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William Brown v. Us Steel Corp, 10-4475 (2011)

Court: Court of Appeals for the Third Circuit Number: 10-4475 Visitors: 21
Filed: Nov. 17, 2011
Latest Update: Feb. 22, 2020
Summary: NOT PRECEDENTIAL UNITED STATES COURT OF APPEALS FOR THE THIRD CIRCUIT _ No. 10-4475 _ WILLIAM E. BROWN, Appellant v. UNITED STATES STEEL CORPORATION; UNITED STATES STEEL AND CARNEGIE PENSION FUND _ On Appeal from the United States District Court for the Western District of Pennsylvania (D.C. No. 2-10-cv-00780) Magistrate Judge: Honorable Robert C Mitchell _ Submitted Pursuant to Third Circuit LAR 34.1(a) October 25, 2011 Before: FISHER, VANASKIE and ROTH, Circuit Judges. (Filed: November 17, 201
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                                                               NOT PRECEDENTIAL

                      UNITED STATES COURT OF APPEALS
                           FOR THE THIRD CIRCUIT
                                ____________

                                     No. 10-4475
                                    ____________

                               WILLIAM E. BROWN,

                                       Appellant

                                          v.

                  UNITED STATES STEEL CORPORATION;
            UNITED STATES STEEL AND CARNEGIE PENSION FUND
                              ____________

                    On Appeal from the United States District Court
                       for the Western District of Pennsylvania
                               (D.C. No. 2-10-cv-00780)
                    Magistrate Judge: Honorable Robert C Mitchell
                                    ____________

                   Submitted Pursuant to Third Circuit LAR 34.1(a)
                                  October 25, 2011

              Before: FISHER, VANASKIE and ROTH, Circuit Judges.

                             (Filed: November 17, 2011)
                                    ____________

                             OPINION OF THE COURT
                                  ____________

FISHER, Circuit Judge.

      William E. Brown (“Brown”) appeals the District Court‟s conversion of the

Defendants‟ motion to dismiss to a motion for summary judgment and its subsequent

granting of the summary judgment motion. For the reasons stated below, we will affirm.
                                              I.

        We write principally for the parties, who are familiar with the factual context and

legal history of this case. Therefore, we will set forth only those facts necessary to our

analysis.

        Brown began working for United States Steel Corporation (“U.S. Steel”) on

August 5, 1968. On October 22, 1981, he suffered a work-related injury in a motor

vehicle accident, which prevented him from returning to work. At the time, he was

enrolled in U.S. Steel‟s self-insured workers‟ compensation program, which covered his

medical bills and a portion of his lost wages in accordance with Pennsylvania workers‟

compensation law. At the time of his injury and thereafter, Brown‟s health insurance

benefits were administered by the United States Steel and Carnegie Pension Fund (“the

Pension Fund”) and paid for by U.S. Steel as part of a self-insured employer group health

plan.

        In 1986, Brown filed an Application for Retirement Benefits to the Pension Fund

under the class of “permanent incapacity” retirement. U.S. Steel and the Pension Fund

(the “Defendants”) argue that this is indicative of Brown‟s retirement from the company.

Since July 1986, Brown has received monthly pension payments in the amount of

$317.76 (which was later increased to $367.75 due to collective bargaining agreements)

with a supplement of $400 per month until he attained the age of sixty-two or became

eligible for Social Security Disability benefits as provided in Section 3.4 of the 1980


                                              2
Pension Agreement. Accordingly, his active employee insurance coverage ceased on

June 30, 1986, and he enrolled in the company-paid hospital and physicians‟ services

benefits under the Program of Hospital-Medical Benefits for Eligible Pensioners and

Surviving Spouses. In 1987, Brown was awarded Social Security Disability benefits

retroactive to 1984.

