National Foundation for Special Needs Integrity, Inc. v. Reese

881 F.3d 1023
CourtCourt of Appeals for the Seventh Circuit
DecidedFebruary 7, 2018
DocketNo. 17-1817
StatusPublished
Cited by4 cases

This text of 881 F.3d 1023 (National Foundation for Special Needs Integrity, Inc. v. 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 Special Needs Integrity, Inc. v. Reese, 881 F.3d 1023 (7th Cir. 2018).

Opinion

Hamilton, Circuit Judge •

In' this case, we apply Indiana law to a trust agreement to determine who receives the remainder 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 agreement, ■ Givens named herself as the only contingent remainder 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 remainder beneficiary. The Foundation claims that-the agreement-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 entitled to the money for the benefit of Givens’s children. The Estate 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's unambiguous and that the Estate’s evidence does hot 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 document, the overwhelming weight of evidence shows that Givens 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 Estate, without reaching the equitable theories or the laches defense. On remand the district court will need to award damages 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 had experienced multiple strokes. In 2009, she suffered an additional 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 purposes 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 income and assets of individuals seeking Medicaid), with § 1396p(d)(4)(C) (exempting special needs trusts from this accounting). But upon a beneficiary’s death, the trustee must reimburse the state for any medical assistance the state provided. § 1396p(d)(4)(C)(iv). The trust agreement can direct who should receive any assets that might remain after reimbursement.

C. The Trust Agreement

On the advice of her lawyers, and to maintain her eligibility 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 October 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 reimbursed 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 Beneficiary, 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 Beneficiaries 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 Beneficiaries” and asks the life beneficiary (i.e., Givens) to list “to 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 services it has rendered to you during your lifetime.” The agreement states that the remainder beneficiary can be an individual person, an organization, or an entity. On the lines below this text, someone wrote “Theresa Givens” as the only remainder 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. Because 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 construe the ambiguity in the Estate’s favor. In the alternative, the Estate argues that Givens made a mistake warranting reformation, rescission, and/or deviation from the trust’s terms.

D. Givens’s Children

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Bluebook (online)
881 F.3d 1023, Counsel Stack Legal Research, https://law.counselstack.com/opinion/national-foundation-for-special-needs-integrity-inc-v-reese-ca7-2018.