The Longaberger Company v. Jeffrey Kolt ( 2009 )


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  •                        RECOMMENDED FOR FULL-TEXT PUBLICATION
    Pursuant to Sixth Circuit Rule 206
    File Name: 09a0399p.06
    UNITED STATES COURT OF APPEALS
    FOR THE SIXTH CIRCUIT
    _________________
    X
    -
    THE LONGABERGER COMPANY, as
    -
    Administrator of the Longaberger Family of
    Companies Group Medical Plan,                      -
    Plaintiff-Appellee, -
    No. 08-4432
    ,
    >
    -
    -
    v.
    -
    -
    JEFFREY A. KOLT,
    Defendant-Appellant. -
    N
    Appeal from the United States District Court
    for the Northern District of Ohio at Cleveland.
    No. 05-00197—Lesley Brooks Wells, District Judge.
    Argued: October 14, 2009
    Decided and Filed: November 16, 2009
    Before: BATCHELDER, Chief Judge; GRIFFIN, Circuit Judge; TARNOW,
    *
    District Judge.
    _________________
    COUNSEL
    ARGUED: George H. Carr, GALLAGHER SHARP, Cleveland, Ohio, for Appellant.
    Daran Paul Kiefer, KREINER & PETERS CO. L.P.A., Cleveland, Ohio, for Appellee.
    ON BRIEF: George H. Carr, Timothy John Fitzgerald, GALLAGHER SHARP,
    Cleveland, Ohio, for Appellant. Daran Paul Kiefer, KREINER & PETERS CO. L.P.A.,
    Cleveland, Ohio, for Appellee.
    _________________
    OPINION
    _________________
    GRIFFIN, Circuit Judge. Defendant Jeffrey A. Kolt appeals the district court’s
    denial of his motion for summary judgment and its grant of summary judgment for
    *
    The Honorable Arthur J. Tarnow, United States District Judge for the Eastern District of
    Michigan, sitting by designation.
    1
    No. 08-4432              The Longaberger Co. v. Kolt                                                 Page 2
    plaintiff The Longaberger Company (“Longaberger”), an Employee Retirement Income
    Security Act (“ERISA”) governed, self-funded employee welfare benefit plan, which
    sought to enforce the terms of the Plan’s reimbursement provisions against attorney Kolt
    and his client Samuel Billiter.1 Kolt argues that Longaberger’s claims for monetary
    relief were barred by ERISA and principles of judicial estoppel, and were premised on
    an invalid lien which was subordinate to Kolt’s lien. We disagree and affirm. In doing
    so, we hold that the district court correctly granted Longaberger equitable restitution as
    authorized by § 502(a)(3) of ERISA.
    I.
    On June 15, 2003, Samuel Billiter was involved in an automobile accident in
    which he was seriously injured. Longaberger’s self-funded plan covered Samuel Billiter
    (as the dependent child of Longaberger employee Theresa Billiter), paying his medical
    bills in the sum of $113,668.31.
    Kolt, an Ohio attorney, represented Samuel and Theresa Billiter in civil tort
    actions against the negligent drivers involved in the June 15, 2003, accident. In July
    2004, Kolt reached settlements with the insurance companies of the two negligent
    drivers, receiving $35,000 from one carrier and $100,000 from the other carrier. Kolt
    deposited the $135,000 from the two separate settlements into his Interest on Lawyer’s
    Trust Account (“IOLTA”). He also sent an August 4, 2004, letter to Longaberger
    notifying it of the settlements, and stating: “Mr. Billiter would like to try to amicabl[y]
    satisfy his subrogation obligation to you . . . .”2
    On December 8 and 9, 2004, Kolt disbursed the majority of the settlement funds
    from his IOLTA. Kolt kept $45,000 for himself as an attorney fee, disbursed $1,750 to
    attorney Jerry Alan Goodwin as compensation for his representation of Samuel Billiter
    1
    Although Samuel Billiter was a defendant below, he did not appeal the district court’s decision.
    2
    The record contains a March 25, 2004, letter addressed to Kolt from Longaberger, which
    indicates, pursuant to Kolt’s request, that Longaberger has provided him with a copy of the Summary Plan
    Description of the Longaberger Plan. The record also contains a March 5, 2004, letter from Kolt to Health
    Design Plus, Longaberger’s claims administrator, indicating Kolt’s willingness to “protect [its] rights” to
    recovery.
    No. 08-4432        The Longaberger Co. v. Kolt                                      Page 3
    in potential criminal proceedings, disbursed $86,082.18 to Samuel Billiter, and disbursed
    $1,000 to attorney Elliot Barrat in consideration for his representation of Samuel Billiter
    in bankruptcy proceedings. Accordingly, only $1,000 remained in the IOLTA.
    The Longaberger Company Health Plan is governed by ERISA and self-funded
    by Longaberger employees who contribute to the Plan through payroll deductions. At
    the time of the June 15, 2003, automobile accident, the Plan’s provisions provided
    Longaberger with “RIGHTS OF REIMBURSEMENT AND SUBROGATION[.]”
    The Plan’s subrogation and reimbursement terms provided:
    The Plan does not cover:
    (1) Expenses for which another party may be responsible
    as a result of liability for causing or contributing to the
    injury or illness of you or your Dependent(s); or
    (2) Expenses to the extent they are covered under the
    terms of any automobile medical, automobile no fault,
    uninsured or underinsured motorist, workers’
    compensation, government insurance, other than
    Medicaid, or similar type of insurance or coverage when
    insurance coverage provides benefits on behalf of you or
    your Dependent(s).
    If you or your Dependent(s) incur health care expenses as described in
