BOARD OF TRUSTEES, OF THE UAW GROUP HEALTH & WELFARE PLAN v. ACOSTA

CourtDistrict Court, D. New Jersey
DecidedJune 6, 2022
Docket2:14-cv-06247
StatusUnknown

This text of BOARD OF TRUSTEES, OF THE UAW GROUP HEALTH & WELFARE PLAN v. ACOSTA (BOARD OF TRUSTEES, OF THE UAW GROUP HEALTH & WELFARE PLAN v. ACOSTA) is published on Counsel Stack Legal Research, covering District Court, D. New Jersey primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

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BOARD OF TRUSTEES, OF THE UAW GROUP HEALTH & WELFARE PLAN v. ACOSTA, (D.N.J. 2022).

Opinion

UNITED STATES DISTRICT COURT DISTRICT OF NEW JERSEY

: BOARD OF TRUSTEES, OF THE UAW : GROUP HEALTH & WELFARE PLAN, et : Civil Action No. 14-6247 (JXN) (CLW) al : Plaintiffs, : : OPINION v. : : SERGIO ACOSTA, et al : Defendants. : : :

NEALS, District Judge: This matter comes before the Court upon the filing of three Motions to Dismiss: (1) Plaintiffs, the Board of Trustees of the UAW Group Health & Welfare Plan (the “Trustees”) and the UAW Group Health & Welfare Plan (the “Plan”) (collectively “Plaintiffs”) Motion to Dismiss Defendant Sergio Acosta’s (“Acosta”) Counterclaim [ECF No. 150]; (2) Local Union 2326, International Union, United Automobile, Aerospace and Agricultural Implement Workers of America (“the Union”) Motion to Dismiss William J. Bacheler and Bacheler and Company, P.C’s (the “Bacheler Defendants”) Third-Party Complaint [ECF No. 164]; and (3) the Union’s Motion to Dismiss Acosta’s Third-Party Complaint [ECF No. 165]. The Court has carefully considered the parties’ submissions and decides the matter without oral argument under Federal Rule of Civil Procedure 78(b) and Local Civil Rule 78.1(b). For the reasons stated herein, Plaintiffs’ Motion to Dismiss Acosta’s Counterclaim against Plaintiffs at ECF No. 150 is GRANTED; the Union’s Motion to Dismiss the Bacheler Defendants’ Third-Party Complaint against the Union at ECF No. 164 is GRANTED; and the Union’s Motion to Dismiss Defendant Sergio Acosta’s Third-Party Complaint against the Union at ECF No. 165 is GRANTED. I. FACTUAL BACKGROUND As the parties are intimately familiar with the facts of this case, the Court will only address those relevant to the present motions.1 This action involves a dispute surrounding the allegedly 0F fraudulent administration of health insurance benefits to ineligible participants under the Plan. The facts as alleged in the Third Amended Complaint (“TAC”) are summarized as follows. The Plan was created on or about January 1, 2001, via an Agreement and Declaration of Trust (“Trust Agreement”) by and between the Union and various employers who employed individuals represented by the Union. See TAC ¶ 1, ECF No. 81. The Trust Agreement was enacted for collective bargaining purposes, specifically to provide health benefits to eligible employees of the Participating Employers, the Plan, and the Union as permitted under the Employee Retirement Income Security Act (“ERISA”) as well as Section 302(c)(5) of the Labor Management Relations Act of 1947 (“Section 302(c)(5)”). Id. ¶¶ 1, 15. Two Trustees administer the Plan pursuant to the Trust Agreement and Section 302(c)(5), one of whom is appointed by the Union (“Union Trustee”). Id. ¶ 2. Defendant Sergio Acosta

served as the Union Trustee from January 1, 2001, through approximately November 1, 2011. Id. ¶ 5. In his role, Acosta assumed and carried out various responsibilities such as (i) determining individuals’ eligibility for benefits under the Plan, and (ii) collecting contributions to the Plan and paying its expenses. Id. ¶¶ 2, 6. Under the Trust Agreement and pertinent collective bargaining agreements, Participating Employers must submit contributions and deductions to the Plan as well as “accurate remittance reports” at least once per month. Id. ¶ 18. Furthermore, the Union must “remit contributions to the Plan on behalf of its employees” at a rate, frequency, and manner equivalent to other Participating Employers. Id. Acosta allegedly knew that the Union failed to

1 For a fuller recitation of the facts, please review the Court’s March 26, 2021 Opinion, ECF No. 118. meet its remittance obligations to the Plan from January 1, 2001, through March 2012, resulting in $720,000 in losses. Id. ¶ 53. Each year during this period, Acosta enrolled or caused the enrollment of at least eight Union employees for coverage under the Plan and paid their monthly premiums from the Plan’s general assets. Id. ¶¶ 53–53.6.

