Central Valley Ag Cooperative v. Leonard

CourtDistrict Court, D. Nebraska
DecidedFebruary 6, 2020
Docket8:17-cv-00379
StatusUnknown

This text of Central Valley Ag Cooperative v. Leonard (Central Valley Ag Cooperative v. Leonard) is published on Counsel Stack Legal Research, covering District Court, D. Nebraska primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Central Valley Ag Cooperative v. Leonard, (D. Neb. 2020).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF NEBRASKA

CENTRAL VALLEY AG COOPERATIVE, for itself and as Fiduciary of the Central Valley Ag Cooperative Health Care Plan; 8:17CV379

Plaintiff, MEMORANDUM AND ORDER vs.

DANIEL K. LEONARD, SUSAN LEONARD, THE BENEFIT GROUP, INC., ANASAZI MEDICAL PAYMENT SOLUTIONS, INC., CLAIMS DELEGATE SERVICES, LLC, and GMS BENEFITS, INC.;

Defendants.

This matter is before the Court on several post-judgment motions: The Defendants’ Motions for Attorney Fees, ECF Nos. 374, 377, and 381, and Motion for Sanctions, ECF No. 378; and the Plaintiff’s Motion to Stay, ECF No. 396, and Motion to File Sur-Reply, ECF No. 408. For the reasons stated, the Motions for Attorney Fees will be granted, in part. The remaining motions will be denied as moot. BACKGROUND Central Valley Ag Cooperative (“Central Valley”) provided its employees with the Central Valley Ag Cooperative Health Care Plan (“Central Valley Plan” or “Plan”), which was a qualified employee welfare plan within the definition of the Employee Retirement Income Security Act (ERISA), 29 U.S.C. §§ 1001–1461. Defendant GMS Benefits, Inc. (GMS) provided broker and employee benefit plan consulting services to Central Valley. Defendants Susan Leonard and Daniel Leonard are the President and Vice-President, respectively, of GMS (GMS, Susan Leonard, and Daniel Leonard are referred to collectively as the “GMS Defendants”). Central Valley engaged Defendant The Benefit Group, Inc. (Benefit Group) to provide administrative services for the Plan, governed by an administrative services agreement. Defendant Anasazi Medical Payment Solutions, Inc. d/b/a Advanced Medical Pricing Solutions (AMPS) provided medical bill review (MBR) services to the Plan. Defendant Claims Delegate Services, LLC (CDS) provided

reference-based reimbursement (RBR) to the Plan. On October 11, 2017, Central Valley filed its original complaint. On the same day, Central Valley filed a motion for temporary restraining order and preliminary injunction. Central Valley alleged that the Defendants breached their fiduciary duty to the Plan under ERISA. Central Valley also alleged that Defendants engaged in a criminal enterprise, in violation of the Racketeer Influenced Corrupt Organizations Act (RICO), 18 U.S.C. § 1961 et seq. Central Valley sought to recover Plan assets; to acquire restitution for lost Plan assets resulting from Defendants’ actions in breach of fiduciary duties; to receive payment for damages arising from prohibited and party-in-

interest transactions; and to receive damages for Defendants’ RICO violations. The Court denied Central Valley’s request for a TRO. Central Valley failed to demonstrate a threat of irreparable harm because it “was aware of the Defendants’ alleged breaches of fiduciary duty months—or years—before [Central Valley] requested the TRO.” Mem. and Order, ECF No. 33 at 8. The Court also recognized that Central Valley could have audited claims before initiating litigation but failed to do so. See id. at 12. Central Valley also failed to show it was likely to succeed on its claims. Plan documents raised questions about whether Defendants were fiduciaries. Further, the practice of “balance billing” by AMPS and CDS—the principal wrongdoing alleged—had been contemplated by the parties at the time they entered into the respective service agreements. Accordingly, Central Valley did not demonstrate that a TRO or preliminary injunction was appropriate. Central Valley filed two amended complaints in early 2018. Defendants moved to dismiss the first amended complaint and sent letters to Central Valley, referencing

Rule 11, asserting that Central Valley’s claims were meritless. Central Valley then sought leave to file a third amended complaint. Central Valley’s proposed third amended complaint made similar allegations under ERISA and RICO and alleged that Defendants converted Plan assets to themselves. Defendants opposed the amendment and argued that Central Valley’s claims should be dismissed entirely. In March 2018, Magistrate Judge Zwart recommended that Central Valley be permitted to file its third amended complaint with certain ERISA claims, but recommended that the RICO claims be dismissed, and that Defendant Linus Humpal be dismissed as a party. Findings and Recommendation, ECF No. 59. No party opposed the Findings and Recommendation

and on May 1, 2018, the Court adopted it in its entirety. ECF No. 59. On May 7, 2018, Central Valley filed the Third Amended Complaint. ECF No. 60. At about the same time, in April 2018, accounting firm Lutz of Omaha, Nebraska, returned its report of an audit of Central Valley’s financial health. Central Valley had engaged Lutz to review the Plan’s financial information for Plan years 2014 through 2017. Accountant Bill Kenedy of Lutz signed an affidavit that summarized the results of the audit and included a report. The report noted Lutz’s understanding that, under the Plan, “funding requests were provided to Central Valley on a weekly basis. Based on the funding requests, Central Valley would provide funds to [Benefit Group] to fund claims.” Audit Report at 3, ECF No. 142-13. To complete the audit, Benefit Group “provided detail of amounts funded by Central Valley for claims.” Id. at 4. The report stated that “Lutz confirmed with Central Valley, that the amounts received per [Benefit Group] matched Central Valley's records. No material variances were noted.” Id. Discovery commenced after Defendants responded to the Third Amended

Complaint, which contained several broad allegations against the Defendants collectively. As a result, the Defendants’ initial discovery requests centered on determining which allegations applied to each Defendant. Central Valley objected to the discovery requests as being overly broad. Following a telephonic scheduling conference before Judge Zwart in July 2018, she directed the parties to “promptly confer in good faith to streamline both the allegations within the complaint and the corresponding discovery requests, thereby avoiding global allegations which, in turn, prompt global discovery served on or received from each named defendant.” Order at 1-2., ECF No. 77. There is no indication in the record that Central Valley ever streamlined its

allegations or, until the summary judgment phase, ever identified which claims related to each Defendant. As discovery progressed, Central Valley completed another audit, this time engaging accounting firm BKD. In preparation for the audit, Central Valley sent letters to the auditors stating that We have no knowledge of any known or suspected: . . . (b) Fraudulent financial reporting or misappropriation of assets involving others that could have a material effect on the financial statements. *** We have no knowledge of any allegations of fraud or suspected fraud affecting the Plan received in communications from participants, former participants, regulators, third-party services or others. *** We have reviewed the reports of all transactions processed by third-party servicers, and, based on our review, we believe the transactions shown in the reports are valid and in accordance with our instructions to the third- party processor. ECF Nos. 264-34, 264-35. Following the audit, in November 2018, Central Valley submitted a Form 55001 to the United States Department of Labor for each year applicable to this action. In “Schedule H” of the forms, Central Valley affirmed that the Plan did not suffer a loss "that was caused by fraud or dishonesty” and “there were no nonexempt transactions with any party-in-interest.” ECF Nos. 264-36; 264-37; 264-38; 264-39.

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Central Valley Ag Cooperative v. Leonard, Counsel Stack Legal Research, https://law.counselstack.com/opinion/central-valley-ag-cooperative-v-leonard-ned-2020.