Andrey L. BURTON, Plaintiff-Appellant, v. BANTA GLOBAL TURNKEY LTD., Etc.; et al, Defendants-Appellees. Banta Global Turnkey Ltd., doing business as Banta Corporation; Unicare Health Plans of Texas Inc., formerly known as MethodistCare Inc.; Unicare Health Plans of Texas Inc., Individually, Defendants-Appellees.
No. 04-20721.
United States Court of Appeals, Fifth Circuit.
Decided March 23, 2006.
170 Fed. Appx. 918
The record fails to disclose that Mansker ever raised the issue of Howard‘s disqualification or desire for new counsel at any time in the district court, nor does it appear that she objected to the lack of cross-examination of Howard. Indeed, the district court specifically addressed the potential conflict in Howard‘s testimony, and Mansker assented to Howard taking the stand. Thus, Mansker has waived both claims. It is well established that “[t]o avoid being waived, an argument must be raised to such a degree that the trial court may rule on it.” Chamberlain v. United States, 401 F.3d 335, 337 n. 7 (5th Cir. 2005). “[I]ssues raised for the first time on appeal ‘are not reviewable by this court unless they involve purely legal questions and failure to consider them would result in manifest injustice.‘” Varnado v. Lynaugh, 920 F.2d 320, 321 (5th Cir.1991) (quoting U.S. v. Garcia-Pillado, 898 F.2d 36, 39 (5th Cir.1990)). We are not convinced that in this situation our failure to consider these claims will result in any “manifest injustice.”
III.
Oak Farms cross-appeals from the district court‘s order, arguing that the court erred in failing to award it its attorneys’ fees incurred in relation to the motion to enforce the settlement agreement. The decision of the district court regarding the award or denial of attorney‘s fees shall not be disturbed absent a clear finding of abuse of discretion. EEOC v. Tarrant Distrib., Inc., 750 F.2d 1249, 1250 (5th Cir.1984). We perceive no such abuse of discretion in this case.
IV.
Mansker has waived her claims regarding Howard‘s testimony at the evidentiary hearing, and the district court did not abuse its discretion in denying Oak Farms its attorneys’ fees. Therefore, the order of the district court is:
AFFIRMED.
Scott P. Hazen, Christi Dickson Feeney, Godwin Gruber, Dallas, TX, Jeffrey A. Davis, McGinnis, Lochridge & Kilgore, Houston, TX, for Defendants-Appellees.
Before BARKSDALE, STEWART, and CLEMENT, Circuit Judges.
EDITH BROWN CLEMENT, Circuit Judge:*
In this action, the plaintiff appeals the district court‘s order granting summary judgment in favor of the defendants on all counts. We affirm in part and reverse in part.
I. FACTS AND PROCEEDINGS
A. Facts
Andrey L. Burton was employed by Banta Global Turnkey, Ltd. (“Banta“) and covered by health insurance through MethodistCare, Inc. By acquisition and change of name, MethodistCare became UniCare Health Plans of Texas, Inc. (“UniCare“). On August 22, 2001, Burton‘s employment was terminated; on August 31, 2001, his coverage was terminated. Banta did not inform Burton of his rights to continue medical coverage at that time.
On September 1, 2001, the day after his health insurance coverage terminated, Burton was admitted to the Park Plaza Hospital in Houston, Texas. He underwent surgery on both September 2 and 8, 2001. Burton remained under medical care until October 2001, incurring over $150,000 in medical expenses.
According to Burton, he did not learn, until after his surgery, that his employment had been terminated. He underwent the job separation process with Banta in November 2001, but maintains that he did
B. Proceedings
On December 19, 2003, Burton brought suit against Banta and Banta‘s employee welfare benefits provider, UniCare, in Texas court.1 UniCare removed the case to federal district court and asserted that Burton‘s state law claims were preempted by the Employee Retirement Income Security Act (“ERISA“),
Banta asserted that the COBRA claim was time-barred because suit was initiated more than two years after Burton was put on notice of his coverage termination. Banta relied on the two letters, which were purportedly sent to Burton, as establishing notice. Although Burton denied receiving the letters, Banta maintained that notice was established because the letters were entitled to the presumption of receipt. The parties briefed only the COBRA statute of limitations issue for summary judgment.