    (1) and (2) above, the Plan shall automatically have a first priority lien
    upon the proceeds of any recovery by you or your Dependent(s) from
    such party to the extent of any benefits provided to you or your
    Dependent(s) by the Plan. You or your Dependent(s) or their
    representative shall execute such documents as may be required to secure
    the Plan’s rights. The Plan has the right to recover from you or your
    Dependent(s) the lesser of:
    •       The amount actually paid by the Plan; or
    •       An amount actually you or your Dependent(s)
    received from the third party at the time that the
    third party’s liability is determined and satisfied;
    whether by full or partial settlement, judgment,
    arbitration or otherwise.
    When the Plan pays benefits to or on behalf of you or your Dependent(s),
    the Plan shall be subrogated, unless otherwise prohibited by law, to your
    and your Dependents’ claims, causes of action or rights to recovery or
    No. 08-4432          The Longaberger Co. v. Kolt                                            Page 4
    rights against any person who might be liable or found legally liable by
    a court of competent jurisdiction for the injury that necessitated the
    hospitalization, medical or the surgical treatment for which Plan benefits
    were paid. Such subrogation rights shall extend only to the recovery by
    the Employer of the benefits it has paid for such hospitalization,
    treatment or other medical care.
    The Plan shall have a first priority claim against any proceeds paid by or
    on behalf of a liable third party and shall be entitled to reimbursement or
    subrogation regardless of whether you or your Dependent(s) have been
    made whole. The Plan’s rights shall not be subject to reduction under
    any common fund or similar claims or theories. However, the Employer
    or its authorized representative may agree to a reduction from amounts
    recovered to pay reasonable and necessary expenditures, including
    attorney’s fees, incurred in obtaining the recovery of Plan benefits. This
    may occur when, in the judgment of Plan Administrator, it would be in
    the best interests of the Plan to agree to such terms. These rights of
    reimbursement and subrogation are reserved whether the liability of a
    third party arises in tort, contract or otherwise. Regardless of how
    proceeds are designated, the Plan’s rights shall attach to any full or
    partial judgment, settlement or other recovery.
    In the event that benefits are to be paid by the Plan for expenses resulting
    from an injury for which a third party is liable, you or your Dependent(s),
    as appropriate, shall execute a Subrogation/Right of Reimbursement
    Agreement, in a form prescribed by the Plan. In addition, you and your
    Dependent(s) shall cooperate fully in the enforcement of the Plan’s
    rights, and shall take all actions necessary to enable the Plan to secure
    such rights and in no way prejudice or diminish such rights without the
    Plan’s written consent. You or your Dependent(s) shall inform the Plan
    of any settlement offers, and shall take no action in settlement or
    otherwise that would diminish the Plan’s subrogation rights against the
    third party or diminish the Plan’s reimbursement rights.
    (Alterations in line spacing added.)
    On February 4, 2005, Longaberger filed a complaint commencing suit against
    Kolt and Samuel Billiter alleging causes of action for constructive trust, equitable lien,
    and unjust enrichment.3 Longaberger also sought a temporary restraining order and
    preliminary injunction to prevent Kolt from disbursing, commingling, or transferring
    settlement funds that were in Kolt’s IOLTA. The district court granted a “limited
    3
    Longaberger subsequently filed a first amended complaint on February 21, 2005, and a second
    amended complaint on November 6, 2006.
    No. 08-4432        The Longaberger Co. v. Kolt                                     Page 5
    temporary restraining order” preventing Kolt and Samuel Billiter from disbursing any
    further funds and requiring the preservation of “the identifiable settlement funds paid on
    claims arising out of the June 15, 2003 automobile accident involving Samuel Billiter.”
    Following a February 9, 2005, evidentiary hearing on Longaberger’s motion for
    preliminary injunction, the district court also enjoined Kolt from dissipating the $1,000
    he was still holding in his IOLTA.
    On February 21, 2005, Longaberger amended its complaint to name Kolt as a
    defendant in his capacities as an individual and as a Trustee, and Theresa Billiter as a
    defendant. The amended complaint alleged claims against all named defendants for
    constructive trust, equitable lien, unjust enrichment, an accounting, equitable estoppel,
    and conversion, and against Kolt only for tortious interference with contract and breach
    of constructive trust. Thereafter, Kolt filed an April 4, 2005, motion to dismiss the
    amended complaint pursuant to Federal Rule of Civil Procedure 12(b)(6), arguing that
    “an attorney retained by an ERISA plan beneficiary who receives settlement funds from
    a third party does not have any duty under ERISA to account to the ERISA plan for the
    proceeds received and cannot be held liable.” The district court issued a June 29, 2006,
    decision in which it dismissed a number of Longaberger’s claims, but allowed the
    ERISA claims for constructive trust, equitable lien, and unjust enrichment to proceed.
