Justia Indiana Supreme Court Opinion Summaries
Articles Posted in ERISA
Geels v. Flottemesch
A man designated his sister as the beneficiary of his employer-issued life insurance policies, amounting to $150,000, with instructions that she distribute the proceeds to his three daughters. The man, suffering from declining health, relied on his sister to manage his finances, legal affairs, and healthcare decisions, creating a fiduciary relationship. After his death, the sister claimed the insurance proceeds for herself, contrary to the instructions. The daughters sought a constructive trust over the proceeds, claiming the sister was to hold the funds in trust for them, while the sister denied any fiduciary breach and asserted entitlement under the policy.The Allen Superior Court, after a bench trial, found no undue influence or fraud in the beneficiary designation but concluded that the sister breached her fiduciary duty by failing to distribute the proceeds as instructed. The court imposed a constructive trust in favor of the daughters, finding by clear and convincing evidence that the deceased intended for them to receive the insurance money. The sister appealed, arguing that the Employee Retirement Income Security Act of 1974 (ERISA) preempted such state-law remedies and that the evidence did not meet the required standard. The Indiana Court of Appeals twice reversed the trial court, holding that ERISA preempted the remedy, but the Indiana Supreme Court remanded for application of the correct standard of proof without reaching the preemption issue.The Indiana Supreme Court, upon further review, held that the sister waived her ERISA preemption argument by not raising it in the trial court. The court affirmed the trial court's imposition of a constructive trust, concluding that the findings of a fiduciary relationship and breach of duty were supported by clear and convincing evidence. Accordingly, the Indiana Supreme Court affirmed the trial court’s judgment in favor of the daughters. View "Geels v. Flottemesch" on Justia Law
FMS Nephrology Partners North Central Indiana Dialysis Centers, LLC v. Meritain Health, Inc.
The Supreme Court vacated the trial court's grant of summary judgment for Defendants, holding that the trial court erred by entering summary judgment for defendant health-insurance plans, which were governed by the Employee Retirement Income Security Act of 1974 (ERISA), based on ERISA preemption.Plaintiff, a health-care provider, contracted with two third-party networks. Defendants and its affiliated employee health-insurance plans contacted with both health networks. Seven patients received treatments from Plaintiff, and the patients were covered under Defendants' plans. Plaintiff sued Defendants, alleging that they failed to pay agreed reimbursement rates for covered services under their plans. The trial court granted summary judgment against Plaintiff, concluding that Plaintiff's claims were preempted under ERISA's conflict-preemption provision, 29 U.S.C. 1144(a). The Supreme Court vacated the judgment, holding that genuine issues of disputed fact existed concerning the central issue of whether the provider's claims were denied coverage under the plans or whether the provider's claims necessitated interpreting the plan documents. View "FMS Nephrology Partners North Central Indiana Dialysis Centers, LLC v. Meritain Health, Inc." on Justia Law