McIntosh v. Pacific Holding Co.

928 F. Supp. 1464, 1996 U.S. Dist. LEXIS 8621, 1996 WL 338693
CourtDistrict Court, D. Nebraska
DecidedJune 18, 1996
Docket4:CV95-3123
StatusPublished
Cited by3 cases

This text of 928 F. Supp. 1464 (McIntosh v. Pacific Holding Co.) is published on Counsel Stack Legal Research, covering District Court, D. Nebraska primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
McIntosh v. Pacific Holding Co., 928 F. Supp. 1464, 1996 U.S. Dist. LEXIS 8621, 1996 WL 338693 (D. Neb. 1996).

Opinion

MEMORANDUM AND ORDER

KOPF, District Judge.

Based upon stipulated facts, the parties have filed cross-motions for summary judgment. This case requires me to determine the applicability of the so-called “common fund” attorney fee doctrine to a health benefits plan governed by the Employee Retirement Income Security Act (ERISA). See 29 U.S.C. § 1001, et seq.

Specifically, Plaintiffs (a plan participant and her lawyers) ask me to determine whether a health benefits plan governed by ERISA and the employer which created the plan are liable for an attorney fee allegedly earned when the plan participant and her lawyers *1466 successfully prosecuted a claim against third-parties but also vigorously, albeit unsuccessfully, opposed the plan’s claim that it was entitled to the proceeds.

All parties agree that ERISA provides no rule of decision on the questions presented by this case.

I find and conclude that the motion for summary judgment should be granted in favor of the defendants because a “party may not recover and try to monopolize a fund, but then, failing in the attempt, declare it a ‘common fund’ and obtain his expenses from those whose rightful share of the fund he sought to appropriate.” United States v. Tobias, 935 F.2d 666, 668 (4th Cir.1991).

I. UNDISPUTED MATERIAL FACTS

From the stipulation of the parties (filing 26, Ex. 8) 1 the undisputed facts which are material to resolution of the motions for summary judgment are these:

1. Jean A. McIntosh is a resident of Lincoln, Lancaster County, Nebraska. Jean A. McIntosh was at all times relevant to this suit the duly appointed conservator of her daughter Kristin K. McIntosh, who at all times relevant to this suit was a protected minor person.

2. Harding and Ogborn (H & 0) is a law firm with its principal place of business in Lincoln, Lancaster County, Nebraska, and is successor in interest to the law firm of Nelson & Harding, P.C.

3. Pacific Holding Company (PHC) is the Plan Administrator of the Pacific Holding Company Employee Welfare Benefit Plan (the Plan). PHC is a sole proprietorship with its principal place of business in Los Angeles, California. The Plan is a qualified plan under ERISA. The Plan is self-funded; it is not insured with respect to health benefits. Attached to the stipulation as Exhibit “A” is a full, complete, and accurate copy of the Plan.

4. Jean A. McIntosh is and was at all times relevant to this suit an employee of The Comhusker Hotel, located in Lincoln, Lancaster County, Nebraska. The Corn-husker Hotel is owned by PHC. As an employee of The Cornhusker Hotel, Jean A McIntosh was and is a beneficiary and “covered person” of the Plan.

5. Kristin K. McIntosh is a beneficiary and a “covered person” of the Plan because she is and was a “dependent” within the meaning of the Plan’s definition of that term, and she has satisfied the “dependent eligibility” requirements of the Plan.

6. On approximately July 31, 1988, Kristin K. McIntosh was a passenger in a vehicle driven by Andrea C. Stephens, and owned by Robert L. Stephens. At the intersection of 11th and D Streets, Lincoln, Nebraska, the vehicle was involved in a two-ear accident with a vehicle owned and driven by Leonard Hawkins. As a direct result of the accident, Kristin K. McIntosh suffered severe and permanent physical injuries. Kristin K. McIntosh suffered pain from the injury and suffered loss of enjoyment of life. She has continued to incur pain and suffering and substantial loss of income and related damages, and such losses will likely continue for the remainder of her natural life as a result of her permanent injuries.

7. As a result of the serious, permanent injuries to Kristin K. McIntosh, Jean A. McIntosh incurred medical and related expenses in excess of $500,000. The vast majority of such medical expenses were paid by the Plan pursuant to its terms, and to date the Plan has paid in excess of $500,000 for medical and related expenses incurred by or on behalf of Kristin K. McIntosh.

8. Following the above-described collision, Jean A. McIntosh retained Nelson & Harding, P.C., to represent her, individually, and on behalf of her daughter Kristin in an action against Leonard Hawkins. Nelson & Harding agreed to represent Jean A. McIntosh on a contingent-fee basis. Attached to the stipulation as Exhibit “B” is a full, complete, and accurate copy of the contingent-fee *1467 agreement between Jean A. McIntosh and Nelson & Harding.

9. Nelson & Harding conducted an investigation of the facts preparatory to legal action against Leonard Hawkins and other potentially liable parties. Such investigation resulted in the development of facts supporting the imposition of liability upon Leonard Hawkins because the above-described accident was caused by the negligence of Leonard Hawkins, and of facts establishing Jean A. McIntosh and Kristin K. McIntosh had sustained special damages in excess of $430,-000.

10. At the time of the accident of July 31, 1988, the vehicle Hawkins was driving was insured to a maximum of $100,000 under a liability insurance policy issued by the Nebraska Division of the State Farm Automobile Insurance Company of Bloomington, Illinois, policy # 2113 456-27A, which policy was in full force and effect on July 31, 1988.

11. Robert Stephens, the owner of the vehicle in which Kristin K. McIntosh was a passenger at the time of the accident, was insured under an insurance policy issued by Allied Mutual Insurance Company of Des Moines, Iowa, policy #AAP 0002599710-4, which policy was in full force and effect on July 31, 1988. The Allied policy provided underinsured motorist coverage in a maximum amount of $250,500, of which only $150,500 was available due to the subrogation provision contained in the Allied policy.

12. Following the accident of July 31, 1988, Jean A. McIntosh filed claims with the Plan for medical and related expenses incurred for the treatment of Kristin K. McIntosh’s personal injuries. The Plan initially made payments for these medical and related expenses. On September 7,1988, Penn General Services, acting as a third-party claims supervisor on behalf of the Plan, sent to Jean McIntosh a standard form letter which required McIntosh to acknowledge by her signature the Plan’s right of subrogation and reimbursement from payments she may receive from responsible third parties (referred to hereafter as “subrogation letter”). Jean McIntosh altered the language of the subrogation letter by deleting parts thereof and adding additional language, signed the altered subrogation letter, and returned it to Penn General Services. A true and correct copy of the subrogation letter, including Jean McIntosh’s alterations, is attached to the stipulation as Exhibit “C”. A true and correct copy of the standard form subrogation letter, without the handwriting addressing the letter to Jean McIntosh and without McIntosh’s alterations, is attached to the stipulation as Exhibit “D”.

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Cite This Page — Counsel Stack

Bluebook (online)
928 F. Supp. 1464, 1996 U.S. Dist. LEXIS 8621, 1996 WL 338693, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mcintosh-v-pacific-holding-co-ned-1996.