Colorescience, Inc. v. Bouche

CourtDistrict Court, S.D. California
DecidedApril 9, 2020
Docket3:20-cv-00595
StatusUnknown

This text of Colorescience, Inc. v. Bouche (Colorescience, Inc. v. Bouche) is published on Counsel Stack Legal Research, covering District Court, S.D. California primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Colorescience, Inc. v. Bouche, (S.D. Cal. 2020).

Opinion

1 2 3 4 5 6 7 8 UNITED STATES DISTRICT COURT 9 SOUTHERN DISTRICT OF CALIFORNIA 10 11 COLORESCIENCE, INC, Case No.: 20cv595-GPC(AGS)

12 Plaintiff, ORDER DENYING PLAINTIFF’S 13 v. MOTION FOR TEMPORARY RESTRAINING ORDER 14 STEPHEN BOUCHE, ERIC D.

NIELSEN, and THE NIELSEN LAW 15 [Dkt. No. 2.] FIRM, P.C., 16 Defendants. 17

18 Before the Court is Plaintiff’s motion for temporary restraining order. (Dkt. No. 19 2.) Defendants filed a response on April 2, 2020.1 (Dkt. No. 9.) Plaintiff filed a reply on 20 April 6, 2020. (Dkt. No. 14.) A telephonic hearing was held on April 8, 2020. (Dkt. No. 21 16.) Deanna Lucci, Esq., James Brown, Esq, and Andrew Gordon, Esq. appeared on 22 behalf of Plaintiff and Eric Nielsen, Esq. and Tiffany Chung, Esq. appeared on behalf of 23 Defendants. (Id.) 24 25 26 27 1 Defendants assert they reserve the “right to contest this Court’s subject matter jurisdiction, personal jurisdiction, and to plead without waiver all other matters that will shortly be set forth in Defendants’ 28 1 Based on the reasoning below, the Court DENIES Plaintiff’s motion for temporary 2 restraining order. 3 Factual Background 4 Plaintiff Colorescience (“Plaintiff”) is a small corporation, located in San Diego, 5 that develops, markets, and sells skin care products. (Dkt. No. 1, Comp. ¶¶ 1, 8.) It 6 provides medical, dental, vision, and prescription drug benefits to employees and their 7 dependents and these benefits are self-insured by Plaintiff. (Id. ¶ 9.) Plaintiff is the Plan 8 Administrator of the Colorescience Welfare Benefit Plan (“Plan”). (Id. at p. 2.) The Plan 9 is an ERISA-covered welfare benefit plan within the meaning of the Employee 10 Retirement Income Security Act of 1974 (“ERISA”), 29 U.S.C. § 1002(2)(A), and 11 Plaintiff is a “fiduciary” and “administrator” as defined under ERISA, 29 U.S.C. §§ 12 1002(16) and (21). (Id. ¶ 1.) 13 Defendant Stephen Bouche (“Stephen”) is the son of Deborah Bouche 14 (“Deborah”), who is an employee of Colorescience. (Id. ¶ 11.) Effective January 1, 15 2018, Stephen was enrolled for coverage under the Plan as Deborah’s dependent and 16 became a Plan Participant under the Plan. (Id.) The Plan defines Plan Participants to 17 mean employees or their dependents. (Id. ¶ 10.) 18 According to Plaintiff, around February 25, 2014, Stephen Bouche was injured in 19 an accident which occurred in Houston, Texas on the premises of Quantum Hospitality, 20 LLP (“Quantum Hospitality”). (Id. ¶ 12.) On August 5, 2015, Stephen Bouche filed a 21 civil action in the District Court of Harris County, Texas (“Harris County Tort Action”) 22 against Quantum Hospitality for negligence that caused the alleged injuries sustained by 23 him in the February 25, 2014 accident. (Id. ¶ 13.) Defendant Eric Nielsen, (“Mr. 24 Nielsen”) of the Defendant Nielsen Law Firm is counsel of record for Stephen in the 25 Harris County Tort Action. (Id. ¶ 14.) Around February 2018, Bouche had back surgery 26 to address the injuries he suffered as a result of his accident on February 25, 2014. (Id. ¶ 27 15.) The Plan paid $477,093.98 to the medical providers and professionals who 28 performed the back surgery. (Id. ¶ 16.) 