ABIRA MEDICAL LABORATORIES, LLC v. BLUE CROSS AND BLUE SHIELD OF ILLINOIS AND THEIR AFFILIATES

• Court: District Court, D. New Jersey
• Decided: September 30, 2024
• Docket: 3:24-cv-00955
• Status: Unknown

Opinion

NOT FOR PUBLICATION

UNITED STATES DISTRICT COURT DISTRICT OF NEW JERSEY

ABIRA MEDICAL LABORATORIES, LLC d/b/a GENESIS DIAGNOSTICS,

Plaintiff, Civil Action No. 24-00955 (GC) (RLS) v. OPINION BLUE CROSS AND BLUE SHIELD OF ILLINOIS, et al.,

Defendants.

CASTNER, District Judge

THIS MATTER comes before the Court upon Defendant Blue Cross and Blue Shield of Illinois’s1 Motion to Dismiss for lack of personal jurisdiction pursuant to Federal Rule of Civil Procedure (Rule) 12(b)(2) and for failure to state a claim pursuant to Rule 12(b)(6), or alternatively, for relief under Rule 12(e). (ECF No. 12.) Plaintiff opposed, and Defendant replied. (ECF Nos. 15 & 18.) The Court has carefully considered the parties’ submissions and decides the matter without oral argument pursuant to Rule 78(b) and Local Civil Rule 78.1(b). For the reasons set forth below, and other good cause shown, Defendant’s motion is GRANTED in part and DENIED in part. The case is DISMISSED due to lack of personal jurisdiction.

1 Plaintiff brings its claims separately against Defendant “Blue Cross Blue Shield of Illinois” and Defendant “Health Care Services Corporation.” (ECF No. 1-6 ¶¶ 2-3.) Defendant identifies itself as a single legal entity, “Blue Cross and Blue Shield of Illinois, a division of Health Care Services Corporation.” (See ECF No. 1.) Plaintiff does not dispute Defendant’s representation, nor does it affect the Court’s analysis. (See ECF No. 1-6 ¶ 4.) The Court refers to Defendant as I. BACKGROUND

This is one of more than forty cases that Plaintiff Abira Medical Laboratories, LLC, has filed in the United States District Court for the District of New Jersey or had removed here from the Superior Court of New Jersey since June 2023. In each of these cases, Plaintiff sues health “insurance companies and/or administrators for health benefit plans” based on their alleged failure “to pay for [Plaintiff’s] laboratory testing of the insureds’/claimants’ specimen.” (ECF No. 1-6 ¶¶ 20-22.) Plaintiff “is a domestic limited liability company organized under the laws of the State of New Jersey.” (Id. ¶ 1.) Several of Plaintiff’s “administrators and decision-makers live in New Jersey, work in New Jersey, and run [Plaintiff’s] affairs from New Jersey.” (Id. ¶ 9.) Plaintiff “operated a licensed medical testing laboratory business, which provided services nationwide,” and Plaintiff “performed clinical laboratory, toxicology, pharmacy, genetics, and addiction rehabilitation testing services on specimen,” for “numerous insureds/claimants located throughout the United States,” including “COVID-19 testing.” (Id. ¶¶ 14-16.)

Defendant has its principal place of business in Chicago, Illinois. (Id. ¶¶ 2-3.) Plaintiff alleges that Defendant “provides health insurance services throughout the United States.” (Id. ¶ 3.) Plaintiff alleges that it submitted “claims” for laboratory testing to Defendant that “were supposed to” be paid “pursuant to [Plaintiff’s] fee schedule or the insurer’s fee schedule.” (Id. ¶¶24-27.) The amount due for these services rendered is alleged to total $136,754.00. (Id. ¶ 30.) Plaintiff does not identify the individual insureds/claimants or how many insureds/claimants are involved in this case, the type of health insurance plans under which the insureds/claimants were covered, or any specific provisions in any plan that entitles the insureds/claimants to benefits from Defendant. Plaintiff asserts eleven causes of action against Defendant and unnamed entities/persons: Count One for breach of contract; Count Two for breach of the implied covenant of good faith and fair dealing; Count Three for fraudulent misrepresentation; Count Four for negligent misrepresentation; Count Five for promissory estoppel; Count Six for equitable estoppel; Count Seven for quantum meruit/unjust enrichment; Count Eight for “bad faith”; Count Nine under the

