GC America Inc. v. Hood

CourtDistrict Court, N.D. Illinois
DecidedSeptember 27, 2023
Docket1:20-cv-03045
StatusUnknown

This text of GC America Inc. v. Hood (GC America Inc. v. Hood) is published on Counsel Stack Legal Research, covering District Court, N.D. Illinois primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
GC America Inc. v. Hood, (N.D. Ill. 2023).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE NORTHERN DISTRICT OF ILLINOIS EASTERN DIVISION

GC AMERICA INC., ) ) Plaintiff, ) ) No. 20-cv-03045 v. ) ) Judge Andrea R. Wood KEVIN HOOD, et al., ) ) Defendants. )

MEMORANDUM OPINION AND ORDER Defendant Kevin Hood allegedly received a settlement or judgment of at least $7 million through a medical negligence suit in which he was represented by Defendant Law Offices of Goldberg & Goldberg (“Goldberg”). Plaintiff GC America, Inc. (“GC America”), the sponsor and fiduciary of the GC America Inc. Group Benefit Plan (“Plan”), has sued Hood, a Plan participant and beneficiary, and Goldberg under the Employee Retirement Income Security Act of 1974 (“ERISA”), 29 U.S.C. § 1132(a)(3), to recover the amounts the Plan paid for Hood’s medical bills. GC America Inc. has filed its First Amended Complaint (“FAC”) following the Court’s dismissal of the claims against Goldberg in the original complaint for failure to state a claim upon which relief could be granted. Now before the Court are Goldberg’s motion to dismiss GC America’s claims against it in the FAC pursuant to Federal Rule of Civil Procedure 12(b)(6) (Dkt. No. 69) and GC America’s motion for default judgment against Hood (Dkt. No. 55). For the following reasons, Goldberg’s motion is granted in part and denied in part and GC America’s motion is denied. BACKGROUND I. Facts The following facts are taken from GC America’s amended complaint and, for purposes of Goldberg’s motion to dismiss, accepted as true and viewed in the light most favorable to GC America as the nonmoving party. See Santiago v. Walls, 599 F.3d 749, 756 (7th Cir. 2010).

GC America sponsors and serves as a fiduciary of the Plan, which provides health benefits to GC America employees and their eligible spouses and dependents. (First Am. Compl. ¶¶ 4, 6, Dkt. No. 67.) At all times relevant to this action, Hood was a Plan participant and beneficiary. (Id. ¶ 5.) In 2009, Hood was injured in an automobile collision. (Id. ¶ 12.) Over the course of his post- accident medical treatment, Hood was the victim of medical negligence. (Id.) As a result, the Plan paid $1,732,846.51 in medical expenses on Hood’s behalf. (Id. ¶ 13.) Under the terms of the Plan, Hood was required to reimburse the Plan for those medical expenses in the event he won any judgments or settlements from third parties compensating him for his deficient medical care. (Id. ¶¶ 9, 12.) The Plan’s terms also stated that the Plan would have a first priority lien on any

recovery received from third parties and the Plan’s beneficiary or their legal representative would be considered a constructive trustee for any such recovery. (Id. ¶ 9.) Goldberg represented Hood in a medical negligence suit against the third parties responsible for his post-collision treatment. (Id. ¶ 5.) As a result of that litigation, Hood obtained a settlement or judgment of more than $7 million (“Award”) in 2017. (Id. ¶ 15.) When GC America demanded that Hood and Goldberg use a portion of the Award to reimburse the Plan for medical expenses it paid on Hood’s behalf, they refused. (Id. ¶ 23.) GC America alleges that Goldberg continues to possess at least one-third of the Award funds, i.e., approximately $2.3 million, and Hood continues to possess the remainder. (Id. ¶ 22.) Consequently, GC America has filed the present lawsuit. II. Procedural Posture GC America’s FAC asserts a claim against Hood and Goldberg pursuant to ERISA § 502(a)(3), 29 U.S.C. § 1132(a)(3), seeking several forms of equitable relief, including (1) a

declaration that the Plan has a first priority right to the settlement proceeds up to the amount of payments made for Hood’s medical expenses; and (2) an injunction requiring Defendants to reimburse the Plan for $1,732,846.51 in medical bills that it paid for Hood’s treatment. The Court previously dismissed GC America’s original complaint as to Goldberg, including its ERISA claim under § 502(a)(3) and state-law claims for tortious interference with contract and conversion, for failure to state a claim. (Dkt. No. 65.) Now that GC America has filed its FAC, Goldberg again seeks dismissal of GC America’s ERISA claim with prejudice.1 Hood, meanwhile, was duly served with the original complaint on July 16, 2020. (Dkt. No. 22-1.) After he failed to timely answer or respond to the complaint, the Court entered default

against Hood on September 3, 2020. (Dkt. No. 24.) Subsequently, Hood appeared in the case and filed a motion asking the Court to vacate the entry of default and grant a continuance so that he could obtain legal representation. (Dkt. No. 31.) The Court granted Hood’s motion, vacated the default entered against him, and extended his time to respond to the complaint. (Dkt. No. 33.) But after Hood failed to answer GC America’s complaint by the extended deadline and did not appear for several status hearings, the Court ordered Hood to show cause in writing why he should not be found in default again. (Dkt. No. 39.)

1 GC America has not re-alleged in the FAC its previous claims for tortious interference with contract and conversion. Following Hood’s failure to answer or otherwise respond to the complaint, or to comply with the Court’s show cause order, the Court again entered default against him on July 13, 2021. (Dkt. No. 40.) After the Court’s entry of default, on April 19, 2022, GC America filed the FAC. As to Hood, the FAC contains substantively the same allegations as the original complaint, except that GC America no longer asserts state-law claims against Hood and now definitively alleges that

Hood continues to possess a portion of the settlement funds. (See First Am. Compl. ¶ 22.) On February 24, 2022, GC America filed the present motion for a default judgment against Hood in the amount of $1,732,846.51, along with a declaration that GC America has a first and top priority lien and constructive trust on the Award proceeds. The Court directed Hood to respond to GC America’s motion for default judgment by May 4, 2022. (Dkt No. 68.) He failed to do so, nor has he answered or otherwise responded to GC America’s original complaint or amended complaint. DISCUSSION I. Goldberg’s Motion to Dismiss The Court first addresses Goldberg’s motion to dismiss the FAC. To survive a Rule

12(b)(6) motion, “a complaint must contain sufficient factual matter, accepted as true, to ‘state a claim to relief that is plausible on its face.’” Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009) (quoting Bell Atl. Corp. v. Twombly, 550 U.S. 544, 570 (2007)). A complaint does not necessarily need to contain detailed factual allegations to meet this pleading standard. Twombly, 550 U.S. at 555. Rather, “[a] claim has facial plausibility when the plaintiff pleads factual content that allows the court to draw the reasonable inference that the defendant is liable for the misconduct alleged.” Adams v. City of Indianapolis, 742 F.3d 720, 728 (7th Cir. 2014) (quoting Iqbal, 556 U.S. at 678). A. Pleading Standard As a threshold matter, in addition to the notice-pleading standard under Federal Rule of Civil Procedure

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GC America Inc. v. Hood, Counsel Stack Legal Research, https://law.counselstack.com/opinion/gc-america-inc-v-hood-ilnd-2023.