Rishell v. Medical Card System, Inc.

925 F. Supp. 2d 211, 2013 WL 709832, 2013 U.S. Dist. LEXIS 28703
CourtDistrict Court, D. Puerto Rico
DecidedFebruary 28, 2013
DocketCivil No. 12-1249 (FAB)
StatusPublished
Cited by4 cases

This text of 925 F. Supp. 2d 211 (Rishell v. Medical Card System, Inc.) is published on Counsel Stack Legal Research, covering District Court, D. Puerto Rico primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Rishell v. Medical Card System, Inc., 925 F. Supp. 2d 211, 2013 WL 709832, 2013 U.S. Dist. LEXIS 28703 (prd 2013).

Opinion

OPINION AND ORDER

BESOSA, District Judge.

Before the Court is defendant Medical Card System, Inc.’s (MCS) motion to dismiss pursuant to Federal Rule of Civil Procedure 12(b)(6) (“Rule 12(b)(6)”). (Docket No. 14.) Having considered MCS’ motion to dismiss, the plaintiffs’ opposition, (Docket No. 39), and the defendant’s reply, (Docket No. 53), the Court GRANTS defendant MCS’ motion to dismiss for the reasons discussed below.

I. BACKGROUND

A. Procedural History

On April 13, 2012, plaintiff Mark Rishell (“plaintiff Rishell”) and plaintiff Diana Rishell (“plaintiff Diana Rishell”) (collectively “plaintiffs”), filed a complaint seeking to enforce a bylaw requiring defendant MCS to prepay plaintiff Rishell’s attorney’s fees. (Docket No. 1.) Plaintiff Rishell filed claims for breach of bylaws and breach of an employment agreement, as well as a request for declaratory judgment and a claim for fees on fees pursuant to MCS’ bylaws. Id Plaintiff Diana Rishell is seeking tort damages pursuant to Article 1802 of the Puerto Rico Civil Code. Id Plaintiffs invoke subject-matter jurisdiction over these Puerto Rico claims pursuant to 28 U.S.C. § 1332(a)(1) because the matter in controversy exceeds $75,000 and there is complete diversity of citizenship between the defendant (MCS is a Puerto Rico corporation) and the plaintiffs (Mark and Diana Rishell are residents of Florida). (Docket No. 1 at p. 2.)

On June 8, 2012, defendant MCS filed a motion to dismiss pursuant to Rule 12(b)(6). (Docket No. 14.) On July 12, 2012, plaintiffs filed an opposition. (Docket No. 39.) On July 30, 2012, MCS replied. (Docket No. 53.)

B. Factual Background

In 2007, defendant MCS employed plaintiff Rishell as its Chief Financial Officer, and it subsequently promoted him to Chief Executive Officer. (Docket No. 1 at p. 2.) Around October 2011, the U.S. Department of Health & Human Services and the U.S. Attorney’s Office for the District of [214]*214Puerto Rico began investigating defendant MCS. Id. at p. 3. They targeted only a few officers, including plaintiff Rishell, in their investigation. Id.

As part of plaintiff Rishell’s employment agreement, defendant MCS agreed to maintain indemnification provisions in its bylaws that were “no less favorable than those in effect as of the effective date of [the contract].” (Docket No. 1-1 at p. 6 sec. 12.) The relevant provision of the bylaw covering indemnification states:

