stated that the participant would qualify for a long-term disability benefit after 10 years of vesting service. The SPD stated that only 5 years of vesting service was required to be qualified for the disability benefit. When Washington became disabled, he had eight years of vesting service and applied for the benefit believing he had satisfied the service requirements. The plan administrator denied the benefits stating that he was required to have 10 years of vesting service.
The Court ultimately sided with Washington, stating that “because the SPD in this case unequivocally vests disability benefits after five years of service and Washington has at least five years of vesting credit…, his right to disability benefits cannot be taken away.” The Court further stated that this approach was consistent with main purpose of the ERISA legislation, which is employee protection.
Differing terms in a document and SPD can occur in any multitude of ways, but the way most fraught with danger is not updating the SPD after any document amendment. With the Court seemingly willing to adopt any conflict of SPD and plan document in favor of the employees, any plan sponsor should take good care to ensure that its SPD is up to date with each document amendment and restatement. |