David Hager v. Todd G. Rowan

903 F.3d 460
CourtCourt of Appeals for the Fifth Circuit
DecidedSeptember 6, 2018
Docket17-11147
StatusPublished
Cited by19 cases

This text of 903 F.3d 460 (David Hager v. Todd G. Rowan) is published on Counsel Stack Legal Research, covering Court of Appeals for the Fifth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
David Hager v. Todd G. Rowan, 903 F.3d 460 (5th Cir. 2018).

Opinion

WIENER, Circuit Judge:

After Plaintiff-Appellant David Hager was fired by Defendant-Appellee DBG Partners, Inc ("DBG"), he obtained continuation coverage under DBG's ERISA health care plan through the Consolidated Omnibus Budget Recovery Act ("COBRA"). Hager later filed this suit, alleging that DBG had discontinued its health plan without notifying him, violating COBRA's notice requirements. The district court sua sponte dismissed Hager's claim on the eve of trial, concluding that ERISA did not provide Hager with a remedy. Hager appeals, and we reverse.

I. FACTS AND PROCEEDINGS

Hager was DBG's Chief Financial Officer until August 15, 2014. By a letter hand-delivered to Hager's home address that day, DBG's Chief Executive Officer, Todd Rowan, notified Hager that he was fired. Various sections of COBRA allow a former employee to continue receiving health insurance through the former employer's ERISA health insurance plan. 1 Hager elected to continue his enrollment in DBG's health plan with Blue Cross Blue Shield through COBRA.

In May 2015, DBG decided to terminate its Blue Cross Blue Shield health plan. DBG has produced a letter addressed to Hager's former address-not the address where it sent Hager's termination letter-stating that it was terminating that coverage effective June 1, 2015. Hager contends he never received this letter. He continued paying his insurance premiums to DBG through August 2015, and DBG deposited his checks. From June to August 2015, Hager underwent colon cancer treatment. In August 2015, Hager learned that he had not been covered during those months.

In February 2016, Hager sued DBG, seeking reimbursement of his medical expenses for the period he was without coverage. 2 He alleged that DBG had committed statutory violations of COBRA by failing to notify him of (1) his right to COBRA coverage and (2) the termination of the insurance plan. Hager also alleged fraudulent conversion of his insurance premiums for the period after the health plan was cancelled. In May 2017, DBG refunded Hager's insurance premiums for June to August 2015.

On August 8, 2017, the district court held a pretrial conference, at which Hager, through counsel, acknowledged that he had received notice of his eligibility for COBRA coverage. Hager therefore elected to proceed only on his claim that DBG had failed to notify him that the plan coverage was being terminated. At the pretrial conference, the district court expressed uncertainty *464 that DBG had any obligation to notify Hager that coverage was being terminated. At the hearing, the court asked for citations to the statute or regulation that imposed such a notice requirement.

Two days later, Hager's counsel filed a status report on the parties' unsuccessful settlement discussions. He drew the court's attention to the provision of the Code of Federal Regulations that requires a plan administrator to give notice if COBRA coverage is terminated prematurely. 3

On August 16, the parties again met for a settlement conference, which again proved unsuccessful. After the conference, the parties reported to the courtroom; the proceeding that followed is not in the record. The court apparently expressed its concern that, even if DBG did have a notice obligation, ERISA (of which the relevant sections of COBRA are a part 4 ) did not allow monetary damages. The court specifically highlighted a case from the Ninth Circuit which suggested that remedy was unavailable. 5 The court nevertheless determined to proceed to trial the following week.

The parties appeared before the court several days later to dispose of the remaining pretrial matters. The district court reiterated its concern that Hager lacked a remedy and ordered the parties to reconvene in a few hours for Hager to present authority that supported the availability of his remedy. When they reconvened, Hager's attorney directed the court to several district court cases, but the court rejected them as factually dissimilar. The court then sua sponte dismissed Hager's COBRA claims with prejudice. Hager elected not to pursue his fraudulent conversion claim, which the court dismissed without prejudice. Hager appeals only the dismissal of his COBRA claim.

II. STANDARD OF REVIEW

"Our review of the district court's dismissal for failure to state a claim for relief is de novo ." 6 A district court may consider the sufficiency of a complaint on its own initiative, "as long as the procedure employed is fair." 7 "[F]airness in this context requires both notice of the court's intention and an opportunity to respond." 8 Hager was aware of the court's concern about the viability of his claim and that the defendant had asked the court to dismiss the case with prejudice, albeit in a perfunctory filing. Moreover, Hager had the opportunity to make his case for a remedy to the district court. In any event, Hager has forfeited any challenge to the district court's sua sponte dismissal by failing to raise the issue on appeal. 9

III. ANALYSIS

We note that DBG has elected not to file a brief in this matter, but that does not preclude our consideration of the merits. 10 Hager contends that DBG violated *465 COBRA's notice provision and that the district court erred in determining that he could not recover money damages for this violation.

Because COBRA is a part of ERISA, any remedy is limited to ERISA's "carefully crafted and detailed enforcement scheme." 11 That enforcement scheme is embodied in 29 U.S.C. § 1132 . So, we first examine whether Hager has standing to bring an action under that statute. 12 If we conclude that he does, we consider whether a COBRA notice violation can sustain a cause of action. If it can, we determine what remedy, if any, would be available for such a violation.

A. ERISA Standing

To bring a suit under ERISA, Hager must be a plan "participant." 13 A participant may be a former employee who "is ... eligible to receive a benefit of any type from an employee benefit plan which covers employees of such employer[.]" 14 At least one court has suggested that termination of COBRA coverage eliminates a former employee's status as a participant. 15

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Bluebook (online)
903 F.3d 460, Counsel Stack Legal Research, https://law.counselstack.com/opinion/david-hager-v-todd-g-rowan-ca5-2018.