Secretary of U.S. Department of Labor v. Kavalec

District Court, N.D. Ohio·Decided November 1, 2019·No. 1:19-cv-00968·Unknown

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE NORTHERN DISTRICT OF OHIO EASTERN DIVISION

SECRETARY OF U.S. DEPARTMENT CASE NO. 1:19-CV-00968 OF LABOR,

Plaintiff, JUDGE PAMELA A. BARKER -vs-

ROBERT KAVALEC, et al., MEMORANDUM OF OPINION AND ORDER Defendants.

This matter comes before the Court upon the parties’ simultaneous briefing regarding the appropriateness of a stay of this case. Plaintiff Secretary of U.S. Department of Labor (the “DOL”) opposes a stay. (Doc. Nos. 40, 46.) Defendants/Third-Party Plaintiffs Robert Kavalec, Charles Alferio, Victor Collova, the Board of Trustees of the Fleet Owners Insurance Fund (“the Board”), and the Fleet Owners Insurance Fund (the “Fund”) (collectively, “Defendants”) all request that a stay be granted until March 1, 2020. (Doc. Nos. 38, 41, 43, 44, 45, 47.) Third-Party Defendant Medical Mutual Services, LLC (“MMS”) has not taken a formal position, but, on balance, believes a stay is appropriate. (Doc. No. 39.) For the following reasons, it is hereby ORDERED that this case be STAYED until March 1, 2020. I. Background This case arises under the Employee Retirement Income Security Act of 1974 (“ERISA”), as amended, 29 U.S.C. § 1001, et seq. According to the DOL, the Fund is an employee benefit plan within the meaning of ERISA and a multiemployer health and welfare plan that provides health, welfare, and death benefits to covered members and eligible dependents, including employees of the Fund’s participating employers. (Doc. No. 1 at ¶¶ 3, 5.) Kavalec, Alferio, and Collova all either served or continue to serve as Trustees of the Fund. (Id. at ¶¶ 12-14.) The DOL alleges that the Board, Kavalec, Alferio, and Collova, as fiduciaries of the Fund, violated multiple provisions of ERISA by, among other things, authorizing and approving the payment of their own compensation and administering the Fund in violation of the Health Insurance Portability and Accountability Act and the Patient Protection and Affordable Care Act. (Id. at ¶¶ 22-96.)

On April 30, 2019, the DOL filed its Complaint against Defendants based on the above allegations. (Id.) Defendants all answered the Complaint and asserted third-party claims against MMS. (Doc. Nos. 5, 20, 21, 32.) MMS served as the claims administrator for the Fund and was generally responsible for processing and paying, according to the terms of the Fund’s benefits book and summary plan description, claims for medical and health expenses incurred by covered persons who participated in the Fund. (Doc. No. 28-1 at 3.) MMS has moved to dismiss Defendants’ Third- Party Complaints against it. (Doc. Nos. 28, 33.) The DOL has also filed motions to strike the jury demands and certain affirmative defenses asserted by Defendants. (Doc. Nos. 17, 23, 42.) On August 27, 2019, the parties participated in a Case Management Conference with the Court. During that conference, counsel for the Fund, the Board, and Kavalec (in his capacity as

employee Administrator and not as Trustee), Kavalec, pro se, counsel for Collova, and Alferio, pro se, orally requested a stay of proceedings until March 1, 2020. The Court directed the parties to advise the Court by September 10, 2019 regarding whether they were agreeable to such a stay. (Doc. No. 34.) On September 11, 2019, the parties filed a Joint Status Report in which they advised the Court that they were unable to come to an agreement regarding a stay of this matter. (Doc. No. 35.) As a result, the Court directed the parties to engage in simultaneous briefing regarding the

2 appropriateness of a stay. (Doc. No. 37.) In particular, the Court asked the parties to address the three factors courts typically consider: (1) any prejudice to the non-moving party if a stay is granted, (2) any prejudice to the moving party if a stay is not granted, and (3) the extent to which judicial economy and efficiency would be served by the entry of a stay. (Id.) Pursuant to the Court’s Order, Defendants filed briefs in support of a stay, and the Fund and Collova also filed responses to the DOL’s brief. (Doc. Nos. 38, 41, 43, 44, 45, 47.) Although

Defendants filed briefs individually, the Court will address their relevant arguments together, as all are in favor of a stay. First, Defendants argue that the DOL will not be prejudiced by a stay because the DOL started investigating the Fund four to five years ago and delaying this case several more months would not prejudice the DOL in any way. (Doc. No. 38 at 2; Doc. No. 41 at 3; Doc. No. 43 at 2; Doc. No. 47 at 2.) Defendants also point out that the DOL has not alleged any imminent danger to the Fund from mismanagement that would exacerbate any shortage in funds, and delay alone is not a sufficient reason to deny a stay. (Doc. No. 44 at 5-6; Doc. No. 38 at 2.) Next, Defendants contend that the Fund would be prejudiced if a stay is not granted. Defendants assert that the Fund has an obligation to pay Kavalec, Alferio, and Collova’s legal fees in this action, and that such payment is legally permissible. (Doc. No. 44 at 12-13.) In addition, there

is an existing insurance policy that potentially provides coverage for both the Fund and the individual Defendants in this case, but the Fund’s initial claim was denied by the insurer. (Doc. No. 41 at 3.) Thus, Defendants contend that, without a stay, the Fund would be prevented from attempting to obtain coverage from its insurer before additional legal fees are incurred, which would deplete the Fund’s limited resources and harm the Fund’s participants. (Doc. No. 38 at 3-4; Doc. No. 44 at 12-13.) Defendants have represented that the Fund has approximately $2.2 million in total resources, and

3 there is already litigation pending against the Fund for over $2 million, in addition to roughly $550,000 in open claims. (Doc. No. 38 at 3; Doc. No. 43 at 3.) Defendants also claim that the individual Defendants would be prejudiced by the lack of a stay because without the opportunity to obtain payment for their legal fees from either the Fund’s insurer or the Fund itself, they likely will have to proceed in this litigation without counsel. (Doc. No. 41 at 3; Doc. No. 44 at 13-14.) Collova’s counsel has not been compensated for representing Collova to date, but will not be able to continue

its representation without compensation indefinitely. (Doc. No. 44 at 4 n.1.) In addition, Kavalec, in his capacity as Trustee, and Alferio have already been representing themselves pro se. Finally, Defendants assert that a stay would promote judicial economy and efficiency for several reasons. First, because the Fund ceased accepting premiums as of February 28, 2019, no additional claims will be eligible to be paid after February 28, 2020. (Doc. No. 41 at 2.) As a result, as of March 1, 2020, the Fund will know with relative certainty its payment obligations to its members. (Id.) Defendants argue this knowledge will significantly advance this litigation, as it will affect how the parties and the Court view the claims and alleged damages in the case. (Id. at 4.) Second, Defendants contend that a stay will promote settlement by providing the Fund time to resolve outstanding claims and Defendants time to secure insurance coverage that would ensure that the

maximum funds are available for any potential settlement. (Doc. No. 38 at 4; Doc. No. 44 at 15; Doc. No. 47 at 3.) Third, Defendants argue that judicial efficiency is enhanced when all parties are represented, and a stay again provides time for Defendants to obtain insurance coverage and, thus, representation. (Doc. No. 44 at 15-16.) As noted above, the DOL filed a brief in opposition to a stay, as well as a response to Defendants’ briefs. (Doc. Nos. 40, 46.) The DOL argues that it would be prejudiced by a stay because

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