DANTE v. SCHWARTZ

CourtDistrict Court, D. New Jersey
DecidedApril 13, 2022
Docket2:20-cv-01047
StatusUnknown

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

Bluebook
DANTE v. SCHWARTZ, (D.N.J. 2022).

Opinion

Not for Publication

UNITED STATES DISTRICT COURT DISTRICT OF NEW JERSEY

THERESA DANTE; TED HUSS; JULIET HINRICHS; SAMANTHA OGGS; and Civil Action No. 20-01047 MARGARET GATES, Plaintiffs,

v. OPINION JOSEPH SCHWARTZ; ROSIE SCHWARTZ; SKYLINE HEALTH CARE, LLC; SKYLINE MANAGEMENT GROUP, LLC; CORNERSTONE QUALITY CARE, LLC; COTTONWOOD HEALTHCARE, LLC; FIRST LANDING INFORMATION SERVICES, LLC; and JACK JAFFA a/k/a CHAVA JAFFA, Defendants.

John Michael Vazquez, U.S.D.J.

In this putative class action, Plaintiffs claim that they paid for insurance coverage, but Defendants stole the money, leaving Plaintiffs without coverage. Currently before the Court is the motion of Defendant Jack Jaffa (“Defendant” or “Jaffa”) to dismiss, pursuant to Federal Rule of Civil Procedure 12(b)(6), Plaintiffs’ Second Amended Complaint. D.E. 38. The Court has reviewed the parties’ submissions1 and decided the motion without oral argument pursuant to Federal Rule of Civil Procedure 78(b) and Local Civil Rule 78.1(b). For the reasons set forth below, Defendant’s motion is GRANTED in part and DENIED in part.

1 Defendant’s brief in support of the motion, D.E. 38-1, will be referred to as “D. Br.” Plaintiffs’ brief in opposition, D.E. 41, will be referred to as “Opp’n.” Defendant’s reply to the opposition, D.E. 42, will be referred to as “D. Reply.” I. BACKGROUND Plaintiffs worked at nursing homes in Georgia, South Dakota, Kansas, Arkansas, and Nebraska. D.E. 33 (“SAC”) ¶¶ 7-11. The nursing homes were owned by Defendant Skyline Healthcare, LLC (“Skyline”), whose sole members were Joseph Schwartz and his wife Rosie Schwartz. Id. ¶¶ 30-31. Skyline was founded in 2008 to manage nursing homes in New Jersey

and Pennsylvania. Id. As of 2017, Skyline owned over 100 nursing homes in several states, with major expansion occurring from 2015 to 2017. Id. ¶ 31. To facilitate this growth, the Schwartzes formed several LLCs, including Defendants Skyline Management Group, Cottonwood Healthcare, and First Landing Information Services. See id. ¶¶ 12, 14, 16-17. Plaintiffs allege that the Schwartzes grew their holdings quickly, siphoned off the revenue, and then divested themselves of the facilities. Id. ¶ 43. On December 13, 2016, Defendant Jack Jaffa formed Defendant Cornerstone Quality Care, LLC (“Cornerstone”), as its sole member. Id. ¶¶ 15, 18, 33, 45. Cornerstone’s official address is 4581 Route 9, Site 100, Howell, N.J. 07731. Id. ¶ 47. Cornerstone was the employer-of-record

for Skyline’s staff members, including Plaintiffs, and Plaintiffs’ W2 and 1095 tax forms list Cornerstone as the employer. Id. ¶¶ 7-11, 33, 46, 55. Plaintiffs’ 1095 forms, however, listed Cornerstone’s address as 40 Vreeland Avenue, Totowa, N.J. 07512, which is the registered address of Joseph Schwartz’s companies. Id. ¶ 47. Plaintiffs had no other familiarity with Cornerstone. Id. ¶ 46. Defendants offered Plaintiffs and other employees health, dental, and supplemental insurance. Id. ¶¶ 44, 48. Jaffa sent unnamed salespersons to Skyline’s facilities, and the salespersons represented to the employees that the employees could participate in an insurance plan, with Defendants taking the premium amount directly from employees’ paychecks. See id. ¶¶ 44, 48-49. Employees signed up and premium amounts were withheld from their paychecks. See id. ¶¶ 48-49. Defendants retained American Plan Administrators as a third-party administrator. Id. ¶ 51. However, insurance was never provided to the employees, and Defendants did not fund the insurance plan. Id. ¶¶ 49, 51. On March 29, 2018, American Plan Administrators sent a