New Jersey Prompt Payment Statute; Count Ten under the New Jersey Consumer Fraud Act; and Count Eleven for violations of the Families First Coronavirus Response Act (FFCRA) and the Coronavirus Aid, Relief, Economic Security (CARES) Act. (Id. ¶¶ 57-153.) This case was removed to this Court from the Superior Court of New Jersey, Mercer County, Law Division, based on diversity jurisdiction pursuant to 28 U.S.C. § 1332. (See ECF No. 1 ¶¶ 1-2.) On April 26, 2024, Defendant moved to dismiss the Complaint pursuant to Rules 12(b)(2) and 12(b)(6), or in the alternative, seeking a more definite statement under Rule 12(e). (ECF No. 12.) Plaintiff opposed on May 20, and Defendant replied on June 10. (ECF Nos. 15 & 18.)

II. LEGAL STANDARD2

Rule 12(b)(2) permits a defendant to move to dismiss a complaint for lack of personal jurisdiction. Fed. R. Civ. P. 12(b)(2). When a statute does not authorize nationwide service of process, federal courts in New Jersey exercise personal jurisdiction to the extent permitted by New Jersey law. See Eurofins Pharma US Holdings v. BioAlliance Pharma SA, 623 F.3d 147, 155 (3d

2 Because the Court determines that it lacks personal jurisdiction and does not reach the motion to dismiss for failure to state a claim, the Rule 12(b)(6) standard is not recited. See Lightfoot v. Cendant Mortg. Corp., 580 U.S. 82, 95 (2017) (“A court must have . . . power over Cir. 2010) (“[A] federal district court may assert personal jurisdiction over a nonresident of the state in which the court sits to the extent authorized by the law of that state.”). “New Jersey’s long-arm statute provides for jurisdiction coextensive with the due process requirements of the United States Constitution.” Miller Yacht Sales, Inc. v. Smith, 384 F.3d 93, 96 (3d Cir. 2004) (first citing N.J. Court Rule 4:4-4(c); and then citing Charles Gendler & Co. v.

Telecom Equip. Corp., 508 A.2d 1127, 1131 (N.J. 1986)). Therefore, the key inquiry on a motion to dismiss for lack of personal jurisdiction is whether, under the Due Process Clause, “the defendant has certain minimum contacts with . . . [New Jersey] such that the maintenance of the suit does not offend traditional notions of fair play and substantial justice.” O’Connor v. Sandy Lane Hotel Co., 496 F.3d 312, 316 (3d Cir. 2007) (quoting Int’l Shoe Co. v. State of Wash., Off. of Unemployment Comp. & Placement, 326 U.S. 310, 316 (1945)). A district court can assert either general jurisdiction (i.e., “all-purpose” jurisdiction) or specific jurisdiction (i.e., “case-linked” jurisdiction) over a defendant that has minimum contacts with the forum. See Bristol-Myers Squibb Co. v. Superior Ct. of California, San Francisco Cnty.,

582 U.S. 255, 262 (2017). For foreign corporations, a “court may assert general jurisdiction . . . to hear any and all claims against them when their affiliations with the [forum] State are so ‘continuous and systematic’ as to render them essentially at home in the forum State.” Fischer v. Fed. Express Corp., 42 F.4th 366, 384 (3d Cir. 2022) (quoting Goodyear Dunlop Tires Operations, S.A. v. Brown, 564 U.S. 915, 919 (2011)). To assert specific jurisdiction over a foreign corporation there are two primary elements that must be met: “First, there must be purposeful availment: minimum contacts with the forum state that show the defendant took a deliberate act reaching out to do business in that state. Second, the contacts must give rise to—or relate to— plaintiff’s claims.” Hepp v. Facebook, 14 F.4th 204, 207 (3d Cir. 2021) (citing Ford Motor Co. v. Montana Eighth Jud. Dist. Ct., 141 S. Ct. 1017, 1024-25 (2021)). If these elements are met, the exercise of jurisdiction must “otherwise comport[] with fair play and substantial justice.” D’Jamoos ex rel. Est. of Weingeroff v. Pilatus Aircraft Ltd., 566 F.3d 94, 102 (3d Cir. 2009) (quoting Burger King Corp. v. Rudzewicz, 471 U.S. 462, 476 (1985)). III. DISCUSSION A. PERSONAL JURISDICTION