    On November 6, 2006, Longaberger filed its second amended complaint, adding
    The Longaberger Family of Companies Group Health Plan as an additional plaintiff and
    dropping Theresa Billiter as a named defendant. In addition, Longaberger “clarified its
    position seeking ‘equitable lien by agreement’ in light of the” Supreme Court’s 2006
    holding in Sereboff v. Mid Atl. Med. Servs., 
    547 U.S. 356
    (2006), which altered the
    controlling law in the present case.
    In June 2007, the parties filed cross motions for summary judgment. On
    September 3, 2008, the district court granted Longaberger’s motion for summary
    judgment and denied Kolt’s summary judgment motion. Specifically, the district held
    that:
    No. 08-4432        The Longaberger Co. v. Kolt                                     Page 6
    Longaberger automatically acquired a valid lien on the tort recovery fund
    when the funds became identifiable. In addition, Longaberger seeks
    equitable rather than legal restitution because the Plan specifies a
    particular amount and a particular fund from which restitution should be
    paid.
    Accordingly, the district court ruled in favor of Longaberger and against Kolt in the
    amount of $37,889.44 and against Samuel Billiter in the amount of $75,778.87.
    Kolt timely appealed; Samuel Billiter did not appeal.
    II.
    Kolt argues that the district court erred by awarding Longaberger equitable
    restitution against him. He maintains that because the majority of the settlement funds
    in his IOLTA had already been disbursed before Longaberger initiated its suit,
    Longaberger was pursuing a claim for money damages rather than equitable relief
    against him, and such claims are outside the scope of ERISA’s permissible remedies.
    We review de novo the district court’s grant of summary judgment. Williamson v. Aetna
    Life Ins. Co., 
    481 F.3d 369
    , 374 (6th Cir. 2007). Summary judgment “should be
    rendered if the pleadings, the discovery and disclosure materials on file, and any
    affidavits show that there is no genuine issue as to any material fact and that the movant
    is entitled to judgment as a matter of law.” FED. R. CIV. P. 56(c). The moving party
    bears the burden of proving the absence of genuine issues of material fact and its
    entitlement to judgment as a matter of law. Celotex Corp. v. Catrett, 
    477 U.S. 317
    , 322-
    23 (1986).
    The “mere existence of some alleged factual dispute between the parties will not
    defeat an otherwise properly supported motion for summary judgment; the requirement
    is that there be no genuine issue of material fact.” Anderson v. Liberty Lobby, Inc., 
    477 U.S. 242
    , 247-48 (1986). Thus, only disputed material facts, those “that might affect the
    outcome of the suit under the governing law[,]” will defeat summary judgment. 
    Id. at 248.
    Once the movant has met its burden, the nonmoving party “must present significant
    probative evidence” to demonstrate that “there is [more than] some metaphysical doubt
    as to the material facts.” Moore v. Philip Morris Cos., Inc., 
    8 F.3d 335
    , 340 (6th Cir.
    No. 08-4432         The Longaberger Co. v. Kolt                                       Page 7
    1993). When determining whether the nonmovant has met this burden, we must view
    the evidence in the light most favorable to the nonmoving party. Smith Wholesale Co.,
    Inc. v. R.J. Reynolds Tobacco Co., 
    477 F.3d 854
    , 861 (6th Cir. 2007).
    Section 502(a)(3) of ERISA allows a civil action to be brought “by a participant,
    beneficiary, or fiduciary (A) to enjoin any act or practice which violates any provision
    of this subchapter or the terms of the plan, or (B) to obtain other appropriate equitable
    relief (i) to redress such violations or (ii) to enforce any provisions of this subchapter or
    the terms of the plan[.]” 29 U.S.C. § 1132(a)(3). “[O]ther appropriate equitable relief”
    is limited to relief that was “typically available in equity (such as injunction, mandamus,
    and restitution, but not compensatory damages).” Mertens v. Hewitt Assocs., 
    508 U.S. 248
    , 256 (1993). “[F]or restitution to lie in equity, the action generally must seek not
    to impose personal liability on the defendant, but to restore to the plaintiff particular
    funds or property in the defendant’s possession.” Great-West Life & Annuity Ins. Co.
    v. Knudson, 
    534 U.S. 204
    , 214 (2002) (footnote omitted).
    In Sereboff, the Supreme Court discussed the validity of equitable liens created
    by provisions similar to those in this case and held that ERISA plans can enforce
    complete reimbursement of their equitable liens. Marlene Sereboff and her husband,
    Joel, were injured in a car accident in 
    California. 547 U.S. at 360
    . Through Marlene’s
    employer, the Sereboffs received health insurance benefits related to the car accident,
    which were administered by Mid Atlantic Medical Services, Inc. (“Mid Atlantic”),
    pursuant to ERISA. 
    Id. The plan’s
    “‘Act of Third Parties’” provision provided that if
    the Sereboffs received benefits for an injury or illness and later recovered damages
    related to a tort claim against a third party for that injury or illness, the Sereboffs, as
    beneficiaries, would reimburse Mid Atlantic for the benefits they received. 
    Id. at 359.
    The Sereboffs sued several third parties seeking damages for their injuries, and
    eventually settled their claims for $750,000, but they did not reimburse Mid Atlantic.
    
