Bombardier Aerospace Employee Welfare Benefits Plan v. Ferrer, Poirot and Wansbrough, Ferrer, Poirot and Wansbrough Steven Mestemacher

354 F.3d 348, 31 Employee Benefits Cas. (BNA) 2505, 2003 U.S. App. LEXIS 25428, 2003 WL 22961221
CourtCourt of Appeals for the Fifth Circuit
DecidedDecember 17, 2003
Docket03-10195
StatusPublished
Cited by116 cases

This text of 354 F.3d 348 (Bombardier Aerospace Employee Welfare Benefits Plan v. Ferrer, Poirot and Wansbrough, Ferrer, Poirot and Wansbrough Steven Mestemacher) is published on Counsel Stack Legal Research, covering Court of Appeals for the Fifth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

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Bombardier Aerospace Employee Welfare Benefits Plan v. Ferrer, Poirot and Wansbrough, Ferrer, Poirot and Wansbrough Steven Mestemacher, 354 F.3d 348, 31 Employee Benefits Cas. (BNA) 2505, 2003 U.S. App. LEXIS 25428, 2003 WL 22961221 (5th Cir. 2003).

Opinion

*350 WIENER, Circuit Judge.

Defendants-Appellants Ferrer, Poirot & Wansbrough, P.C. (the “law firm”) and Steven Mestemacher appeal the district court’s grant of the summary judgment motion of Plaintiff-Appellee Bombardier Aerospace Employee Welfare Benefits Plan (the “Plan”), an ERISA-governed, self-funded employee welfare benefit plan, to enforce the terms of the Plan’s reimbursement provision against the law firm and Mestemacher. They also appeal the district court’s denial of their respective motions to dismiss the Plan’s action for lack of subject matter jurisdiction and for failure to state a claim, as well as its denial of their joint motion for summary judgment. We affirm.

I. FACTS AND PROCEEDINGS

A. Background,

The Plan was established by Bombardier Aerospace to provide managed care services for its employees and their dependents. 1 Mestemacher was an employee of Bombardier Aerospace and a participant in the Plan. After he was injured in an automobile accident, he sought $13,643.63 from the Plan for medical expenses. The Plan paid Mestemacher’s medical expenses in that amount, subject to a “Reduction, Reimbursement and Subrogation” provision contained in the Plan’s documents. That provision gave the Plan “the right to recover or subrogate 100% of the Benefits paid ... by the Plan for Covered Persons to the extent of ... [a]ny judgment, settlement, or payment made or to be made, because of an accident, including but not limited to insurance.” The documents further specified that “attorneys fees and court costs are the responsibility of the participant, not the Plan.”

Mestemacher retained the law firm on a one-third contingent fee basis to seek recovery from the tortfeasor responsible for the automobile accident. After negotiating a $65,000 settlement, the law firm received the settlement payment on Mestemacher’s behalf and placed the funds in a trust account at Bank of America in the law firm’s name.

B. The Instant Litigation

This action arises out of the Plan’s efforts to obtain reimbursement for the funds advanced to Mestemacher. The Plan filed suit in district court against the law firm, Mestemacher, and Bank of America before Mestemacher’s settlement funds were ever disbursed to him from the law firm’s trust account at Bank of America. 2 In its efforts to recover the funds that it had advanced to Mestemacher for medical expenses, the Plan sought (1) the imposition of a constructive trust over $13,643.63 of the funds being held for Mes-temacher in the law firm’s trust account, (2) a declaration that the Plan is entitled to ownership of that amount out of the settlement funds that remained in the trust account, (3) an order directing the law firm and Bank of America to execute any instruments necessary to transfer legal title of the “converted property” to the Plan, and (4) a temporary restraining order and a preliminary injunction prohibiting the law firm from disbursing the share of the settlement funds claimed by the Plan.

In an agreed order, the law firm consented to hold $18,500.00 of the settlement proceeds in its trust account, an amount more than sufficient to satisfy the Plan’s reimbursement demand. The law firm nevertheless maintained that it was enti- *351 tied to one-third of the proceeds of the settlement ($21,666.66) plus costs ($302.24), by virtue of its contingent fee agreement with Mestemacher. The law firm and Mestemacher each filed a motion to dismiss for lack of subject matter jurisdiction, contending that § 502(a)(3) of ERISA does not provide a cause of action against an entity like the law firm, which is neither a plan fiduciary nor a signatory to the plan, and does not authorize the Plan’s claim for a constructive trust over funds not in the possession of its participant, Mestemacher.

Agreeing with the Plan’s assertion that it was seeking “equitable relief’ within the contemplation of § 502(a)(3), the district court accepted subject matter jurisdiction over the Plan’s action and denied Mestem-acher’s and the law firm’s motions to dismiss. Agreeing further that the terms contained in the Plan’s documents provide a right of reimbursement, the district court granted summary judgment in favor of the Plan and ordered the law firm to transfer to the Plan the sum of $13,643.63 from the settlement proceeds being held in its trust account. This judgment further ordered that nothing be deducted from the Plan’s funds for attorneys’ fees and costs.

Citing our opinion in Sunbeam-Oster Company, Inc. Group Benefits Plan for Salaried and Non-Bargaining Hourly Employees v. Whitehurst, 3 the district court observed that the Plan contained “clear and unambiguous reimbursement provisions, including a provision allowing the Plan reimbursement from third party beneficiaries such as settlement proceeds.” 4 As for whether the Plan had stated a claim under § 502(a)(3), the court noted that the Plan did not seek to impose in personam liability on any of the defendants, but merely sought the in rem imposition of a constructive trust over funds in the trust account. Thus, the district court concluded, the Plan’s claim was for “appropriate equitable relief’ under § 502(a)(3) and fell comfortably within that jurisdictional grant. Finally, the court refused to apply either the Texas or the federal version of the common fund doctrine to block the Plan’s recovery, noting that “the Plan expressly provides that attorney’s fees and court costs are the responsibility of Mes-temacher and not the Plan.” Final judgment was entered in the Plan’s favor, and Mestemacher and the law firm timely filed a notice of appeal.

II. ANALYSIS

A. Standard of Review

We review de novo both a grant of a motion to dismiss and a grant of a motion for summary judgment. 5 In our de novo review of a district court’s ruling on a motion to dismiss under either Rule 12(b)(1) or 12(b)(6), we apply the same standard as does the district court: “[A] claim may not be dismissed unless it appears certain that the plaintiff cannot prove any set of facts in support of her claim which would entitle her to relief.” 6

*352 B. Subject Matter Jurisdiction

To determine whether the district court properly exercised subject matter jurisdiction over the instant action, we first must decide whether § 502(a)(3) authorizes the Plan’s suit for a constructive trust over the funds held in the law firm’s trust account. 7 The law firm and Mestemacher assert two bases for holding that § 502(a)(3) does not authorize the Plan’s suit.

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354 F.3d 348, 31 Employee Benefits Cas. (BNA) 2505, 2003 U.S. App. LEXIS 25428, 2003 WL 22961221, Counsel Stack Legal Research, https://law.counselstack.com/opinion/bombardier-aerospace-employee-welfare-benefits-plan-v-ferrer-poirot-and-ca5-2003.