1 Under the terms of the Plan, Plaintiff claims it is entitled to a subrogation lien to 2 recover 100% of the benefits paid when a recovery through settlement, judgment, award 3 or other payment is received by Plan Participant. (Id. ¶¶ 17-19.) On April 19, 2019, 4 Plaintiff’s counsel sent a letter to Mr. Nielsen along with a copy of the Plan notifying him 5 of the subrogation lien arising under the terms of the Plan, Plaintiff’s intent to exercise 6 such lien, its right to an equitable lien on any benefits received by Mr. Bouche in the 7 Harris County action and the right to be reimbursed for the medical benefits. (Id. ¶ 20; 8 id., Ex. B.) In May, 2019, Plaintiff filed a petition to intervene in the Harris County state 9 action “(a) in order to provide notice to the parties of the provisions of the Plan . . . and of 10 the existence of its potential subrogation and equitable lien and right to reimbursement of 11 medical expenses paid to or on behalf of Stephen Bouche and (b) to enable it to monitor 12 the Harris County Tort Action so it would have prompt access to information concerning 13 any recovery by Mr. Bouche in that action by way of settlement or otherwise.” (Id. ¶ 21.) 14 Trial in the Harris County Tort Action was scheduled to commence in late February 2020 15 but on February 26, 2020, Plaintiff’s counsel learned that a settlement of the Harris 16 County state action had been reached. (Id. ¶ 22.) On February 27, 2020, Plaintiff’s 17 counsel wrote a letter to Mr. Nielsen and “requested additional details concerning the 18 settlement, reminded Mr. Nielsen of the Plan’s subrogation lien, and demanded 19 repayment by Mr. Bouche of the $477,093.98 in medical benefits which had been paid by 20 the Plan.” (Id. ¶ 23.) In response, Mr. Nielson, requested Plaintiff’s counsel to provide 21 documents confirming the $477,093.98 medical benefits paid by the Plan.” (Id.) On 22 March 3, 2020, Plaintiff’s counsel provided Mr. Nielsen with documents confirming the 23 $477,093.98 medical benefits paid by the Plan. (Id. ¶ 24; id., Ex. D.) On March 23, 24 2020, a telephone conversation took place between Mr. Nielsen and Plaintiff’s counsel 25 where Plaintiff’s counsel learned that the amount of the settlement in the Harris County 26 Tort Action was $2 million and it was Mr. Nielson’s position that Plaintiff did not have 27 an enforceable subrogation lien and/or that it had waived that lien. (Id. ¶¶ 25-26.) 28 1 In response, Defendants present the following facts in dispute. Stephen Bouche 2 declares that he was born on July 30, 1987 and was more than 26 years old when he had 3 his slip and fall accident in Houston, Texas on February 25, 2014. (Dkt. No. 9-3, Stephen 4 Bouche Decl.) He also claims he was never a Plan Participant even prior to the age of 26. 5 (Id.) Deborah state that she is Stephen’s mother and he was mentally and physically 6 capable of sustaining his own living before and after the age of 26 and has never 7 represented anything otherwise to Plaintiff. (Dkt. No. 9-5, Deborah Bouche Decl.) 8 Mr. Nielsen states that when Plaintiff filed its First Amended Intervention in the 9 Harris County Tort Action on May 29, 2019, it knew trial was set for February 25, 2020. 10 (Dkt. No. 9-4, Nielsen Decl.) Trial began on February 25, 2020 and Stephen Bouche and 11 Quantum Hospitality announced ready. (Id.) Plaintiff failed to appear at trial or 12 announce ready. (Id.) During voir dire, the Harris County Tort Action settled. (Id.) A 13 final judgment will be entered dismissing Stephen Bouche’s claims and Quantum 14 Hospitality’s counterclaims and dismissing Colorescience’s intervention for want of 15 prosecution. (Id.) Stephen Bouche was involved in a severe car crash in October 2014, 8 16 months after the slip and fall in February 2014 which caused new low back injuries. (Id.) 17 Based on the testimony of Stephen’s treatment physicians and the medical specialists 18 hired by Quantum Hospitality in the Harris County Tort Action, the medical expenses in 19 2018 is not causally related to the slip and fall on February 25, 2014. (Id.) Finally, under 20 the terms of the settlement in the Harris County Tort Action, Defendants are contractually 21 obligated to hold the amount of Plaintiff’s claim in trust until the entitlement to the funds 22 is resolved by settlement or final judgment. (Id.; Dkt. No. 9-2, Nielsen Decl., Ex. B.) 23 In reply, Plaintiff disputes Defendants’ facts stating that Deborah enrolled Stephen 24 as a Dependent during the open enrollment period in December 2017 and was a 25 participant as of January 1, 2018. (Dkt. No.

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