    Id. at 360.
    Mid Atlantic sued to enforce its lien under § 502(a)(3) of ERISA, arguing that
    it was entitled to reimbursement as a matter of equity. 
    Id. In finding
    for Mid Atlantic,
    No. 08-4432          The Longaberger Co. v. Kolt                                          Page 8
    the Sereboff Court relied on Justice Holmes’ reasoning in Barnes v. Alexander, 
    232 U.S. 117
    (1914), in which an attorney promised other attorneys one-third of a contingent fee
    for their assistance in a case. 
    Sereboff, 547 U.S. at 363
    . In Barnes, Justice Holmes
    stated for the Court:
    “the familiar rul[e] of equity that a contract to convey a specific object
    even before it is acquired will make the contractor a trustee as soon as he
    gets a title to the thing.” On the basis of this rule, he concluded that [the
    lead attorney’s] undertaking “create[d] a lien” upon the portion of the
    monetary recovery due [to the lead attorney] from the client, which the
    [assisting attorneys] could “follow . . . into the hands of . . . [the lead
    attorney],” “as soon as [the fund] was identified[.]”
    
    Id. at 363-64
    (quoting 
    Barnes, 232 U.S. at 121
    , 123) (first, third, and seventh alterations
    in original) (internal citations omitted). The Sereboff Court found that the terms of Mid
    Atlantic’s plan created a lien similar to the one in Barnes because the plan’s terms
    “specifically identified a particular fund, distinct from the Sereboffs’ general assets –
    [a]ll recoveries from a third party . . . – and a particular share of that fund to which Mid
    Atlantic was entitled – that portion of the total recovery which is due [Mid Atlantic] for
    benefits paid.” 
    Id. at 364
    (alterations in original) (internal citations and quotations marks
    omitted). Accordingly, the Supreme Court held that Mid Atlantic could pursue an action
    for appropriate equitable relief,4 and because the lien by agreement attached when the
    fund was identified, Mid Atlantic was free to “follow a portion of the recovery into the
    [Sereboffs’] hands[.]” 
    Id. (quoting Barnes,
    232 U.S. at 123) (first alteration in original)
    (internal quotation marks omitted).
    Kolt argues that “[b]ecause of Longaberger’s delay and inaction, there is no
    longer any specifically identifiable fund in Kolt’s possession on which Longaberger’s
    lien can be imposed.” Yet, an equitable lien by agreement does not require tracing or
    maintenance of a fund in order for equity to allow repayment. In Sereboff, the Supreme
    Court stated:
    4
    In its decision, the Supreme Court expressly abrogated our holding in Qualchoice, Inc. v.
    Rowland, 
    367 F.3d 638
    (6th Cir. 2004). 
    Sereboff, 547 U.S. at 361
    n.1.
    No. 08-4432            The Longaberger Co. v. Kolt                                                Page 9
    Barnes confirms that no tracing requirement of the sort asserted by the
    Sereboffs applies to equitable liens by agreement or assignment: The
    plaintiffs in Barnes could not identify an asset they originally possessed,
    which was improperly acquired and converted into property the
    defendant held, yet that did not preclude them from securing an equitable
    lien.
    
    Id. at 365.
    The Court also noted that “the fund over which a lien is asserted need not be
    in existence when the contract containing the lien provision is executed.” 
    Id. at 366.
    “What is required, however, is that the agreement specifically identify a particular fund
    – distinct from the defendant’s general assets – and a particular share of that fund to
    which the plan was entitled.” Gilchrest v. Unum Life Ins. Co. of Am., 255 F. App’x 38,
    45 (6th Cir. 2007) (unpublished) (citing 
    Sereboff, 547 U.S. at 364
    ). See also Gutta v.
    Standard Select Trust Ins. Plans, 
    530 F.3d 614
    , 621 (7th Cir. 2008) (allowing a claim
    under “29 U.S.C. § 1132(a)(3) even if the benefits it paid [the beneficiary] are not
    specifically traceable to [the beneficiary’s] current assets because of commingling or
    dissipation.”); Bombardier Aerospace Employee Welfare Benefits Plan v. Ferrer, Poirot
    & Wansbrough, 
    354 F.3d 348
    , 350, 362 (5th Cir. 2003) (allowing an ERISA plan to
    recover the settlement proceeds that the plan beneficiary’s law firm had deposited into
    its trust account). But cf. 
    Knudson, 534 U.S. at 214
    (2002) (defendant never had
    collected a “tort” recovery because it was held by a California trustee, not by defendant).
    Here, the Plan contains clear and unambiguous reimbursement provisions,
    indicating that its “rights of reimbursement and subrogation are reserved whether the
    liability of a third party arises in tort, contract or otherwise. . . . [and] attach to any full
    or partial judgment, settlement or other recovery.”5 Moreover, the explicit terms of the
    Plan state that it “shall automatically have a first priority lien upon the proceeds of any
    recovery by you or your Dependent(s) from such party to the extent of any benefits
    provided to you or your Dependent(s) by the Plan.” The Plan language thus identifies
    5
    Longaberger’s reimbursement provision is indistinguishable from the reimbursement provision
    the Supreme Court enforced in Sereboff, where there also was an equitable lien by agreement between the
    plan and the beneficiary. In Sereboff, the plan contained an “‘Act of Third Parties’” provision, which
    “require[d] a beneficiary who ‘receives benefits’ under the plan for such injuries to ‘reimburse [Mid
    Atlantic]’ for those benefits from ‘[a]ll recoveries from a third party (whether by lawsuit, settlement, or
    otherwise).’” 
    Sereboff, 547 U.S. at 359
    .
    No. 08-4432             The Longaberger Co. v. Kolt                                                 Page 10
    a fund distinct from the beneficiary’s general assets – “the proceeds of any recovery by
    you or your Dependents(s)” from a third party, and identifies a particular share of that
    fund to which the Plan is entitled – “the extent of any benefits provided to you or your
    Dependent(s) by the Plan.” Accordingly, Longaberger’s equitable lien attached to the
    settlement fund when it was identified and received in July 2004. Indeed, Kolt conceded
    at the district court’s February 9, 2005, hearing that he “probably” was aware at the time
    he wrote his August 4, 2004, letter to Longaberger, stating that “Mr. Billiter would like
    to try to amicabl[y] satisfy his subrogation obligation to [Longaberger],” that the Plan
    contained language that indicates the Plan has a first priority lien and first priority claim
    over funds recovered from third parties.6
    Kolt argues, however, that Sereboff and Gilchrest do not apply to him because
    he was neither a Plan fiduciary nor a beneficiary of the Plan. In Ward v. Wal-Mart
    Stores Inc., 
    194 F.3d 1315
    , 
    1999 WL 801532
    , at *5 (6th Cir. Sept. 30, 1999)
    (unpublished table decision), this court upheld a district court’s decision to award
    reimbursement to an ERISA plan, but reversed the district court’s decision to deduct a
    pro rata share of attorney fees from the amount of the reimbursement. The Ward panel
    also stated that “[t]he Plan may then file suit against the attorneys to recover the
    remaining one-third of the amount it is due.” 
    Id. at *4.
    Longaberger contends that Ward
    is “established precedent” that “allows an ERISA plan to seek reimbursement from an
    attorney for taking a fee on funds which belong to an ERISA plan.” Kolt counters that
    this single sentence in the Ward opinion is dicta and has no precedential effect. See
    Johnson v. City of Cincinnati, 
    310 F.3d 484
    , 493 (6th Cir. 2002); Stockler v. Garratt,
    
