Clancy v. United Healthcare Insurance Company

CourtDistrict Court, E.D. Virginia
DecidedNovember 30, 2022
Docket3:21-cv-00535
StatusUnknown

This text of Clancy v. United Healthcare Insurance Company (Clancy v. United Healthcare Insurance Company) is published on Counsel Stack Legal Research, covering District Court, E.D. Virginia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Clancy v. United Healthcare Insurance Company, (E.D. Va. 2022).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE EASTERN DISTRICT OF VIRGINIA Richmond Division KEVIN P. CLANCY, in his capacity as Liquidating Trustee for the New England Motor Freight Liquidating Trust, Plaintiff, v. Civil No. 3:21¢v535 (DJN) UNITED HEALTHCARE INSURANCE COMPANY, ail., Defendants. MEMORANDUM OPINION Plaintiff Kevin P. Clancy, in his capacity as Liquidating Trustee for the New England Motor Freight Liquidating Trust (“Clancy,” the “Trustee” or the “Liquidating Trustee”), brought this action against Defendants United Healthcare Insurance Company (“United Healthcare”) and HPHC Insurance Company, Inc. (“HPHC”) (collectively, “Defendants”) for alleged breaches of fiduciary duties arising under the Employee Retirement Income Security Act of 1974 (“ERISA”), 29 U.S.C. § 1001, et seg., and concealment and spoliation of evidence in this case under New Jersey law. This matter comes before the Court on Defendants’ Motion to Dismiss (ECF No. 100), moving to dismiss both counts contained in Plaintiff's Amended Complaint (“Am. Compl.” (ECF Nos. 84, 88, 110)'). With respect to Count One, Defendants move to dismiss for lack of statutory standing. With respect to Count Two, Defendants move to dismiss for failure to state a derivative claim or,

When referring or citing to the Amended Complaint throughout this opinion, the Court will cite to the unsealed, redacted version of the Amended Complaint (ECF No. 110). ECF Nos. 84 and 88 correspond to a sealed, redacted Amended Complaint and a sealed, unredacted version of the Amended Complaint, respectively. All three versions remain the same in writing and substance, with differing levels of'redaction and sealing.

alternatively, for the Court to decline to exercise supplemental jurisdiction. The Court heard oral argument on the Motion on November 30, 2022. Therefore, the Motion is ripe for resolution. For the reasons set forth below, the Court will DENY Defendants’ Motion to Dismiss (ECF No. 100). I. BACKGROUND Federal courts have jurisdiction to hear ERISA claims when plaintiffs have both constitutional and statutory standing. David v. Alphin, 704 F.3d 327, 338 (4th Cir. 2013). The Fourth Circuit applies Federal Rule of Civil Procedure (“Fed. R. Civ. P.”) 12(b)(6) to statutory standing challenges. CGM, LLC v. BellSouth Telecomms., Inc., 664 F.3d 46, 52 (4th Cir. 2011). As such, at this stage, the Court must accept as true the facts set forth in the Amended Complaint (ECF No. 110). Ashcroft v. Igbal, 556 U.S. 662, 678 (2009). The Court may also “consider documents that are explicitly incorporated into the complaint by reference,” those attached as exhibits and those “integral to the complaint [with] no dispute about the document’s authenticity,” even if “not attached to or expressly incorporated in a complaint.” Goines v. Valley Cmty. Servs. Bd., 822 F.3d 159, 166 (4th Cir. 2016). Against this backdrop, the Court accepts the following facts as alleged for purposes of resolving the instant motion. A. Factual Background 1. NEMF Plan In 2008, New England Motor Freight (“NEMF”) sponsored and created a self-funded health benefit plan (“NEMF Plan” or the “Plan”) governed by ERISA. (Am. Compl. § 2.) NEMF and Defendants entered into an Administrative Services Agreement (“ASA”) which governed the third-party claims administrator services for the NEMF Plan provided by Defendants. (Am. Compl. {f 2, 36, 38.) Defendants determined health benefits and processed

