National Foundation For Specia v. Devon Reese

CourtCourt of Appeals for the Seventh Circuit
DecidedFebruary 7, 2018
Docket17-1817
StatusPublished

This text of National Foundation For Specia v. Devon Reese (National Foundation For Specia v. Devon Reese) is published on Counsel Stack Legal Research, covering Court of Appeals for the Seventh Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
National Foundation For Specia v. Devon Reese, (7th Cir. 2018).

Opinion

In the

United States Court of Appeals For the Seventh Circuit ____________________ No. 17‐1817 NATIONAL FOUNDATION FOR SPECIAL NEEDS INTEGRITY, INC., Plaintiff‐Appellee,

v.

DEVON REESE, as Personal Representative for the Estate of Theresa A. Givens, Defendant‐Appellant. ____________________

Appeal from the United States District Court for the Southern District of Indiana, Indianapolis Division. No. 1:15‐cv‐00545 — Tanya Walton Pratt, Judge. ____________________

ARGUED SEPTEMBER 27, 2017 — DECIDED FEBRUARY 7, 2018 ____________________

Before RIPPLE, SYKES, and HAMILTON, Circuit Judges. HAMILTON, Circuit Judge. In this case, we apply Indiana law to a trust agreement to determine who receives the re‐ mainder funds upon the beneficiary’s death. Plaintiff National Foundation for Special Needs Integrity signed an agreement with Theresa Givens establishing a trust that the Foundation was to manage for her benefit while she lived. In the agree‐ ment, Givens named herself as the only contingent remainder 2 No. 17‐1817

beneficiary. Givens died just a month after funding the trust, leaving more than $234,000 in the trust. By naming herself, Givens failed to specify a surviving re‐ mainder beneficiary. The Foundation claims that the agree‐ ment entitles it as trustee to retain any remaining trust assets in this situation. Givens’s son, defendant Devon Reese, is the representative of her estate. The Estate argues that it is enti‐ tled to the money for the benefit of Givens’s children. The Es‐ tate argues that the agreement is ambiguous and should be construed against the Foundation, and in the alternative that the court should use its equitable power to reform, rescind, or order deviation from the agreement’s terms. The district court rejected the Estate’s arguments, finding that the trust agreement is unambiguous and that the Estate’s evidence does not warrant any equitable remedy. The court also found that the equitable defense of laches would bar the Estate’s equitable theories. We reverse. We find that the trust agreement is ambiguous on the key question. Beyond the doc‐ ument, the overwhelming weight of evidence shows that Giv‐ ens intended that any remaining assets pass to her children as the beneficiaries of her Estate rather than to the Foundation. We therefore remand and direct entry of judgment for the Es‐ tate, without reaching the equitable theories or the laches de‐ fense. On remand the district court will need to award dam‐ ages and prejudgment interest in favor of the Estate. I. Factual and Procedural Background A. Theresa Givens and Her Assets Theresa Givens was a Missouri resident and was sick for many years before she died in November 2011. She suffered from renal failure, was on dialysis for about ten years, and No. 17‐1817 3

had experienced multiple strokes. In 2009, she suffered an ad‐ ditional injury from gadolinium dye, a substance used in MRIs. She then joined a class action related to the dye, with the Missouri law firm Brown & Crouppen as her counsel. When that suit settled in 2011, Givens received about $255,000 in net settlement proceeds. B. The National Foundation for Special Needs Integrity The National Foundation for Special Needs Integrity is an Indiana not‐for‐profit corporation that is a trustee for a pooled special needs trust. A special needs trust is a type of trust that allows individuals with disabilities to avoid losing eligibility for Medicaid, which is means‐tested. See 42 U.S.C. § 1396p(d)(4)(C). The Foundation acts as trustee for many qualifying individuals across the country. Under federal law, the Foundation must pool all beneficiaries’ assets for pur‐ poses of custody, management, and investment. 42 U.S.C. § 1396p(d)(4)(C)(ii). The Foundation must also maintain a separate sub‐account for each beneficiary. Id. The key feature of the special needs trust is that, under federal law, trust assets do not count against the beneficiaries’ eligibility for Medicaid during their lifetimes. Compare 42 U.S.C. § 1396p(d)(3) (counting assets in certain trusts as in‐ come and assets of individuals seeking Medicaid), with § 1396p(d)(4)(C) (exempting special needs trusts from this ac‐ counting). But upon a beneficiary’s death, the trustee must re‐ imburse the state for any medical assistance the state pro‐ vided. § 1396p(d)(4)(C)(iv). The trust agreement can direct who should receive any assets that might remain after reim‐ bursement. 4 No. 17‐1817

