Opinion

Jay Brown v. Ajax Paving Industries, Inc.

  • 752 F.3d 656
  • 2014 U.S. App. LEXIS 9187
  • 2014 WL 2013755
Court
Court of Appeals for the Sixth Circuit
Filed
May 19, 2014
Status
Published
Author
Sutton
On the bench
Sutton, Cook, Marbley
Cited by
1 cases
Authority
More cited than 44.8%

The opinion

RECOMMENDED FOR FULL-TEXT PUBLICATION

Pursuant to Sixth Circuit I.O.P. 32.1(b)

File Name: 14a0102p.06

UNITED STATES COURT OF APPEALS

FOR THE SIXTH CIRCUIT

_________________

JAY BROWN, ┐

Plaintiff-Appellant, │

│

│ No. 11-1391

v. │

>

│

AJAX PAVING INDUSTRIES, INC.; AMERICAN │

CONTRACTORS INSURANCE GROUP, INC.; WARD │

NORTH AMERICA, LP; VERICLAIM, INC.; NOVAPRO │

RISK SOLUTIONS, LP; NOVAPRO US RISK, LLC; │

PAUL DROUILLARD, │

Defendants-Appellees. │

┘

Appeal from the United States District Court

for the Eastern District of Michigan at Detroit

No. 2:10-cv-10137—Gerald E. Rosen, Chief District Judge.

Decided and Filed: May 19, 2014

BEFORE: SUTTON and COOK, Circuit Judges; MARBLEY, District Judge.*

_________________

COUNSEL

ON BRIEF: Marshall Lasser, MARSHALL LASSER, P.C., Southfield, Michigan, for

Appellant. James J. Urban, Paul M. Mersino, BUTZEL LONG, Lansing, Michigan for Appellee

Ajax Paving. Joseph A. Fink, Jeffery V. Stuckey, D. Lee Khachaturian, DICKINSON WRIGHT

PLLC, Lansing, Michigan, for Appellees American Contractors, Ward North, VeriClaim and

NovaPro. Daniel B. Tukel, BUTZEL LONG, Detroit, Michigan, Michael F. Smith, THE

SMITH APPELLATE LAW FIRM, Washington, D.C., for Appellee Drouillard.

*

The Honorable Algenon L. Marbley, United States District Judge for the Southern District of Ohio, sitting

by designation.

1

No. 11-1391 Brown v. Ajax Paving Indus., et al. Page 2

_________________

OPINION

_________________

SUTTON, Circuit Judge. This case began as a dispute over who should pay for Jay

Brown’s shoulder injury. Brown claimed that he suffered the injury while paving a road for his

employer Ajax Paving, and that the company as a result owed him workers’ compensation. At

the workers’ compensation hearing, however, Ajax introduced medical testimony suggesting that

the injury occurred outside of work. While the case remained pending before the Michigan

administrative agency, Brown and Ajax settled.

Unlike most settlements, this one did not end the controversy. Brown thought that Ajax

had introduced false medical testimony in order to deny or at least diminish his benefits and that

it had done the same thing to other employees. As a result, he sued Ajax and its alleged

accomplices—insurers, claims administrators and the doctor—under the Racketeer Influenced

and Corrupt Organizations Act. The district court dismissed the complaint.

In order to sue under the Act, Brown must show that illegal racketeering activities have

“injured [him] in his business or property.” 18 U.S.C. § 1964(c); see also id. § 1962. Brown

attempts to meet this requirement by arguing that his employer’s use of false testimony prompted

him to accept a small settlement, and so cost him some of the workers’ compensation benefits he

otherwise deserved. Not long ago this theory of injury might have worked. This circuit used to

treat “expected [workers’ compensation] benefits” as “property” under the Act. Brown v.

Cassens Transp. Co., 675 F.3d 946, 951 (6th Cir. 2012).

But last year, while the appeal in this case lay pending, the court reversed course while

sitting en banc. In Jackson v. Sedgwick Claims Management Services, a carbon copy of this

case, we turned back a lawsuit challenging a scheme to introduce false testimony at workers’

compensation hearings. 731 F.3d 556, 558 (6th Cir. 2013) (en banc). We held that “loss or

diminution of benefits the plaintiff expects to receive under a workers’ compensation scheme

does not constitute an injury to ‘business or property’ under RICO.” Id. at 566. We gave two

key reasons for our holding. One was that workers’ compensation compensates for personal

No. 11-1391 Brown v. Ajax Paving Indus., et al. Page 3

injury. The Act, which puts its spotlight on “business or property,” does not cover losses that

flow from personal injuries. Id. at 565–66. The other was that a contrary rule would allow the

Act to police fraud in the workers’ compensation system, planting the national banner on land

traditionally patrolled by the States. The Act does not speak with enough clarity, we reasoned, to

authorize such an intrusion. Id. at 566–69.

Unfortunately for Brown, Jackson resolves this appeal. Brown’s alleged injury consists

of getting less workers’ compensation than he deserved. Because “loss or diminution” of

expected workers’ compensation “does not constitute an injury to ‘business or property,’” id. at

566, Brown’s claims must fail.

In response to all of this, Brown makes a partial but not a complete retreat. He submits

that Jackson applies only to disputes between employer and employee, leaving in place his

claims against the insurers, the claims administrators and the doctor. Yet this argument

overlooks what happened in Jackson itself. The defendants in that case included not only an

employer, but also a claims administrator and a doctor (in fact the same doctor sued in this case).

The court rejected the claims against all of the defendants. See id. at 558–59. To limit Jackson

to lawsuits against employers is to rewrite history.

This argument not only slights Jackson’s outcome, but it also disrespects its reasoning.

Jackson explained that expected workers’ compensation benefits stand outside the Act’s

perimeter because they flow from personal injuries. It added that extending the Act to expected

workers’ compensation benefits would clash with the States’ customary control of their workers’

compensation systems. Each argument applies with equal force whether an employee sues his

employer or somebody else. Changing the defendant neither weakens the link between the

benefits and personal injury nor dims the respect owed to the States’ authority over workers’

compensation.

Last but not least, Brown’s attempted distinction between employers and others collides

with the statute Congress enacted. The Act’s applicability turns on the nature of the injury—that

the plaintiff was “injured in his business or property.” 18 U.S.C. § 1964(c). It does not turn on

the nature of the defendant. We do not see how the same harm, loss of expected workers’

No. 11-1391 Brown v. Ajax Paving Indus., et al. Page 4

compensation benefits, could count as an injury to business or property against some defendants

but not against other defendants.

Brown complains that our decision “immunize[s] any insurer, claim adjuster or medical

examiner who fraudulently denied or conspired to deny” workers their benefits. Reply Br. at 5.

That is an overstatement. States can and do impose liability upon people—employers as well as

others—who defraud the workers’ compensation system. Brown’s own brief tells us that

Michigan’s courts would entertain claims that “an insurer, claim adjuster or medical examiner

tortiously interfered with an employee’s receipt of . . . benefits.” Id. at 3. And the commission

that heads the Michigan workers’ compensation system punishes abuses of the workers’

compensation process. See Mich. Comp. Laws Ann. § 418.861b. Our decision does not

“immunize” anyone from these exercises of state power. Our decision means only that federal

judges may not use the Act to seize this power for themselves. That of course was the whole

point of Jackson.

The defendants’ alleged actions in short did not injure Brown “in his business or

property.” 18 U.S.C. § 1964(c). Because this flaw undoes all of Brown’s claims, we need not

decide whether Brown’s settlement with Ajax covers this case. Nor need we consider whether

Brown has satisfied other requirements imposed by the Act.

For these reasons, we affirm.

This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.

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