Hammer v. Johnson Senior Center, Inc.

CourtDistrict Court, W.D. Virginia
DecidedJanuary 21, 2021
Docket6:19-cv-00027
StatusUnknown

This text of Hammer v. Johnson Senior Center, Inc. (Hammer v. Johnson Senior Center, Inc.) is published on Counsel Stack Legal Research, covering District Court, W.D. Virginia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Hammer v. Johnson Senior Center, Inc., (W.D. Va. 2021).

Opinion

CLERK’S OFFICE U.S. DIST. COURT AT LYNCHBURG, VA FILED UNITED STATES DISTRICT COURT 1/21/2021 WESTERN DISTRICT OF VIRGINIA JULIA C. DUDLEY, CLERK LYNCHBURG DIVISION BY. s/ A. Little DEPUTY CLERK

FAITH HAMMER, CASE NO. 6:19-cv-00027 Plaintiff, v. MEMORANDUM OPINION JOHNSON SENIOR CENTER, INC., ef al., JUDGE NORMAN K. MOON Defendants.

This matter is before the Court on Defendant Melessa Dolan’s Motion for Summary Judgment against Plaintiff Faith Hammer. Dkt. 40. There are genuine issues of material fact regarding whether Melessa Dolan (‘“Melessa”) was an ERISA fiduciary of the Anthem group health insurance plan before September 27, 2018. These factual disputes preclude summary judgment in favor of Melessa on Hammer’s ERISA claims. Accordingly, the Court will deny Melessa’s motion for summary judgment on Counts I through V. Because ERISA preempts Hammer’s state common law conversion and breach of fiduciary duty claims, however, the Court will grant the motion for summary judgment on Counts VII and VIII.' I. BACKGROUND A. Johnson Senior Center’s Owners and Employees Johnson Senior Center (“Johnson”) is a senior care facility in Amherst, Virginia. Dkts. 36 4] 4; 10 9 4. James Dolan (“James”) and Melessa purchased Johnson in 1999 and were its sole

' As Count VI raises a COBRA violation claim against James Dolan and Johnson Senior Center, not Melessa Dolan, the Court does not address Count VI in this opinion.

owners. Dkts. 41-2 at 8; 50-2 at 29–31. James was an officer and director; he served as Johnson’s president. Dkt. 50-2 at 29–31. Melessa was an officer and served as vice president, secretary, and treasurer, though she was primarily responsible for coordinating patient care given her medical background. Dkt. 41-2 at 9–11, 36–37. Johnson’s corporate documents provided that the treasurer “shall sign, make, and endorse in the name of the Corporation, all checks, drafts, warrants and

orders for the payment of money, and pay out and dispose of the same and receipt therefor . . . .” Dkt. 50-2 at 28. The treasurer also had “the care and custody of and [was] responsible for all the funds and securities of” Johnson. Id. Melessa received a salary and rent payments but did not receive dividends or profits from Johnson. Dkt. 41-2 at 12–13. After suffering a heart attack in 2010, James ceased all involvement in the day-to-day running of the business until the events described below took place. Id. at 9. Ashley Canipe, Melessa’s daughter from a previous marriage, was licensed by the Department of Social Services (“DSS”) as Johnson’s residential care facility administrator. Dkt. 41-3 at 8. Canipe communicated with DSS and handled human resources matters and general office management duties. Id. Kathy

Massie, a friend of Canipe and Melessa, also worked in Johnson’s office and assisted with administrative tasks, including paying Johnson’s bills. Dkts. 41-1 at 16; 41-2 at 25–26; 41-3 at 15, 29, 31. In 2016, Faith Hammer became a full-time employee of Johnson. Dkts. 36 ¶ 8; 41-3 at 67. B. Johnson’s Group Health Insurance Plan Through Anthem Healthkeepers As an employee of Johnson, Hammer participated in the company’s health insurance plan, Anthem HealthKeepers (“the Plan”). Dkts. 36 ¶ 9. The Plan was an employee welfare benefit plan subject to ERISA’s provisions. Dkt. 36 ¶ 5. Canipe was Johnson’s Plan administrator. Dkt. 41-3 at 101 (“During the period 8/15– 9/30/18, I was the administrator of the Plan.”). But see id. at 9 (“Q. Do you know offhand who is actually listed in the plan description as the plan administrator?” “A. I would speculate that I was probably first the person listed as the licensed administrator, but . . . I don’t know that for sure”). In this role, Canipe “handled the enrollment forms” for employees to participate in the Plan. Id. at 8–9. Anthem call logs show that Canipe communicated with Anthem in January 2017 to ensure that Anthem had received Johnson’s Plan premium payment for the previous December. Dkt. 50-

