Bombardier Aerospace v. Ferrer, Poirot

Court of Appeals for the Fifth Circuit·Decided January 5, 2004·No. 03-10195·Published

Opinion

United States Court of Appeals Fifth Circuit

REVISED JANUARY 5, 2004

F I L E D

IN THE UNITED STATES COURT OF APPEALS December 17, 2003

FOR THE FIFTH CIRCUIT Charles R. Fulbruge III _____________________ Clerk No. 03-10195

BOMBARDIER AEROSPACE EMPLOYEE WELFARE BENEFITS PLAN, Plaintiff - Appellee,

versus

FERRER, POIROT AND WANSBROUGH; ET ALS, Defendants,

FERRER, POIROT AND WANSBROUGH; STEVEN MESTEMACHER, Defendants - Appellants.

---------------------

Appeal from the United States District Court for the Northern District of Texas, Dallas Division ---------------------

Before JOLLY and WIENER, Circuit Judges and WALTER,* District Judge. 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

*

District Judge for the Western District of Louisiana, sitting by designation.

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.

1 See 29 U.S.C. § 1002(1).

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 Mestemacher 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 entitled 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

2 Bank of America was voluntarily dismissed from this suit after settling with all parties.

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 Mestemacher’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

3 102 F.3d 1368 (5th Cir. 1996).

4 All parties agree that the Plan’s language unambiguously provides for a right of reimbursement and subrogation. As neither

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 Mestemacher 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

party seeks a construction of the Plan’s terms, we need not engage in application of the deference principles articulated by the Supreme Court in Firestone Tire and Rubber Co. v. Bruch, 489 U.S. 101 (1989).

5 See St. Paul Mercury Ins. Co. v. Williamson, 224 F.3d 425, 440 n.8 (5th Cir. 2000).

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