Electrical Welfare Trust Fund v. United States

907 F.3d 165
CourtCourt of Appeals for the Fourth Circuit
DecidedOctober 23, 2018
Docket17-1937
StatusPublished
Cited by3 cases

This text of 907 F.3d 165 (Electrical Welfare Trust Fund v. United States) is published on Counsel Stack Legal Research, covering Court of Appeals for the Fourth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Electrical Welfare Trust Fund v. United States, 907 F.3d 165 (4th Cir. 2018).

Opinion

WILKINSON, Circuit Judge:

The Electrical Welfare Trust Fund ("the Fund") sued under the Tax Refund Statute, 28 U.S.C. § 1346 (a)(1) (2012), to recover more than $1 million paid to the Department of Health and Human Services ("HHS") as part of the Transitional Reinsurance Program of the Patient Protection and Affordable Care Act of 2010. The district court dismissed for lack of subject matter jurisdiction, holding that because the payment was not a tax, exclusive jurisdiction for a suit for repayment lies with the Court of Federal Claims. The Fund challenges that ruling on appeal, and we now affirm.

I.

The Fund is a self-administered, self-insured employee health and welfare benefit plan created under a collective bargaining agreement. The Patient Protection and Affordable Care Act of 2010 ("ACA") reformed several features of the health insurance industry, which collectively led to more high-risk individuals entering the insurance market. The ACA therefore included a Transitional Reinsurance Program to stabilize the markets by requiring payments from "health insurance issuers, and third party administrators on behalf of group health plans ...." 42 U.S.C. § 18061 (b)(1)(A). These payments would be collected and then reallocated to insurers who covered the new high-risk individuals. The ACA authorized the HHS Secretary to promulgate regulations defining who would pay into the Transitional Reinsurance Program. See 42 U.S.C. § 18041 (a)(1)(C). The initial regulation required entities like the Fund to pay, but later amendments excluded them.

The Fund thus paid into the Transitional Reinsurance Program for 2014, but not thereafter, and in June of 2016 filed suit in the United States District Court for the District of Maryland under 28 U.S.C. § 1346 (a)(1), seeking a refund of its 2014 payment on the grounds that the initial regulation's classification was an impermissible interpretation of the statute. The Fund argued that the payment was a tax under § 1346(a)(1) because it met a multi-factor test articulated in In re Leckie Smokeless Coal Co. , 99 F.3d 573 , 583 (4th Cir. 1996). The district court noted, however, that under Nat'l Fed'n of Indep. Bus. v. Sebelius , 567 U.S. 519 , 132 S.Ct. 2566 , 183 L.Ed.2d 450 (2012), the Supreme Court's statutory test was controlling. Because the Fund's payment was described as a "payment" or "contribution" in the ACA, see 42 U.S.C. § 18061 (b), it was not a tax. That conclusion meant that the district court lacked subject matter jurisdiction. The district court thus granted the government's Fed. R. Civ. Pro. 12(b)(1) motion to dismiss without prejudice, leaving the opportunity for the Fund to seek a refund in the Court of Federal Claims under 28 U.S.C. § 1491 . The Fund then separately filed an action with the Court of Federal Claims while also bringing this appeal.

II.

Section 1346 grants district courts jurisdiction concurrent with the Court of Federal Claims for civil actions seeking a refund from the United States of an "internal-revenue tax." 28 U.S.C. § 1346 (a)(1). The Fund claims on appeal that its payment to the Department of Health and Human Services was an "internal-revenue tax" under § 1346, allowing it to proceed in federal district court. The statute's text is simply fatal to this claim. To see why, one must understand how § 1346 intersects with other relevant statutes.

Suits seeking money payments from the federal government invoke the Tucker Act, which waives federal sovereign immunity for claims greater than $10,000 so long as the litigant proceeds in the Court of Federal Claims. See 28 U.S.C. § 1491 . Another route exists for tax claims. Section 1346 creates a narrow exception that allows taxpayers to seek a refund in their home district rather than in Washington D.C. However, this jurisdictional grant comes with limitations.

Section 1346 is part of the broader scheme of tax administration. This scheme is responsive to the unique governmental interests with respect to tax revenue. When a taxpayer challenges a collection, for instance, the Anti-Injunction Act, 26 U.S.C. § 7421 (a), requires that he first pay the tax and then seek a refund, preventing disruption in revenue collection. In seeking this refund, a separate law, the Claim-for-Refund provision, 26 U.S.C. § 7422 (a), requires that taxpayers first seek relief from the Treasury Department. Only after these twin hurdles of payment and administrative exhaustion are surmounted does § 1346 come into play, allowing a civil suit in the taxpayer's local federal district court.

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907 F.3d 165, Counsel Stack Legal Research, https://law.counselstack.com/opinion/electrical-welfare-trust-fund-v-united-states-ca4-2018.