Am. Elec. Power Serv. Corp. v. John Fitch

CourtCourt of Appeals for the Sixth Circuit
DecidedAugust 30, 2022
Docket22-3005
StatusUnpublished

This text of Am. Elec. Power Serv. Corp. v. John Fitch (Am. Elec. Power Serv. Corp. v. John Fitch) is published on Counsel Stack Legal Research, covering Court of Appeals for the Sixth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Am. Elec. Power Serv. Corp. v. John Fitch, (6th Cir. 2022).

Opinion

NOT RECOMMENDED FOR PUBLICATION File Name: 22a0359n.06

Case No. 22-3005

UNITED STATES COURT OF APPEALS FOR THE SIXTH CIRCUIT FILED ) Aug 30, 2022 AMERICAN ELECTRIC POWER SERVICE ) DEBORAH S. HUNT, Clerk CORPORATION, as fiduciary of the ) AMERICAN ELECTRIC POWER SYSTEM ) ON APPEAL FROM THE UNITED COMPREHENSIVE MEDICAL PLAN, ) STATES DISTRICT COURT FOR Plaintiff-Appellant, ) THE SOUTHERN DISTRICT OF ) OHIO v. ) ) JOHN K. FITCH, as administrator of the ) OPINION ESTATE OF JOHN D. FITCH; GLORI ) FITCH, ) Defendants-Appellees. ) ____________________________________/

Before: GUY, MOORE, and CLAY, Circuit Judges.

The court issued a PER CURIAM opinion. GUY, J. (pp. 13–18), delivered a separate dissenting opinion.

PER CURIAM. A tragic automobile accident resulted in the death of John “Jack” D. Fitch

and the payment of expenses for accident-related medical treatment by the American Electric

Power System Comprehensive Medical Plan (Plan). Jack was enrolled as a beneficiary under the

self-funded medical plan that his mother participated in as an employee of American Electric

Power Service Corporation (AEP). In this action brought under the Employee Retirement Income

Security Act of 1974, 29 U.S.C. § 1001 et seq. (ERISA), AEP, on behalf of the Plan, sought to

impose “an equitable lien by agreement over identifiable [third-party settlement] funds in the Case No. 22-3005, Am. Elec. Power Service Corp. v. Fitch, et al.

possession and/or control of” Jack’s father, John K. Fitch, as the Administrator of the Estate, and/or

Glori Fitch, Jack’s mother as a Plan participant.

The district court dismissed the complaint without reaching the merits of the ERISA claims

after concluding that the “probate exception” deprived the federal court of subject-matter

jurisdiction. See Fitch v. Am. Elec. Power Sys. Comprehensive Med. Plan, No. 21-CV-576, 2021

WL 5711909, at *10–12 (S.D. Ohio Dec. 2, 2021). AEP appealed, arguing that the district court

erred in dismissing its complaint. The Fitches respond that AEP has forfeited any challenge to the

district court’s conclusion that federal courts lack jurisdiction to hear its claims. We agree with

the Fitches and AFFIRM.

I.

The facts of this case revolve around medical expenses. Glori Fitch was employed by AEP,

enrolled in the Plan, and designated her son, Jack Fitch, as a beneficiary of that Plan. R. 1 (Compl.

¶ 9) (Page ID #2). On October 11, 2019, Jack was critically injured in an automobile accident,

dying the next day. Id. ¶ 10. AEP alleges that the Plan paid benefits in the amount of $101,582.46

for Jack’s accident-related medical treatment. Id. The Plan’s terms contain a provision providing

that, in the event that benefits paid on the beneficiary’s behalf have not been repaid, the Plan has

“a right to be repaid from [a] Recovery in the amount of the benefits paid on your behalf.” R. 1-1

(Plan at 2) (Page ID #9).

As a result of Jack’s death, the administrator of Jack’s estate, John K. Fitch,

(Administrator) obtained two settlements: (1) $500,000 from the “at-fault” driver’s insurance on

a wrongful-death liability claim; and (2) $100,000 from the Fitches’ own automobile policy on a

medical-payments claim. Fitch, 2021 WL 5711909, at *2–3. There seems to be no dispute that

-2- Case No. 22-3005, Am. Elec. Power Service Corp. v. Fitch, et al.