The Court will first examine whether there is general jurisdiction over Defendant in New Jersey and then, if no general jurisdiction, whether there is specific jurisdiction. i. GENERAL JURISDICTION

“For a corporate defendant, the main bases for general jurisdiction are (1) the place of incorporation [or formation]; and (2) the principal place of business.” Display Works, LLC v. Bartley, 182 F. Supp. 3d 166, 173 (D.N.J. 2016) (citing Daimler AG v. Bauman, 571 U.S. 117, 136 (2014)); see also Fischer, 42 F.4th at 383 (“For a corporation, general jurisdiction is only proper in states where the corporation is fairly regarded as ‘at home,’ which generally is restricted to the corporation’s state of incorporation or the state of its principal place of business.”). “[G]eneral jurisdiction may [also] arise in the ‘exceptional case’ where ‘a corporation’s operations in a forum other than its formal place of incorporation or principal place of business may be so substantial and of such a nature as to render the corporation at home in that State.’” Display Works, 182 F. Supp. 3d at 173 (citation omitted); see also Daimler AG, 571 U.S. at 139 n.19. Such an exceptional case requires a plaintiff to furnish at least some evidence that reasonably suggests that a corporate entity’s contacts with the forum state are so substantial that they surpass the entity’s contacts with other states. See, e.g., Ontel Prod. Corp. v. Mindscope Prod., 220 F. Supp. 3d 555, 560 (D.N.J. 2016) (“[Plaintiff] does not provide any evidence that reasonably suggests that indirect sales in New Jersey occur at all or that those sales surpass [the defendant’s] third party sales made elsewhere.”). Here, Plaintiff pleads that Defendant has its principal place of business in Chicago, Illinois, and there is no allegation that Defendant was incorporated or has substantial operations in New Jersey. (ECF No. 1-6 ¶¶ 2-3.) There is thus nothing in the record to suggest that Defendant was either incorporated or headquartered in New Jersey or that its business operations in New Jersey are so substantial that they give rise to the exceptional case of general jurisdiction.

Plaintiff’s sole argument in favor of general jurisdiction is that Defendant “repeatedly did business with [Plaintiff] (a New Jersey corporate citizen) for specimen testing, with an outstanding amount of approximately $136,754 unpaid, which is sufficiently substantial for this Court to exercise jurisdiction.” (ECF No. 15 at 10.3) The Court finds this argument unpersuasive. That Defendant may owe Plaintiff a sum of money alone does not support the inference that Defendant operated in a meaningful way in New Jersey. And Plaintiff has not supplied any reason to believe that Defendant’s contacts with New Jersey surpass its contacts with any other state.4

3 Page numbers for record cites (i.e., “ECF Nos.”) refer to the page numbers stamped by the Court’s e-filing system and not the internal pagination of the parties.

4 The Complaint’s allegation that Defendant “is listed as a foreign insurance company admitted in and deemed doing business in the State of New Jersey,” without more, is similarly insufficient to establish personal jurisdiction over Defendant. (ECF No. 1-6 ¶ 12.) See, e.g., Abira Med. Lab’ys, LLC v. Cigna Health & Life Ins. Co., Civ. No. 22-6408, 2023 WL 4074081, at *3 (D.N.J. June 16, 2023) (“At most, [Abira] alleges that Cigna is registered in New Jersey and conducts business throughout the state, including Bergen County. Even when treated as true, these allegations are insufficient grounds for personal jurisdiction.” (collecting cases)). Plaintiff does not cite authority to support the conclusion that an insurer licensed to do business in New Jersey is automatically subject to general jurisdiction here. See, e.g., Castillero v. Xtend Healthcare, LLC, Civ. No. 22-02099, 2023 WL 8253049, at *5 n.8 (D.N.J. Nov. 29, 2023) (“[B]oth state and federal courts have held that New Jersey’s registered agent statutes, unlike Pennsylvania’s, do not explicitly require a corporation to consent to personal jurisdiction in the State.”); Basse v. Bank of Am., N.A., Civ. No. 22-03674, 2023 WL 2696627, at *7 (D.N.J. Mar. 29, 2023) (“[T]he Court does not find that Defendant consented to personal jurisdiction in New Jersey by registering to do business here.”). ii. SPECIFIC JURISDICTION

