Hotel Employees & Restaurant Employees International Union Welfare Fund v. Gentner

50 F.3d 719
CourtCourt of Appeals for the Ninth Circuit
DecidedMarch 21, 1995
DocketNo. 93-15684
StatusPublished
Cited by7 cases

This text of 50 F.3d 719 (Hotel Employees & Restaurant Employees International Union Welfare Fund v. Gentner) is published on Counsel Stack Legal Research, covering Court of Appeals for the Ninth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Hotel Employees & Restaurant Employees International Union Welfare Fund v. Gentner, 50 F.3d 719 (9th Cir. 1995).

Opinion

LAY, Circuit Judge:

The Hotel Employees and Restaurant Employees International Union Welfare Fund, et al. (“the Fund”) appeal the district court’s dismissal of their claims against Virgil R. Gentner, an attorney representing Joseph K. Newell, a Fund beneficiary.

BACKGROUND

On April 2,1987, a car struck and severely injured Newell. At the time, Newell was a participant in Plan Unit 150 of the Fund, which provides benefits to eligible covered employees in the Las Vegas area. Neither party disputes that the Fund is a “Plan” subject to the provisions of the Employee Retirement Income Security Act (“ERISA”) 29 U.S.C. §§ 1001-1461.

The Fund asserted in its complaint that it paid $90,544.16 of Newell’s medical expenses after the accident. In connection with this payment, the Fund required Newell to provide a statement detailing the accident and to execute a subrogation agreement. In the agreement, Newell agreed to reimburse the Fund for all expenditures it made on his behalf if he recovered any monies from the other driver or the driver’s insurer, Travelers Indemnity Insurance Company (“Travelers”).

Newell executed the agreement on July 13, 1987. Typed on the bottom of this agreement is the following statement: “This document is executed under portest [sic] as outlined in that certain correspondence dated July 20,1987 from Virgil R. Gentner.” Gent-ner served as Newell’s attorney at the time and represented Newell in connection with this accident.

In March 1988, Gentner, on behalf of New-ell, entered into a settlement with Travelers for the sum of $725,000. After Gentner received the money, a lien on behalf of Humana Hospital in the amount of $135,000 was satisfied, and the remaining $589,936.74 was divided between Newell and Gentner.

The Fund filed suit on July 9, 1992, claiming Gentner was obligated to repay it $90,-544.16 out of the settlement money received from Travelers. Count I of the Fund’s complaint stated that Gentner and his law firm violated the terms of the Plan and ERISA. Specifically, the Fund asserted that, under 29 U.S.C. § 1132(a)(3), it could recover for Gentner’s failure to reimburse it because he [721]*721knew of the subrogation agreement and then violated its terms.1 Count II of the Fund’s complaint stated that Gentner should be considered “a fiduciary” under ERISA, 29 U.S.C. § 1002(21)(A), because he exercised discretionary authority over fund assets.2 In addition, the Fund claimed that Gentner is personally liable to it under 29 U.S.C. § 1109(a) because he breached his fiduciary duty by failing to honor the subrogation agreement.3 On November 10, 1992, Gent-ner filed a motion to dismiss for failure to state a claim upon which relief can be granted. He argued § 1132(a)(3) is not available to the Fund because he has no professional or contractual relationship with it. He also contended that, as a matter of law, a beneficiary’s attorney cannot be a fiduciary to the Fund under § 1002(21)(A). The district court granted Gentner’s motion to dismiss under Fed.R.Civ.P. 12(b)(6), finding the Fund failed to state a claim upon which relief could be granted. See Hotel Employees Int’l Union Welfare Fund v. Gentner, 815 F.Supp. 1354 (D.Nev.1993). The Fund now appeals arguing it has raised cognizable ERISA claims. We affirm the judgment of the district court.

DISCUSSION

I.

The Fund claims under Count I that § 1132(a)(3) does not require it to have a professional or contractual relationship with Gentner for him to violate the “terms of the plan.” It is well settled that when ERISA is silent on an issue, we may turn to state law to fashion the appropriate federal common-law rule. See, e.g., Saltarelli v. Bob Baker Group Medical Trust, 35 F.3d 382, 386 (9th Cir.1994). State-law authorities hold that, absent a specific statutory directive, a beneficiary’s attorney is not bound to the terms of a client’s subrogation agreement to which he is not a signatory. See, e.g., Travelers Ins. Co. v. Haden, 418 A.2d 1078, 1084-85 (D.C.1980) (determining that absent an express or implied contract with the beneficiary’s attorney, an insurer cannot hold the attorney liable for disbursing settlement proceeds to the beneficiary); Blue Cross v. Travaline, 398 Mass. 582, 499 N.E.2d 1195, 1200 (1986) (stating that unless funds or property received by an attorney are earmarked for the insurer or a statute requires otherwise, the “attorney is not required to serve as a collection agent for his client’s insurance carrier”); Great Am. Ins. Co. v. Spoden, 316 N.W.2d 740, 743 (Minn.1982) (concluding that beneficiary’s law firm is not liable because it has no duty to preserve insurance carrier’s subrogation interest); Hartford Accident & Indem. Co. v. Rogers, 96 Nev. 576, 613 P.2d 1025, 1027 (1980) (finding that absent a professional relationship between a beneficiary’s attorney and insurer, the insurer has no action against the attorney to recover proceeds of a check sent for payment of the beneficiary’s hospital bills). A subrogation agreement or lien can be enforced against the attorney only if the attorney agrees with the client and creditor to protect the lien. See, e.g., Travelers, 418 A.2d at 1084; Great Am., 316 N.W.2d at 743. Mere notice or knowledge of the subrogation agreement or hen does not constitute an implied contract. See, e.g., Travelers, 418 A.2d at 1085; Great Am., 316 N.W.2d at 743. Thus, the Fund’s argument that Gentner’s actions violated the “terms of the plan” even though there was no professional or contractual relationship between the [722]*722Fund and Gentner is not supported by the law governing subrogation agreements.

Furthermore, there is no indication Congress intended to extend ERISA liability to parties with no professional or contractual relationship with a plan. Without some expression of such an intent, we will not extend liability under a subrogation agreement so far beyond its traditional reach.

The Fund cites a number of eases it claims support the argument that a nonsignatory may be liable under ERISA for a signatory’s contractual obligations. The key ingredient in each of these cases is that the interests of the nonsignatory and signatory parties are materially inseparable. See, e.g., Leddy v. Standard Drywall, Inc. 875 F.2d 383

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50 F.3d 719, Counsel Stack Legal Research, https://law.counselstack.com/opinion/hotel-employees-restaurant-employees-international-union-welfare-fund-v-ca9-1995.