2 at 2 (referring to Canipe as “(GRP ADM),” an abbreviation indicating that she was the group administrator of Johnson’s Plan). Johnson deducted $70 from Hammer’s biweekly paycheck to cover her portion of the Plan premium. Dkts. 41-3 at 63–65. Johnson did not separate the amounts it deducted from its employees’ paychecks to cover the employees’ portion of the Plan premiums from Johnson’s general operating account. Id. at 101. Johnson was responsible for contributing the remaining two- thirds of the premium and paying the entire Plan premium to Anthem. Dkts. 36 ¶ 9; 10 at 2. Massie generally was Johnson’s employee who made its Plan premium payments to Anthem. Dkt. 41-1 at 19–20; 41-2 at 21. She had discretion to decide the order in which bills were

paid and when they should be paid. Dkt. 41-3 at 26–30. Johnson had a 31-day grace period under the Plan. Dkts. 41-4 at 3, 6. Massie “generally” paid a given month’s premium to Anthem within the grace period, but “a month behind”—in other words, at the beginning of the following month. Dkt. 41-1 at 19–20. In her deposition, Massie stated that she “fe[lt] certain that” she “had conversations about” her practice of paying the premium to Anthem at the end of the grace period with both Canipe and Melessa. Dkt. 41-1 at 20. Canipe knew that Massie often paid the premium to Anthem at the end of the grace period. Dkt. 41-3 at 27. However, Melessa insisted that she was not aware of this practice until Hammer filed this lawsuit. Dkt. 41-2 at 27. At the time, however, Melessa knew that Johnson’s finances in 2018 were “tight.” Id. Melessa also knew that Johnson’s revenue came primarily in the form of direct deposits from Social Security on the first of every month. Id. at 28– 29. C. Hammer’s Medical Leave After being diagnosed with lung cancer, Hammer began a six-week medical leave of

absence from her employment at Johnson on September 21, 2018. Dkts. 41-3 at 19–20, 103; 36 ¶ 12. Canipe approved Hammer’s leave of absence and told Hammer that Johnson would continue to pay her 50 percent of her wages during her absence. Dkt. 41-3 at 19–20, 103. D. James’s Termination of Melessa’s and Canipe’s Employment with Johnson

On Monday, October 1, 2018, when Canipe was on vacation, Melessa and Massie had an encounter with James, who unexpectedly appeared at Johnson. Dkts. 41-1 at 21–24; 41-2 at 29– 30, 38. James handed Melessa a letter terminating her as an officer, employee, and agent of Johnson and terminating Canipe as an employee and agent of Johnson. Dkts. 41-1 at 21–24; 41-2 at 29–30, 38, 99. James’s attorney prepared the letter, which was dated Thursday, September 27, 2018. Dkt. 41-2 at 99. There is no dispute that, as of that date, James assumed operational control of Johnson and had the authority to transact with third parties. Id. (stating that Johnson “acknowledges and ratifies that James Michael Dolan . . . is authorized to undertake all actions on behalf of the Company . . . .”). On October 1, when James gave Melessa the termination letter, Massie resigned. Melessa overheard Massie tell James that a bill needed to be paid that day. Dkts. 41-1 at 23–24 (stating that she did not specifically say “health-insurance bill”); 41-2 at 32. James did not respond to Massie’s statement. Dkt. 41-1 at 24. E. Lapse of Johnson’s Anthem Plan and James’s Failure to Reinstate Plan Johnson’s September Plan premium payment was due September 1, 2018, but Anthem needed to receive that payment by October 2, 2018, or it would terminate Johnson’s coverage as of that date. Dkt. 41-4 at 3. The total September Plan premium amount was $11,406.53. Id. at 4. Canipe and Massie intended to pay the Plan premium on October 1, 2018, because they

expected Johnson to receive Social Security direct deposit payments into its general operating account on that date to cover the expense. Dkts. 41-1 at 19–20; 41-2 at 28, 41-3 at 25–26.

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Bluebook (online)
Hammer v. Johnson Senior Center, Inc., Counsel Stack Legal Research, https://law.counselstack.com/opinion/hammer-v-johnson-senior-center-inc-vawd-2021.