Brush Wellman, Inc. v. Montes

295 F. Supp. 2d 785, 31 Employee Benefits Cas. (BNA) 2524, 2003 U.S. Dist. LEXIS 24554, 2003 WL 22989092
CourtDistrict Court, N.D. Ohio
DecidedNovember 24, 2003
Docket3:01CV7383, 3:01CV7462
StatusPublished
Cited by3 cases

This text of 295 F. Supp. 2d 785 (Brush Wellman, Inc. v. Montes) is published on Counsel Stack Legal Research, covering District Court, N.D. Ohio primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Brush Wellman, Inc. v. Montes, 295 F. Supp. 2d 785, 31 Employee Benefits Cas. (BNA) 2524, 2003 U.S. Dist. LEXIS 24554, 2003 WL 22989092 (N.D. Ohio 2003).

Opinion

ORDER

CARR, District Judge.

This is an ERISA case brought by Brush Wellman, Inc., which has a company-funded medical benefits plan, to recover medical benefits paid to Donna Ries and Jessie Wilke, wife and step-daughter, respectively, of a Brush Wellman employee, Robert Ries. The benefits — $43,538.09 to Mrs. Ries, and $219,056.48 to Ms. Wilke— were paid following a motor vehicle collision which seriously injured Mrs. Ries and Ms. Wilke.

Initially, Brush Wellman sued the driver, Carlos Montes, and owner, Jorge Reyes, of the truck that collided with the Rieses’ vehicle, and their putative employer, Northwest Ohio Produce, Inc.. Subsequently, Brush Wellman was granted leave to join the Rieses as defendants following receipt by Mrs. Ries and Ms. Wilke of a settlement by the Hartford Casualty Company of an uninsured/underinsured motorists (UM/UIM) claim by the Rieses against Hartford, Brush Wellman’s auto liability insurer. 1

After settling with the Rieses, Hartford also sued Reyes, Montes, and Northwest Ohio Produce, asserting a claim for subro-gation against those defendants. This suit, Hartford Casualty Co. v. Montes, et al, No. 3:01CV7642, has been consolidated with Brush Wellman’s suit.

After being sued, the Rieses brought a counterclaim against Brush Wellman, contending that Brush Wellman’s medical benefits plan does not contain a right of subrogation, and alleging, on behalf of a class of beneficiaries of that plan that Brush Wellman has misrepresented its right to subrogation in its dealings with those beneficiaries. Recovery is sought on a class-wide basis for, inter alia, Brush Wellman’s alleged breach of fiduciary duty to the class members.

In response to the Rieses’s contention that it does not have a right of subrogation, Brush Wellman has filed a motion for leave to amend its complaint by interlineation to state a claim for recovery under a constructive trust theory.

*789 In an earlier opinion, I concluded that Reyes and Montes were independent contractors at the time of the accident, rather than employees of Northwest Produce. (Doc. 111). The effect of this ruling is to relieve Northwest Produce of any vicarious liability for the negligence of Reyes, which caused the accident and resulting injuries.

Several motions are pending. These include, in addition to Brush Wellman’s motion for leave to amend its complaint (Doc. 92): 1) Hartford’s motion for summary judgment (Doc. 83); 2) Brush-Wellman’s motion to strike Hartford’s motion for summary judgment (Doc. 102); 3) Northwest Produce’s motion for summary judgment against Brush Wellman (Doc. 90); 4) Rieses’ motion to dismiss Brush Wellman’s amended complaint and for partial summary judgment on their counterclaim against Brush Wellman (Doc. 85); and 5) Brush Wellman’s cross-motion for summary judgment on Rieses’ counterclaim (Doc. 98).

For the reasons that follow, Brush Well-man’s motion to strike shall be denied, Hartford’s motion for summary judgment shall be overruled for want of a case or controversy, though its brief shall be accepted amicus curiae, and Northwest Produce’s motion for summary judgment shall be granted.

