Mank v. Green

323 F. Supp. 2d 115, 33 Employee Benefits Cas. (BNA) 1055, 2004 U.S. Dist. LEXIS 9340, 2004 WL 1516530
CourtDistrict Court, D. Maine
DecidedMay 24, 2004
DocketCIV. 03-42-P-C
StatusPublished
Cited by2 cases

This text of 323 F. Supp. 2d 115 (Mank v. Green) is published on Counsel Stack Legal Research, covering District Court, D. Maine primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Mank v. Green, 323 F. Supp. 2d 115, 33 Employee Benefits Cas. (BNA) 1055, 2004 U.S. Dist. LEXIS 9340, 2004 WL 1516530 (D. Me. 2004).

Opinion

MEMORANDUM OF DECISION AND ORDER

GENE CARTER, Senior District Judge.

Plaintiff brought this action pursuant to the Employee Retirement Income Security *117 Act of 1974 (“ERISA”), 29 U.S.C. § 1001 et seq. (Counts I, II, III), federal common law (Counts IV, V, VI, VII), and state common law (Counts VIII, IX, X, XI) against Defendants Ellen Green, Lloyd Green, and their attorneys, Jack H. Simmons and the law firm of Berman & Simmons, P.A. See Amended Complaint and Request for Injunctive Relief (“Amended Complaint”) (Docket Item No. 64). On December 22, 2003, the Court granted Plaintiffs “Emergency Motion for Preliminary Injunction” (Docket Item No. 40) on Counts I and II and enjoined Defendants Ellen Green and Lloyd Green from withdrawing, transferring, or removing certain funds in their possession, custody, or control. 1 Now before the Court are several motions , for summary judgment: (1) Plaintiffs Motion for Partial Summary Judgment on Counts II and III of the Amended Complaint (Docket Item No. 94); (2) Motion for Summary Judgment of Defendants Ellen Green and Lloyd Green on Counts I and II (Docket Item No. 103); and (3) Motion for Summary Judgment of Defendants Jack H. Simmons and Berman & Simmons, P.A. on Count III (Docket Item No. 107). For the reasons set forth below, the Court will grant summary judgment in favor of Plaintiff on Count II and deny both Plaintiffs and Defendants’ motions for summary judgment with respect to Count III. 2

I. Facts

Plaintiff Karen L. Mank (“Plaintiff’) is the plan administrator of the Hannaford Health Plan (“the Plan”), an “employee welfare benefit plan” within the meaning of ERISA. Plaintiffs Supporting Statement of Material Facts (“PSSMF”) (Docket Item No. 100) ¶ 1. Hannaford Bros. Co. (the “Company”), a Maine corporation with its principal place of business in Scarborough, Maine, established the Plan to provide health benefits to its employees. Id. ¶¶ 5, 7. The Plan is funded by The Hanna-ford Bros. Co. Tax Exempt Employee Benefits Trust (the “Trust”), and contributions to the Trust are made by both the Company and its employees. Id. ¶ 8.

Defendant Ellen Green, who is an employee of the Company, has participated in the Plan and is a “Covered Person” under the terms of the Plan. Id. ¶ 10. On June 18, 2001, Mrs. Green was involved in an accident in which a vehicle struck her while she was walking (the “accident”). *118 Id. ¶ 11. She suffered injuries requiring medical care, and she incurred significant medical expenses arising from those injuries. Id. ¶¶ 11-12. In accordance with the terms of the Plan, the Plan paid medical benefits totaling $141,335.75 on behalf of Mrs. Green after she was injured in the accident. Id. ¶ 14. The Plan includes a provision entitled “Right of Recovery or Reimbursement.” 3 Id. ¶ 16 and Second Affidavit of Karen L. Mank (Mank Aff. II) (Docket Item No. 96), Ex. 1 at 42-43.

Mi's. Green retained Attorney Simmons and Berman & Simmons to represent her in a legal action seeking recovery in connection with the accident. PSSMF ¶ 18. On July 31, 2001, Mrs. Green completed and signed a request for information from the Plan relating to certain medical claims for injuries in the accident. Id. ¶ 19. Specifically, Mrs. Green described the accident, provided the name and address of Attorney Simmons, and agreed as follows:

I/We am/are aware of the right of recovery provision contained in the Plan. I/We express my/our agreement to be bound by the provision. I/We understand, however, that my/our failure to express such agreement shall in no way affect the rights of the Company under the provision. I/We further agree that I/We shall not do anything to prejudice the rights of the Company in this matter.

Id. ¶ 19 and Mank Aff. II, Ex. 2. On October 3, 2001, Mrs. Green completed and signed another request for information relating to medical claims for injuries in the accident which included the same language regarding the Plan’s right-of-recovery provision as was included in the July 31, 2001, request for information. Id. ¶ 20 and Mank Aff. II, Ex. 3.

The parties agree that settlement funds totaling $300,000 were deposited in the Berman & Simmons client trust account on January 22, 2002. Defendants’ Consolidated Statement of Material Facts in Support of Motions for Summary Judgment (“DCSMF”) (Docket Item No. 109) ¶ 16. On or about February 1, 2002, $100,060.95 in fees and costs from the settlement proceeds were deposited into the Berman & Simmons operating account, along with other unrelated funds. PSSMF ¶¶ 42-43; DCSMF ¶ 18. Between February 8, 2002, and March 8, 2002, Berman & Simmons made payments from the settlement proceeds to Ellen Green totaling $187,627.10. 4 *119 Id. ¶ 25. Mrs. Green recovered for both her medical bills and other damages, but there was no breakdown between these amounts. Id. ¶ 23. From the settlement proceeds, Berman & Simmons also made payments to various healthcare providers. Id. ¶ 24. Mrs. Green, Attorney Simmons, and Berman & Simmons never made any payment to the Plan. Id. ¶ 26.

On February 4, 2002, Berman & Simmons transferred $300,000 from its operating account to its so-called “Melon account,” an interest-bearing account with KeyBank. 5 Id. ¶ 44; DCSMF ,¶20. On June 27, 2002, Berman & Simmons transferred the balance of its Melon account to its operating account. PSSMF ¶ 47. On July 2, 2002, and July 3, 2002, respectively, Berman & Simmons then made additional transfers from the operating account, first to the firm’s payroll and payroll tax withholding accounts and then to the partners (including Attorney Simmons) as part of the firm’s distribution to the partners for the period ending June 30, 2002. 6 FSSMF ¶¶ 48, 49. Attorney Simmons deposited the amount of his firm distribution into a personal joint checking account. PSSMF ¶ 51. Attorney Simmons subsequently has made both withdrawals from and deposits into this checking account. Defendants’ Statement of Additional Material Facts (Docket Item No. 109) ¶¶ 5-6.

By letter dated May 24, 2002, the Plan sent Mrs. Green a copy of the right-of-recovery provision (as amended in March 2002) and a Recovery of Plan Assets Notice, requesting that she complete and return the notice within one month. PSSMF ¶ 27. On June 5, 2002, Mrs. Green called and spoke by telephone with a Plan representative. Id. ¶ 28. She confirmed that she had received the Notice and advised that her legal claims had been settled in January 2002. Id. ■ Mrs.

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Bluebook (online)
323 F. Supp. 2d 115, 33 Employee Benefits Cas. (BNA) 1055, 2004 U.S. Dist. LEXIS 9340, 2004 WL 1516530, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mank-v-green-med-2004.