Little v. Siskin Hospital for Physical Rehabilitation, Inc.

CourtDistrict Court, E.D. Tennessee
DecidedAugust 31, 2021
Docket1:20-cv-00109
StatusUnknown

This text of Little v. Siskin Hospital for Physical Rehabilitation, Inc. (Little v. Siskin Hospital for Physical Rehabilitation, Inc.) is published on Counsel Stack Legal Research, covering District Court, E.D. Tennessee primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Little v. Siskin Hospital for Physical Rehabilitation, Inc., (E.D. Tenn. 2021).

Opinion

UNITED STATES DISTRICT COURT EASTERN DISTRICT OF TENNESSEE AT CHATTANOOGA

JAMES P. LITTLE, M.D., ) ) Case No. 1:20-cv-109 Plaintiff, ) ) Judge Travis R. McDonough v. ) ) Magistrate Judge Christopher H. Steger SISKIN HOSPITAL FOR PHYSICAL ) REHABILITATION, INC., ) ) Defendant. )

MEMORANDUM OPINION

I. INTRODUCTION The only federal claims in this case are Plaintiff James P. Little’s claims arising under § 502(a) of the Employee Retirement Income Security Act of 1974 (“ERISA”), 29 U.S.C. § 1132(a). (See Doc. 1, at 31–41.) Section 502 describes various methods of civil enforcement available under ERISA, including bringing a civil action: (i) “to recover benefits due to him under the terms of his plan, to enforce his rights under the terms of the plan, or to clarify his rights to future benefits under the terms of the plan”; (ii) to seek relief based on a plan administrator’s failure or refusal to comply with an appropriate request for information by a participant or beneficiary; (iii) “to enjoin any act or practice which violates [ERISA] or the terms of the plan”; or (iv) “to obtain other appropriate equitable relief.” 29 U.S.C. §§ 1132(a)(1), (a)(3), (c). Such civil actions may only be brought “by a participant or beneficiary.” Id. §§ 1132(a), (c); see Swinney v. Gen. Motors Corp., 46 F.3d 512, 518 (6th Cir. 1995). ERISA defines a “participant” as: any employee or former employee of an employer, or any member or former member of an employee organization, who is or may become eligible to receive a benefit of any type from an employee benefit plan which covers employees of such employer or members of such organization, or whose beneficiaries may be eligible to receive any such benefit.

29 U.S.C. § 1002(7). It defines a “beneficiary” as “a person designated by a participant, or by the terms of an employee benefit plan, who is or may become entitled to a benefit thereunder.” Id. § 1002(8). Section 1002 further defines “employer” as “any person acting directly as an employer, or indirectly in the interest of an employer, in relation to an employee benefit plan; and includes a group or association of employers acting for an employer in such capacity” and defines “employee” as “any individual employed by an employer.” Id. § 1002(5)–(6). In 1992, the Supreme Court recognized that, based on ERISA’s definition of “participant,” a plaintiff bringing a claim pursuant to ERISA’s civil-enforcement provision can only succeed if he or she was an “employee” of the “employer” who offered the benefit plan. See Nationwide Mut. Ins. Co. v. Darden, 503 U.S. 318, 320–21 (1992). To “determin[e] who qualifies as an ‘employee’ under ERISA,” the Court adopted the common-law test set forth in Community for Creative Non-Violence v. Reid, 490 U.S. 730 (1989): In determining whether a hired party is an employee under the general common law of agency, we consider the hiring party’s right to control the manner and means by which the product is accomplished. Among the other factors relevant to this inquiry are the skill required; the source of the instrumentalities and tools; the location of the work; the duration of the relationship between the parties; whether the hiring party has the right to assign additional projects to the hired party; the extent of the hired party’s discretion over when and how long to work; the method of payment; the hired party’s role in hiring and paying assistants; whether the work is part of the regular business of the hiring party; whether the hiring party is in business; the provision of employee benefits; and the tax treatment of the hired party. Darden, 503 U.S. at 323 (quoting Reid, 490 U.S. at 751–52). Darden explained that the common-law agency principles summarized in Reid best comported with recent precedents “and with the common understanding, reflected in those precedents, of the difference between an employee and an independent contractor.” Id. at 327. Since Darden, the Supreme Court has maintained that “participants” in ERISA-covered benefit plans must be “employees.” See, e.g., Raymond B. Yates, M.D., P.C. Profit Sharing Plan v. Hendon, 541 U.S. 1, 12 (2004) (“ERISA’s definitions of ‘employee,’ and, in turn, ‘participant,’ are uninformative.”). In his complaint, Little asserts that he was both a participant and a beneficiary of an

employee benefit plan and that he was an employee of Defendant Siskin Hospital for Physical Rehabilitation, Inc. (“Siskin”). (Doc. 1, at 2, 6.) After Little filed his complaint, Siskin moved to dismiss for lack of subject-matter jurisdiction, arguing, among other things, that Little lacked standing to sue under ERISA because he was not Siskin’s employee and thus could not be a participant or beneficiary of a plan. (See Doc. 12, at 8.) Little responded that the common-law agency factors weighed in favor of his status as Siskin’s employee but also argued that his ERISA claims did not turn on his employee status because he was a “beneficiary” of an employee benefit plan administered by Siskin. (Doc. 14, at 14.) Little argued, and still argues, that he did not have to be Siskin’s employee to be a participant in a deferred compensation plan

under I.R.C. § 457(b), the type of plan which serves as the basis for his claims, and that, even if he is not a participant, he is a beneficiary of the 457 plan. (Id. at 16–17.) Upon consideration of the parties’ arguments, the Court denied Siskin’s motion to dismiss the ERISA claims, finding that Little had sufficiently pleaded that he was an employee, and deferred resolution of the motion to dismiss Little’s state-law claims. (See Doc. 23, at 18.) Because the only basis for the Court’s subject-matter jurisdiction was federal-question jurisdiction premised on Little’s ERISA claims, and because the parties disputed whether the facts showed that Little was Siskin’s employee—and whether he participated in any ERISA- covered plan—the Court ordered limited discovery on the issue of whether Little was an employee or independent contractor and set an evidentiary hearing on this issue. (See Doc. 22, at 1–3.) In setting this schedule, the Court ordered Siskin to promptly produce “[a]ny personnel or similar records related to [Little’s] work for [Siskin]” and “[a]ny ERISA plan relevant to [Little’s] claims.” (Id. at 1.) The Court acknowledged Little’s belief that there was an ERISA- covered plan and Siskin’s denial of the existence of any such plan. (Id. at 2.) The Court also

ordered Little to brief whether this Court has subject-matter jurisdiction over his claims if Little was not an employee. (Id. at 3.) The parties complied with the limited discovery schedule and briefed the employee issue (Docs. 28, 29), as well as the issue of whether the Court had subject-matter jurisdiction (Docs. 24, 25, 26). On December 17, 2020, the parties appeared before the Court for an evidentiary hearing on the employee issue. (See Docs. 35, 36.) Upon consideration of the parties’ briefs, exhibits, and oral argument, it has become clear that resolution of the employee issue alone will not determine whether Little has a claim under ERISA.1 Although the employee issue has largely been the focus of this litigation, the efficient

1 The Court rejects Little’s contention that he can be an ERISA participant if he is not an employee. See 29 U.S.C.

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Bluebook (online)
Little v. Siskin Hospital for Physical Rehabilitation, Inc., Counsel Stack Legal Research, https://law.counselstack.com/opinion/little-v-siskin-hospital-for-physical-rehabilitation-inc-tned-2021.