       On June 26, 1989, the Pension Fund received a report from the Social Security

Administration (“SSA”) indicating that Brown was entitled to Medicare Part A coverage

as of July 1, 1984. Brown alleges that the U.S. Steel benefits office counseled him to

apply for Medicare Part B coverage in 1989 and then again in 1992 after his first

application was denied. His second application for Medicare Part B coverage was

approved. Between 1992 and 2004, Medicare paid approximately $750,000 in medical

expenses incurred by Brown and his family.

       In September 2005, the SSA determined that Brown improperly applied for

Medicare Part B benefits and refunded him the supplemental premiums that he had been

paying since 1992. Brown argues that under the Medicare Secondary Payer statute

(“MSP”), the Defendants are obligated to repay Medicare for these medical expenses that




                                             3
had been conditionally paid by Medicare but should have been paid by the company‟s

health plan.1 He first notified U.S. Steel of the SSA‟s determination on June 1, 2006.

       On June 8, 2010, Brown filed suit against the Defendants seeking to recover the

amount allegedly owed by the Defendants.2 On August 26, 2010, Defendants filed a

motion to dismiss or, in the alternative, a motion for summary judgment. In support of

the motion, Defendants filed an affidavit from Michael Stehura, the Director of the

Pension and Retiree Benefits Administration for the Pension Fund, with accompanying

exhibits. On August 27, 2010, the District Court entered an order stating that the motion

may be treated as a motion for summary judgment. On September 10, 2010, Brown

submitted his response opposing both the conversion of the motion as well as summary




       1
         Under the MSP, Medicare may make conditional payments for covered services
“if a primary plan . . . has not made . . . payment with respect to such item or services
promptly.” 42 U.S.C. § 1395y(b)(2)(B)(i). However, a primary plan must reimburse
Medicare for such conditional payments “if it is demonstrated that such primary plan has
or had the responsibility to make payment.” 
Id. 2 The
Defendants argued in their motion for summary judgment that Brown lacked
standing to bring suit because he did not suffer any injury when Medicare is not currently
seeking reimbursement from Brown. We agree with the District Court that Brown has
standing to sue because the June 1, 2009 letter from the Medicare Secondary Payer
Recovery Contractor notified Brown that the “conditional payments are subject to
reimbursement to Medicare from proceeds received pursuant to a workers‟ compensation
settlement . . . [and they] are still investigating this matter to obtain any other outstanding
Medicare conditional payments.” The imminent injury from unresolved conditional
payments made on his behalf is sufficient to give Brown standing. See Friends of the
Earth v. Laidlaw Envtl. Servs., 
528 U.S. 167
, 180 (2000) (citing Lujan v. Defenders of
Wildlife, 
504 U.S. 555
, 560-61 (1992)).


                                               4
judgment. On October 29, 2010, the District Court converted the Defendants‟ motion to

a motion for summary judgment and granted it. Brown timely appealed.

                                             II.

       The District Court had subject matter jurisdiction under 42 U.S.C.

§ 1395y(b)(3)(A) and 28 U.S.C. § 1331. We have appellate jurisdiction under 28 U.S.C.

§ 1291. We exercise plenary review when deciding whether the District Court erred in

converting a motion to dismiss into a motion for summary judgment. In re Rockefeller

Ctr. Props., Inc. Sec. Litig., 
184 F.3d 280
, 287 (3d Cir. 1999). We review a claim that

the District Court prematurely granted summary judgment for abuse of discretion.

Pastore v. Bell Tel. Co. of Pa., 
24 F.3d 508
, 510 (3d Cir. 1994) (citation omitted). Our

review of the District Court‟s grant of summary judgment is plenary, and in making this

determination, we view the facts in the light most favorable to the nonmoving party.

Norfolk S. Ry. Co. v. Basell U.S.A. Inc., 
512 F.3d 86
, 91 (3d Cir. 2008).

                                            III.