Anthem Blue Cross and Blue Shield (Anthem) asserted the Plan’s right to subrogation and/or

reimbursement by sending a letter to the Administrator. See id. at *2.

On October 12, 2020, the Administrator filed an “Application to Approve Settlement and

Distribution of Wrongful Death and Survivor Claims” in the Probate Court of Franklin County,

Ohio. R. 1-2 (Application) (Page ID #11–15). In it, the Administrator proposed that all $600,000

in settlement proceeds be allocated to the wrongful-death claims of Jack’s surviving parents and

other next of kin “who have suffered damages by reason of the wrongful death.” Id. at 2 (Page ID

#12). The Application was accompanied by a “Narrative Statement,” which represented, in part:

(1) that negotiations continued as to a claim against an umbrella policy; and (2) that Anthem had

asserted a lien totaling $101,582.46 that would be disputed. Id. at 3 (Page ID #13). The probate

court approved the settlement and distribution the same day, allocating $260,750 to John K. Fitch

(father); $250,750 to Glori Fitch (mother); and $88,500 to Charles Fitch (brother). Id. at 4–5 (Page

ID #14–15).

By all accounts, the Administrator did not send Anthem notice of the Application until ten

days later. The Plan responded by asserting that it had a right to reimbursement from the settlement

proceeds, while the Administrator contended that the settlement proceeds were not part of the

Estate. Fitch, 2021 WL 5711909, at *3. The lien dispute resulted in two lawsuits, which were

resolved by the district court in the single consolidated order before us now. See id. at *1.

Those lawsuits involved the following maneuvers. First, the Administrator sued the Plan

in the Franklin County Court of Common Pleas seeking a declaration that the Plan was not entitled

to reimbursement because the settlement proceeds had been allocated to the wrongful-death

claims—not the survival claim. Id. at *3. The Plan then removed that action to federal court (No.

21-cv-576) and filed its separate ERISA action seeking reimbursement in federal court (No. 21-

-3- Case No. 22-3005, Am. Elec. Power Service Corp. v. Fitch, et al.

cv-682). Id. The district court’s consolidated order (1) remanded the Administrator’s declaratory

judgment action and (2) dismissed the Plan’s ERISA action for lack of subject-matter jurisdiction

based on the probate exception. Id. at *15. The Plan filed—but abandoned—an appeal from the

remand. App. R. 16 (No. 22-3004) (Order). The Plan has expressly limited the present appeal to

the dismissal of its claim against the wrongful-death proceeds in the possession of Glori Fitch. See

Appellant Br. at 5; Reply Br. at 1.

II.

The district court recognized that the defendants’ motion to dismiss the Plan’s ERISA

complaint for lack of subject-matter jurisdiction was a facial attack—not a factual attack—under

Federal Rule of Civil Procedure 12(b)(1). See Am. Telecom Co. v. Republic of Lebanon, 501 F.3d

534, 537 (6th Cir. 2007). Because a facial attack is a challenge to the sufficiency of a complaint,

the court examines the sufficiency of the pleading by taking the material allegations as true and

viewing them in the light most favorable to the non-moving party. See Gentek Bldg. Prods., Inc.

v. Steel Peel Litig. Tr., 491 F.3d 320, 330 (6th Cir. 2007); United States v. Ritchie, 15 F.3d 592,

598 (6th Cir. 1994). “When a defendant moves to dismiss for lack of subject matter jurisdiction

‘the plaintiff has the burden of proving jurisdiction in order to survive the motion.’” Wisecarver

v. Moore, 489 F.3d 747, 749 (6th Cir.

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Am. Elec. Power Serv. Corp. v. John Fitch, Counsel Stack Legal Research, https://law.counselstack.com/opinion/am-elec-power-serv-corp-v-john-fitch-ca6-2022.