Washington v. Lenzy Family Institute, Inc.

CourtDistrict Court, N.D. Ohio
DecidedAugust 19, 2024
Docket5:21-cv-01102
StatusUnknown

This text of Washington v. Lenzy Family Institute, Inc. (Washington v. Lenzy Family Institute, Inc.) is published on Counsel Stack Legal Research, covering District Court, N.D. Ohio primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Washington v. Lenzy Family Institute, Inc., (N.D. Ohio 2024).

Opinion

UNITED STATES DISTRICT COURT NORTHERN DISTRICT OF OHIO EASTERN DIVISION

LEONARD WASHINGTON, ) CASE NO. 1:21-cv-1102 ) Plaintiff, ) JUDGE BRIDGET MEEHAN BRENNAN ) v. ) ) MEMORANDUM OPINION LENZY FAMILY INSTITUTE, ) AND ORDER INC., et al., ) ) Defendants. )

Before the Court is Plaintiff Leonard Washington’s (“Plaintiff”) second motion for default judgment and for determination of damages. (Doc. No. 58.) For the reasons explained below, Plaintiff’s motion is GRANTED in part and DENIED in part. I. Background A. Factual Background Defendant Lenzy Institute, Inc. (“Lenzy”) is an Ohio nonprofit corporation offering mental health diagnostic and curative services. (Doc. 37 at 1051, ¶ 7.)1 Lenzy’s principal place of business is in Canton, Ohio. (Id.) Defendant Lenzy Institute Board of Directors (“Lenzy Board”) is Lenzy’s governing body. (Id. at 1051, ¶ 8.) Defendant Elizabeth Lenzy (“Ms. Lenzy”) is the Executive Director and key principal of the Lenzy Institute. (Id. at 1051, ¶ 9.) Lenzy hired Plaintiff on or about October 27, 2016, as a Residential House Worker and Treatment Counselor. (Id. at 1051, ¶ 10.) Plaintiff became a full-time Lenzy employee in January 2018. (Id. at 1052, ¶ 14.)

1 For ease and consistency, record citations are to the electronically stamped CM/ECF document and PageID# rather than any internal pagination. On or about January 15, 2018, Lenzy announced a new healthcare group coverage plan, and Plaintiff became insured under UnitedHealthcare Group Policy number 02Y9798 (the “First UHC Plan”). (Id. at 1052, ¶ 13.) On or about February 1, 2019, Plaintiff’s coverage under the First UHC Plan was replaced or substituted by UnitedHealthcare Group Policy number GA2Y9798IM (the “Second UHC Plan”). (Id. at 1052, ¶ 15.) Lenzy management made

premium payments directly to UnitedHealthcare to fund the Plans. (Id. at 1052–53, ¶¶ 16–17.) Lenzy funded the premium payments through monthly deductions from employee paychecks. (Id.) At some point, Lenzy stopped making the premium payments. (Id. at 1053, ¶ 17.) Lenzy, however, continued making the monthly deductions. (Id.) UnitedHealthcare terminated the Second UHC Plan on or about June 2, 2019. (Id. at 1053, ¶ 18.) Lenzy owed UnitedHealthcare over $30,000 in unpaid premium payments. (Id. at 1053, ¶ 19.) Lenzy did nothing to ensure Plaintiff received coverage under another plan. (Id. at 1054, ¶ 25.) Even after the termination of the Second UHC Plan, Lenzy continued to deduct premium payments from

Plaintiff’s and other employees’ paychecks. (Id.) Neither Lenzy, the Lenzy Board, nor Ms. Lenzy provided Plaintiff with notice or documentation of any modifications or changes to his insurance coverage, including termination of coverage. (Id. at 1060–61, ¶ 58.) Plaintiff only found out about the termination in coverage when a prescription was denied at a Marc’s pharmacy and Plaintiff called Ms. Lenzy about the denial. (Id. at 1054, ¶ 23.) During this time, Ms. Lenzy herself did not lose coverage after UnitedHealthcare’s termination because she had supplemental policies through Aflac and Medicare. (Id. at 1055, ¶ 32.) Plaintiff, on the other hand, was forced to go two or three months without medical coverage. (Id. at 1055, ¶ 30.) During this period, Plaintiff’s marriage suffered because he and his wife were unable to receive medical care or procure prescription medicine. (Id. at 1055, ¶ 31.) Lenzy terminated Plaintiff on March 16, 2020. (Id. at 1059, ¶ 45.) Throughout Plaintiff’s tenure, Defendants were fiduciaries (id. at 1062, ¶ 66) and plan administrators under ERISA (id. at 1060, ¶ 55). Concerning these roles, Defendants never provided Plaintiff with,

