Koffarnus v. United States

175 F. Supp. 3d 769, 2016 U.S. Dist. LEXIS 41886, 2016 WL 1261155
CourtDistrict Court, W.D. Kentucky
DecidedMarch 30, 2016
DocketCIVIL ACTION NO. 3:15-CV-00473-CRS
StatusPublished
Cited by11 cases

This text of 175 F. Supp. 3d 769 (Koffarnus v. United States) is published on Counsel Stack Legal Research, covering District Court, W.D. Kentucky primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Koffarnus v. United States, 175 F. Supp. 3d 769, 2016 U.S. Dist. LEXIS 41886, 2016 WL 1261155 (W.D. Ky. 2016).

Opinion

Memorandum Opinion

Charles R. Simpson III, Senior Judge, United States District Court

I. Introduction

On September 6, 2011, a gunman opened fire at an IHOP in Carson City, Nevada. Sergeant Caitlin Koffarnus of the Army National Guard suffered a gunshot wound to her foot.

The Army denied Koffarnus’s claim for benefits under the Traumatic Servicemem-bers’ Group Life Insurance Program. See 38 U.S.C. § 1980A. After several administrative appeals and a final denial, Koffar-nus sued the United States.

The United States moves to dismiss for lack of subject matter jurisdiction. In the alternative, the United States moves for summary judgment. For the reasons below, the Court will deny the motion and grant summary judgment to Koffarnus sua sponte.

[772]*772II.Subject matter jurisdiction

“Subject matter jurisdiction is always a threshold determination.” American Telecom Co., L.L.C. v. Republic of Lebanon, 501 F.3d 534, 537 (6th Cir.2007). “As always, the party invoking federal jurisdiction has the burden to prove that jurisdiction.” Glob. Tech., Inc. v. Yubei (XinXiang) Power Steering Sys. Co., Ltd., 807 F.3d 806, 810 (6th Cir.2015).

The Traumatic Servicemembers’ Group Life Insurance program (the “Program” or “TSGLI”) is an automatic rider to the Servicemembers’ Group Life Insurance program, codified at 38 U.S.C. §§ 1970-1980A. The Program provides a benefit when a servicemember suffers a traumatic injury. 38 U.S.C. § 1980A.

The statute says, “The district courts of the United States shall have original jurisdiction of any civil action or claim against the United States” brought under the Ser-vieemember’s Group Life Insurance program. 38 U.S.C. § 1975; see also, Foster v. United States, 111 Fed.Cl. 658, 663 (Fed.Cl.2013) (finding that the Federal Court of Claims lacked subject matter jurisdiction over a traumatic injury benefits claim because “38 U.S.C. § 1975 provides a ready avenue for Major Foster to find relief in district court.”).

The United States argues that this Court “lacks subject matter jurisdiction over two of Plaintiffs claims.” Def.’s Mem. Supp. Mot. Dismiss 16, ECF No. 11-1. However, the United States concedes, “it is undisputed that this Court has jurisdiction pursuant to 38 U.S.C. § 1975.” Def.’s Reply Supp. Mot. Dismiss 2, ECF No. 18; see also, Compl. ¶4, ECF No. 1 (“This Court has jurisdiction over the parties under 38 U.S.C. [§ ] 1975, as well as under the terms of the TSGLI program, as any member who receives an adverse TSGLI decision may obtain judicial review in any United States District Court of competent jurisdiction.”).

The United States’ argument that the Court lacks subject matter jurisdiction because the complaint’s prayer for relief seeks a judgment of money damages, is without merit. “A claim can be sufficient for subject-matter jurisdiction purposes even if it is unsuccessful and possibly verging on the foolhardy in light of prior precedent barring the relief sought.” Hamdi ex rel. Hamdi v. Napolitano, 620 F.3d 615, 628 (6th Cir.2010) (internal quotation marks omitted).

The Court finds that it has subject matter jurisdiction under 38 U.S.C. § 1975 to hear Koffarnus’s claim for an alleged wrongful denial of benefits under the Program.

III. Summary judgment standard

A party moving for summary judgment must show that “there is no genuine dispute as to any material fact and the mov-ant is entitled to judgment as a matter of law.” Fed.- R. Civ. P. 56(a). “By its very terms, this standard provides that the mere existence of some alleged factual dispute between the parties will not defeat an otherwise properly supported motion for summary judgment; the requirement is that there be no genuine issue of material fact.” Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 247-48, 106 S.Ct. 2505, 91 L.Ed.2d 202 (1986).

IV. Certified administrative record

On September 6, 2011, around 9:00 am, Sergeant Koffarnus1 was dining at an IHOP restaurant in Carson City, Nevada with four other uniformed members of the Army National Guard. A gunman opened fire, killing three National Guardsmen and [773]*773a woman. Certified Admin. Record (“CAR”) 078,160, ECF No. 11-2.

Koffarnus suffered a gunshot wound to her left foot.2 She underwent emergency-surgery which removed dead tissue, sharp bone fragments, bullet fragments, and placed a metal external fixation device to the left side of her left foot. Id. at 050-052.

The day after the shooting, the hospital discharged her. Id. at Oil. The discharge notice said, “activity as tolerated, no driving, avoid tub bath, keep leg elevated, may use ice pack for 20-30 min every 2-3 hours as necessary,” “keep incision area dry,” and “non weight bearing on L foot until cleared.” Id. at 056. Other discharge records indicate that Koffarnus needed assis-tive equipment for ambulation3 and an assistive person for transferring,4 toileting, bathing, and dressing. Id. at 054.

In late September 2011, Koffarnus applied for benefits under the Program. Under Part A of the application, a service-member discusses the traumatic injury. See, e.g., id. at 007. Under Part A, Koffar-nus wrote:

I was shot in the foot. A gunman came into the IHOP and shot a group of five soldiers. I watched-my commander and supply sergeant die then rendered aide to my PSNCO, training NCO, and a civilian caught in cross-fire. I was shot in the foot and consequently will need a few surgeries to repair what little bones I have left.

Id.

Under Part B of the application, a medical professional describes the patient’s “inability to independently perform activities of daily living.” See, e.g., id. at 014. “Activities of daily living” (“ADLs”) include bathing, maintaining continence, dressing, eating, toileting, and transferring. 38 C.F.R. § 9.20(e)(6(vi). Dr. Greg Lundeen, Koffar-nus’s treating orthopaedic surgeon, certified Part B. Dr.

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175 F. Supp. 3d 769, 2016 U.S. Dist. LEXIS 41886, 2016 WL 1261155, Counsel Stack Legal Research, https://law.counselstack.com/opinion/koffarnus-v-united-states-kywd-2016.