claims for payment of covered benefits. (Am. Compl. 4 38.) Under the Plan, the Trustee alleges that NEMF acted as a “fiduciary” and served in a fiduciary capacity as the plan sponsor and plan administrator. (Am. Compl. {9 31, 38.) Defendants also acted as fiduciaries in determining the availability of Plan benefits and payment of claims. (Am. Compl. § 38.) The beneficiaries of the Plan were NEMF’s employees, spouses and dependents who received benefit coverage under the NEMF Plan. (Am. Compl. {ff 2, 35-36.) From 2014 to 2020, Defendants paid approximately $172 million of claims from NEMF Plan assets held in NEMF accounts. (Am. Compl. ff 3, 42.) During that time, the Trustee alleges that Defendants breached their fiduciary duties to the NEMF Plan, which caused tens of millions of dollars of losses to the NEMF Plan. (Am. Compl. ff 21, 174, 181.) 2. NEMF Bankruptcy Case On February 11, 2019 (“Petition Date”), NEMF (and its subsidiaries) filed for bankruptcy under Chapter 11 of the Bankruptcy Code in the United States Bankruptcy Court in the District of New Jersey (“Bankruptcy Court”). (Am. Compl. {§ 21, 47); Jn re New England Motor Freight, Inc., No. 19-12809 (Bankr. D.N.J. Feb. 11, 2019). NEMF commenced the case to wind- down and liquidate its assets. (Am. Compl. § 47.) NEMF began a process to lay off its employees but continued its NEMF Plan during this time until July 31, 2019, when the Plan terminated. (Am. Compl. 9 21.) Defendants continued to administer claims during a six-month run-off period, until January 2020, for claims for services rendered on or before July 31, 2019. (Am. Compl. {J 21, 49.) On October 21, 2019, NEMF and the Official Committee of Unsecured Creditors in the Chapter 11 Cases jointly filed an initial combined bankruptcy plan and disclosure statement

(“Bankruptcy Plan”).? (Am. Compl. 4 50.) They filed final versions of the Bankruptcy Plan on November 19, 2019. (Am. Compl. § 50.) Defendants received notice and did not file or assert objections. (Trustee’s Opp. to Defs. Mot. to Dismiss (“Tr. Opp.”) (ECF No. 118) at 4.) The Bankruptcy Court held a confirmation hearing on January 14, 2020, and entered an order approving the Bankruptcy Plan, of which Defendants received notice (“Confirmation Order”). (Am. Compl. 7 50.) On February 3, 2019, the Bankruptcy Plan became effective (“Effective Date”). (Tr. Opp. at 4.) In the Order, the Bankruptcy Court established the Liquidating Trust on the Effective Date and appointed Kevin P. Clancy as the Liquidating Trustee. (Am. Compl. 30, 50.) Pursuant to the Confirmation Order, the Trustee has “such powers, duties and responsibilities as is provided for. . . in the Bankruptcy Plan and the Liquidating Trust Agreement.” (Tr. Opp. at 5.) Additionally, as of the Effective Date, NEMF’s Debtors’ Assets transferred to and vested in the Liquidating Trust. (Am. Compl. 9 50.) The Bankruptcy Plan defines “Liquidating Trust Assets” as “all of the Assets of the .. . NEMF Debtors” and the assets of NEMF’s “Estate” “pursuant to section 541 of the Bankruptcy Code.” (Tr. Opp. Ex. 1 (“Bankr. Plan”) at 12). The Trustee obtained the assets via assignment: “the debtors and their Estates . . . transfer[red], assign[ed], and deliver[ed] to the Liquidating Trust . . . all of their right, title and interest in the Liquidating Trust Assets... .” (Tr. Opp. Ex. 2 (“Trust Agmt.”) at 4.) 3. Liquidating Trust Assets The Liquidating Trust assets include “claims, Causes of Action and related rights” which “shall be and are hereby preserved” and the Trustee “specifically retains and reserved the right to assert, after the Effective Date, any and all of such claims, Causes of Action and related rights, 2 The Court adopts the Bankruptcy Plan (Tr. Opp. Ex 1; MTD Ex. A) and Trust Agreement (Tr. Opp. Ex. 2) as incorporated into the Amended Complaint by reference for purposes of resolving this instant motion.

whether or not asserted as of the Effective Date.” (Tr.

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Clancy v. United Healthcare Insurance Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/clancy-v-united-healthcare-insurance-company-vaed-2022.