The Corporation shall indemnify and hold harmless, to the fullest extent permitted by applicable law also as it presently exists or may hereafter be amended, any person who was or is made or is threatened to be made a party or who is otherwise involved in any action, suit or proceeding, whether civil, criminal, administrative or investigative (a “proceeding”) by reason of the fact that he, or a person for whom he or she is the legal representative, is or was a director or officer of the Corporation or is or was serving at the request of the Corporation as a director, officer, employee or agent of another corporation or of a partnership, joint venture, trust, enterprise or nonprofit entity, including service with respect to employee benefit plans, against all liability and loss suffered and expenses (including attorneys’ fees) reasonably incurred by such person, but only if such person acted in good faith and in a manner which he or she reasonably believed was in the best interests of the Corporation; or not opposed to such interests and, with respect to any criminal action or proceeding, such person did not have reasonable cause to believe that his or her conduct was illegal. The Corporation shall be required to indemnify a person in connection with a proceeding (or part thereof) initiated by such person only if the proceeding (or part thereof) was authorized by the Board of Directors of the Corporation, but only if such person acted in good faith and in a manner which he or she reasonably believed was in the best interests of the Corporation, or not opposed to such interests.

(Docket No. 1-2 at p. E-8 sec. 6.1.)

Additionally, the bylaws contain a section providing for prepayment of legal expenses, the applicability of which is disputed in this case, which states:

The Corporation shall pay the expenses (including attorneys’ fees) incurred in defending any proceeding in advance of its final disposition, provided, however, that the payment of expenses incurred by a director or officer in advance of the final disposition of the proceeding shall be made only upon receipt of an undertaking by the director or officer to repay all amounts advanced if it should ultimately be determined that the director or officer is not entitled to be indemnified under this Article or otherwise. Id.

Shortly after the investigation began, defendant MCS negotiated with Attorney Francisco Rebollo-Casalduc (“Mr. Rebollo”) for him to represent plaintiff Rishell during the investigation. (Docket No. 1 at p. 3.) In December 2011, defendant MCS terminated plaintiff Rishell from his position as Chief Executive Officer of the company. Id. at p. 2. Subsequently, in February 2012, plaintiff Rishell also retained the law firm Black, Srebnick, Kornspan & Stumpf, P.A., (“BSK & S”), following Mr. Rebollo’s recommendation. Id. at p. 3. BSK & S required a non-refundable $500,000 fee and initial cost deposit of $25,000 in order to represent plaintiff Rishell during the investigation. (Docket No. 1-3 at p. 2.) For the attorneys’ hourly fees beyond the initial $500,000 retainer, Attorney Roy Black would bill at a discounted hourly rate of $1,190, and other [215]*215named attorneys would bill at $725, $595, $595, and $440 an hour. Id. Various unidentified attorneys would bill at an hourly fee of $280-$800, and there are a wide range of other fees that would be charged for support staff and additional services. Id. A new fee arrangement would be required if plaintiff Rishell were to be indicted. Id. at p. 1. Plaintiff Rishell then sent a letter to defendant MCS through his counsel informing it that he had retained BSK & S. (Id. at pp. 3-4; Docket No. 1-3.) He asked defendant MCS to pay the retainer and deposit, and he promised to repay later the advancements if he was found ineligible for indemnification. Id.

Defendant MCS allegedly refused to pay the retainer and deposit, or any other expense connected with BSK & S. (Docket No. 1 at p. 4.) In addition to plaintiff Rishell’s promise to repay the advance if he was not eligible for indemnification, defendant MCS required plaintiff Rishell to sign an “Undertaking and Cooperation Agreement” that compelled both parties to cooperate with an indemnification claim. (Id.; Docket No. 1-4.) Plaintiff Rishell refused to sign the agreement, and defendant MCS stopped paying the advancement of fees for Mr. Rebollo’s representation. (Docket No. 1 at pp. 4, 6.)

Plaintiff Rishell alleges that defendant MCS’ failure to prepay BSK & S’ fees or to continue to pay for Mr. Rebollo’s representation is a breach of plaintiff Rishell’s employment contract and MCS’ bylaws. Id. at pp. 5-7.

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Cite This Page — Counsel Stack

Bluebook (online)
925 F. Supp. 2d 211, 2013 WL 709832, 2013 U.S. Dist. LEXIS 28703, Counsel Stack Legal Research, https://law.counselstack.com/opinion/rishell-v-medical-card-system-inc-prd-2013.