Wilson v. Cox

191 F. Supp. 3d 1172, 61 Employee Benefits Cas. (BNA) 2575, 2016 U.S. Dist. LEXIS 73730, 2016 WL 3752186
CourtDistrict Court, D. Oregon
DecidedJune 7, 2016
DocketCase No. 3:15-cv-59-SI
StatusPublished

This text of 191 F. Supp. 3d 1172 (Wilson v. Cox) is published on Counsel Stack Legal Research, covering District Court, D. Oregon primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Wilson v. Cox, 191 F. Supp. 3d 1172, 61 Employee Benefits Cas. (BNA) 2575, 2016 U.S. Dist. LEXIS 73730, 2016 WL 3752186 (D. Or. 2016).

Opinion

OPINION AND ORDER

Michael H. Simon, District Judge

Plaintiffs are Trustees of AGC-International Union of Operating Engineers Local 701 Health and Welfare Trust Fund (“Trust Fund”). The Trust Fund is a trust created pursuant to collective bargaining agreements. The collective bargaining agreements, the Health & Welfare Plan Summary Plan Description (most recently dated March 2010) and its Amendments, and the Wraparound Plan Document, which incorporates the terms of the Summary Plan Description among other documents (most recently dated July 1, 1995), set forth the provisions of the “Trust Fund Plan.” At all relevant times, Defendant Nathan Cox (“Cox” or “Defendant”) had medical insurance coverage under the Trust Fund Plan.

Plaintiffs bring this action to enforce the terms of the Trust Fund Plan, which constitute an Employee Benefit’ Plan, under the civil enforcement section of the Employee Retirement Income Security Act (“ERISA”), 29 U.S.C. § 1132(a)(3). Plaintiffs seek a declaratory judgment that they are entitled to a constructive trust on behalf of the Trust Fund Plan for a portion of the settlement funds Cox received for a personal injury settlement obtained after an automobile accident. The settlement funds currently are being held in trust by Cox’s attorney. Plaintiffs assert that the Trust Fund Plan paid medical expenses on behalf of Cox for injuries Cox suffered that were the responsibility of a third party and for which Cox received a personal injury settlement. Cox responds that-the relevant medical expenses were not caused by his automobile accident and thus were not the responsibility of a third party.

Both Parties filed motions for summary judgment. For the reasons discussed below, Plaintiffs’ motion is denied and Defendant’s motion is granted.

STANDARDS

A. Summary Judgment

A party is entitled to summary judgment if the “movant shows that there is no genuine dispute as to any material fact and the movant is entitled to judgment as á matter of law.” Fed. R. Civ. P. 56(a). The moving party has the burden of establishing the absence of a genuine dispute of material fact. Celotex Corp. v. Catrett, 477 U.S. 317, 323, 106 S.Ct. 2548, 91 L.Ed.2d 265 (1986). The court must view the evidence in the light most favorable to the non-movant and draw all reasonable inferences in the non-movant’s favor. Clicks Billiards Inc. v. Sixshooters Inc., 251 F.3d 1252, 1257 (9th Cir.2001). Although “Credibility determinations, the weighing of the evidence, and the drawing of legitimate inferences from the facts are jury functions, not those of a judge ... ruling on a motion for summary judgment,” the “mere existence of a scintilla of evidence in support of the plaintiffs position [is] insufficient .... ” Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 252, 255, 106 S.Ct. 2505, 91 L.Ed.2d 202 (1986). ‘Where the record taken as a whole could not lead a rational trier of fact to find for the non-moving party, there is no genuine issue for trial.” Matsushita Elec. Indus. Co. v. Zenith Radio Corp., 475 U.S. 574, 587, 106 S.Ct. 1348, 89 L.Ed.2d 538 (1986) (citation and quotation marks omitted).

Where parties file cross-motions for summary judgment, the court “evaluate[s] each motion separately, giving the nonmoving party in each instance the ben-[1176]*1176efít of all reasonable inferences.” A.C.L.U. of Nev. v. City of Las Vegas, 466 F.3d 784, 790-91 (9th Cir.2006) (quotation marks and citation omitted); see also Pintos v. Pac. Creditors Ass’n, 605 F.3d 665, 674 (9th Cir.2010) (“Cross-motions for summary judgment are evaluated separately under [the] same standard.”). In evaluating the motions, “the court must consider each party’s evidence, regardless under which motion the evidence is offered.” Las Vegas Sands, LLC v. Nehme, 632 F.3d 526, 532 (9th Cir.2011). “Where the non-moying party bears the burden of proof at trial, the moving party need only prove that there is an absence of evidence to support the non-moving party’s case.” In re Oracle Corp. Sec. Litig., 627 F.3d 376, 387 (9th Cir.2010). Thereafter, the non-moving party bears the burden of designating “specific facts demonstrating the existence of genuine issues for trial.” Id. “This burden is not a light one.” Id. The Supreme Court has directed that in such a situation, the non-moving party must do more than raise a “metaphysical doubt” as to the material facts at issue. Matsushita, 475 U.S. at 586, 106-S.Ct. 1348.

B. ERISA Civil Enforcement

ERISA protects employee pensions and other benefits by providing insurance to pension plans, specifying certain plan characteristics, and establishing general fiduciary duties applicable to the management of both pension and nonpension benefits. Varity Corp. v. Howe, 516 U.S. 489, 496, 116 S.Ct. 1065, 134 L.Ed.2d 130 (1996). In 29 U.S.C. § 1132(a)(3), Congress provided plan fiduciaries with the ability to enforce the terms of the plan. Gabriel v. Alaska Pension Fund, 773 F.3d 945, 954 (9th Cir.2014). “Section 1132(a)(3) provides that ‘[a] civil action may be brought ... (3) by a participant, beneficiary, or fiduciary ... (B) to obtain other appropriate equitable relief (i) to redress [any act or practice which violates any provision of this subchapter or the terms of the plan] or (ii) to enforce any provisions of this subchapter or the terms of the plan.’ ” Id. (alterations in original) (quoting 29 U.S.C. § 1132(a)(3)). In such an action, a plaintiff “must prove both (1) that there is a remediable wrong, i.e., that the plaintiff seeks relief to redress a violation of ERISA or the terms of a plan; and (2) that the relief sought is appropriate equitable relief.” Id. (quotation marks and citations omitted), “A claim fails if the plaintiff cannot establish the second prong ... regardless of whether ‘a remediable wrong has been alleged.’ ” Id. (quoting Mertens v. Hemtt Assocs., 508 U.S. 248, 254, 113 S.Ct. 2063, 124 L.Ed.2d 161 (1993)).

C. Administrative Record

Plaintiffs note in their supplemental brief filed in response to the Court’s request, that the Court’s review is limited to the administrative record.

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Bluebook (online)
191 F. Supp. 3d 1172, 61 Employee Benefits Cas. (BNA) 2575, 2016 U.S. Dist. LEXIS 73730, 2016 WL 3752186, Counsel Stack Legal Research, https://law.counselstack.com/opinion/wilson-v-cox-ord-2016.