Tulsa Spine & Specialty Hospital, L.L.C. v. Schoen (In Re Schoen)

407 B.R. 420, 2009 WL 1930189
CourtUnited States Bankruptcy Court, W.D. Oklahoma
DecidedJuly 6, 2009
Docket19-10718
StatusPublished

This text of 407 B.R. 420 (Tulsa Spine & Specialty Hospital, L.L.C. v. Schoen (In Re Schoen)) is published on Counsel Stack Legal Research, covering United States Bankruptcy Court, W.D. Oklahoma primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Tulsa Spine & Specialty Hospital, L.L.C. v. Schoen (In Re Schoen), 407 B.R. 420, 2009 WL 1930189 (Okla. 2009).

Opinion

FINDINGS OF FACT AND CONCLUSIONS OF LAW

T.M. WEAVER, Bankruptcy Judge.

This matter came on for trial on the adversary complaint of the plaintiff Tulsa Spine and Specialty Hospital, L.L.C., seeking a determination that the debt at issue is nondischargeable under 11 U.S.C. § 523(a)(4) and (6). 1 After evidence was presented and closing arguments made, the court requested supplemental briefing. Now, having considered the supplemental briefs submitted, the other submissions of the parties and argument of counsel, and after having reviewed the evidence and applicable law, the court issues the following findings of fact and conclusions of law in accordance with Fed.R.Civ.P. 52, which is made applicable to these proceedings by Fed.R.BaNKR.P. 7052.

Jurisdictional Statement

This court has jurisdiction over the parties and the subject matter of this proceeding pursuant to 28 U.S.C. §§ 157 and 1334 and the order of the District Court authorizing referral of proceedings to the bankruptcy judges. This is a core proceeding pursuant to 28 U.S.C. § 157(b)(2) and, to the extent the proceeding may be noncore, the parties have consented to the entry of final judgment by this court.

Findings of Fact

1. On March 31, 2008 (“the petition date”), the debtor and defendant herein, Jeffrey Owen Schoen (“the debtor”), filed his voluntary bankruptcy petition seeking relief under Chapter 7 of the United States Bankruptcy Code.

2. On September 29, 2005, Traci L. Schoen (“Traci”), the now deceased spouse of the debtor, was admitted to Tulsa Spine and Specialty Hospital, L.L.C. (“the hospital”) for back surgery.

3. At the time of her admission to the hospital, Traci was insured under a Blue Cross/BlueShield health insurance policy issued to the debtor in connection with his employment.

4. As part of the admission process, before the hospital rendered any services to Traci and at the request of hospital personnel, Traci and the debtor executed a number of documents relating to the debtor’s health insurance coverage. Included in these documents were the following:

*424 (a) “Admission Agreement” (the hospital’s Exhibit 2), which was executed by Traci. The agreement contains a provision by which payments from third party insurers were assigned to the hospital.

(b) “Security Agreement for Patient’s Health-Care-Insurance Receivable” (the hospital’s Exhibit 1), which was executed by Traci. The agreement provides in part that the patient grants to the hospital a security interest in any health care insurance receivable arising from the patient’s hospitalization. It further states in paragraph 4:

In the event that any obligation secured by this Agreement is paid to the Patient, the Patient shall promptly remit all such proceeds received to the Hospital to be applied toward payment of the obligations secured by this Agreement. Until the Patient’s remittance of such proceeds to the Hospital, such proceeds shall be deemed to be held in trust by the Patient for and as the property of the Hospital.

(c) “Security Agreement for Guarantor’s Health-Care-Insurance Receivable” (the hospital’s Exhibit 3), which was executed by the debtor. The provisions of this agreement are identical to those of the hospital’s Exhibit 2, except the signer is referred to as “Guarantor” instead of “Patient.” Thus, it purports to grant to the hospital a security interest in any health care insurance receivable arising from the hospitalization of Traci. The agreement further states in paragraph 4:

In the event that any obligation secured by this Agreement is paid to the Guarantor, the Guarantor shall promptly remit all such proceeds received to the Hospital to be applied toward payment of the obligations secured by this Agreement. Until the Guarantor’s remittance of such proceeds to the Hospital, such proceeds shall be deemed to be held in trust by the Guarantor for and as the property of the Hospital.

5. The debtor did not read the security agreement that he signed.

6. The hospital’s witness testified that it was the hospital’s policy to explain the various admission documents to those who are being requested to sign them.

7. Following Traci’s admission to the hospital, the hospital rendered services to her in connection with back surgery performed on her.

8. The services provided by the hospital to Traci were covered under the debtor’s Blue Cross/BlueShield insurance policy,

9. The hospital’s charges for Traci’s hospitalization, after appropriate adjustments, were $93,774.49.

10. The hospital did not have a contractual arrangement with Blue Cross/Blue Shield (“the insurer”), and as a consequence, the hospital was deemed by the insurer as an “out-of-network” provider. For that reason, the insurer did not make payment to the hospital for the covered expenses of Traci’s hospitalization. Rather, the insurer made payment directly to the policy holder, the debtor.

11. Payment for the covered expenses of Traci’s hospitalization was made by the insurer’s check, dated January 12, 2006, payable to the debtor in the amount of $91,340.92 (the hospital’s Exhibit 6).

*425 12. The check was mailed to the following address, which appears on the face of the check:

C/O TRACI SCHOEN 1815

N BOOMER RD 121

STILLWATER, OK 74175

This address was that of the debtor, and the debtor received the check.

13. Traci and the debtor were living apart from each other at the time the debtor received the check. Traci was then living in the State of Texas.
14. Traci requested that the debtor endorse the check and mail it to her so that she could pay the hospital bill.
15. As requested, the debtor endorsed the Blue Cross/Blue Shield check and mailed it to Traci.
16. In two instances in the past when Traci had been a patient in the same hospital, insurance checks had been made payable to the debt- or, who endorsed the checks and gave them to Traci. In both instances Traci had paid the hospital with the proceeds of the checks.
17. In endorsing and sending the subject check to Traci, the debtor believed that Traci would pay the hospital with the proceeds of the check in the same manner she had handled the previous checks.
18. Contrary to the debtor’s expectation, Traci did not make any payment to the hospital. She deposited the insurance check in her bank and wired $7,000.00, from the check proceeds to the debtor.

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Cite This Page — Counsel Stack

Bluebook (online)
407 B.R. 420, 2009 WL 1930189, Counsel Stack Legal Research, https://law.counselstack.com/opinion/tulsa-spine-specialty-hospital-llc-v-schoen-in-re-schoen-okwb-2009.