Falcon Creditor Trust v. Blue Cross Blue Shield (In Re Falcon Products, Inc.)

372 B.R. 474, 2007 Bankr. LEXIS 2562, 48 Bankr. Ct. Dec. (CRR) 179, 2007 WL 2199705
CourtUnited States Bankruptcy Court, E.D. Missouri
DecidedJuly 20, 2007
Docket19-10068
StatusPublished
Cited by1 cases

This text of 372 B.R. 474 (Falcon Creditor Trust v. Blue Cross Blue Shield (In Re Falcon Products, Inc.)) is published on Counsel Stack Legal Research, covering United States Bankruptcy Court, E.D. Missouri primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Falcon Creditor Trust v. Blue Cross Blue Shield (In Re Falcon Products, Inc.), 372 B.R. 474, 2007 Bankr. LEXIS 2562, 48 Bankr. Ct. Dec. (CRR) 179, 2007 WL 2199705 (Mo. 2007).

Opinion

ORDER GRANTING SUMMARY JUDGMENT IN FAVOR OF DEFENDANT RIGHTCHOICE MANAGED CARE, INC. d/b/a BLUE CROSS BLUE SHIELD

BARRY S. SCHERMER, Chief Judge.

The matter before the Court is the Motion for Summary Judgment (“Motion”) filed by Defendant RightCHOICE Managed Care, Inc. d/b/a Blue Cross Blue Shield (“Blue Cross”), the affidavit, exhibits, and legal memorandum in support of the Motion; the opposition to the Motion and legal memorandum in opposition to the Motion filed by Plaintiff Falcon Creditor Trust (“Trust”); and the replies to the Trust’s opposition filed by Blue Cross. The Court has reviewed the Motion, all pleadings in support of and in opposition to the Motion, and the case file and hereby FINDS:

Procedural History and Parties

1. On January 31, 2005 (“Petition Date”), Falcon Products, Inc.; Epic Furniture Group, Inc.; The Falcon Companies International, Inc.; Falcon Holdings, Inc.; Howe Furniture Corporation; Johnson Industries, Inc.; Madison Furniture Industries, Inc.; Sellers & Josephson, Inc.; and Shelby Williams Industries, Inc. (collectively “Debtors”) filed petitions for relief under Chapter 11 of the Bankruptcy Code, Title 11 of the United States Code. This Court authorized the joint administration and procedural consolidation of the Debtors’ Chapter 11 cases under the Falcon Products, Inc. case caption and number.

2. On October 18, 2005, this Court confirmed the Debtors’ Third Amended Joint Plan of Reorganization (“Plan”) pursuant to which the Debtors’ cases were substantively consolidated.

3. Pursuant to the Plan, the Trust was formed for the benefit of the holders of the Debtors’ general unsecured claims. (Plan, pp. 84, 94-96.) On the Plan’s effective date, certain rights and causes of action previously held by the Debtors — including the authority to prosecute avoidance actions under Chapter 5 of the Bankruptcy Code — were “deemed to be assigned to” the Trust. (Plan, p. 96.)

4. The Trust initiated this adversary proceeding by filing its Complaint to Avoid and Recover Preferential Transfer. In the Complaint, the Trust seeks to avoid as *478 preferential under Section 547 of the Bankruptcy Code five pre-petition transfers to Blue Cross in the aggregate amount of $239,916.18 (“Transfers”) and to recover such an amount from Blue Cross pursuant to Section 550 of the Bankruptcy Code. The Trust also seeks the disallowance of any claim Blue Cross has asserted against the Debtors’ consolidated bankruptcy estate pursuant to Section 502(d) of the Bankruptcy Code.

Bases of the Transfers

5. The Debtors employed approximately 1,640 employees at various locations. The Debtors offered three separate medical plans to which its employees were assigned. Thirty employees participated in an HMO plan in California. Thirty-three employees participated in an HMO plan in Saint Louis. Approximately 1,310 employees participated in a self-funded PPO plan (“PPO Plan”).