    893 F.2d 856
    , 859 n.2 (6th Cir. 1990). Moreover, because Ward is an unpublished
    decision, it is not precedentially binding on this panel, but may be considered for its
    persuasive value. Thompson v. N. Am. Stainless, LP, 
    567 F.3d 804
    , 809 n.2 (6th Cir.
    2009) (en banc) (citing United States v. Sanford, 
    476 F.3d 391
    , 396 (6th Cir. 2007)).
    6
    In his reply brief, Kolt acknowledges he testified that he was aware of Longaberger’s claim, but
    he argues that “he [did not] admit that Longaberger’s lien was valid, or that it had ‘first priority’ over any
    other claim[.]”
    No. 08-4432            The Longaberger Co. v. Kolt                                                 Page 11
    In Mertens, the Supreme Court ruled that damages, or legal remedies, were not
    recoverable under § 502 of ERISA, which allows only for equitable 
    relief. 508 U.S. at 255-58
    , n.8; see also Varity Corp. v. Howe, 
    516 U.S. 489
    , 509 (1996). Thus, the issue
    that the Ward panel did not address is whether an ERISA plan’s suit to recover plan
    funds from a beneficiary’s attorney, who is neither a fiduciary nor beneficiary himself
    of the plan, is within the scope of “appropriate equitable relief” allowed by § 502(a)(3).
    If such a suit is not equitable in nature, the district court must be reversed.
    To be sure, § 502(a)(3) limits the universe of potential plaintiffs who may bring
    a civil action for equitable relief to a “participant, beneficiary, or fiduciary” of an ERISA
    plan. The Act, however, does not contain a similar provision limiting the class of
    defendants in a § 502(a)(3) action. The Supreme Court recognized this in Harris Trust
    & Sav. Bank v. Salomon Smith Barney, Inc., 
    530 U.S. 238
    , 246 (2000) in which it noted
    that “§ 502(a)(3) admits of no limit (aside from the ‘appropriate equitable relief’ caveat
    . . . ) on the universe of possible defendants.”7 Indeed, while other provisions of ERISA
    expressly identify the individuals or entities subject to suit, Ҥ 502(a)(3) makes no
    mention at all of which parties may be proper defendants[.]” 
    Id. Accordingly, there
    is
    no statutory barrier that prevents Kolt from being a defendant in a suit brought pursuant
    to § 502(a)(3) of ERISA, provided that the relief sought lies in equity.
    Here, Longaberger asserted an action for equitable in rem relief under § 502(a)(3)
    in which it sought to recover its assets through use of a constructive trust and
    reimbursement lien. Longaberger properly identified a specific fund (i.e., that portion
    of the settlement funds equaling the amount Longaberger paid to cover Samuel Billiter’s
    medical expenses) that was in the possession and legal control of Kolt, but belonged in
    7
    Harris Trust involved litigation between an ERISA plan and a “party in interest,” which
    “encompass[es] those entities that a fiduciary might be inclined to favor at the expense of the plan’s
    beneficiaries.” Harris 
    Trust, 530 U.S. at 242
    . Nothing in the record suggests Kolt was likely to be favored
    by Longaberger, and thus we assume Kolt is not a “party in interest” for purposes of this litigation. The
    reasoning in Harris Trust, however, supports a finding that Kolt is a proper party defendant. See
    
