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

District Court, N.D. Ohio·Decided October 26, 2021·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 OPINION AND Defendants. ORDER

This matter comes before the Court upon the Motion for Preliminary Injunction Removing the Fund’s Current Trustee and Appointing an Independent Fiduciary, filed by Plaintiff Secretary of Labor Martin J. Walsh (the “Secretary”), United States Department of Labor on September 3, 2021. (Doc. No. 186.) Defendant Fleet Owners Insurance Fund (the “Fund”) filed a Memorandum in Opposition to Plaintiff’s Motion for a Preliminary Injunction on September 17, 2021, to which the Secretary replied on September 24, 2021. (Doc. Nos. 189, 190.) The Fund then filed a separate Motion to Strike the Secretary’s Reply Brief on September 27, 2021, which the Secretary opposed on October 7, 2021. (Doc. Nos. 191, 192.) Also pending are two separate Motions for Trial Dates. On August 30, 2021, the Fund filed a Renewed Motion [ ] for Trial Date. (Doc. No. 182.) On September 15, 2021, Defendant Robert Kavalec, proceeding pro se, filed a Motion [ ] for Trial Date. (Doc. No. 188.) For the following reasons, the Secretary’s Motion for Preliminary Injunction is GRANTED, the Fund’s Motion to Strike is DENIED, and the Fund’s and Kavalec’s Motions for Trial Dates are DENIED. I. Background The Court previously set forth much of the relevant factual background in its July 14, 2020 Memorandum Opinion and Order (“July 14, 2020 Order”) and January 25, 2021 Memorandum Opinion and Order (“January 25, 2021 Order”) and will not repeat it here. (See Doc. Nos. 92, 120.) The Court presumes the parties’ familiarity with its previous opinions in this case and will only set forth the relevant background since the Court’s January 25, 2021 Order.

A. Events Since January 25, 2021 Throughout the first half of 2021, the Court held three status conferences to accommodate the parties’ attempts to settle this case. (See Doc. Nos. 122, 141.) During the third status conference on July 22, 2021, it became clear the parties would be unable to resolve the matter due to certain putative Medical Mutual claims (discussed infra). (See ECF Entry 7/23/2021.) The Court also learned that the Fund continued to pay Kavalec’s monthly personal cell phone bills even after the Court unambiguously enjoined Kavalec from “paying himself direct or indirect compensation from” Fund assets. (Id. at PageID# 1811, emphasis added.) Further, the Secretary made it clear that he intended to seek Kavalec’s removal as trustee of the Fund. (See ECF Entry 7/23/2021.)

On July 27, 2021, before the Secretary moved for Kavalec’s removal, former Fund counsel Lance Johnson notified the parties that Kavalec had resigned as Employer Trustee, effective July 26, 2021. (Doc. No. 184-1, PageID# 2768.) Kavalec’s final act as trustee was to appoint Alley M. Pesto, the Fund’s part-time office manager, as his successor trustee. (Id.) Pesto’s tenure as Employer Trustee was short-lived. One of Pesto’s only acts as trustee was to direct the Fund to file a Motion to Clarify the Court’s January 25, 2021 Order on her behalf. In the Motion, the Fund explained that Pesto was “concerned this Court’s prior order enjoining former Trustee Kavalec from receiving

2 compensation . . . may be interpreted to apply to her and seeks clarification.” (See Doc. No. 175, PageID# 2688-89.) On August 18, 2021, the Court clarified that an ERISA trustee, such as Pesto, was “absolutely barred from paying himself or herself a salary from Fund assets under ERISA § 406(b)(1).” (Doc. No. 179, PageID# 2711.) Two other events occurred on August 18, 2021. First, Johnson notified the Secretary that Pesto had resigned as Employer Trustee and that the new Employer Trustee was Milo Valenti. (Doc.

