New York State Workers' Compensation Bd. v. Compensation Risk Mgrs., LLC

CourtNew York Supreme Court
DecidedDecember 14, 2017
Docket2017 NYSlipOp 27428
StatusPublished

This text of New York State Workers' Compensation Bd. v. Compensation Risk Mgrs., LLC (New York State Workers' Compensation Bd. v. Compensation Risk Mgrs., LLC) is published on Counsel Stack Legal Research, covering New York Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
New York State Workers' Compensation Bd. v. Compensation Risk Mgrs., LLC, (N.Y. Super. Ct. 2017).

Opinion



New York State Workers' Compensation Board, in its capacity as the governmental agency charged with administration of the Workers' Compensation Law and attendant regulations, and in its capacity as the successor in interest to THE HEALTHCARE INDUSTRY TRUST OF NEW YORK, and as assignee of certain claims of certain former members of THE HEALTHCARE INDUSTRY TRUST OF NEW YORK, Plaintiff,

against

Compensation Risk Managers, LLC et al., Defendants.




5966-09

Rupp Baase Pfalzgraf Cunningham LLC
Attorneys for the New York State Workers' Compensation Board
(Daniel E. Sarzynski, Matthew C. Lenahan and Anne K. Bowling, of counsel)
1600 Liberty Building
Buffalo, New York 14202

John H. Snyder, PLLC
Attorneys for Patrick Borek, Kathleen Collins, Joseph Creador, Donald Larder, Karen Pfeifer, Robert Schuck, David Smeltzer, Michael Sweeney, Louis Viteritti and Linda Walleshauser
(John H. Synder and Thomas C. Sima, of counsel)
555 Fifth Avenue, Suite 1700
New York, New York 10017

Vedder Price, P.C.
Attorneys for UHY LLP
(John H. Eickemeyer and Daniel C. Green, of counsel)
1633 Broadway, 47th Floor
New York, New York 10019
Richard M. Platkin, J.

This is an action originally commenced by former employer-members of the Healthcare Industry Trust of New York ("HITNY" or "Trust"), now being prosecuted by the New York State Workers' Compensation Board ("WCB" or "Board") as assignee. Defendants Patrick Borek, Kathleen Collins, Joseph Creador, Donald Larder, Karen Pfeifer, Robert Schuck, David Smeltzer, Michael Sweeney, Louis Viteritti and Linda Walleshauser, each of whom is alleged to have served as a HITNY trustee ("Trustee"), move pursuant to CPLR 3211 (a) (1), (3), (5) and (7) and CPLR 3016 (b) for dismissal of the complaint. The Trustees also move to disqualify the law firm of Rupp Baase Pfalzgraf Cunningham LLC from continuing to represent the Board in this action. Defendant UHY LLP ("UHY"), an accounting firm that served as an independent auditor of the Trust's financial statements, moves pursuant to CPLR 3211 (a) (1), (5) and (7) for dismissal of the complaint. The Board opposes the motions and cross-moves to consolidate this action with two other related cases.



BACKGROUND

A. HITNY

HITNY is a group self-insured trust ("GSIT") formed pursuant to the Workers' Compensation Law ("WCL") and attendant regulations. Trust members were employers within the healthcare industry that conducted business in New York State and were required to provide workers' compensation insurance to their employees.

The Trust was formed when defendant David Smeltzer, a senior executive with a healthcare employer, executed a trust agreement with Key Bank of New York on September 12, 1999. The trust agreement included joinder and indemnification provisions that were assented to by Smeltzer and a representative of Compensation Risk Managers, LLC ("CRM"). In connection with the formation of the Trust, HITNY entered into a separate service agreement, also signed by Smeltzer, by which CRM was engaged to serve as the Trust's group administrator. The WCB approved HITNY's application to operate as a GSIT effective December 1, 1999.

At various times, the Board found the Trust to be underfunded and requested the implementation of remedial measures. For example, the Board and the Trustees entered into several consent decrees, pursuant to which the Trustees agreed, among other things, to temporarily close the Trust to new members, eliminate and/or reduce discount rates, and levy assessments on Trust members.

The Board alleges that in the earlier years of the Trust's existence, the financial statements presented to it showed small but manageable deficits. Beginning in 2006, however, the financial statements disclosed far more serious problems. For the fiscal year ending on September 30, 2005, the Trust's audited financial statements showed a deficit of almost $6 million, a three-fold increase from the prior year. By September 30, 2006, this deficit had ballooned to more than $75 million.

On or about December 31, 2007, the Board assumed administration of the Trust after finding it to be insolvent and unable to properly administer outstanding liabilities (see 12 NYCRR 317.20). As such, the WCB is the successor to the Trust.

After assuming administration, the WCB issued letters to Trust members advising them of their joint and several liability for the Trust's deficit, estimated to be about $90 million at that point, and the prospect of collection actions against employer-members who failed to pay their [*2]share.

The Board also commissioned a forensic analysis of the Trust by the public accounting firm of Bollam, Sheedy, Torani & Co., LLP ("BST"). In a report dated November 24, 2009, BST found that the Trust's accumulated deficit was in excess of $220 million as of late 2006. After receiving this report, the Board issued letters to the former Trust members advising them of their joint and several liability for the deficit.

On or about December 30, 2013, the Board purchased an assumption of liability ("ALP") policy for the Trust at a cost of $82.7 million, which served to transfer financial risk to the ALP carrier. The Board alleges that, despite its efforts to reduce the Trust's deficit, more than $20 million in unfunded liabilities remain.



B. Procedural Background

This action ("Member Action" or "HITNY Action") was commenced on July 10, 2009. It originally was brought by certain former employer-members of the Trust, seeking to recover the Trust's accumulated deficit from certain individuals and entities involved with the Trust, including CRM, alleged affiliates of CRM and other related entities ("CRM Entities"), certain individuals alleged to have been owners, officers and/or employees of CRM ("CRM Individuals"), and the Trustees. The public accounting firm of UHY, which provided independent audits of the Trust's financial statements, and the actuarial firm of SGRisk, LLC ("SGRisk"), which served as the Trust's actuary, also were named as defendants.

On December 9, 2009, the Board commenced an action in this Court in its governmental capacity and as the successor to eight GSITs administered by CRM, including HITNY (Index No. 10288-09 ["Board Action"]). The Board Action originally was brought against CRM, the CRM Entities and the CRM Individuals (collectively "CRM Defendants"), but the Trustees were joined via a second amended complaint filed on November 6, 2013.

On March 31, 2010, CRM applied for an order from the New York State Litigation Coordinating Panel ("LCP") coordinating certain pending actions pertaining to CRM's administration of GSITs, including this case. The LCP issued an Order to Show Cause on April 16, 2010 staying pretrial proceedings in all of the actions that were the subject of CRM's coordination application. The LCP ultimately granted the request for coordination on February 23, 2011, and the coordinated cases were transferred to the undersigned as Coordinating Justice.

Shortly thereafter, certain of the CRM Entities filed for bankruptcy protection, and the Insurance Commissioner of the State of California placed Majestic Insurance ("Majestic") into a conservation proceeding in the California courts ("Conservation Proceeding"). The commencement of the Bankruptcy Proceeding and the Conservation Proceeding operated to stay the lawsuits against CRM and the CRM Entities until February 14, 2013.

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