HEALTH MAINTENANCE ORGAN. ASS'N OF KY. v. Nichols

964 F. Supp. 230
CourtDistrict Court, E.D. Kentucky
DecidedMay 30, 1997
Docket6:04-misc-00009
StatusPublished

This text of 964 F. Supp. 230 (HEALTH MAINTENANCE ORGAN. ASS'N OF KY. v. Nichols) is published on Counsel Stack Legal Research, covering District Court, E.D. Kentucky primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
HEALTH MAINTENANCE ORGAN. ASS'N OF KY. v. Nichols, 964 F. Supp. 230 (E.D. Ky. 1997).

Opinion

964 F.Supp. 230 (1997)

HEALTH MAINTENANCE ORGANIZATION ASSOCIATION OF KENTUCKY, INC., et al., Plaintiffs,
v.
George NICHOLS, III, in his official Capacity as Commissioner of the Kentucky Department of Insurance, Defendant.

Civil Action No. 97-24.

United States District Court, E.D. Kentucky.

May 30, 1997.

*231 John Armstrong West, Greenebaum, Doll & McDonald, P.L.L.C., Lexington, KY, Barbara Reid Hartung, Greenebaum, Doll & McDonald, Covington, KY, Robert N. Eccles, Karen M. Wahle, O'Melveny & Meyers, Washington, DC, for Plaintiffs.

Anna R. Gwinn, Kentucky Department of Insurance, Lexington, KY, Shaun T. Orme, Julie M. McPeak, Kentucky Department of Insurance, Frankfort, KY, for Defendant.

MEMORANDUM OPINION AND ORDER

HOOD, District Judge.

The present action arises out of the interplay between provisions of Kentucky's Insurance Code, KRS Chapter 304, regulating the rehabilitation and liquidation of insurance companies and the Employee Retirement Income Security Act of 1974 (ERISA), 29 U.S.C. § 1001 et seq.

Before the Court is the motion of the defendant[1] to disqualify counsel for the plaintiffs.[2] [Record No. 9]. In addition to a supporting memorandum, the Commissioner has filed the affidavit of Suetta W. Dickenson and a copy of a letter from the Department of Insurance to plaintiffs' present counsel. [Record No. 10, Exhibits 1, 2]. The plaintiffs and their counsel, Greenebaum Doll & McDonald PLLC (the firm), have filed a memorandum in opposition along with the affidavits of Eric L. Ison and Barbara Reid Hartung. [Record No. 12].

*232 On May 28, 1997, before expiration of the reply time and in light of the Court's schedule, this matter came on for oral argument. In view of the affidavits and documents submitted and because the germane facts are undisputed, an evidentiary hearing is not necessary. General Mill Supply Co. v. SCA Services, Inc., 697 F.2d 704, 710 (6th Cir. 1982). Satisfied that all issues have been fully joined, the instant motion is deemed ripe for consideration.

FACTUAL BACKGROUND

The Commissioner files the instant motion claiming to be a former client of the firm and, further, claiming that the prior five-year representation involved issues substantially related to those in the action at bar. Contending that it has not extended its permission to the firm to represent its adversary in the instant proceedings, the Commissioner seeks disqualification of the firm pursuant to Kentucky Supreme Court Rule 3.130 which adopts Rules 1.9 and 1.10 of the 1983 Model Rules of Professional Conduct. Local Rule 3(a)(1) implicitly incorporates the ethical rules of the Commonwealth of Kentucky. Cf. Kitchen v. Aristech Chemical, 769 F.Supp. 254, 258 (S.D.Ohio 1991).

The alleged prior representation involved a self-funded multiple employer welfare arrangement (MEWA) known as the National Business Association Trust (NBAT). The firm was not, however, involved from the outset. In fact, the firm was not retained until October of 1991. As discussed below, the parties dispute the legal question of whether the Commissioner can be considered to have had an attorney-client relationship with the firm.

In 1989, the Department of Insurance became concerned with the solvency of NBAT and, in June of 1990, the Department sought an Order to liquidate[3] from the Franklin Circuit Court appointing then-Commissioner Elizabeth Wright as Liquidator for NBAT. Pursuant to Kentucky's insurance rehabilitation and liquidation statutes, the Commissioner of the Department of Insurance may be appointed to serve as Liquidator under KRS 304.33-200(1). Thus, the Commissioner wears two hats: Commissioner for the Department of Insurance and Liquidator for a domestic insurance company.

Before the Commissioner could secure appointment as Liquidator, however, NBAT filed a separate action in the United States District Court for the Western District of Kentucky, Louisville Division. NBAT essentially argued that the Department of Insurance had no authority to regulate it because the provisions of ERISA preempted application of the state insurance laws to MEWAs such as NBAT. In point of fact, the issue was framed by the Western District as follows:

whether and to what extent [ERISA] prevents the Commissioner of the Department of Insurance ... from exercising jurisdiction over the activities of National Business Association Trust....

National Business Ass'n v. Morgan, 770 F.Supp. 1169, 1170 (W.D.Ky.1991). The court went on to hold that a specific ERISA exemption provision, 29 U.S.C. § 1144(b)(6)(A)(ii), explicitly covered MEWAs and allowed for state regulation of MEWAs not inconsistent with title I of ERISA. Morgan, 770 F.Supp. at 1176.

Given the holding in the Morgan case, the Franklin Circuit Court was free to proceed with consideration of appointment of the Commissioner as Liquidator for NBAT. On June 20, 1991, it ordered such appointment. To be clear, to this point the firm had still not been retained and was never retained to represent the Liquidator in the liquidation proceedings.

Rather, in October of 1991, the firm was retained by the Liquidator to bring a separate action against the directors and officers of National Benefits Administrators, Inc. (NBA), the organization which acted as administrator for NBAT. Alleging fiduciary duty violations and the like, in March of 1992, the firm brought suit in Franklin Circuit Court with the Liquidator as the named party.

Despite the Morgan decision, the NBA defendants removed the matter to the United States District Court for the Eastern District *233 of Kentucky, Frankfort Division, alleging that the claims were preempted by ERISA. Rejecting the NBA defendants' interpretation of Morgan, the Court remanded the matter reiterating, "The Commissioner [as Liquidator] is permitted to pursue state law remedies against these defendants in state court, to the extent those remedies are not inconsistent with title I of ERISA." Moore v. National Benefit Administrators, Inc., Frankfort Civil Action No. 92-40 (October 20, 1992).

In yet another try to escape Morgan, the NBA defendants filed an action against the Liquidator pursuant to 42 U.S.C. § 1983 in the Western District. They met with the same fate, however, as the Western District court held fast to Morgan stating that it "established that NBAT is a MEWA and that ERISA does not preempt a state from regulating a self-insured MEWA, provided that the insurance laws applied are not inconsistent with ERISA." Roberts v. Moore, Louisville Civil Action No. 92-231 (January 8, 1993).

In both of the excursions to federal court on the ERISA preemption argument as applied to MEWAs, the firm represented, as the named party, the Commissioner as Liquidator.

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