       Brown first submits that the District Court erred in converting the Defendants‟

motion to dismiss into a motion for summary judgment. Under Rule 12(d) of the Federal

Rules of Civil Procedure, a district court properly converts a motion to dismiss into a

motion for summary judgment if (1) the materials submitted go outside of the pleadings

and are not excluded by the court and (2) the parties had adequate notice of the district

court‟s intention to convert. See In re 
Rockefeller, 184 F.3d at 287
. The motion was


                                             5
properly converted here. First, the parties submitted affidavits and documents, such as

the affidavit of Michael Stehura, that were not excluded by the District Court, which

required conversion of the motion to dismiss because they went beyond the pleadings.

Second, on August 27, 2010, the District Court entered an order advising the parties that

the motion may be treated as a motion for summary judgment and notified Brown to file

an appropriate response, including possible affidavits, in opposition to the motion by

September 10, 2010. This provided adequate notice. Thus, the District Court properly

converted the motion to dismiss into a motion for summary judgment.

       Brown next submits that the District Court abused its discretion in granting the

motion before giving Brown a reasonable opportunity for discovery. If a motion to

dismiss is treated as a motion for summary judgment, then the “parties must be given a

reasonable opportunity to present all the material that is pertinent to the motion.” Fed. R.

Civ. P. 12(d). Brown asserts that this “reasonable opportunity to present all materials”

includes the opportunity to engage in discovery to obtain the pertinent information.

Brown is correct that we are “obliged to give a party opposing summary judgment an

adequate opportunity to obtain discovery.” Dowling v. City of Phila., 
855 F.2d 136
, 139

(3d Cir. 1988) (citing Celotex Corp. v. Catrett, 
477 U.S. 317
, 322 (1986)). But if a party

believes it needs additional time for discovery, it must follow the procedure outlined in

Rule 56(f) of the Federal Rules of Civil Procedure. 
Id. “This court
has interpreted Rule

56(f) as imposing a requirement that a party seeking further discovery in response to a


                                             6
summary judgment motion submit an affidavit specifying . . . what particular information

is sought; how, if uncovered, it would preclude summary judgment; and why it has not

previously been obtained.” 
Id. at 139-40
(citing Hancock Indus. v. Schaeffer, 
811 F.2d 225
, 229-30 (3d Cir. 1987)). We reject Brown‟s argument because his failure to file a

Rule 56(f) affidavit is fatal to his claim of insufficient discovery. See Bradley v. United

States, 
299 F.3d 197
, 207 (3d Cir. 2002) (citation omitted).

       Brown contends that he constructively complied with Rule 56(f) when he filed an

affidavit in response to the Defendants‟ motion stating, “It is my belief that there are

many additional records maintained by the Defendants (personnel, workers

compensation, payroll, health insurance, disability pension, benefits) that will confirm

and support my contention that I was an „active employee‟ of U.S. Steel . . . even though

I was disabled. It is also my belief that there are witnesses still employed at U.S. Steel

who will corroborate my position if subpoenaed to testify.” There is a strong

presumption against finding constructive compliance. 
Bradley, 299 F.3d at 207
. And

even if we were to find constructive compliance, Brown did not specify what particular

information he was seeking. See 
Dowling, 855 F.2d at 140
. Merely stating that the

Defendants have “additional records” and employs potentially helpful witnesses was

insufficient to identify the information Brown sought in discovery. Moreover, he failed

to state why the information sought had not previously been obtained. See 
id. Therefore, 7
the District Court did not abuse its discretion in granting the Defendants‟ motion for

summary judgment without allowing Brown to seek additional discovery.

       Next, Brown submits that the District Court abused its discretion under Federal

Rule of Civil Procedure 56(d) by not deferring its consideration of the summary

judgment motion. Rule 56(d) states, “[i]f a nonmovant shows by affidavit or declaration

that, for specified reasons, it cannot present facts essential to justify its opposition, the

court may: (1) defer considering the motion or deny it, (2) allow time to obtain affidavits

or declarations or to take discovery; or (3) issue any other appropriate order.” Fed. R.