among other documentation, a Summary Plan Description (id. at 1059–61, ¶¶ 50, 58) and Annual Funding Notices (id. at 1060, ¶¶ 53, 58). B. Procedural History Plaintiff filed his initial complaint on May 28, 2021. (Doc. 1.) Plaintiff filed an amended complaint on October 29, 2021. (Doc. 22.) On March 6, 2023, Plaintiff filed a second amended complaint, naming as defendants: Lenzy Family Institute, Inc.; Lenzy Family Institute Board of Directors; and Elizabeth Lenzy. (Doc. 37.) Plaintiff brought five claims: violation of ERISA (Count One); breach of fiduciary duties (Count Two); breach of fiduciary duties under R.C. § 4113.15(C) (Count Three); equitable estoppel under ERISA (Count Four); and promissory

estoppel (Count Five). After Defendants’ counsel withdrew representation, this Court held a telephonic status conference on June 13, 2023. The Court set June 30, 2023 as the deadline for Defendants to respond to the second amended complaint, along with other deadlines. Defendants did not submit a responsive pleading on or before June 30, 2023. Plaintiff filed a motion for default judgment on July 6, 2023. (Doc. 50.) However, contrary to Federal Rule of Civil Procedure 55, Plaintiff did not first request an entry of default from the Clerk. Therefore, the Court denied the motion for default judgment without prejudice. On July 7, 2023, Plaintiff submitted an application for an entry of default. (Doc. 51.) The Clerk entered default on July 10, 2023. (Doc. 52.) Plaintiff subsequently submitted a motion for default judgment. (Doc. 53.) On October 18, 2023, the Court denied Plaintiff’s motion without prejudice. (Doc. 55.) The Court did so because there was insufficient briefing or factual development of several issues without which the Court could not properly rule on the motion.

As it relates to Count One, Plaintiff’s motion sought damages for violations of 29 U.S.C. §1132(c)(1) and (3). However, the motion only demonstrated liability under § 1132(c)(1), not § 1132(c)(3). (Id. at 1220–21.) Further, the motion did not sufficiently address damages available to Plaintiff for violations of § 1132. (Id. at 1221–22.) Damages are discretionary and statutorily set at a maximum of $100 per day.2 (Id.) Plaintiff failed to explain why the Court should award damages at all, and if so, why the maximum was necessary in this case. (Id.) Further, Plaintiff failed to explain how he calculated the number of days in violation. (Id.) The Court instructed Plaintiff to refile his motion, clearly articulating the violations of ERISA, why statutory penalties should be imposed at all, and the calculation of damages if so. (Id. at 1222–23.)

As it relates to Counts Two and Four, the Court previously determined that Plaintiff was entitled to relief. (Id. at 1223.) However, the Court found that Plaintiff did not show entitlement to the monetary damages he seeks. (Id.) Specifically, Plaintiff failed to explain how the exclusive remedy under 29 U.S.C. § 1132 permitted monetary relief under current case law, which only allows “appropriate equitable relief.” (Id. at 1224.) If Plaintiff wanted to recover monetary damages on these claims, the Court instructed Plaintiff to refile the motion to provide the necessary analysis. (Id. at 1225.)

2 As noted in the Court’s prior order, the maximum is now $110. (Doc. 55 at 1222.) Plaintiff has requested $100 as the statutory maximum. For purposes of this Order, the Court will assume the maximum is $100 as requested by Plaintiff. Lastly, as it relates to Counts Three and Five, the Court instructed Plaintiff to refile his motion with briefing on whether these claims were preempted by ERISA. (Id.) Plaintiff submitted another motion for default judgment, which is now before the Court. (Doc. 58.) That motion addresses the above deficiencies identified by the Court and also addresses Plaintiff’s request for attorneys’ fees and costs. (Id.)

II. Analysis

A.

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Bluebook (online)
Washington v. Lenzy Family Institute, Inc., Counsel Stack Legal Research, https://law.counselstack.com/opinion/washington-v-lenzy-family-institute-inc-ohnd-2024.