Tim Mackey v. Terri Lynn Johnson

868 F.3d 726, 2017 WL 3595504, 2017 U.S. App. LEXIS 16014
Court of Appeals for the Eighth Circuit·Decided August 22, 2017·No. 16-1886·Published·Cited by 6 cases

Opinion

*728 COLLOTON, Circuit Judge.

Terri Johnson brought a wrongful-death action against the Duluth Clinic, alleging that the Clinic'was negligent in its treatment of her brother’s lung cancer. Johnson’s brother was a participant in the Minnesota Laborers Health and Welfare Fund, and the Fund paid for his medical treatment. Johnson settled her claim with the Clinic. The Fund then sued Johnson, her legal counsel Meshbesher & Spence, and the Clinic under the Employee Retirement Income Security Act, 29 U.S.C. § 1132(a)(3). The Fund alleged that it had a right to a portion of the settlement attributable to medical expenses. The district court 1 agreed and granted summary judgment for the Fund in the amount of $236,700.16. Johnson and Meshbesher challenge the ruling, but we reject their arguments and affirm the judgment.

I.

In March 2010, Timothy Scherf was admitted to the Duluth Clinic with chest pressure. A chest x-ray revealed a “12mm nodular opacity.” Although the x-ray report recommended a CT scan of Scherf s chest, Scherf alleged that he was not informed of the abnormality or the need for follow-up tests. In October 2011, Scherf was diagnosed with Stage IV lung cancer and began treatment. Scherf was a participant in the Minnesota Laborers Health and Welfare Fund. Under the Fund’s Plan, the Fund paid for Scherf s medical treatment. The Plan also stated that if the Fund provided medical benefits on behalf of a plan participant, and the participant recovered payment for those benefits from a third party, then the Fund had a first priority subrogation interest in that payment.

In March 2012, Scherf- hired Meshbesher & Spence to bring a medical negligence claim against the Clinic. Meshbesher notified the Fund of the potential claim. The Fund responded with a letter asserting a first priority right of subrogation under the Plan, and later sent a subrogation agreement. Scherf and Johnson, who had been given power of attorney over Scherf s affairs, signed the subrogation agreement and affirmed the Fund’s subrogation right. In August 2012, Scherf died from lung cancer. The Fund presented undisputed evidence that it paid $236,700.16 for Scherf s treatment.

Johnson, represented by Meshbesher, commenced a wrongful-death action against the Clinic on behalf of Séherf's heirs and next of kin; seeking damages under Minnesota’s wrongful-death statute.' See Minn. Stat. §' 673.02. Before'a mediation, Johnson provided the mediator with a letter outlining the relevant facts and a summary of potential liability and damages. The “Damages” section of the letter included “Medical Expenses: $220,108.06 (subrogation interest asserted by the Minnesota Laborers Health & Welfare Fund — a self-funded ERISA Plan).” The letter also included claims for funeral expenses ($4,178.66), lost earnings ($337,000), and “[l]ost advice, comfort, support, protection, companionship, etc.” (amount “[t]p be determined”).

During mediation, Meshbesher took the position that the Fund had no subrogation interest in Johnson’s wrongful-death claim, and that the Clinic was “offering nothing with respect to the med expenses.” The Fund responded that it disagreed, “especially in light of the fact that you have included a claim for medical expenses,” *729 and it provided a copy of the Plan’s subro-gation provision. Meshbesher replied: “Actually, for purposes of this mediation, we are not including the claim for medical expenses. Ás I told you, the defenses [sic] position is that we have no obligation to repay your client a penny. So medical expenses are not part of this mediation.”

Johnson and the Clinic ultimately reached a settlement agreement. The agreement provided that “[t]his settlement includes all applicable medical liens and subrogation claims.” A' handwritten note on the settlement agreement stated: “Claimants deny that [the] Fund is entitled to any portion of the settlement proceeds.” A few months later, the parties executed a more detailed settlement-agreement and release. The release discharged the Clinic from “any claims, actions, causes of- action and assertions of liability of every type on account of, or in any way arising out of, any and all injuries and damages, known or unknown ... suffered or sustained by [Johnson] as a result of the medical care and treatment” rendered to Scherf by the Clinic from March 2010 to August 2012. The settlement agreement also provided that Johnson “acknowledges that [the Fund] has asserted a lien and/or subrogation claim for certain medical expenses,” and that she “represents, warrants and agrees that she will satisfy [the Fund’s] subrogation rights, if any, as determined by a court of competent jurisdiction.”

After the settlement, the Fund sued Johnson, Meshbesher, and the Clinic under ERISA, alleging that Johnson had failed to reimburse it for $236,700.16 that the Fund paid for Scherfs medical expenses. The Fund moved for summary judgment and argued'that it was entitled to the medical expenses included in thé settlement proceeds under the terms of the Plan and the subrogation agreement. The district court agreed and granted summary judgment for the Fund in the amount of $236,700.16. We review the district court’s grant of summary judgment de novo, viewing the evidénce and drawing all reasonable inferences in the light most favorable to ■ Johnson and Meshbesher. Malloy v. U.S. Postal Serv., 756 F.3d 1088, 1090 (8th Cir. 2014).

II.

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Tim Mackey v. Terri Lynn Johnson, 868 F.3d 726, 2017 WL 3595504, 2017 U.S. App. LEXIS 16014 (8th Cir. 2017).

868 F.3d 726 (Tim Mackey v. Terri Lynn Johnson) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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