Kisor v. ADVANTAGE 2000 CONSULTANTS, INC.

799 F. Supp. 2d 1204, 52 Employee Benefits Cas. (BNA) 1276, 2011 U.S. Dist. LEXIS 70373, 2011 WL 2600977
CourtDistrict Court, D. Kansas
DecidedJune 30, 2011
DocketCase 10-1045-WEB
StatusPublished
Cited by1 cases

This text of 799 F. Supp. 2d 1204 (Kisor v. ADVANTAGE 2000 CONSULTANTS, INC.) is published on Counsel Stack Legal Research, covering District Court, D. Kansas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Kisor v. ADVANTAGE 2000 CONSULTANTS, INC., 799 F. Supp. 2d 1204, 52 Employee Benefits Cas. (BNA) 1276, 2011 U.S. Dist. LEXIS 70373, 2011 WL 2600977 (D. Kan. 2011).

Opinion

MEMORANDUM AND ORDER

WESLEY E. BROWN, Senior District Judge.

Defendant Advantage 2000 Consultants, Inc., (hereafter A2K) filed a Motion for *1207 Judgment on the Pleadings (Doe. 34) pursuant to Fed.R.Civ.P. 12(c). Plaintiff Kisor filed a response, in which he requests the court convert the Motion for Judgment on the Pleadings to a Motion for Summary Judgment (Doc. 45), pursuant to Fed. R.Civ.P. 56(d). Following the filing of A2K’s reply, Kisor filed a Motion to Strike (Doc. 51), seeking to exclude a number of arguments and exhibits from A2K’s reply.

I.Facts

Kisor included a number of facts in his motion / response related to the state law claims based on violations of the Kansas Consumer Protection Act (KCPA) and the Kansas Credit Services Organization Act (KCSOA). As discussed in detail below, since the court determines that ERISA preempts the state law claims, many of the facts are not included, since the court does not engage in a substantive analysis of the state law claims.

For the purposes of summary judgment, the following facts are uncontroverted, deemed admitted, or, where disputed, viewed in the light most favorable to the plaintiff.

1. In 2002, A2K and Life Insurance Company of North America (“LINA”), a CIGNA-affiliated company, entered into a contract wherein A2K agreed to provide Social Security representative services to people insured by CIGNA Long Term Disability (“LTD”) insurance policies. (The “Contract”). (PI. Exh. 1, Stipulations).

2. The contract permits any CIGNAaffiliated company to request services of A2K. (PI. Exh. 1, Stipulations).

3. The contract states that A2K’s “status shall be that of an independent contractor and not that of a servant, agent, or employee of [CIGNA].” (PI. Exh. 1, Stipulations).

4. The contract was amended in 2004. Under the amendment, A2K agreed to provide “Vendor Coordinated Overpayment Reduction (COR) Services” to CIGNA in addition to Social Security representation services for CIGNA insureds. (PL Exh. 1, Stipulations).

5. This COR services is described as follows:

[A2K] will provide quality assistance in arranging for the re-payment of any incurred overpayment for Company’s [LTD] claimants who may be eligible for Social Security Disability Income (SSDI) Benefits. [A2K] will educate Company’s LTD claimants about the overpayment recovery process, arrange for an electronic repayment transaction, monitor SSDI benefits awards, notify Company of any such benefits received by the claimant, inform the claimant of any overpayment to be repaid to Company, and execute the electronic transaction to refund the overpayment from the claimant to Company.

(Pl. Exh. 1, Stipulations).

6. CIGNA pays A2K a flat fee for its social security representation services, and a contingency fee equal to an undisclosed percentage of the actual dollar amount repaid by A2K’s Social Security clients to CIGNA as a result of A2K’s COR services. A2K and CIGNA agreed that A2K would not disclose to its Social Security clients any information about how A2K is paid. (PL Exh. 1, Stipulations).

7. The contract was amended again in 2005. Under the amendment, A2K continued to provide COR Services to CIGNA and agreed not to disclose to the Social Security clients any information about how A2K is paid. (PL Exh. 1, Stipulations).

8. A2K’s Benefit Coordinator bonus program (“Bonus Program”) pays commissions to A2 Benefit Coordinators based upon, the recovery of money from A2K’s Social Security clients for A2K’s LTD clients. (PL Exh. 1, Stipulations).

*1208 9. The Bonus Program pays a standard commission for each recovery secured from an A2K Social Security client for an A2K LTD client. (PI. Exh. 1, Stipulations).

10. Under the Bonus Program, A2K pays additional commissions when the company hits specific weekly and quarterly benchmarks in CIGNA recoveries. Another commission is paid to Benefit Coordinator when A2K ends the year with a 2% increase in overall effectiveness for CIGNA recoveries. (PI. Exh. 1, Stipulations).

11. A2K’s Bonus Program pays an additional year-end bonus to each Benefit Coordinator for each year in which A2K exceeds $20,000,000.00 in overall recoveries from its Social Security clients for its LTD claims. (PL Exh. 1, Stipulations).

12. A2K contracts with other LTD plans and carriers, not only CIGNA. A2K markets itself as a company that collects overpayments after an award of SSDI benefits and assists LTD beneficiaries in applying for SSDI benefits. (Pl. Exh. 16).

13. Kisor was employed by Exide Technologies from 2001 to February 2007. (2nd Am. Comp. ¶ 27).

14. Exide Technologies is a party to an insurance contract issued by LINA, Policy No. LK960507. (2nd Am. Comp. ¶ 18).

15. LINA is a subsidiary of CIGNA, and is staffed by CIGNA employees. (2nd Am. Comp. ¶ 19 and 20).

16. Kisor was injured at work on August 21, 2006, received surgery on both of his knees, and is unable to work as a heating and air conditioning technician because he is disabled. (2nd Am. Comp. ¶ 30 and 31).

17. CIGNA approved Plaintiffs short term disability claim and paid benefits on that claim from August 26, 2006 to February 25, 2007. (2nd Am. Comp. ¶ 31).

18. Prior to approving Kisor’s LTD claim, it referred him to A2K for social security representation. (2nd Am. Comp. ¶ 32).

19. On February 1, 2007, a CIGNA employee sent Kisor a letter acknowledging his application for long term disability benefits. CIGNA estimated the social security benefits Kisor would receive, and adjusted LTD benefits accordingly. CIGNA agreed not to deduct any estimated social security benefits if Kisor would sign and return a reimbursement agreement. Kisor would be required to apply for social security disability benefits. (2nd Am. Comp. ¶ 33 and 34).

20. Kisor initially did not cooperate with A2K. (2nd Am. Comp. ¶ 46).

21. A CIGNA employee told Kisor that his LTD claim would be delayed or denied until he provided those forms to A2K. Kisor then signed the forms. (2nd Am. Comp. ¶ 47).

22. A letter dated February 15, 2007 from A2K to Kisor states that CIGNA pays A2K’s fee for Social Security representation, with no cost to Kisor. The letter describes A2K’s collection practice as a “service” that it provides to people like Kisor, “helping them resolve any overpayment that may result from a Social Security Disability Insurance award.” (Pl. Exh. 10, Letter dated February 15, 2007).

23. Kisor signed a Social Security Appointment of Representative form, SSA-1696, in November 2007. The form was also signed by Paul Madison, an attorney employed by A2K. (PL Exh. 9).

24.

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799 F. Supp. 2d 1204, 52 Employee Benefits Cas. (BNA) 1276, 2011 U.S. Dist. LEXIS 70373, 2011 WL 2600977, Counsel Stack Legal Research, https://law.counselstack.com/opinion/kisor-v-advantage-2000-consultants-inc-ksd-2011.