    Bombardier, 354 F.3d at 353-54
    (stating “the Supreme Court’s reasoning in Harris Trust influences us to
    conclude today that § 502(a)(3) authorizes a cause of action against a non-fiduciary, non-‘party in interest’
    attorney-at-law when he holds disputed settlement funds on behalf of a plan-participant client who is a
    traditional ERISA party. As Harris Trust makes clear, an entity need not be acting under a duty imposed
    by one of ERISA’s substantive provisions to be subject to liability under § 502(a)(3).”).
    No. 08-4432            The Longaberger Co. v. Kolt                                               Page 12
    good conscience to the Plan. The fact that Kolt chose to disregard Longaberger’s first
    priority lien and commingle the settlement funds does not defeat Longaberger’s claim
    for equitable relief, because under Sereboff, Longaberger was free to follow a portion
    of the settlement funds into Kolt’s hands. We therefore hold that the Plan sought and
    was awarded “appropriate equitable relief” from Kolt.8
    III.
    In its motion for injunctive relief, Longaberger stated that “if Kolt disburses or
    otherwise commingles or uses the settlement funds which he holds in constructive trust
    for the benefit of the Plan, the Plan will forever lose the ability to recover its property.”
    Moreover, Longaberger represented that it was “not seeking to enforce its contractual
    right to reimbursement from Billiter. Instead, Longaberger, on behalf of the Plan,
    [sought] title to or a security interest in a particular, identifiable account: namely, the
    settlement funds in Kolt’s IOLTA account.” Longaberger argued that it would be
    irreparably harmed if an injunction were not granted because “[i]f the money leaves the
    [IOLTA], Longaberger [would] be left without recourse and [would] be unable to
    enforce the terms of the Plan.” Apparently persuaded by Longaberger’s arguments, the
    district court granted a preliminary injunction on February 16, 2005, which required Kolt
    to maintain any remaining settlement funds in his IOLTA during the pendency of this
    litigation.
    On May 15, 2006, the Supreme Court issued its decision in Sereboff which held
    that funds no longer had to be traceable or maintained in order for relief to qualify as
    equitable under ERISA. Because of Sereboff, Longaberger filed a second amended
    8
    Our conclusion is consistent with rulings made in our sister circuits, including the Seventh
    Circuit, where the court in Wal-Mart Stores, Inc. Assocs.’ Health & Welfare Plan v. Wells, 
    213 F.3d 398
    ,
    401 (7th Cir. 2000) held that a plan’s § 502(a)(3) action for a constructive trust over settlement funds
    presumed to be held in escrow by the beneficiary’s attorney “nestle[d] comfortably” within “ERISA’s
    concept of equity.” See also 
    Bombardier, 354 F.3d at 358
    n.43 (holding plan’s suit against law firm for
    constructive trust was a suit for “appropriate equitable relief”); Great-West Life & Annuity Ins. Co. v.
    Bullock, 
    202 F. Supp. 2d 461
    , 465 (E.D.N.C. 2002) (indicating that “the Court would find a cause of action
    lies [under section 502(a)(3)] where there are allegations of attorney wrongdoing or his intentional effort
    to ‘enable’ plan participants to avoid plan provisions.”); Greenwood Mills, Inc. v. Burris, 
    130 F. Supp. 2d 949
    , 960 (M.D. Tenn. 2001) (holding that “[a] lawyer who is fully aware of his client’s obligation under
    an ERISA plan to honor the subrogation interest of his employer may be held liable under [section
    502(a)(3) of ERISA].”).
    No. 08-4432         The Longaberger Co. v. Kolt                                     Page 13
    complaint on November 6, 2006, which “clarified its position seeking ‘equitable lien by
    agreement’ in light of the 2006 Supreme Court decision and ruling.” Longaberger also
    argued in its summary judgment briefing that “repayment” of funds that have already
    been disbursed from Kolt’s IOLTA was an available remedy under ERISA.
    Kolt argues on appeal that Longaberger’s claims for monetary relief should be
    barred by the doctrine of judicial estoppel because arguments Longaberger made in its
    initial pleadings, and on which the district court relied in issuing a preliminary
    injunction, were in conflict with those arguments Longaberger later presented in its
    motion for summary judgment. “Judicial estoppel is an equitable doctrine that preserves
    the integrity of the courts by preventing a party from abusing the judicial process
    through cynical gamesmanship, achieving success on one position, then arguing the
    opposite to suit an exigency of the moment.” Teledyne Indus., Inc. v. NLRB, 
    911 F.2d 1214
    , 1217-18 (6th Cir. 1990); see also New Hampshire v. Maine, 
    532 U.S. 742
    , 750
    (2001). “The doctrine of judicial estoppel bars a party from (1) asserting a position that
    is contrary to one that the party has asserted under oath in a prior proceeding, where (2)
    the prior court adopted the contrary position ‘either as a preliminary matter or as part of
    a final disposition.’” Browning v. Levy, 
    283 F.3d 761
    , 775 (6th Cir. 2002) (quoting
    