Specific jurisdiction allows the court to adjudicate claims levied against defendants with “certain minimum contacts . . . such that the maintenance of the suit does not offend ‘traditional notions of fair play and substantial justice.’” Int’l Shoe Co., 326 U.S. at 316 (quoting Milliken v. Meyer, 311 U.S. 457, 463 (1940)). The minimum contacts analysis focuses on whether the defendant has, by some act related to the plaintiff’s current cause of action, “purposefully avail[ed] itself of the privilege of conducting activities within the forum State, thus invoking the benefits and protections of its laws.” Burger King Corp., 471 U.S. at 475 (quoting Hanson v. Denckla, 357 U.S. 235, 253 (1958)). And specific jurisdiction is typically present only if the plaintiff’s cause of action arises out of a defendant’s forum-related activities, such that the defendant “should reasonably anticipate being haled into court there.” D’Jamoos, 566 F.3d at 105 (citing World- Wide Volkswagen Corp. v. Woodson, 444 U.S. 286, 297 (1980)); see also Ford Motor Co., 141 S. Ct. at 1019 (“[T]he plaintiff’s claims ‘must arise out of or relate to the defendant’s contacts’ with the forum.” (quoting Bristol-Myers Squibb, 582 U.S. at 262)).

Although a court usually determines specific jurisdiction on a claim-by-claim basis, a claim specific analysis may not be necessary “for certain factually overlapping claims.” O’Connor, 496 F.3d at 317 n.3; see also TorcUP, Inc. v. Aztec Bolting Servs., Inc., 386 F. Supp. 3d 520, 525 n.2 (E.D. Pa. 2019) (“[F]or ‘certain factually overlapping claims’ courts need not evaluate specific jurisdiction on a claim-by-claim basis.” (citation omitted)); HV Assocs., LLC v. PNC Bank, N.A., Civ. No. 17-8128, 2019 WL 13410696, at *10 (D.N.J. Apr. 18, 2019) (“Although [s]pecific jurisdiction is generally assessed on a claim-by-claim basis, ‘it may not be necessary to do so for certain factually overlapping claims.’” (citation omitted)). Because Plaintiff’s claims in this case all stem from the same allegation that Defendant failed to pay Plaintiff for laboratory testing services, a claim-specific analysis is not necessary. See Abira Med. Lab’ys, LLC v. Johns Hopkins Healthcare LLC, Civ. No. 19-05090, 2020 WL 3791565, at *4 (E.D. Pa. July 7, 2020) (“Because [Abira’s] claims all stem from the same conduct of JHHC failing to reimburse [Abira] for . . . laboratory testing services, a claim-specific analysis is not necessary.”). The Complaint asserts the following bases for specific jurisdiction over Defendant in New Jersey: (1) between “2016 and 2021, Defendant[‘s] representatives communicated with

[Plaintiff’s] representatives regarding claims submitted by [Plaintiff]”; (2) Defendant “processed and paid numerous claims that were submitted by [Plaintiff]”; and (3) state courts “have concurrent jurisdiction over the Employee Retirement Income Security Act of 1974” (ERISA). (ECF No. 1- 6 ¶¶ 9-13.) None of these bases is sufficient. As to ERISA, the Complaint mentions ERISA at various points, but the first ten causes of action are asserted as state law claims and the eleventh cause of action is for alleged violations of the FFCRA and the CARES Act. (Id. ¶¶ 57-153.) Moreover, Plaintiff does not even allege in the Complaint that the health insurance plans at issue are in fact governed by ERISA. Under similar circumstances, district courts in the Third Circuit have held that ERISA is “irrelevant” to the

