Singleton v. Kentucky

176 F. Supp. 3d 704, 2016 U.S. Dist. LEXIS 43383, 2016 WL 1306201
CourtDistrict Court, E.D. Kentucky
DecidedMarch 31, 2016
DocketCivil No. 15-15-GFVT
StatusPublished

This text of 176 F. Supp. 3d 704 (Singleton v. Kentucky) is published on Counsel Stack Legal Research, covering District Court, E.D. Kentucky primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Singleton v. Kentucky, 176 F. Supp. 3d 704, 2016 U.S. Dist. LEXIS 43383, 2016 WL 1306201 (E.D. Ky. 2016).

Opinion

MEMORANDUM OPINION & ORDER

Gregory F. Van Tatenhove, United States District Judge

Mary Singleton, the mother of the Plaintiffs (“the Singletons”), purchased an annuity in an effort to obtain long-term care Medicaid benefits for her husband Claude. The Singletons allege their mother, now deceased, was forced to structure her annuity to comply with directives of the Kentucky Cabinet for Health and Family Services, Department for Medicaid Services. The Singletons believe the directives violate the United States and Kentucky Constitutions. Accordingly, the Singletons have filed a petition for declaratory relief, a petition for injunctive relief, and a complaint for damages pursuant to 42 U.S.C. § 1983.

The Commonwealth of Kentucky, Kentucky Cabinet for Health and Family Services, Kentucky Department for Medicaid Services, former Branch Manager Mar-chetta Carmiele, current Secretary Audrey Tayse Haynes, and John Does 1 through 5 have filed motions to dismiss, or in the alternative, motions for summary judgment. As explained below, the Court will dismiss somé, but not all, of the Plaintiffs’ claims.

I

A

In September 2009, Mary Singleton and Claude Singleton — the parents of the three [711]*711Plaintiffs — engaged the services of elder care law firm McClelland & Associates, PLLC, to assist ■ in obtaining long-term care Medicaid benefits for Claude Singleton.1 At the time, Claude Singleton was institutionalized in a full-time nursing home. Mrs. Singleton was advised that it was in her family’s best interests to purchase an annuity benefiting herself as annuitant. Soon thereafter, Mary did in fact purchase an annuity from Genworth Life and Annuity Insurance Company (“Gen-worth”) with a single premium investment amount of $220,000. However, she did not structure it on behalf of herself as annuitant, as the Singletons claim she originally desired to do. The statutory framework at issue here explains why.

In 2005, Congress passed the Deficit Reduction Act. Pursuant to the Deficit Reduction Act of 2005, the language of 42 U.S.C. § 1396p(c)(l)(F) provided:

(F) For purposes of this paragraph, the purchase of an annuity shall be treated as the disposal of an asset for less than fair market value unless—
(i) the State is named as the remainder beneficiary in the first position for at least the total amount of medical assistance paid on behalf of the annuitant under this title ....

42 U.S.C. § 1396p(c)(l)(F) (2005) (emphasis added). In line with the federal statute, Kentucky adopted essentially identical regulatory language:

In accordance with 42 U.S.C. 1396p(c)(l)(F), the purchase of an annuity occurring on or after February 8, 2006 shall be treated as the disposal of assets for less than fair market value unless the cabinet is named: [... ] (1) As the remainder beneficiary in the first position for at least the total amount of medical assistance paid on- behalf of the annuitant ....

907 KAR 1:650 § 2(9)(b)(l) (emphasis added). Shortly thereafter, Congress passed the Tax Relief and Health Care Act of 2006. This Act amended 42 U.S.C. § 1396p(c)(l)(F) to read:

(F) For purposes of this paragraph, the purchase' of an annuity shall be treated as the disposal of an asset for less than fair market value unless—
(i) the State is named as the remainder beneficiary in the first position for at least the total amount of medical assistance paid on behalf of the institutionalized individual under this title ....

42 U.S.C. § 1396p(c)(l)(F) (2006) (emphasis added). Significantly, the relevant Kentucky regulation was not in turn amended.

When Mary Singleton purchased her annuity, she desired to name the State as the “irrevocable primary beneficiary to the extent of the total amount of medical assistance paid on behalf of the annuitant, Mary Singleton,” as permitted by the language of 907 KAR 1:650 § 2(9)(b)(l). However, Mary’s attorneys at McClelland & Associates “had been informed repeatedly and unequivocally” that the state would not approve Medicaid applications drafted in this way. Instead, counsel believed that Defendant Marchetta Carmicle — Branch Manager for the Kentucky Department of Medicaid Services Eligibility Policy Branch — would declare those annuities to be transfers of resources for less than the fair market value, which would trigger a period of ineligibility for long-term Medicaid benefits. [See R. 27 at 7.] Carmicle allegedly required annuities to name the State as the irrevocable primary beneficiary to the extent of the total amount of medical assistance paid on behalf of the [712]*712institutionalized individual, pursuant to the language of the Tax Relief and Health Care Act of 2006.

Because of this, Mary Singleton did not draft her annuity the way she initially desired. As a result of Defendant Carmi-cle’s alleged policy, Mary designated the irrevocable primary beneficiary of her annuity as “the Kentucky Department of Medicaid Services to the extent of benefits paid for Claude L. Singleton,” the institutionalized individual. Mary named her sons, the three Plaintiffs, as the secondary beneficiaries of the annuity.

Mary Singleton passed away on February 8, 2014. At that time, no money had been paid by the Kentucky Department of Medicaid Services on behalf of Mary Singleton. However, $98,729.01 had been paid on behalf of Claude Singleton. Under this combination of facts, the Singletons as secondary beneficiaries received less money than they would have had Mary Singleton drafted her annuity as she originally desired, pursuant to the language found in 907 KAR 1:650 § 2(9)(b)(l), which mirrors the Deficit Reduction Act of 2005 language prior to the 2006 amendments.

The Singletons assert that a State’s methodology for determining income and resource eligibility for individuals seeking to enroll in Medicaid “may be less restrictive” than the federal regulations. [R. 27 at 6 (citing 42 U.S.C. § 1396a(r)(2)(A).] They, therefore, argue that the 2006 amendment to 42 U.S.C. § 1396p(c)(l)(F) did not result in preemption of 907 KAR 1:650 § 2(9)(b)(l), and that Marchetta Carmicle improperly instituted a policy of rejecting applications drafted pursuant to the regulation rather than the federal statute.

The Singletons filed suit on January 29, 2015. [See R. 1-4; R.

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Bluebook (online)
176 F. Supp. 3d 704, 2016 U.S. Dist. LEXIS 43383, 2016 WL 1306201, Counsel Stack Legal Research, https://law.counselstack.com/opinion/singleton-v-kentucky-kyed-2016.