Fishbein v. Miranda

785 F. Supp. 2d 375, 2011 WL 1458503
District Court, S.D. New York·Decided April 12, 2011·No. 06 Civ. 13222(BSJ)(GWG)·Published·Cited by 7 cases

Opinion

*378 Memorandum and Order

BARBARA S. JONES, District Judge.

This case arises out of a set of collective bargaining agreements (“CBAs”) pursuant to which Defendants Teamsters Local 210 Affiliated Health and Insurance Fund (“Local 210 Fund”) and the Allied Welfare Fund (“AWF”) collect contributions from employers and then remit a portion of those contributions to Plaintiff Union Mutual Medical Fund (“UMMF”). Plaintiffs allege the Local 210 Fund and AWF failed to properly remit employer contributions to UMMF. Plaintiffs also allege their administrator and manager, Defendant Crossroads Healthcare Management, LLC (“Crossroads”), participated directly in the scheme to deprive UMMF of its funding and helped the Local 210 Fund establish a fund that competes directly with UMMF.

There are two motions before the Court. First, Plaintiffs Leon Silverman, James Crowley, Janet Sachs, Herbert Pobiner, Louis Flacks and Paul Berkman, as Trustees of UMMF (“UMMF trustees”), and UMMF (collectively, “Plaintiffs”) move for partial summary judgment on their first, second, fourth, fifth, and sixth counts, and for summary judgment on all of Crossroads’ counterclaims. Defendant Local 210 Fund moves, in turn, for summary judgment on Plaintiffs’ second count. For the reasons provided below, Plaintiffs’ motion for partial summary judgment is GRANTED in part and DENIED in part, and the Local 210 Fund’s motion for summary judgment is DENIED.

BACKGROUND

A. UMMF

Plaintiff UMMF is a health plan governed by the Employee Retirement Income Security Act (“ERISA”), 29 U.S.C. § 1001, et seq. (PL’s 56.1 Stmt. ¶ 1.) Its participants and beneficiaries consist primarily of retired members (and their spouses) of two unions: (1) the Allied Trades Council (“ATC”), Division Local 338, Retail, Wholesale and Department Store Union-United Food and Commercial Workers, AFL-CIO, and (2) the International Brotherhood of Teamsters Local Union 210 (“Local 210 union” and together with ATC, “unions”). 1 (Id. ¶ 2.)

*379 B. AWF

AWF, who was voluntarily dismissed from this action (Dkt.138, 160), is a multiemployer, collectively bargained employee welfare benefit plan under ERISA that provides benefits, primarily, to active union workers. (Id. ¶ 9.) It was established by the unions and funded by contributing employers. (Id.) In 2006, it was “bifurcated,” and a portion of its assets were transferred to the Local 210 Fund. (Id. ¶ 10.) After the bifurcation, most of the contributing employers who previously contributed to AWF contributed to the Local 210 Fund. (Id. ¶ 11.)

C. Local 210 Fund

Defendant Local 210 Fund is also an employee welfare benefit plan under ERISA. (Id. ¶ 13.) It was established to provide health insurance for members of the Local 210 union (and their spouses) (id.) and is funded by contributions from employers who are parties to CBAs with the Local 210 union (id. ¶ 15). After AWF was bifurcated, the Local 210 Fund succeeded AWF under most of the CBAs. (Id. ¶ 16.)

D. Crossroads

Crossroads is a third-party administrator and health care management company, who provided services to UMMF, in 2005 and 2006, pursuant to an assigned services agreement from Churchill Benefit Services (“Churchill”). (Id. ¶ 17; Crossroads’ Counter 56.1 Stmt. ¶ 18.) One of Crossroads’ duties was to ensure UMMF received monies it was entitled to under the CBAs at issue. (Pl.’s 56.1 Stmt. ¶ 22; Crossroads’ Counter 56.1 Stmt. ¶ 22.) Crossroads also served as the third-party administrator for both AWF and the Local 210 Fund. (PL’s 56.1 Stmt. ¶ 26.)

E.Collective Bargaining Agreements

Prior to being amended in March or April 2006, the CBAs, all of which contained nearly identical language, provided:

It is hereby agreed ... the Employer shall pay to the Allied Welfare Fund the sum of Fifty-Nine ($59.00) Dollars, each and every week for each employee who is employed within the bargaining unit
From and out of the contributions made to the Allied Welfare Fund as specified above, Eight Dollars per employee per week shall be unconditionally and irrevocably allocated and paid to the Union Mutual Medical Fund ... for the benefit of retired employees of the Employer and retired employees of all other employers similarly situated and their families ....

(Kipnees Deel. Ex. J, at 8-9.)

F.Duane Reade Settlement

In 2000, AWF’s trustees filed suit against Duane Reade, 2 a contributing employer that had a CBA with the unions, claiming Duane Reade failed to make required CBA payments. (PL’s 56.1 Stmt. ¶ 30.) Duane Reade and AWF settled their dispute in 2006 for $825,000.00. (PL’s 56.1 Stmt. ¶¶ 31-32.) The Local 210 Fund does not deny these funds were received in satisfaction of Duane Reade’s obligation to pay contributions to AWF. (Local 210 Fund’s Counter 56.1 Stmt. ¶ 33; *380 see also Pl.’s 56.1 Stmt. ¶ 33.) In addition, although the Local 210 Fund denies AWF transferred all of the settlement money to it after AWF’s bifurcation, it does not deny UMMF received no money from the settlement. 3 (Local 210 Fund’s Counter 56.1 Stmt. ¶ 34.) Crossroads handled the settlement money. (Pl.’s 56.1 Stmt. ¶ 35.)

Based on the CBA terms provided above, UMMF alleges it should have received $8.00 out of every $59.00 AWF received pursuant to the Duane Reade settlement. Because it did not, UMMF claims it was wrongfully denied money it is entitled to under the Duane Reade CBA.

G. CBA Amendments

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Fishbein v. Miranda, 785 F. Supp. 2d 375, 2011 WL 1458503 (S.D.N.Y. 2011).

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