termination letter to Joseph Schwartz and Jaffa, indicating that you have not been paying your claims in a timely manner and we had several meetings at which you made us numerous promises that you will fund your claims timely. To date you have not kept up to these promises and we now have substantial outstanding balances. We are getting hammered from providers and members about open claims that have not been paid.

Id. ¶ 51. Later, Tall Tree Administrators was retained as a third-party administrator. Id. ¶ 53. Tall Tree Administrators encountered the same issues as American Plan Administrators, indicating that “[t]he self-funded employer group, Skyline Healthcare, has failed to provide Tall Tree with any funding for their employee claims. After multiple attempts, it appears that the funding for claims will not occur, and therefore Tall Tree has terminated our services on behalf of Skyline Healthcare.” Id. Plaintiffs were unaware that the insurance plans had not been funded and, as a result, received medical and dental care for which they were (unknowingly) responsible financially. Id. ¶¶ 54-68.2 By 2018 or 2019, Skyline began to divest itself of recently acquired nursing homes. Id. ¶ 43. Over fifty of Skyline’s facilities have gone into state-run receiverships because of non- payment of bills. Id. ¶¶ 38, 41. Plaintiffs allege that the formation of Cornerstone and the

2 While this matter focuses on the lack of insurance coverage that Plaintiffs paid for, Plaintiffs also indicate that the Schwartzes, through Skyline, grossly under-capitalized the nursing homes, leading to employee benefits being cut and vendors’ bills being unpaid. Id. ¶ 36. nonpayment of insurance costs were part a larger conspiracy between Joseph Schwartz and Jaffa to pocket those sums and run the facilities solely for their benefit. See id. ¶¶ 4, 52. Plaintiffs refer to the Defendants collectively as “the Skyline Enterprise” and allege that the constituent entities were formed to improperly further Defendants’ personal interests. See id. ¶¶ 20-29. Plaintiffs filed their first Complaint on January 30, 2020. D.E. 1. Plaintiffs amended their

Complaint on October 21, 2020, to, inter alia, add Jaffa as a defendant. D.E. 21. Plaintiffs then filed the SAC on August 17, 2021. D.E. 33. The SAC asserts one, overarching class and several subclasses based on the state in which Plaintiffs worked. See SAC ¶¶ 82-127. The overarching class brings claims under the Racketeer Influenced and Corrupt Organizations Act (“RICO”), 18 U.S.C. § 1962, (Count I); conspiracy to violate RICO, 18 U.S.C. § 1962(d), (Count II); and breach of fiduciary duty, (Count VIII); negligence, (Count IX); and conversion (Count X). Id. ¶¶ 91-95, 128-42. Plaintiffs also assert four subclasses: (1) a South-Dakota class pursuant to the South Dakota Consumer Protection Law (“SDCPL”), S.D. Codified Laws § 37-24-1 et seq., (Count III); and the South Dakota Fraudulent Concealment Law (“SDFCL”), S.D. Codified Laws § 20-10-

2(3), (Count VI); (2) a Kansas class under the Kansas Consumer Protection Act (“KCPA”), Kan. Stat. Ann. § 50-623 et seq., (Count IV); (3) a Nebraska class under the Nebraska Consumer Protection Act (“NCPA”), Neb. Rev. Stat. § 59-1061 et seq., (Count V); and (4) an Arkansas class, under the Arkansas Deceptive Trade Practices Act (“ADTPA”), Ark. Code Ann. § 4-88-107 et seq., (Count VII). Jaffa moved to dismiss all counts brought against him individually. D.E. 38. II.

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DANTE v. SCHWARTZ, Counsel Stack Legal Research, https://law.counselstack.com/opinion/dante-v-schwartz-njd-2022.