The district court agreed with Banta and granted summary judgment against Burton. The judgment, titled a final judgment, was a take nothing judgment in favor of all of the defendants. The parties had not briefed the non-COBRA claims. Burton moved for reconsideration and argued (1) that the letters did not establish notice because the presumption of receipt did not apply to either letter and (2) that the district court should not have granted judgment on the ERISA and fraud claims without discovery or sufficient notice. The district court denied the motion for reconsideration with written reasons. Burton now appeals raising, essentially, the same arguments.
II. STANDARD OF REVIEW
We review a district court‘s grant of summary judgment de novo, employing the same standard as that employed by the district court. Harris Methodist Fort Worth v. Sales Support Servs. Inc. Employee Health Care Plan, 426 F.3d 330, 333 (5th Cir.2005) (citing Royal Ins. Co. of Am. v. Hartford Underwriters Ins. Co., 391 F.3d 639, 641 (5th Cir.2004)). Questions of law are also reviewed de novo. Id. (citing In re CPDC, Inc., 337 F.3d 436, 441 (5th Cir.2003)). If, based on the record before the district court, “there is no genuine issue as to any material fact and the moving party is entitled to a judgment as a matter of law,” summary judgment is appropriate.
III. DISCUSSION
A. COBRA Claim—Timeliness
When an employee enrolled in a benefits plan is terminated, COBRA requires the plan sponsor to notify the beneficiary of the option to continue coverage under the plan. See
Neither party contends that Banta actually complied with
“Proof that a letter properly directed was placed in a U.S. post office mail receptacle creates a presumption that it reached its destination in the usual time and was actually received by the person to whom it was addressed.” Beck v. Somerset Technologies, Inc., 882 F.2d 993, 996 (5th Cir. 1989). See also Hagner v. United States, 285 U.S. 427, 430 (1932); Warfield v. Byron, 436 F.3d 551, 556 (5th Cir.2006) (citing Beck). However, Banta supplied insufficient proof to support the district court‘s ruling that the letters were entitled to the presumption of receipt. Because the circumstances surrounding each of the letters cast sufficient doubt on whether they were either
If either letter were entitled to the presumption, the non-receipt of the other would be immaterial; accordingly, we address both letters.
(1) November 14 Letter
The first letter, dated November 14, 2001, originated from the office of a treating physician, Joseph C. Gathe, Jr., M.D. The letter stated that Burton‘s “insurance company ha[d] not made a payment on [Burton‘s] claim” because he had “[n]o coverage at the time of service.” If Burton had received this letter timely, it may have been enough to put him on notice of his lack of coverage and, hence, the COBRA violation. Banta has no evidence that Burton received the letter. Therefore, it must prove that the letter was properly mailed and directed to establish the presumption of receipt.
Banta attempted to prove that it was entitled to the benefit of the presumption with an affidavit by Valerie Flourney, Dr. Gathe‘s employee and billing custodian. Sometime after the original affidavit was filed, it became known that Flourney was not an employee at the time the letter was sent; rather, she was hired more than two years after the letter had been sent. In
A district court cannot consider inadmissible evidence contained in affidavits.
(2) November 16 Letter
The second letter, dated November 16, 2001, which originated from Tenet Healthcare Systems, provided that Tenet had been notified that Burton‘s “policy has been terminated.” As before, if the letter had been received, it may have been enough to put Burton on notice of the COBRA violation. Also, as before, Banta relies only on the presumption to establish receipt of this letter.
Banta has failed to prove that the presumption applies to this letter for two reasons: (1) the letter was sent by certified mail and no delivery receipt was produced; and (2) the letter bears an incorrect address. The necessary proof to give rise to the presumption of receipt changes when the letter is sent by certified mail. In Mulder v. Commissioner of Internal Revenue, 855 F.2d 208, 212 (5th Cir.1988), this circuit held that “[w]hile it is presumed that a properly-addressed piece of mail placed in the care of the Postal Service has been delivered, no such presumption of delivery exists for certified mail when the requested return receipt is not received by the sender.”5 Here, Banta has produced no certified mail receipt of delivery.
