Affiliated Physicians and Employers Master Trust d v. Department of Treasury, Internal Revenue Service

CourtUnited States Bankruptcy Court, D. New Jersey
DecidedNovember 15, 2022
Docket22-01177
StatusUnknown

This text of Affiliated Physicians and Employers Master Trust d v. Department of Treasury, Internal Revenue Service (Affiliated Physicians and Employers Master Trust d v. Department of Treasury, Internal Revenue Service) is published on Counsel Stack Legal Research, covering United States Bankruptcy Court, D. New Jersey primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Affiliated Physicians and Employers Master Trust d v. Department of Treasury, Internal Revenue Service, (N.J. 2022).

Opinion

NOT FOR PUBLICATION

UNITED STATES BANKRUPTCY COURT DISTRICT OF NEW JERSEY Caption in Compliance with D.N.J. LBR 9004-2(c)

In Re: Affiliated Physicians and Employers Case No. 21-14286 (MBK) Master Trust d/b/a Member Health Plan NJ

Affiliated Physicians and Employers Master Trust Chapter 11 d/b/a Member Health Plan NJ,

Plaintiff, Adv. Pro. No. 22-01177 (MBK) v.

Department of Treasury, Internal Revenue Service, Hearing Date: October 6, 2022 Defendant.

All Counsel of Record MEMORANDUM OPINION This matter comes before the Court by way of Affiliated Physicians and Employers Master Trust d/b/a Member Health Plan NJ’s (“Plaintiff”) bankruptcy case (Case No. 21-14286) and subsequent adversary proceeding (Adv. Pro. No. 22-01177) (“Adversary Complaint”), and on the Department of Treasury, Internal Revenue Service’s (“IRS” or “Defendant”) Motion to Dismiss Plaintiff’s Adversary Complaint pursuant to Fed. R. Civ. P. 12(b)(1) and (6).1 The issue before the Court is rather straightforward. Defendant argues the Plaintiff is a “covered entity,” under the Patient Protection and Affordable Care Act (“ACA”), and thus is required to pay annual health

1 Unless otherwise specified, all ECF Nos. will refer to docket entries in the instant adversary proceeding: Adv. Pro. No. 22-01177. insurance tax payments (“Hit Payment” or “Hit Payments”). For tax years 2015, 2016, 2018 and 2020, the Plaintiff paid a total of $8,891,397.32 in Hit Payments. The Plaintiff seeks to challenge liability for these taxes and recover these Hit Payments through this adversary proceeding. Oral argument was held on October 6, 2022. For the reasons that follow, this Court grants the Motion, in part. Counts II and IV are dismissed with prejudice as to all tax years; and Count I, III and V

are dismissed with prejudice for tax years 2015, 2016, and 2018. Counts I, III survive dismissal as to the Hit Payment for tax year 2020. I. Venue and Jurisdiction The Court has jurisdiction over this contested matter under 28 U.S.C. §§ 1334(a) and 157(a) and the Standing Order of the United States District Court dated July 10, 1984, as amended September 18, 2012, referring all Bankruptcy cases to the Bankruptcy Court. As explained in detail below, this matter is a core proceeding within the meaning of 28 U.S.C. § 157(b)(2)(A) and (O). Venue is proper in this Court pursuant to 28 U.S.C. §§ 1408 and 1409. II. Background

On May 24, 2021, Plaintiff filed a voluntary petition for relief under chapter 11, Subchapter V of the United States Bankruptcy Code (“Petition Date”). ECF No. 1, Case No. 21-14286. On March 21, 2022, this Court entered an order confirming Plaintiff’s Subchapter V plan for liquidation. The Adversary Complaint, filed on June 28, 2022, involves two parties: the Plaintiff and the IRS. The Plaintiff is a non-profit, self-funded multiple employer welfare arrangement (“MEWA”) under the provisions of 29 U.S.C. Ch. 18 (the “Employee Retirement Income Security Act”) and N.J.S.A. 17B:27C-1, et seq. (the “Self-Funded Multiple Employer Welfare Arrangement

Regulation Act”) and was registered annually with the New Jersey Department of Banking and Insurance (“NJ DOBI”). Adv. Compl,. ECF No. 1. The IRS is the federal government agency collecting taxes on behalf of the United States of America. The Adversary Complaint seeks recovery of Hit Payments made by the Plaintiff to the IRS for tax years 2015, 2016, 2018 and 2020. Ex. A – Adv. Compl., ECF No. 1; id. at ¶ 29. Through this action, the Plaintiff seeks: (1) a finding that the Plaintiff is not a covered entity under the

Affordable Care Act § 9010(c)(1) and, thus, entry of judgment in favor of the Plaintiff against the IRS under 11 U.S.C. § 505 (Count 1); (2) turnover of all previously collected Hit Payments pursuant to 11 U.S.C. § 542(a) (Count II); (3) recovery of any Hit Payments made within two years of the petition date that may be fraudulent transfers pursuant to 11 U.S.C. § 548 (Count III); (4) recovery of any Hit Payments made within four years of the Petition Date that may be fraudulent transfers under 11 U.S.C. § 544 and N.J.S.A. 25:2-25(b) and/or 27(a) (Count IV); and (5) recovery of any avoided transfers under 11 U.S.C. § 550 (Count V). In lieu of filing an answer to the Adversary Complaint, the IRS filed this Motion to Dismiss seeking dismissal of the Adversary Complaint in its entirety. The IRS contends this Court does not

have subject matter jurisdiction and the Plaintiff fails to state any claim for which relief may be granted. III. Motion to Dismiss The IRS filed this Motion pursuant to Fed. R. Civ. P. 12(b)(1) for lack of subject matter jurisdiction and (6), for failure to state a claim which are both applicable to adversary proceedings pursuant to Fed. R. Bankr. P. 7012. With respect to the latter, “[t]o survive a motion to dismiss, a complaint must contain sufficient factual allegations, taken as true, to ‘state a claim to relief that is plausible on its face.’ ” Fleisher v. Standard Ins., 679 F.3d 116, 120 (3d Cir. 2012) (quoting Bell Atl. Corp. v. Twombly, 550 U.S. 544, 570, 127 S. Ct. 1955, 167 L.Ed.2d 929 (2007)). When reviewing a motion under Rule 12(b)(6), a court must “view the facts alleged in the pleadings and the inferences to be drawn from those facts in the light most favorable to the plaintiff, and judgment should not [be] granted unless the moving party has established that there is no material issue of fact to resolve, and that it is entitled to judgment in its favor as a matter of law.” Leamer v. Fauver, 288 F.3d 532, 535 (3d Cir. 2002) (citation omitted); see also Davis v. Wells Fargo, 824 F.3d 333,

341 (3d Cir. 2016). A claim has “facial plausibility when the plaintiff pleads factual content that allows the court to draw the reasonable inference that the defendant is liable for the misconduct alleged.” Ashcroft v. Iqbal, 556 14 U.S. 662, 678 , 129 S. Ct. 1937, 1949 (2009) (citing Twombly at 556, 127 S. Ct. 1955, 167 L. Ed. 2d 929). To test the sufficiency of the complaint in the face of a Rule 12(b)(6) motion, the Court must conduct a three-step inquiry. See Santiago v. Warminster Twp., 629 F.3d 121, 130-31 (3d Cir. 2010).

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