Cgi Technologies and Solutions v. Rhonda Rose

683 F.3d 1113, 2012 WL 2334230
CourtCourt of Appeals for the Ninth Circuit
DecidedJune 20, 2012
Docket11-35127, 11-35128
StatusPublished
Cited by10 cases

This text of 683 F.3d 1113 (Cgi Technologies and Solutions v. Rhonda Rose) is published on Counsel Stack Legal Research, covering Court of Appeals for the Ninth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Cgi Technologies and Solutions v. Rhonda Rose, 683 F.3d 1113, 2012 WL 2334230 (9th Cir. 2012).

Opinions

Opinion by Judge GOULD; Concurrence by Judge SCHROEDER; Dissent by Chief District Judge BEISTLINE.

OPINION

GOULD, Circuit Judge:

Rhonda Rose (“Rose”) appeals the district court’s grant of partial summary judgment in favor of CGI Technologies and Solutions, Inc. (“CGI”) in its action seeking “appropriate equitable relief’ under § 502(a)(3) of the Employee Retirement Income Security Act of 1974 (“ERISA”), 29 U.S.C. § 1001, et seq. CGI appeals the district court’s grant of partial summary judgment in favor of Rose’s counsel and co-defendant, Nelson Langer Engle, PLLC (“NLE”), dismissing NLE from the action. CGI also appeals the district court’s grant of proportional fees and costs to NLE, deducted from CGI’s recovery from Rose. We affirm in part and reverse in part, remanding the matter to the district court for further proceedings consistent with our decision.

I

Rose was employed by CGI which provides to its employees and their dependents a self-funded welfare benefits plan (“the Plan”) governed by ERISA. The Plan includes a subrogation and reim[1116]*1116bursement clause that expressly: (1) gives to CGI the right to full reimbursement for medical expenses paid on behalf of the beneficiary from any funds recovered by the beneficiary from a third party tortfeasor, (2) exempts CGI from responsibility for attorneys’ fees paid in any such recovery, expressly disclaiming the application of the common fund doctrine; and (3) requires full reimbursement to CGI regardless of whether the beneficiary is made whole by the recovery.

In 2003, Rose was seriously injured in a car accident with a drunk driver, and consequently she had nerve damage and neck and back injuries that required surgical intervention. From this accident Rose also suffered several types of damages including past and future medical expenses, past and future loss of wages, and pain and suffering. The parties stipulated that her personal injury claim was at least $1,757,943.08. With the assistance of NLE, Rose recovered a combined total of $376,906.84 from her action against the third party tortfeasor and from her under-insured motorist claim with her automobile insurance provider. The parties stipulated that this recovery represents only 21.44% of Rose’s total damages.

Between 2007 and 2010, the Plan, on behalf of Rose, paid about $32,000 in medical expenses incurred as a result of Rose’s injuries related to the accident. After Rose’s recovery of these damages partially compensating her for her injuries, CGI asserted a first priority of payment and demanded to be reimbursed for the full amount the Plan had paid in medical expenses on Rose’s behalf. Rose, through her counsel, declined to reimburse the Plan, and NLE placed the disputed amount in trust. CGI filed suit in the district court against both Rose and NLE seeking “appropriate equitable relief,” under § 502(a)(3) in the form of a constructive trust and/or an equitable lien.

The parties filed cross-motions for summary judgment. The district court granted partial summary judgment in favor of NLE, concluding that the Plan’s reimbursement provision could not be enforced against NLE. The district court granted partial summary judgment in favor of CGI, concluding that under § 502(a)(3), CGI, per the express terms of the Plan, was entitled to recover the full amount it paid in medical expenses on Rose’s behalf. Finally, despite the Plan’s language to the contrary, the district court also ruled that CGI was responsible for a proportional amount of the costs and fees incurred by NLE in recovering damages on Rose’s behalf, and that this amount would be deducted from CGI’s recovery from Rose. The parties now cross-appeal.

II

We consider the parties’ cross-appeals in turn.1'

A

We first address CGI’s appeal of the district court’s grant of partial summary judgment in favor of NLE. The district court dismissed NLE from the action, concluding that NLE was not a proper defendant under § 502(a)(3). Section 502(a)(3) states:

A civil action may be brought ... by a participant, beneficiary, or fiduciary (A) to enjoin any act or practice which violates any provision of this sub-chapter or the terms of the plan, or (B) to obtain [1117]*1117other appropriate equitable relief (i) to redress such violations or (ii) to enforce any provisions of this subchapter or the terms of the plan.

29 U.S.C. § 1182(a)(3) (emphasis added). The district court concluded that equitable relief under § 502(a)(3) could not be enforced against NLE because NLE, as Rose’s counsel, was not a signatory to the Plan with its reimbursement provision. In reaching this conclusion, the district court relied principally on Hotel Employees & Restaurant Employees International Union Welfare Fund v. Gentner, 50 F.3d 719 (9th Cir.1995). In Gentner, we affirmed the district court’s dismissal of the beneficiary’s attorney from the plan’s action for reimbursement under § 502(a)(3), deciding that because the attorney was not a signatory to the plan, he was not a proper defendant. Id. at 721-22. Gentner in its holding established a general rule that a plan fiduciary may not assert a claim under § 502(a)(3) against a beneficiary’s attorney who is not a signatory of the plan.

Here, although we agree with the district court’s conclusion that CGI may not enforce the Plan’s reimbursement provision against NLE, we clarify that Gentner’s holding is no longer valid after the Supreme Court’s ruling in Harris Trust and Savings Bank v. Salomon Smith Barney, 530 U.S. 238, 120 S.Ct. 2180, 147 L.Ed.2d 187 (2000). See Miller v. Gammie, 335 F.3d 889, 900 (9th Cir.2003) (en banc) (holding that an intervening decision by a court of last resort controls where “the relevant court of last resort [has] undercut the theory or reasoning underlying the prior circuit precedent in such a way that the cases are clearly irreconcilable”). In Harris Trust, the Court considered whether § 502(a)(3) authorized an action against a nonfiduciary “party in interest” who, acting in concert with a plan fiduciary, violated ERISA. Noting that “[t]he common law of trusts ... offers a starting point for analysis of ERISA unless it is inconsistent with the language of the statute, its structure, or its purposes,” the Court stated that under the common law of trusts:

[I]t has long been settled that when a trustee in breach of his fiduciary duty to the beneficiaries transfers trust property to a third person, the third person takes the property subject to the trust, unless he has purchased the property for value and without notice of the fiduciary’s breach of duty. The trustee or beneficiaries may then maintain an action for restitution of the property (if not already disposed of) or disgorgement of proceeds (if already disposed of), and disgorgement of the third person’s profits derived therefrom.

530 U.S. at 250, 120 S.Ct. 2180.

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Cite This Page — Counsel Stack

Bluebook (online)
683 F.3d 1113, 2012 WL 2334230, Counsel Stack Legal Research, https://law.counselstack.com/opinion/cgi-technologies-and-solutions-v-rhonda-rose-ca9-2012.