Moreover, the evidence did not show that the letter was properly addressed: it was addressed to “6514 Sandy York,” but Burton‘s address was “6514 Sandy Oak.” The district court surmised that “a mailman can determine where to deliver a letter” despite the fact that the street name is partly incorrect. But this conclusion lacked requisite summary judgment evidentiary support in light of the absence of a delivery receipt and the incorrect address.
Viewing the evidence in light most favorable to the non-movant, we conclude that neither letter was entitled to the presumption of receipt. Because the question of whether either letter was actually received is a question of material fact, the district court erred in granting summary judgment on the COBRA claim against Banta. Burton is entitled to have this issue resolved by the fact finder.6
B. ERISA & Fraud Claims—Notice of Summary Judgment
Banta pursued its motion for summary judgment exclusively on the COBRA issue. However, the district court entered a take nothing judgment against Burton on all claims. In its denial of the Rule 59(e) motion, the district court stated that it had founded its summary judgment for the non-COBRA claims on two points: (1) Burton was not employed at the time of his medical treatment; and (2) Burton‘s state law fraud claims were preempted by ERISA.7
Burton does not contest these substantive points. Nevertheless, he argues that the district court‘s failure to properly warn the parties that summary judgment on these issues was under consideration constituted reversible error. On appeal, Burton limits his argument to the district court‘s failure to give ten-days notice before entering summary judgment on its own motion.
To an extent, Burton is correct: “District courts can enter summary judgment sua sponte, so long as the losing party has ten days notice to come forward with all of its evidence.” Washington v. Resolution Trust Corp., 68 F.3d 935, 939 (5th Cir. 1995). See also Benchmark, 343 F.3d at 725. Burton contested the procedural propriety of the summary judgment ruling in his Rule 59(e) motion. Therefore, we review the district court‘s failure for harmless error. Benchmark, 343 F.3d at 725; Washington, 68 F.3d at 939-40.
In this circuit, lack of notice is “considered harmless if the nonmovant has no additional evidence.” Resolution Trust Corp. v. Sharif-Munir-Davidson Dev. Corp., 992 F.2d 1398, 1403 n. 7 (5th Cir. 1993). In addition, we have made clear that a party‘s Rule 59(e) motion suffices to cure any harm from lack of notice: “If the party opposing the motion for summary judgment is ‘afforded an opportunity ... to present the court with evidence supporting [its] arguments’ in a motion for reconsideration, the court‘s failure to provide an opportunity to respond is harmless error.” Simmons v. Reliance Standard Life Ins. Co., 310 F.3d 865, 869 n. 4 (5th Cir.2002) (quoting Winters v. Diamond Shamrock Chem. Co., 149 F.3d 387, 402 (5th Cir. 1998)) (alterations in original).
Burton argues that he intentionally limited the evidence in his summary judgment briefs to the COBRA issue. However, neither his brief in support of his Rule 59(e) motion nor his brief before this court contain any evidence in support of his non-COBRA claims; he does not even allege that any such evidence exists. He states, in his motion for reconsideration, that no discovery had taken place on the non-COBRA issues and implies that he was denied the opportunity to engage in discovery on
The record evidence shows that Burton was terminated on August 22, 2001, and that his insurance coverage was terminated on August 31, 2001. Because of these events, Burton was no longer entitled to coverage under the plan. Before this court, Burton has not described any evidence that might be available upon further discovery to refute the record evidence. Indeed, Burton has not even argued that he was employed at the time of his medical treatment.
Burton had the opportunity in his Rule 59(e) motion and his briefs to this court to identify any evidence that might be available to support his ERISA claim. Because he has advanced no evidence and given no indication that such evidence exists, the district court‘s failure to afford him ten days notice before entering summary judgment was harmless.
IV. CONCLUSION
We AFFIRM the district court‘s grant of summary judgment in favor of UniCare on the COBRA claim. Further, we AFFIRM the district court‘s grant of summary judgment to all defendants on the ERISA and state fraud claims. However, because the district court erred in granting Banta summary judgment on the COBRA claim, we REVERSE in part and REMAND to the district court for further proceedings for that claim.
