Trustees of the Teamsters Miscellaneous Security Trust Fund v. United International Health Net, Inc.

CourtDistrict Court, S.D. California
DecidedSeptember 15, 2020
Docket3:20-cv-00425
StatusUnknown

This text of Trustees of the Teamsters Miscellaneous Security Trust Fund v. United International Health Net, Inc. (Trustees of the Teamsters Miscellaneous Security Trust Fund v. United International Health Net, Inc.) is published on Counsel Stack Legal Research, covering District Court, S.D. California primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Trustees of the Teamsters Miscellaneous Security Trust Fund v. United International Health Net, Inc., (S.D. Cal. 2020).

Opinion

1 2 3 4 5 6 7 8 UNITED STATES DISTRICT COURT 9 SOUTHERN DISTRICT OF CALIFORNIA 10 11 In Re: Case No.: 20-cv-425-WQH-AGS

12 UNITED INTERNATIONAL HEALTH ORDER NET, INC., 13 Debtor. 14 15

16 TRUSTEES OF THE TEAMSTERS MISCELLANEOUS SECURITY TRUST 17 FUND, 18 Plaintiff, 19 v. 20 UNITED INTERNATIONAL 21 HEALTH NET, INC., a California corporation, 22 Defendant. 23 HAYES, Judge: 24 The matter before the Court is the Motion to Withdraw Reference filed by Plaintiff 25 Trustees of the Teamsters Miscellaneous Security Trust Fund. (ECF No. 1). 26 /// 27 /// 28 1 I. BACKGROUND 2 The sole shareholder, chief executive officer, and chief financial officer of 3 Defendant United International Health Net, Inc. (“UIHN”) is non-party Celia Gloria Diaz. 4 On August 9, 2019, debtor Diaz initiated a Chapter 13 bankruptcy proceeding in the United 5 States Bankruptcy Court for the Southern District of California (the “Bankruptcy Court”), 6 assigned Bankruptcy Court Case No. 19-04778-CL-13 (the “Diaz Bankruptcy”). (Ex 3 to 7 Request for Judicial Notice (“RJN”), ECF No. 1-2 at 66). On August 26, 2019, debtor 8 Defendant UIHN initiated a Chapter 7 bankruptcy proceeding in the Bankruptcy Court, 9 signed by Diaz on UIHN’s behalf. (Bankr. Ct. Case No. 19-05056-MM7, Doc. No. 1). 10 On September 12, 2019, the Bankruptcy Court dismissed the UIHN bankruptcy 11 proceeding without prejudice. (Id., Doc. No. 12). On September 13, 2020, UIHN initiated 12 another Chapter 7 bankruptcy proceeding in the Bankruptcy Court, signed by Diaz on 13 UIHN’s behalf, and assigned Bankruptcy Court Case No. 19-05509-MM71 (the “UIHN 14 Bankruptcy”). (Bankr. Ct. Case No. 19-05509-CL7, Doc. No. 1). 15 On October 16, 2019, Plaintiff Trustees of the Teamsters Miscellaneous Security 16 Trust Fund (“Trustees”) filed claims in the Diaz Bankruptcy and the UIHN Bankruptcy. 17 (Ex. 3-15 to RJN, ECF No. 1-2 at 76). On November 12, 2019, Trustees initiated an 18 adversary proceeding in the Diaz Bankruptcy, assigned Bankruptcy Court Case No. 19- 19 90135-CL, alleging claims for 1) violation of fiduciary duties under the Employee 20 Retirement Income Security Act of 1974 (“ERISA”), 29 U.S.C. §§ 1104(a), 1109(a); 2) 21 violation of the civil Racketeer Influenced and Corrupt Organizations Act (“RICO”), 18 22 U.S.C. §§ 1962(c) and 1964(c); and 3) non-dischargeability for defalcation in fiduciary 23 duty under 11 U.S.C. § 523(a)(4) (the “Diaz Adversary Proceeding”). (Ex. 2-5 to RJN, 24 ECF No. 1-2 at 45). 25 26