    Teledyne, 911 F.2d at 1218
    ). The doctrine of judicial estoppel, however, “is applied
    with caution to avoid impinging on the truth-seeking function of the court because the
    doctrine precludes a contradictory position without examining the truth of either
    statement.” 
    Teledyne, 911 F.2d at 1218
    (footnote omitted). Moreover, a court should
    consider whether a party has gained an unfair advantage from the court’s adoption of its
    earlier inconsistent statement. New 
    Hampshire, 532 U.S. at 751
    .
    The issue of judicial estoppel combined with a change in law appears to be an
    issue of first impression in our circuit. In such cases, “this Court routinely looks to our
    sister circuits for guidance[.]” United States v. Houston, 
    529 F.3d 743
    , 762 n.3 (6th Cir.
    2008) (Clay, J., dissenting). Several of our sister circuits have held that judicial estoppel
    is inappropriate when a party is merely changing its position in response to a change in
    the law. See Jarrard v. CDI Telecomms., Inc., 
    408 F.3d 905
    , 915 (7th Cir. 2005)
    No. 08-4432        The Longaberger Co. v. Kolt                                    Page 14
    (“Judicial estoppel should not be used to work an injustice, particularly when the
    defendants’ change in position resulted from circumstances outside their control –
    namely, a change in controlling state law.”) (internal citation omitted); Folio v. City of
    Clarksburg, 
    134 F.3d 1211
    , 1218 (4th Cir. 1998) (judicial estoppel not invoked where
    second position was based upon a change in the law); United States v. Vastola, 
    989 F.2d 1318
    , 1324 (3d Cir. 1993) (same); Maui Land & Pineapple Co. v. Occidental Chem.
    Corp., 
    24 F. Supp. 2d 1083
    , 1086 (D. Haw. 1998) (explaining that the application of
    judicial estoppel “is inappropriate when a party is merely changing its position in
    response to a change in the law.”) (citing Arizona v. Shamrock Foods Co., 
    729 F.2d 1208
    , 1215 (9th Cir. 1984)) (finding no judicial estoppel when a party altered its theory
    of recovery in response to a change in law); Seneca Nation of Indians v. New York, 
    26 F. Supp. 2d 555
    , 565-66 (W.D.N.Y. 1998), aff’d, 
    178 F.3d 95
    (2d Cir. 1999). Moreover,
    other courts have found that judicial estoppel bars changes in factual positions and does
    not extend to inconsistent opinions or legal positions. Okland Oil Co. v. Conoco Inc.,
    
    144 F.3d 1308
    , 1325 (10th Cir. 1998), appeal after remand, 
    149 F.3d 1191
    (10th Cir.
    1998) (unpublished table decision); Ottema v. State ex rel. Wyoming Worker’s Comp.
    Div., 
    968 P.2d 41
    , 45-46 (Wyo. 1998).
    In the present case, there is no evidence of the gamesmanship that the doctrine
    of judicial estoppel was intended to prevent. Longaberger’s arguments, though facially
    inconsistent, were not an attempt to abuse the judicial process through cynical
    gamesmanship. Rather, Longaberger altered its theory of recovery in response to the
    change in the law brought by Sereboff. In light of this change in law, Longaberger’s
    motives are not suspicious because, for the reasons stated above, Longaberger could not
    have argued its prior position without running afoul of controlling Supreme Court case
    law. Cf. New 
    Hampshire, 532 U.S. at 755
    (recognizing that judicial estoppel might not
    be applicable if inconsistent positions result from change in public policy, statutory
    provisions, or facts) (citations omitted). We therefore adopt the position of our sister
    circuits and hold that judicial estoppel is not applicable where a party argues an
    inconsistent position based on a change in controlling law. Accordingly, Kolt’s judicial
    estoppel argument fails.
    No. 08-4432           The Longaberger Co. v. Kolt                                  Page 15
    IV.
    Next, Kolt asserts the “rights of reimbursement and subrogation” provision
    contained in the Longaberger Plan is not self-executing and, thus, did not create an
    automatic lien on Samuel Billiter’s tort recovery.          Moreover, Kolt argues that
    Longaberger’s lien is subordinate to his lien pursuant to Ohio law. In support of his
    position, Kolt points to the following Plan language: “[i]n the event that benefits are to
    be paid by the Plan for expenses resulting from an injury for which a third party is liable,
    you or your Dependent(s), as appropriate, shall execute a Subrogation/Right of
    Reimbursement Agreement, in a form prescribed by the Plan.” Furthermore, Kolt
    references the following sentence found in the Plan: “[y]ou or your Dependent(s) or
    their representative shall execute such documents as may be required to secure the Plan’s
    rights.”
    Kolt, however, presents these phrases without proper context. The Plan’s plain
    language unambiguously states that it “automatically [has] a first priority lien upon the
    proceeds of any recovery by you or your Dependant(s) from such party to the extent of
    any benefits provided[.]” Longaberger’s Plan does not require a signed reimbursement
    agreement as a prerequisite before providing the Plan with rights of reimbursement and
    subrogation. Rather, such documents shall be executed only “as appropriate” and “as
    may be required to secure the Plan’s rights[.]”
    In Health Cost Controls v. Isbell, 
    139 F.3d 1070
    , 1072 (6th Cir. 1997), we
    explained, “the plain language of an ERISA plan should be given its literal and natural
    meaning.” Here, the Plan’s terms provide for automatic rights of reimbursement and
    subrogation, and only require beneficiaries to execute additional documents as necessary
    to secure the Plan’s rights. Nothing in the record suggests that Longaberger needed
    these additional documents in the present case. Accordingly, the district court ruled
    correctly that Longaberger’s Plan was self-executing and that the Plan language provides
    for an automatic and valid lien on the settlement funds to the extent of the benefits
    Samuel Billiter received from the Plan.
    No. 08-4432         The Longaberger Co. v. Kolt                                     Page 16
    V.
    Finally, Kolt argues, pursuant to Ohio law, that he has an attorney charging lien,
    which takes priority over Longaberger’s lien. Kolt claims his lien “attached in June and
    July 2003, when his clients signed retainer agreements with him.” According to Kolt,
    “Longaberger’s lien didn’t attach until August 2003 at the earliest, when it began paying
    [Samuel] Billiter’s expenses, and in July 2004 at the latest, when Kolt received the
    settlement funds from the tortfeasors who injured [Samuel].” Regardless of whether
    Longaberger’s lien attached in August 2003 or July 2004, Kolt argues that his lien
    should be given first priority because Ohio liens are prioritized by time and his lien
    attached at an earlier date.
    “A primary purpose of ERISA is to ensure the integrity and primacy of the
    written plans.” 
    Isbell, 139 F.3d at 1072
    . ERISA broadly preempts “any and all State
    laws insofar as they may now or hereafter relate to any employee benefit plan[.]” 29
    U.S.C. § 1144(a). See also Auto Owners Ins. Co. v. Thorn Apple Valley, Inc., 
    31 F.3d 371
    , 374 (6th Cir. 1994). Indeed, “virtually all state law claims relating to an employee
    benefit plan are preempted by ERISA.” Cromwell v. Equicor-Equitable HCA Corp., 
    944 F.2d 1272
    , 1276 (6th Cir. 1991). Therefore, “only those state laws and state law claims
    whose effect on employee benefit plans is merely tenuous, remote or peripheral are not
    preempted.” 
    Id. Longaberger’s Plan
    provides that “[t]he Plan shall have a first priority claim
    against any proceeds . . . . [and that] [t]he Plan’s rights shall not be subject to reduction
    under any common fund or similar claims or theories.” In Ward, we interpreted a similar
    plan provision as follows:
    A fair interpretation of this language is that full reimbursement is
    required without a deduction for attorneys’ fees expended to obtain a
    settlement. The language of the Plan does not limit or restrict its right to
    full reimbursement in any manner. Of course, it would have been
    preferable for the Plan to state specifically that it does not permit a
    deduction in reimbursement amounts for attorneys’ fees expended to
    obtain a settlement; nonetheless, when a plan is clear and unambiguous,
    No. 08-4432         The Longaberger Co. v. Kolt                                    Page 17
    we cannot apply a common-law rule of interpretation but, inste[a]d, must
    give the plain language of a plan its natural meaning.
    