No. 180-1, PageID# 2718.) Second, Valenti filed a lawsuit against Teamsters Local 964 (“Local 964”) in the Cuyahoga County Court of Common Pleas (“the Union Trustee action”).1 (See Doc. No. 180-4, PageID# 2735.) In the Union Trustee action, the Fund seeks to compel Local 964 to appoint a second trustee to the Fund because, allegedly, the Fund “is not properly constituted under the Trust Agreement without two trustees” and is “not able to fulfill its mission without the participation of a Union Trustee.” (Doc. No. 184-3, PageID# 2870-71.) On September 3, 2021, Johnson filed a Motion to Withdraw as the Fund’s Attorney, which the Secretary did not oppose, and the Court granted. (See Doc. Nos. 183, 187.) The Fund is now represented by Johnson’s former associate, Jacob Hailperin-Lausch.2 (See Doc. No. 183.) Also on September 3, 2021, the Secretary filed the instant Motion for Preliminary Injunction

Removing the Fund’s Current Trustee and Appointing an Independent Fiduciary. (Doc. No. 186.) The Fund filed an Opposition to the Secretary’s Motion on September 17, 2021. (Doc. No. 189.) The Secretary filed his Reply to the Fund’s Opposition on September 24, 2021. (Doc. No. 190.)

1 Local 964 removed the Union Trustee action to this Court on September 2, 2021. See ECF Doc. No. 1, Fleet Owners Insurance Fund v. Teamsters Local Union No. 964 et al., No. 1:21-cv-1719-PAB (N.D. Ohio). 2 As of August 5, 2021, Johnson still considered Hailperin-Lausch to be his associate. That day, Johnson warned the Secretary’s counsel that “Jacob [Hailperin-Lausch] is [Johnson’s] associate,” and that Hailperin-Lausch “is not a partner yet so all Fund conversations must involve” Johnson. (Doc. No. 184-1, PageID# 2755.) 3 On September 27, 2021, the Fund moved to strike the Secretary’s Reply. (Doc. No. 191.) The Secretary filed an Opposition to the Fund’s Motion to Strike on October 7, 2021. (Doc. No. 192.) B. The Medical Mutual Claims During the July 22, 2021 status conference, the parties addressed the existence of certain Medical Mutual claims. The Medical Mutual claims are potentially a significant source of liability

against the Fund. These claims bear on the Court’s decision below and merit a brief overview. While the Fund was in operation, the Fund entered into an agreement with Medical Mutual Services, LLC (“Medical Mutual”), whereby Medical Mutual would act as the Fund’s claims administrator. (Doc. No. 30-1, PageID# 334.) As claims administrator, Medical Mutual agreed to receive and process claims for benefits under the Fund’s benefit Plan (“Plan”) and disburse claims payments under the Plan. (Id.) According to the Plan’s Summary Plan Description (“SPD”), the Fund would issue membership cards to Plan participants. (Doc. No. 185-1, PageID# 3090.) Plan participants were told to present their membership cards when receiving services from healthcare providers. (Id.) According to the SPD, the participant’s “healthcare provider will normally submit a claim on the Covered Person’s behalf.” (Id.) In other words, after a participant received a service

from his or her provider, the provider would then submit a claim to Medical Mutual to receive payment for the service rendered. (Id. at PageID# 3122.) Medical Mutual would pay the provider for the submitted claim. (Doc. No. 30-1, PageID# 351.) Medical Mutual would then send weekly invoices to the Fund “for claims paid by Medical Mutual Services during the preceding week . . . .” (Id.) Pursuant to the Fund’s agreement with Medical Mutual, the Fund agreed to “pay the invoiced amounts on the second business day following the date of the invoice.” (Id.) According to the

4 agreement, “[i]f payment of the invoice is not received when due, Medical Mutual Services will suspend processing of the group’s claims and will not release future claim payments until payment is received from the Plan Sponsor.” (Id., emphasis added.) In early 2019, the Fund and Medical Mutual were embroiled in litigation. See McHugh v. Trinity Health Sys., No.

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Secretary of U.S. Department of Labor v. Kavalec, (N.D. Ohio 2021).

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