27 1 The UIHN Bankruptcy was subsequently reassigned Bankruptcy Court Case No. 19-05509-CL7. (Bankr. 28 1 On November 22, 2019, Trustees initiated an adversary proceeding in the UIHN 2 Bankruptcy, assigned Bankruptcy Court Case No. 19-90138-CL, alleging claims for 1) 3 violation of fiduciary duties under ERISA, 29 U.S.C. §§ 1104(a), 1109(a); and 2) non- 4 dischargeability for defalcation in fiduciary duty under 11 U.S.C. § 524(a)(4)2 (the “UIHN 5 Adversary Proceeding”). (Ex. 1-1 to RJN, ECF No. 1-2 at 8). 6 On December 5, 2019, Diaz filed an answer to the Diaz Adversary Proceeding 7 complaint. (Ex. 2-11 to RJN, ECF No. 1-2 at 60). UIHN did not file a responsive pleading 8 in the UIHN Adversary Proceeding. On January 13, 2020, the Bankruptcy Court entered 9 UIHN’s default. (Ex. 1-10 to RJN, ECF No. 1-2 at 36). 10 On January 15, 2020, the Bankruptcy Court dismissed the Diaz Bankruptcy. (Ex. 3- 11 87 to RJN, ECF No. 1-2 at 81). 12 On February 10, 2020, Trustees filed a complaint in this Court against Diaz, assigned 13 Case No. 3:20-cv-00249-WQH-AGS, alleging claims for violation of fiduciary duties 14 under ERISA, 29 U.S.C. §§ 1104(a), 1109(a); and 2) violation of RICO, 18 U.S.C. §§ 15 1962(c) and 1964(c) (the “Diaz District Court Proceeding”). (Ex. 4 to RJN, ECF No. 1-2 16 at 82). 17 On March 6, 2020, Trustees filed a Motion to Withdraw Reference of the UIHN 18 Adversary Proceeding, which the Bankruptcy Court Clerk referred to this Court. (ECF No. 19 1). 20 On April 3, 2020, the Bankruptcy Court closed the Diaz Adversary Proceeding. 21 (Bankr. Ct. Case No. 19-90135-CL, Doc. No. 25). 22 On May 22, 2020, Trustees filed a Notice of Amendment, notifying the Court that it 23 amended the complaint in the UIHN Adversary Proceeding to remove the claim for non- 24 dischargeability and add a claim for constructive trust and declaratory relief re trust assets 25 under 29 U.S.C. §§ 1109(a) and 11 U.S.C. § 541. (ECF No. 5). 26

27 2 Trustees does not bring a RICO claim against UIHN. However, Trustees alleges in the related Diaz 28 1 On June 17, 2020, the Court issued a Minute Order requiring UIHN to file any 2 opposition to the Motion to Withdraw Reference on or before July 13, 2020, and requiring 3 Trustees to file any reply on or before July 20, 2020. (ECF No. 6). UIHN did not file any 4 opposition to the Motion to Withdraw Reference. On July 20, 2020, Trustees filed a Reply, 5 stating that counsel for UIHN “has authorized [Trustees] to represent . . . that [UIHN] does 6 not oppose this Motion.” (ECF No. 7 at 3). 7 II. ALLEGATIONS IN THE UIHN ADVERSARY PROCEEDING 8 Plaintiff Trustees is the trustee of the Teamsters Miscellaneous Security Trust Fund 9 (“Trust Fund”), an employee benefit plan under ERISA. Defendant UIHN is “the 10 administrator of a preferred provider organization (PPO) which administers hospital, 11 medical, surgical and other health and welfare claims through a network of ‘preferred 12 providers’ in Mexico . . . .” (Ex. 1-1 to RJN, ECF No. 1-2 at 10 ¶ 8). 13 In 1993, the Trust Fund entered into a “Participation Agreement” with UIHN to 14 “make[ ] available medical benefits for participants and beneficiaries choosing to receive 15 medical care in Mexico.” (Id. at 12 ¶ 17). Under the terms of the Participation Agreement, 16 UIHN was responsible for processing claims from preferred providers and submitting 17 claims to the third-party administrator of the Trust Fund, Northwest Administrators, Inc. 18 (“NWA”). “Upon receipt of the claims, NWA submitted payment to UIHN from Trust 19 Fund assets.” (Id. at 13 ¶ 19). UIHN was then required to deduct its fees and costs and 20 disburse the remaining amount to the providers. 21 “Between January 1, 2016 and July 18, 2019, the Trust Fund made payments to 22 UIHN totaling $670,282.23.” (Id. at 14 ¶ 26). “UIHN did not pay all of the Benefit 23 Payments to . . . providers, as required by the Participation Agreement.” (Id. at 14 ¶ 27). 24 The “sole shareholder, chief executive officer, secretary, and the chief financial officer of 25 UIHN,” Celia Gloria Diaz, diverted the Trust Fund benefit payments for her own use, 26 instead of paying the providers. (Id. at 11 ¶ 14). 27 /// 28 /// 1 III. CONTENTIONS 2 Trustees contends that the UIHN Adversary Proceeding is subject to mandatory 3 withdrawal of reference. Trustees contends that the claim for breach of fiduciary duties 4 under ERISA is a non-core claim under 28 U.S.C.

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Trustees of the Teamsters Miscellaneous Security Trust Fund v. United International Health Net, Inc., Counsel Stack Legal Research, https://law.counselstack.com/opinion/trustees-of-the-teamsters-miscellaneous-security-trust-fund-v-united-casd-2020.