Defendant William J. Bacheler, acting on behalf of Bacheler P.C. (together, the “Bacheler Defendants”), was the Plan’s independent auditor from roughly 2001 through October 2011. Id. ¶ 11. The Bacheler Defendants were obligated to: (i) examine the Plan’s financial statements, transactions, books, and records; (ii) opine on whether documents included in the Plan’s annual report reflected generally accepted auditing principles (“GAAP”); (iii) determine whether the Plan provided benefits to ineligible participants; and (iv) identify and report “on the lack of financial controls” that may “give rise to fraud and other misappropriation of Plan assets” as well as transactions that could hinder the Plan’s financial integrity. Id. ¶¶ 11, 91–92. Plaintiffs claim that the Bacheler Defendants either knew, should have known, or negligently failed to discover that (i) the ABA/AMA Enrollees were ineligible Plan participants (id. ¶¶ 49, 96), and (ii) that the Union

failed to remit contributions as required under the Trust Agreement. Id. ¶¶ 58, 95. Plaintiffs maintain that they incurred a loss of $4.16 million from inflated premiums paid to insurance providers between July 1, 2004, to June 30, 2011, because the ABA/AMA Enrollees’ serious preexisting health conditions drove up the premium cost. Id. ¶ 41. In addition, Plaintiffs aver that they incurred an additional $417,400.34 in losses from July 1, 2011, to September 30, 2011, when it self-insured the ABA/AMA Enrollees. Id. This Court previously issued an opinion addressing Defendants’ motions to dismiss the First Amended Complaint. ECF No. 41. Thereafter, pursuant to Magistrate Judge Cathy L. Waldor’s order (ECF No. 71), Defendants withdrew their motions to dismiss the Second Amended Complaint (ECF Nos. 72, 74, 75), and this matter was administratively terminated pending an investigation in a parallel criminal case involving Acosta and Defendant Lawrence Ackerman. See ECF Nos. 73, 76. On August 3, 2020, Plaintiffs reopened this case and filed the TAC, which lodges six counts. ECF Nos. 78, 81. As to Acosta, Plaintiffs allege breach of fiduciary duties

under the Trust Agreement and ERISA, causing losses due to the coverage of ABA/AMA Enrollees (Count I); and breach of the Trust Agreement and ERISA withholding of contributions owed for union enrollees (Count II). ECF No. 81 ¶¶ 59–71. As to Ackerman, Plaintiffs allege participant liability under ERISA Section 502(a)(3) (Count III), common law fraud, and negligent representation (Counts IV–V). Id. ¶¶ 72–89. Lastly, as to the Bacheler Defendants, Plaintiffs allege professional negligence (Count VI). Id. ¶¶ 90–98. On September 18, 2020, Acosta filed a motion to dismiss the TAC, which was ultimately denied by this Court in an Opinion and Order issued March 26, 2021. See ECF Nos. 118, 119.2 1F On April 16, 2021, Acosta timely filed an Answer, Separate Defenses, Designation of Trial Counsel, Crossclaim, Counterclaim, and Third-Party Complaint. See ECF No. 125. In his Counterclaim, Acosta seeks indemnification and “contribution from the [Plaintiff Trustees] with respect to any damages that the Court might award pursuant to [Count II of the TAC].” Id. at 20 ¶¶ 16-18.3 On June 24, 2021, Plaintiffs moved to dismiss Acosta’s Counterclaim, arguing that 2F ERISA contains no implied right of contribution or indemnification. See ECF No. 150-1. In his Third-Party Complaint against the Union, Acosta similarly seeks to “recover contribution, indemnification, or both, in the event that the Court determines that he is in any way liable to the Plan.” ECF No. 125 at 22 ¶ 10. The Union has moved to dismiss the Third-Party

2 The Honorable Susan D. Wigenton, U.S.D.J., specifically rejected Acosta’s argument that he cannot be held liable under Count II. See ECF No. 118 at 9-10. 3 For sake of clarity, when citing to the parties’ motion papers, the Court cites to the page number listed in the ECF header.

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