Civ. P. 56(d). He argues that “where the facts are in possession of the moving party[,] a

continuance of a motion for summary judgment for purposes of discovery should be

granted almost as a matter of course.” Costlow v. United States, 
552 F.2d 560
, 564, (3d

Cir. 1977) (citation omitted). The District Court did not abuse its discretion because

under Rule 56(d), Brown failed to adequately state the specific reasons he could not

present facts essential to justify his position. His unsubstantiated belief that Defendants

have “additional records” and employ potentially helpful witnesses was insufficient to

compel the District Court to exercise its discretion under Rule 56(d).

       Finally, Brown submits that even without further discovery, the District Court

erred in granting the summary judgment motion because there are genuine issues of

material fact regarding his employment status. The District Court held that based on the




                                               8
record, Brown could not prevail on his MSP claim because he is a retiree, not an active

employee, and MSP only applies to active employees. We agree with the District Court.

       There is no genuine issue as to Brown‟s employment status at the time Medicare

made the relevant payments. Stehura‟s affidavit states that Brown elected to retire from

U.S. Steel, effective June 30, 1986. Brown began receiving retirement benefits under a

“permanent incapacity” class of retirement, covered by the 1980 Pension Agreement, on

July 1, 1986. Under section 5 of the 1980 Pension Agreement, Brown‟s retirement ended

his continuous service. There is no evidence that his retirement status ever changed.

       We need not entertain Brown‟s argument that Stehura lacked personal knowledge

regarding Brown‟s employment status because this issue was never raised in the District

Court. See Gleason v. Norwest Mortg., Inc., 
243 F.3d 130
, 142 (3d Cir. 2001). Even if

we were to entertain this claim, we must reject it. According to his affidavit, as the

Director of the Pension and Retiree Benefits Administration for U.S. Steel, Stehura had

personal knowledge of the retirement benefits that [were] being provided to . . . Brown”

and had “access to his file, which [he] . . . reviewed.”

       We also reject Brown‟s argument that there are three pieces of evidence indicating

he was an active employee. First, in a letter sent to the SSA on March 10, 1992, J.P.

Finan, the Manager of Retiree Benefits for the Pension Fund, wrote “not applicable” in

response to the question “Date Employment Terminated.” Brown argues that this

indicates he was not regarded as a retiree. But in the preceding response, Finan also


                                              9
wrote that Brown‟s employer group health coverage was “still in effect” because “there is

no reason [Brown‟s] coverage would be terminated. As [Brown] is Medicare eligible[,]

his retiree health coverage is secondary to Medicare.” Read in context, Finan‟s responses

demonstrate that Brown received retiree health coverage and the Pension Fund treated

him as a retiree.

       Second, a July 5, 1994 letter from Robert T. Wilson, Manager of Workers‟

Compensation for U.S. Steel, attempts to limit the company‟s liability for Brown‟s

workers‟ compensation claim and states that “establishment of work capacity will

undoubtedly impact” the other benefits he receives. Brown alleges that this is

inconsistent with the claim that he had retired in 1986. However, under Pennsylvania

law, workers‟ compensation benefits continue after retirement when the claimant shows

that he intends to seek employment after retirement. See Armstrong World Indus. v.

Workers’ Comp. Appeal Bd. (Evans), 
703 A.2d 90
, 91 (Pa. Commw. Ct. 1997). Thus,

this statement regarding Brown‟s potential future employment fails to prove that U.S.

Steel did not regard him as a retiree.

       Third, the SSA‟s September 26, 2005 letter notified Brown that it was reimbursing

him for past Supplemental Medical Insurance Premiums because he had been

“improperly advised to apply for that coverage in March 1992.” Other than pointing to

this language, Brown fails to show how this letter indicates there was a dispute as to his

employment status. The fact that Brown was not eligible for Medicare coverage does not


                                            10
prove that he was an active employee of U.S. Steel. Thus, the evidence fails to

demonstrate a genuine issue of material fact sufficient to defeat summary judgment.

                                                IV.

      For the foregoing reasons, we will affirm the District Court‟s order.




                                           11

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