Wal-Mart Stores, Inc. v. Carpenter (In Re Carpenter)

252 B.R. 905, 25 Employee Benefits Cas. (BNA) 1436, 2000 U.S. Dist. LEXIS 13797, 2000 WL 1375169
CourtDistrict Court, E.D. Virginia
DecidedSeptember 19, 2000
DocketA. 2:00CV143
StatusPublished
Cited by10 cases

This text of 252 B.R. 905 (Wal-Mart Stores, Inc. v. Carpenter (In Re Carpenter)) is published on Counsel Stack Legal Research, covering District Court, E.D. Virginia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Wal-Mart Stores, Inc. v. Carpenter (In Re Carpenter), 252 B.R. 905, 25 Employee Benefits Cas. (BNA) 1436, 2000 U.S. Dist. LEXIS 13797, 2000 WL 1375169 (E.D. Va. 2000).

Opinion

OPINION AND FINAL ORDER

SMITH, District Judge.

This matter is before the court on Debt- or Tina L. Carpenter’s appeal, pursuant to 28 U.S.C.A. § 158(a) (West Supp.2000), from the Amended Memorandum Opinion and Order of the United States Bankruptcy Court for the Eastern District of Virginia, filed January 19, 2000. 1 The bankruptcy court declared that Wal-Mart *908 Stores, Incorporated has a secured, equitable lien in the proceeds of Carpenter’s recovery from a personal injury lawsuit and ordered Carpenter to pay to Wal-Mart the amount of the proceeds that she had retained from the settlement with the third-party tortfeasor, plus accrued interest, in order to satisfy the lien. For the reasons set forth below, the decision of the bankruptcy court is AFFIRMED.

I. Factual and Procedural History

The bankruptcy court decided the case on the basis of the parties’ stipulated facts 2 and testimony taken in the proceedings before the court. Except as otherwise noted, the facts are not in dispute.

Carpenter was an employee of Wal-Mart. As an employee, Carpenter participated in the Wal-Mart Group Health Plan (the “Plan”), a self-funded, self-insured health benefits plan that is governed by the provisions of the Employee Retirement Income Security Act of 1974 (“ERISA”), 29 U.S.C.A. §§ 1001-1461 (West 1999 & Supp.2000). Under the terms of the Plan, a participant may receive benefits to cover treatment for injuries caused by a third party, but if the Plan pays benefits under such circumstances, the Plan retains the right of sub-rogation to the participant’s claims against the third party and, in the event of the participant’s recovery from the third party, the right to reimbursement for such recoveries. The rights of subrogation and reimbursement are unaffected by the manner in which the payments are designated or whether the participant is fully compensated for her injuries.

On November 13, 1994, Carpenter was injured in a car accident caused by the negligence of a third party. Carpenter requested benefits under the Plan. She signed an acknowledgment of Wal-Mart’s rights under the Plan on July 6, 1995. In total, Wal-Mart paid Carpenter benefits under the Plan in the amount of $106,-935.11. Carpenter incurred nearly $300,000 in medical expenses related to the accident. On September 1, 1998, Carpenter filed a voluntary Chapter 7 bankruptcy petition to discharge her debts.

On October 13, 1998, Carpenter recovered a settlement in the amount of $125,000 from the third-party tortfeasor. 3 After paying attorney’s fees and costs, she retained approximately $83,000 of the settlement amount. Carpenter subsequently amended her bankruptcy schedules to disclose this recovery but claimed that the settlement proceeds were exempt pursuant to Virginia law, as incorporated into federal bankruptcy law. See 11 U.S.C.A. § 522(b)(2) (West 1993 & Supp.2000) (allowing states to opt out of federal exemptions and provide their own); Va.Code Ann. § 34-3.1 (Michie 1996) (providing that federal exemptions are not available in Virginia); Va.Code Ann. § 34-28.1 (Mi-chie 1996) (providing an exemption in Virginia for personal injury proceeds).

Wal-Mart filed a complaint in the bankruptcy court on November 25, 1998, seek *909 ing a declaratory judgment that it had an equitable lien on the settlement proceeds under the terms of the Plan and requesting that the bankruptcy court order Carpenter to pay to Wal-Mart the proceeds up to the amount that Carpenter had received under the Plan. The court ruled in favor of Wal-Mart, and Carpenter now appeals.

On appeal, the district court reviews findings of fact made by the bankruptcy court for clear error. See Canal Corp. v. Finnman (In re Johnson), 960 F.2d 396, 399 (4th Cir.1992). Conclusions of law are reviewed de novo. See id.

II. Analysis

Relying on FMC Corp. v. Holliday, 498 U.S. 52, 111 S.Ct. 403, 112 L.Ed.2d 356 (1990), the bankruptcy court first ruled that Virginia’s anti-subrogation law, see Va.Code Ann. § 38.2-3405 (Michie 1999), is preempted by ERISA and that the subrogation and reimbursement clause of the Plan is therefore enforceable. When state law is preempted by ERISA, federal courts are directed “to develop a federal common law of rights and obligations under ERISA-regulated plans.” Firestone Tire & Rubber Co. v. Bruch, 489 U.S. 101, 110, 109 S.Ct. 948, 103 L.Ed.2d 80 (1989) (internal quotation marks omitted); see Phoenix Mut. Life Ins. Co. v. Adams, 30 F.3d 554, 562 (4th Cir.1994) (‘When ERISA fails to address an issue and the state law governing that issue has been preempted, the Supreme Court and the Fourth Circuit have authorized federal courts to develop federal common law of rights and obligations under ERISA-regulated plans.”). The Fourth Circuit has stated that courts should “fashion only those [federal common law] remedies that are appropriate and necessary to effectuate the purposes of ERISA.” Adams, 30 F.3d at 563 (internal quotation marks omitted). Additionally, the Fourth Circuit has warned that “the resort to federal common law generally is inappropriate when its application would: (1) conflict with the statutory provisions of ERISA; (2) discourage employers from implementing plans governed by ERISA; or (3) threaten to override the explicit terms of an established ERISA benefit plan.” Id. at 563 n. 21.

Having concluded that the subrogation and reimbursement clause of the Plan is enforceable, and observing that ERISA is silent with respect to subrogation, the bankruptcy court determined that it would be appropriate under the circumstances of this case to fashion federal common law in order to provide an enforcement mechanism for the subrogation clause. See id. at 562-65 (adopting substantial compliance doctrine as federal common law where ERISA preempted state common law and was silent regarding change of beneficiary); Provident Life & Accident Ins. Co. v. Waller, 906 F.2d 985, 990 (4th Cir.1990) (observing that the court “must ... focus on common law remedies because ERISA does not provide an explicit remedy for [the plan administrator]”). To this end, the bankruptcy court recognized an equitable lien in favor of Wal-Mart on Carpenter’s recovery from the third-party tortfea-sor.

The bankruptcy court’s determination that the recognition of an equitable lien provides an appropriate mechanism to enforce the subrogation and reimbursement clause in the Plan is supported by Waller. Waller

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Bluebook (online)
252 B.R. 905, 25 Employee Benefits Cas. (BNA) 1436, 2000 U.S. Dist. LEXIS 13797, 2000 WL 1375169, Counsel Stack Legal Research, https://law.counselstack.com/opinion/wal-mart-stores-inc-v-carpenter-in-re-carpenter-vaed-2000.