In addition, Brush Wellman’s motion for leave to file an amended complaint shall be granted, Rieses’ motion to dismiss Brush Wellman’s amended complaint and for partial summary judgment on the counterclaim against Brush Wellman shall be denied; and Brush Wellman’s cross-motion for summary judgment on the counterclaim shall be granted.

1.Hartford’s Motion for Summary Judgment and Brush Wellman’s Motion to Strike

Brush Wellman moves to strike Hartford’s motion for summary judgment on the basis that Hartford has asserted no claim against Brush Wellman, and Brush Wellman has asserted no claim against Hartford. Hartford agrees, and asks that its brief in support of its motion for summary judgment be deemed a brief amicus curiae on the issues in dispute between Brush Wellman and the Rieses. The Brush Wellman motion to strike shall be denied, and the Hartford motion for summary judgment shall be denied. As a result of these rulings, Hartford’s brief in support of its motion shall be deemed to be a brief amicus curiae.

2.Northwest Produce’s Motion for Summary Judgment

As noted, because Reyes and Montes were independent contractors, Northwest Produce cannot be held liable vicariously for their negligence. Thus, Hartford cannot maintain its claim for subrogation against Northwest Produce. Northwest Produce’s motion for summary judgment shall, accordingly, be granted.

3.Brush Wellman’s Motion for Leave to Amend its Complaint

Brush Wellman’s complaint, as amended with the addition of the Rieses as defendants, states that Brush Wellman seeks “to enforce Brush Wellman’s right of reimbursement against R. Ries, D. Ries, and Wilke, pursuant to the terms of the [Brush Wellman’s' Medical Benefits] Plan, for medical expenses paid” to Mrs. Ries and Ms. Wilke. (Doc. 64, ¶ 9). Count III of Brush Wellman’s complaint asserts a claim for reimbursement per “right of subrogation under the Plan” and alleges that the defendants have breached terms of the Plan. Id. ¶24. Count IV alleges unjust enrichment. The prayer for relief contains no specific reference to equitable relief, though the last paragraph of the prayer asks for costs and such other relief as may be appropriate.

*790 Brush Wellman seeks leave to amend its complaint to seek equitable relief in the form of imposition of a constructive trust on a portion of the monies received by Mrs. Ries from the settlement of her UW UIM claim against Hartford. Specifically, Brush Wellman wants to add the following demand to its prayer for relief:

Alternatively, judgment against Defendants R. Ries, D. Ries, and Wilke in amount equal to the medical expenses paid to or on behalf of D. Ries and Wilke or in a lessor [sic] amount depending on recovery from remaining defendants. 2

In opposing Brush Wellman’s motion for leave to amend, the Rieses argue that, even if leave to amend by interlineation is granted: a) the complaint will not plead the facts necessary to establish a constructive trust; b) Brush Wellman’s claim, no matter how denominated or pled, will still be a legal, rather than an equitable claim; and c) the funds sought to be recovered do not “in good conscience” belong to Brush Wellman because its ERISA plan does not entitle it to recoupment of the monies it paid for Mrs. Ries’s medical expenses.

A. Adequacy of Pleading

A constructive trust is

A trust by operation of law which arises contrary to intention and in invitum, against one who, by fraud, actual or constructive, by duress or abuse of confidence, by commission of wrong, or by any form of unconscionable conduct, artifice, concealment, or questionable means, or who in any way against equity and good conscience, either has obtained or holds the legal right to property which he ought not, in equity and good conscience, hold and enjoy. It is raised by equity to satisfy the demands of justice.

In re Morris,

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Bluebook (online)
295 F. Supp. 2d 785, 31 Employee Benefits Cas. (BNA) 2524, 2003 U.S. Dist. LEXIS 24554, 2003 WL 22989092, Counsel Stack Legal Research, https://law.counselstack.com/opinion/brush-wellman-inc-v-montes-ohnd-2003.