6. Beginning July 1, 2004, Blue Cross was the third party administrator for the Debtors’ PPO Plan.

7. The Debtors’ employees who participated in the PPO Plan utilized the Blue Cross Blue Card network as the plan’s in-network health care provider.

8. Blue Cross provided claims administration for the PPO Plan. The Debtors’ employees who participated in the PPO Plan were able to seek health care from the network of health care providers in the Blue Cross network. After visiting a network provider, the employee or the health care provider submitted medical bills to Blue Cross for reimbursement. Blue Cross reviewed and administered the claims in compliance with its agreement with the Debtors. Blue Cross advised the Debtors on a weekly basis of the claim charges for that week and administered the payment of such claims. The Debtors paid administrative fees to Blue Cross to cover Blue Cross’ costs and expenses in administering the PPO.

9. The Debtors paid Blue Cross a monthly access fee calculated on a per member per month basis in order to gain access to Blue Cross’s network of health care providers and to realize a portion of the discounts that participating providers extended to Blue Cross.

10. Blue Cross also provided “stop-loss” insurance coverage to the Debtors whereby Blue Cross covered all applicable health care costs in excess of $175,000 per employee.

11. The Transfers at issue in this adversary proceeding consisted of payments for administrative fees, access fees, and stop loss premium payments owed by the Debtors to Blue Cross for services rendered in October, November, and December of 2004.

Post-Petition Events

Debtors’ First Day Motions

12. On the Petition Date, the Debtors filed a series of “First Day Motions.” Included in the First Day Motions was the Debtors’ Emergency Motion for an Order (I) Authorizing the Debtors to Pay Pre-petition Wages, Salaries, and Employee Benefits; (II) Authorizing the Debtors to Continue the Maintenance of Employee Benefit Programs in the Ordinary Course; and (III) Directing All Banks to Honor Prepetition Checks for Payment of Pre-petition Employee Obligations Pursuant to 11 U.S.C. §§ 105(a), 507(a)(3), and 507(a)(4) (the “Employee Benefits Motion”). In the Employee Benefits Motion, the Debtors sought authority to pay various pre-petition claims for employee compensation and to continue various employee benefit plans and programs including the Debtors’ PPO Plan administered by Blue Cross. (Employee Benefits Motion, p. 8, ¶ 19, and pp. 18-19, ¶¶ 52-54.)

*479 18. In the Employee Benefits Motion, the Debtors made the following representations to this Court:

A. As of the Petition Date the Debtors’ approximately 1,640 employees included full-time, part-time, and temporary employees. (Employee Benefits Motion P. 9, ¶ 23.)
B. The Debtors’ employees were categorized into two groups: 440 Sales, General and Administrative Employees and 1,200 Factory Employees. (Id.)
C. The unpaid wages and salaries of the Debtors’ employees as of the Petition Date represented an average per Factory Employee of $510.00 and an average per Sales, General and Administrative Employee of $2,100.00. (Employee Benefits Motion, p. 12, ¶ 31.)
D. The Debtors believed that the overwhelming majority of their Employees were each owed significantly less than $4,925.00 in pre-petition wages and salaries. (Id.)
E. The Debtors believed that their pre-petition wages and salary claims combined with contributions to employee benefit programs would not exceed the dollar limits for priority claims provided under Bankruptcy Code Sections 507(a)(3) and 507(a)(4) of $4,925.00 per employee in the case of the overwhelming majority of employees. The Debtors further stated that “[sjuch priority claims must, in any' event, be paid in full under any plan of reorganization.” (Employee Benefits Motion, p. 24, ¶ 74.)

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372 B.R. 474, 2007 Bankr. LEXIS 2562, 48 Bankr. Ct. Dec. (CRR) 179, 2007 WL 2199705, Counsel Stack Legal Research, https://law.counselstack.com/opinion/falcon-creditor-trust-v-blue-cross-blue-shield-in-re-falcon-products-moeb-2007.