C. The Trust Agreement On the advice of her lawyers, and to maintain her eligibil‐ ity for Medicaid, Givens agreed to contribute the settlement proceeds to a special needs trust. She signed an agreement with the plaintiff Foundation in August 2011. The agreement identified the Foundation as the trustee and Givens as the beneficiary during her lifetime. Givens funded the trust in Oc‐ tober 2011 but died a month later. In this rather unusual case, Givens did not owe her state of residence any reimbursement upon her death, leaving about $234,000 available to someone. This dispute is about what happens to these remaining funds that the government does not claim. Section IV of the agreement is titled “Distributions upon the Death of a Beneficiary” and states, as relevant here: Except in the event that this Article Fourteen may be in the future amended to effectuate the letter, spirit, and purpose of 42 U.S.C. § 1396p(d)(4)(C)(iv), The National Foundation for Special Needs Integrity, Inc. shall not retain any portion of the Beneficiary’s trust Sub‐Account upon his or her death. Rather, all such amounts shall be reim‐ bursed to the state of Missouri, by and through the Missouri Department of Health and Family Services, up to the full amount that it has expended on the Ben‐ eficiary, both before and after the creation of this trust. (Emphasis added.) Later in the same section, the Agreement states: “If no secondary Contingent/Residual/Remainder Ben‐ eficiaries survive or if none are named in Section V below, then and only then shall said money remain with the trust.” Section V is titled “Contingent/Remainder/Residual Bene‐ ficiaries” and asks the life beneficiary (i.e., Givens) to list “to No. 17‐1817 5

whom you would like us to pay out the Remainder of your trust Sub‐Account should there be any money left after the state of Missouri has been reimbursed for the Medicaid ser‐ vices it has rendered to you during your lifetime.” The agree‐ ment states that the remainder beneficiary can be an individ‐ ual person, an organization, or an entity. On the lines below this text, someone wrote “Theresa Givens” as the only re‐ mainder beneficiary. Givens signed the agreement on August 9, 2011. The Foundation signed on August 15, 2011. Givens funded the trust on October 11, 2011 with almost $255,000. The Foundation argues that Sections IV and V together are unambiguous and provide that the Foundation will retain the remainder if there is no surviving remainder beneficiary. Be‐ cause Givens named herself as the remainder beneficiary, the Foundation argues, she must have intended both (1) not to name any surviving remainder beneficiary at all, and thus (2) to give any remainder to the Foundation. The Estate counters that Sections IV and V are ambiguous and that we should con‐ strue the ambiguity in the Estate’s favor. In the alternative, the Estate argues that Givens made a mistake warranting refor‐ mation, rescission, and/or deviation from the trust’s terms. D.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

University of Southern Indiana Foundation v. Baker
843 N.E.2d 528 (Indiana Supreme Court, 2006)
Malachowski v. Bank One, Indianapolis
590 N.E.2d 559 (Indiana Supreme Court, 1992)
Haworth v. Hubbard
44 N.E.2d 967 (Indiana Supreme Court, 1942)
Grise, Admr. v. Weiss, Admr.
11 N.E.2d 146 (Indiana Supreme Court, 1937)
Ridgeway v. Lanphear
99 Ind. 251 (Indiana Supreme Court, 1884)
Berry v. Ford
829 N.E.2d 1052 (Indiana Court of Appeals, 2005)

Cite This Page — Counsel Stack

Bluebook (online)
National Foundation For Specia v. Devon Reese, Counsel Stack Legal Research, https://law.counselstack.com/opinion/national-foundation-for-specia-v-devon-reese-ca7-2018.