    1999 WL 801532
    , at *4 (citation omitted). The same result was reached in Isbell, where
    we reviewed a similar provision and interpreted it to “expressly require[] full
    reimbursement of the Plan for medical benefits when a beneficiary recovers sufficient
    damages from a third party tortfeasor. . . . Thus, Isbell [did] not have an affirmative
    contractual right under the Plan to a set-off for legal costs attributable to recovering the
    amount of the medical 
    benefits.” 139 F.3d at 1072
    . We also noted that “Isbell ha[d] not
    identified to this Court that application of a set-off under a[n] equitable common fund
    doctrine would advance any explicit statutory purpose of ERISA. Rather, we [found]
    that it would undermine the express terms of the Plan that require full reimbursement for
    medical benefits.” 
    Id. Here, the
    Longaberger Plan required full reimbursement of benefits paid when
    a Plan participant received a judgment or settlement. The district court was correct to
    not deduct attorney fees from the amount of reimbursement due to Longaberger. Thus,
    we conclude that Kolt is obligated to reimburse the Plan from the funds he received from
    liable third parties. Kolt’s decision to commingle these funds and not maintain them
    intact does not prevent enforcement of Longaberger’s equitable lien by agreement under
    the terms of its ERISA plan.
    VI.
    For these reasons, we affirm the judgment of the district court.
    

Document Info

Docket Number: 08-4432

Filed Date: 11/16/2009

Precedential Status: Precedential

Modified Date: 9/22/2015

Authorities (36)

Okland Oil Company v. Conoco Inc. , 144 F.3d 1308 ( 1998 )

seneca-nation-of-indians-united-states-of-america , 178 F.3d 95 ( 1999 )

United States v. Houston , 529 F.3d 743 ( 2008 )

United States v. Gaetano Vastola, United States of America ... , 989 F.2d 1318 ( 1993 )

Bombardier Aerospace Employee Welfare Benefits Plan v. ... , 354 F.3d 348 ( 2003 )

bernard-j-folio-mid-city-land-company-bernard-j-folio-dba-high-rise , 134 F.3d 1211 ( 1998 )

United States v. Rondrell Sanford (05-6489) Tyshawn Hill (... , 476 F.3d 391 ( 2007 )

17-employee-benefits-cas-1499-pens-plan-guide-p-23887l-vernal-l-moore , 8 F.3d 335 ( 1993 )

Thompson v. North American Stainless, LP , 567 F.3d 804 ( 2009 )

Qualchoice, Inc. v. Robin Rowland , 367 F.3d 638 ( 2004 )

Peggy Welshans Williamson, and Vanessa Welshans v. Aetna ... , 481 F.3d 369 ( 2007 )

Lawrence J. Stockler v. C. William Garratt , 893 F.2d 856 ( 1990 )

Robert Cromwell v. Equicor-Equitable Hca Corp. , 944 F.2d 1272 ( 1991 )

Auto Owners Insurance Company, a Michigan Insurance ... , 31 F.3d 371 ( 1994 )

Gutta v. Standard Select Trust Insurance Plans , 530 F.3d 614 ( 2008 )

Wal-Mart Stores, Incorporated Associates' Health and ... , 213 F.3d 398 ( 2000 )

Health Cost Controls v. Ralph Isbell, Father and Next ... , 139 F.3d 1070 ( 1997 )

christopher-browning-jeffrey-rademan-nationwise-automotive-inc-employee , 283 F.3d 761 ( 2002 )

teledyne-industries-inc-doing-business-as-teledyne-still-man , 911 F.2d 1214 ( 1990 )

smith-wholesale-company-inc-rice-wholesale-co-inc-andalusia , 477 F.3d 854 ( 2007 )

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