Administrative Committee v. Jay

135 F. Supp. 2d 941, 2001 U.S. Dist. LEXIS 3955, 2001 WL 322573
CourtDistrict Court, N.D. Illinois
DecidedApril 3, 2001
Docket00 C 4151
StatusPublished
Cited by2 cases

This text of 135 F. Supp. 2d 941 (Administrative Committee v. Jay) is published on Counsel Stack Legal Research, covering District Court, N.D. Illinois primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Administrative Committee v. Jay, 135 F. Supp. 2d 941, 2001 U.S. Dist. LEXIS 3955, 2001 WL 322573 (N.D. Ill. 2001).

Opinion

MEMORANDUM OPINION AND ORDER

SHADUR, Senior District Judge.

This ERISA-based action and its counterpart in the state court system (In re Estate of Andrew Jay, Case No. 00 P 121 in the Circuit Court of the Twelfth Judicial Circuit, Will County, Illinois) seem likely to have generated enough paper already so that photocopying at customary rates may well have swallowed up more than the grand sum of $8,870.41 that is in dispute. But (to paraphrase Alfred Lord Tennyson’s Charge of the Light Brigade) ours not to reason why — perhaps the parties and their counsel can persuade themselves that they have a respectable historical antecedent in the two-centuries-old statement by Charles Cotesworth Pinckney, then the United States Minister to the French Republic:

Millions for defence, but not a damned penny for tribute. 1

In any event, at long last the Administrative Committee of the Wal-Mart Stores, Inc. Associates’ Health and Welfare Plan (“Committee”) has gotten around to what it should have done in the first place: Instead of pursuing its employee Jeanie Jay in her capacities as personal representative and as administrator of the estate of her minor son Andrew, it is seeking straightforward relief against Ms. Jay in her individual capacity. It has filed a Fed. R.Civ.P. (“Rule”) 56 motion for summary judgment based on Ms. Jay’s express undertakings pursuant to the terms of the Plan and of the Medical Loan Agreement (Subrogation Agreement) (“Agreement”) that she signed on April 15, 1996. In turn Ms. Jay has filed a response and cross-motion for summary judgment, accompanied by another bulky filing (this time about 3/4" thick) that further compounds the litigants’ affront to our nation’s forests. But at least the case is finally ripe for disposition.

In one respect counsel for Ms. Jay has it dead right: It is nothing short of outrageous for the Committee to have wasted this Court’s resources and oppressed Ms. Jay and her counsel by pursuing indirect and problematic routes, to an end that could have been reached so directly and so easily (and so swiftly!). It may be that the Committee believes it worthwhile, in the obviously uneconomic pursuit in this case of a goal that it apparently considers to have broader implications in its overall administration of its Fund, to have acted as it has. But this is a single lawsuit against a single adversary for an extremely modest amount, 2 and it simply will not do for the deep-pocket Committee and its counsel to engage in such global warfare on several legal fronts when a quick and limited foray would have obtained a judgment for the full amount sought. More on this subject later.

*943 As for the merits, this Court’s earlier opinions rejecting the Committee’s other efforts to obtain relief directly from Andrew Jay have stemmed from the Committee’s mistaken targeting of Andrew as its claimed debtor (Andrew, after all, is the economic real party in interest where his mother is named in her representative rather than her individual capacity). Now that the Committee has finally placed Jeanie Jay personally in its sights, the substantive claim is an easy one to resolve. In accordance with the Plan, Ms. Jay signed the Agreement, which stated in relevant part:

The undersigned acknowledges that they have read the Rights of Reimbursement, Reduction and/or General Subro-gation of the Wal-Mart Group Health Plan (the “PLAN”). Please refer to your Benefit Book under “THE RIGHTS TO REIMBURSEMENT AND REDUCTION” section.
This Subrogation Agreement is considered an interest free medical loan. Repayment to the Plan of 100% will be made at the time settlement is received by the Associate [Ms. Jay] and/or Dependent [Andrew].
# sj« ^
The Wal-Mart Group Health Plan has the right to 100% repayment of the loan if you receive payment from another insurance or individual. Any and all attorneys’ fees are the responsibility of the participant.

Because the Plan paid $8,870.41 in medical expenses for treatment of injuries that Andrew had sustained as the result of a dog bite, Jeanie Jay has an absolute obligation to honor her promise (see, e.g., Health Cost Controls of Ill., Inc. v. Washington, 187 F.3d 703, 711-12 (7th Cir.1999); Ryan v. Federal Express Corp., 78 F.3d 123 (3d Cir.1996)).

Counsel for Ms. Jay responds not by disputing her contractual undertaking, but rather by attacking federal jurisdiction over the Committee’s claim, citing Mertens v. Hewitt Assocs., 508 U.S. 248, 113 S.Ct. 2063, 124 L.Ed.2d 161 (1993) and Wal-Mart Stores, Inc. Assocs.' Health & Welfare Plan v. Wells, 213 F.3d 398 (7th Cir.2000). It is of course true that in a different context Mertens, 508 U.S. at 255, 113 S.Ct. 2063 confirms that only equitable actions may be brought under ERISA by fiduciaries—here the Committee (see 29 U.S.C. § 1132(a)(3)(B)). But Mertens, id. also characterizes restitution as “a remedy traditionally viewed as ‘equitable’ ”—a remedy contrasted with straight-out money damages, which it labeled “the classic form of legal relief’ (id., emphasis in original). And our Court of Appeals’ case on which Ms. Jay seeks to rely (brought by the same Committee and Plan that are litigants here) does not aid her, for it recognizes the identical dichotomy and finds that the existence of a constructive trust under a situation similar to (but legally distinguishable from) that involved here provides the necessary equitable rubric for federal jurisdiction.

As just suggested, a constructive trust approach does not precisely fit here, for the recovery (and hence the actual fund) is not Ms. Jay’s but Andrew’s. But what does fit is restitution, which Mertens itself specified as “equitable” and which Health Cost Controls, 187 F.3d at 710 (among other cases) has reconfirmed as a source of federal jurisdiction. It must be remembered that so far as the medical provider is concerned, it is the adult parent (and not the injured minor) to whom it looks for payment for its services. When the Plan steps in to make good on that obligation pursuant to its undertaking to the Plan-covered employee, it is extending credit to the parent (the employee). And so when the employee’s obligation for repayment to *944 the Plan is triggered (“at the time settlement is received by the Associate and/or Dependent”), what is involved is a classic instance of restitution — an equitable remedy supporting federal jurisdiction.

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Related

Malin v. Hospira, Inc.
762 F.3d 552 (Seventh Circuit, 2014)

Cite This Page — Counsel Stack

Bluebook (online)
135 F. Supp. 2d 941, 2001 U.S. Dist. LEXIS 3955, 2001 WL 322573, Counsel Stack Legal Research, https://law.counselstack.com/opinion/administrative-committee-v-jay-ilnd-2001.