Airtran Airways, Inc. v. Brenda Elem

CourtCourt of Appeals for the Eleventh Circuit
DecidedSeptember 23, 2014
Docket13-14912
StatusPublished

This text of Airtran Airways, Inc. v. Brenda Elem (Airtran Airways, Inc. v. Brenda Elem) is published on Counsel Stack Legal Research, covering Court of Appeals for the Eleventh Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Airtran Airways, Inc. v. Brenda Elem, (11th Cir. 2014).

Opinion

Case: 13-11738 Date Filed: 09/23/2014 Page: 1 of 39

[PUBLISH]

IN THE UNITED STATES COURT OF APPEALS

FOR THE ELEVENTH CIRCUIT ________________________

Nos. 13-11738 & 13-14912 ________________________

D.C. Docket No. 1:10-cv-03673-ODE

AIRTRAN AIRWAYS, INC.,

Plaintiff-Appellee,

versus

BRENDA ELEM, MARK D. LINK, and LINK & SMITH, P.C.,

Defendants-Appellants. ________________________

Appeals from the United States District Court for the Northern District of Georgia ________________________

(September 23, 2014)

Before WILLIAM PRYOR and MARTIN, Circuit Judges, and HONEYWELL, ∗ District Judge.

PRYOR, Circuit Judge:

This appeal requires us to decide whether an employee welfare benefit plan

∗ Honorable Charlene Edwards Honeywell, United States District Judge for the Middle District of Florida, sitting by designation. Case: 13-11738 Date Filed: 09/23/2014 Page: 2 of 39

may recover medical costs it spent on behalf of a beneficiary after she and her

attorney conspired to hide and disburse settlement funds she received after a car

accident. Brenda Elem participated, as an employee of AirTran, in a self-funded

employee welfare benefit plan. After Elem suffered injuries in a car accident and

the plan paid over $100,000 for her medical care, Elem sued the other driver and

settled for $500,000. AirTran sought reimbursement from Elem, but Elem’s

attorney, Mark Link, misrepresented that Elem had settled for only $25,000. Link’s

sin then found him out, see Numbers 32:23, when he accidentally sent the plan a

copy of a settlement check for $475,000. After AirTran sued Elem, Link, and Link

& Smith, P.C., for violations of the Employee Retirement Income Security Act of

1974, 29 U.S.C. § 1132(a)(3), the district court granted summary judgment and

awarded attorney’s fees and costs in favor of AirTran.

Elem, Link, and the law firm challenge three orders. They contest the

summary judgment on the ground that AirTran failed to satisfy the strict tracing

rules of equitable restitution, but these rules do not apply to the equitable lien by

agreement that the AirTran plan created. See Sereboff v. Mid Atlantic Med. Serv.,

Inc., 547 U.S. 356, 364–65, 126 S. Ct. 1869, 1875 (2006). Elem and Link argue

that the district court abused its discretion when it awarded AirTran attorney’s fees

and costs, but the district court had the authority to sanction them for their bad

2 Case: 13-11738 Date Filed: 09/23/2014 Page: 3 of 39

faith. Elem and Link also complain that the district court misapplied Federal Rule

of Civil Procedure 70 when the court ordered enforcement of the judgment, but

that issue became moot when Link and his law firm complied with the order. We

affirm the summary judgment and award of fees and costs and dismiss as moot the

appeal of the order to enforce the judgment.

I. BACKGROUND

In 2007, Brenda Elem sustained injuries in a car accident. Her employer,

AirTran, paid $131,704.28 for her medical care as a result of her participation in its

self-funded employee welfare benefit plan. The plan designated Elem as a

constructive trustee over any payments recovered from third parties and created an

equitable lien for the amount of benefits paid by the plan. Under the plan, when

Elem accepted her medical benefits from AirTran, she acknowledged that AirTran

had a first priority claim to all payments made by a third party, even if that third

party failed to pay the full amount of her damages. Months after the accident, the

plan administrator advised Elem that, if she sued the driver of the other vehicle,

Migel Rizo, the terms of the plan required Elem to reimburse AirTran with

proceeds from that suit. And the plan administrator also advised Rizo’s insurer,

AIG, of that right to reimbursement.

3 Case: 13-11738 Date Filed: 09/23/2014 Page: 4 of 39

In September 2007, when Elem contacted AIG to settle the claim against

Rizo within his liability policy limits of $25,000, she misrepresented that the plan

would have no lien against any funds she would recover from AIG. [Id.] She also

stated that she intended to sue Rizo for the full amount of her damages if AIG

refused to pay the $25,000. AIG responded that Rizo’s policy limit was $25,000

and that it would be willing to issue a settlement check for that amount to Elem if

her plan “waive[d] their subrogation lien” or to Elem and the plan if the plan did

not waive the lien.

Elem hired Mark Link of Link & Smith, P.C., as her attorney and sued Rizo

for the injuries she sustained in the accident. AIG advised Link that it had offered

$25,000 to Elem, but that AIG had notice of a lien and a duty to protect its insured.

In December 2007, the plan administrator for AirTran notified Link of the lien in

favor of AirTran.

Rizo and Elem later settled their lawsuit for $500,000. During the

negotiation of their settlement agreement, Link asked AIG to prepare two releases:

one reflecting payment of the policy limit of $25,000 and another for $475,000 in

settlement of Rizo’s claim of bad faith. Link also requested two separate checks

and demanded that the $25,000 release not mention Rizo’s release of his claim of

4 Case: 13-11738 Date Filed: 09/23/2014 Page: 5 of 39

bad faith. AIG responded that “it seems deceptive” to omit Rizo’s release of his

claim, but Link got his way.

Elem executed a release in favor of AIG for $25,000 and another release for

$475,000 signed also by Rizo. AIG issued two separate settlement checks to Elem,

Link, and Link & Smith, one for $25,000 and another for $475,000. Elem later

received $274,184.08; Link & Smith retained $190,000.00 for attorney’s fees and

$10,815.92 for expenses; and Link & Smith kept the remaining funds of $4,500.00

in an escrow account.

When Link informed the plan administrator about the settlement, he stated

that Elem had settled her claim against Rizo for the policy limit of $25,000 and

“has abandoned any hope of recovering” more than that amount. Although Link

intended to enclose a copy of the $25,000 check as proof of that settlement, he

inadvertently enclosed a copy of the $475,000 check. The plan administrator

noticed the error and demanded reimbursement from “[a]ll [s]ettlements and

[j]udgments.”

When Elem refused to reimburse the plan, AirTran filed suit against Elem,

Link, and Link & Smith. The parties filed cross motions for summary judgment,

and the district court granted summary judgment in favor of AirTran. The court

5 Case: 13-11738 Date Filed: 09/23/2014 Page: 6 of 39

then awarded AirTran attorney’s fees in the amount of $145,723.28 and costs in

the amount of $3,692.52.

When Link still refused to pay, AirTran filed a motion to enforce the

judgment under Federal Rule of Civil Procedure 70. Elem and Link responded that

Rule 70 was inapplicable because the judgment against them was for money

damages enforceable only through a writ of execution. The district court granted

the motion and ordered Elem and Link to satisfy the full amount of the judgment or

post a bond.

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