Delcastillo v. Odyssey Resource Management, Inc.

479 F. Supp. 2d 1087, 41 Employee Benefits Cas. (BNA) 1180, 2007 U.S. Dist. LEXIS 18028, 2007 WL 878492
CourtDistrict Court, D. Nebraska
DecidedMarch 12, 2007
Docket8:01CV342
StatusPublished
Cited by2 cases

This text of 479 F. Supp. 2d 1087 (Delcastillo v. Odyssey Resource Management, Inc.) is published on Counsel Stack Legal Research, covering District Court, D. Nebraska primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Delcastillo v. Odyssey Resource Management, Inc., 479 F. Supp. 2d 1087, 41 Employee Benefits Cas. (BNA) 1180, 2007 U.S. Dist. LEXIS 18028, 2007 WL 878492 (D. Neb. 2007).

Opinion

MEMORANDUM OPINION

BATAILLON, Chief Judge.

This matter is before the court on remand from the Eighth Circuit Court of Appeals, Filing Nos. 172 & 173; Delcastillo v. Odyssey Resource Mgmt., Inc. 431 F.3d 1124 (8th Cir.2005).

I. BACKGROUND

A. District Court Proceedings

This.matter was originally tried to the court in August 2003. After a two-day bench trial, this court entered judgment in favor of plaintiffs and against defendants Odyssey Resource Management and 1st Odyssey Group, Inc., (hereinafter, collectively, “Odyssey”) in the amount of $301,866.11 for ERISA and COBRA violations. Filing No. 151, Judgment. That amount represented reimbursement of the Delcastillos’ unreimbursed medical expenses and penalties for failure to provide notice and information under 29 U.S.C. § 1132(c)(1)(A) and (B). Filing No. 143, Amended Memorandum Opinion (“Mem. Op.”) at 18-19. The court denied defendants’ motion for new trial and also entered judgment for attorneys’ fees in the amount of $109,317.50. Filing Nos. 150, Memorandum and Order (“New Trial Mem. & Order”); 151, Judgment.

Contrary to Odyssey’s assertions on appeal, the plaintiffs alleged and pursued an action under 29 U.S.C. § 1132(a) for wrongful denial of health insurance benefits as well as for breach of fiduciary duty. See Filing No. 69, Amended Complaint at 10. The allegations of the Amended Complaint involve the defendants’ failure to provide health insurance coverage, misrepresentations with respect to such coverage, and failure to provide notice and information under ERISA, as amended by COBRA. Id. at 2-8. Plaintiffs sought reim *1090 bursement of medical expenses, injunctive relief in the form of an order that would estop defendants from denying coverage, and penalties for the notice violation. Id. at 9-10.

Odyssey’s pleadings and submissions show that it was fully aware that the action involved more than a COBRA claim for failure to provide notice. See, e.g., Filing No. 121, Odyssey’s Trial Brief at 1-2 (conceding that the key issue was COBRA obligation to provide continuation coverage). In Odyssey’s motion to strike plaintiffs’ jury demand, Odyssey conceded that “the plaintiffs, John and Lois Delcastillo, filed suit seeking to recover medical benefits and expenses under a group insurance policy.” Filing No. 70, Motion to Strike at 1. Odyssey argued that there was “no dispute over the applicability of ERISA” and argued that “actions brought for benefits under ERISA plans do not warrant a jury trial because such actions are equitable in nature.” Id. at 2. In ruling on the motion, this court held “the court will treat this as a case governed by ERISA.” Filing No. 5, Order at 2. Odyssey also moved for summary judgment, asserting that the plaintiffs’ claims for misrepresentation and promissory estoppel were preempted by ERISA. Filing No. 81, Brief in Support of Motion for Summary Judgment at 1. In arguing the preemption issue, Odyssey again conceded that an ERISA claim had been presented. Id. at 17. In this court’s order granting, in part, Odyssey’s motion for summary judgment on the preemption issue, the court recognized that plaintiffs’ state law claims were preempted by ERISA, noting that “in certain circumstances, the preemptive force of a federal statute is so complete that it transforms complaints styled as ordinary common-law claims into one stating a federal claim.” Filing No. 123, Summary Judgment Mem. & Order at 1. Noting that “[i]t is clear that plaintiffs’ state law claims arise from the denial of their claims for continuation coverage benefits under Mr. Delcastillo’s former employer’s group health plan,” the court stated that Odyssey was potentially liable under ERISA as a fiduciary, either as a plan sponsor or a plan administrator, in exercising “discretionary duties” in connection with processing and administering claims. See id. at 2-4. The court further found plaintiffs’ ostensible state law claims were preempted and “ERISA’s civil enforcement provisions, codified at 29 U.S.C. § 1132(a), are the exclusive vehicle for actions by ERISA-plan participants and beneficiaries asserting improper processing of a claim for benefits.” Accordingly, it is clear that ERISA claims for wrongful denial of benefits and breach of fiduciary duty were raised and litigated.

Throughout this litigation, the Odyssey defendants did not raise a substantive factual defense to the wrongful denial and breach of fiduciary duty claims, but relied, instead on the contentions that it was not the Plan Sponsor and John Delcastillo was not its employee. 1 See, e.g., Filing No. 121, Odyssey’s Trial Brief at 2. Its assertions regarding John Delcastillo’s eligibility were, in turn, premised on its assertions concerning its corporate identity and its consequent renunciation of either successor, agent, or alter ego liability for its acts and those of its predecessor. See Filing No. 81, Odyssey’s Summary Judgment *1091 Brief at 22-28. Odyssey argued that the “qualifying event” that would have triggered a COBRA notice obligation was Mr. Delcastillo’s injury in 1996. Filing No. 121, Odyssey’s Trial Brief at 4; Filing No. 81, Odyssey’s Summary Judgment Brief at 15. It also argued, at trial and on appeal, that the Delcastillos had received more continuation coverage than COBRA requires, in that the Delcastillos had been provided coverage from the date of John Delcastillo’s work-related injury in 1996 until February 1, 1999, when their insurer stopped paying claims. Id. at 15-16. Odyssey relied on these contentions as a defense to both the ERISA coverage claims and the COBRA notice claims.

In addition, Odyssey consistently maintained, in this court and on appeal, that the named defendant Odyssey entities were shielded from liability for various reasons relating to their corporate identities. 2 See, e.g., Odyssey Summary Judgment Brief at 22-23; Filing No. 113, Odyssey’s motion in limine at 2 (seeking exclusion of evidence of connections to related entities). Shortly before trial, plaintiffs sought leave to file a second amended complaint to add Odyssey’s parent corporation and its principals as defendants. Filing No. 1-1. The motion was denied for reasons of delay. Filing No. 119. This court addressed the corporate liability issue in its order denying Odyssey’s motion for summary judgment:

Defendants are “professional employer organizations,” who contract with employers to provide employment and human resource services to employers. There is no dispute that either or both of theses defendants contracted with Mr. DelCastillo’s former employer and its predecessor to provide such services.

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479 F. Supp. 2d 1087, 41 Employee Benefits Cas. (BNA) 1180, 2007 U.S. Dist. LEXIS 18028, 2007 WL 878492, Counsel Stack Legal Research, https://law.counselstack.com/opinion/delcastillo-v-odyssey-resource-management-inc-ned-2007.