jurisdictional analysis. See Abira Med. Lab’ys, LLC v. Anthem Blue Cross Blue Shield Missouri, Civ. No. 23-4940, 2024 WL 1704981, at *4 (E.D. Pa. Apr. 19, 2024) (“[Abira] contends that . . . [ERISA] created ‘relaxed jurisdictional requirements’ for plaintiffs. Even if true, this would be irrelevant; the claims enumerated in [Abira’s] Complaint sound in state contract and quasi-contract law, not the ERISA statute.”); Abira Med. Lab’ys, LLC v. AvMed Inc., Civ. No. 23-5185, 2024 WL 1651678, at *3 (E.D. Pa. Mar. 20, 2024) (“[Abira] may not evade traditional jurisdictional requirements by making a passing reference to ERISA.”); see also Evers v. Indep. Media, Inc., Civ. No. 10-03081, 2010 WL 11601039, at *8 (C.D. Cal. Oct. 22, 2010) (“[T]he fact that Plaintiff’s Complaint makes passing reference to an ERISA-governed plan does not mean that ERISA must govern any of her claims.” (emphasis removed)). As to Defendant’s communications with Plaintiff about the alleged claims and its payment of certain claims, district courts in the Third Circuit have also repeatedly rejected nearly identical allegations as creating specific jurisdiction. These courts have found that a physician’s unilateral choice to send a patient’s specimen to a laboratory for testing does not create personal jurisdiction over the patient’s insurer in the laboratory’s home state when the insurer simply pays the resulting

claims or communicates with the laboratory about the claims. See, e.g., Abira Med. Lab’ys, LLC v. IntegraNet Physician Res., Inc., Civ. No. 23-03849, 2024 WL 1905754, at *4 (D.N.J. Apr. 30, 2024) (finding no specific jurisdiction in New Jersey over Texas corporations that allegedly paid twenty claims to Abira in New Jersey); Abira Med. Lab’ys, LLC, 2024 WL 1704981, at *3 (finding specific jurisdiction lacking over Missouri health insurers because sending laboratory samples for testing in Pennsylvania and communicating with regard to reimbursement requests fell “well short [of] the kind of ‘deliberate targeting of the forum’ that is necessary to establish specific personal jurisdiction” (citation omitted)); Abira Med. Lab’ys, LLC, 2024 WL 1651678, at *2 (“Sending payments to Pennsylvania alone—where the contract was not negotiated or executed there—does

not constitute ‘purposeful availment.’”); Abira Med. Lab’ys LLC v. Molina Healthcare of Fla., Inc., Civ. No. 24-506, 2024 WL 1182855, at *3 (E.D. Pa. Mar. 19, 2024) (finding specific jurisdiction lacking over a Florida corporation because “[p]atients’ physcians’ decision to utilize Plaintiff’s services in Pennsylvania [was] that type of ‘unilateral activity’ of a third party that should not subject a defendant to jurisdiction in a forum that it itself had not created contact with”); Abira Med. Lab’ys, LLC v. Cigna Health and Life Ins. Co., Civ. No. 22-6408, 2023 WL 4074081, at *3 (D.N.J. Jun. 16, 2023) (finding specific jurisdiction lacking in New Jersey where it was merely alleged that the defendant was “registered in New Jersey and conduct[ed] business throughout the state” (collecting cases)); Abira Med. Lab’ys, LLC v. Humana Inc., Civ. No. 22- 06190, 2023 WL 3052308, at *3 (D.N.J. Apr. 24, 2023) (finding specific jurisdiction lacking in New Jersey where it was alleged that the defendant “and certain unnamed subsidiaries or affiliates failed to reimburse [Abira] for medical services provided to individuals covered by health insurance plans offered by [the defendant] and these other entities”); Abira Med. Lab’ys, LLC, 2020 WL 3791565, at *5 (finding no specific jurisdiction over a Maryland limited liability company in Pennsylvania despite the allegation that the defendant had previously paid for some

of the laboratory testing services performed in Pennsylvania); see also Vetrotex Certainteed Corp. v. Consol. Fiber Glass Prod. Co., 75 F.3d 147, 152 (3d Cir. 1996) (“[I]nformational communications in furtherance of [a contract between a resident and a nonresident] does not establish the purposeful activity necessary for a valid assertion of personal jurisdiction over [the nonresident defendant].” (citation omitted)); M3 USA Corp. v. Hart, 516 F. Supp. 3d 476, 492 (E.D. Pa. 2021) (“‘[I]nfrequent or minimal communication’ is [not] sufficient to establish purposeful, minimal contacts.” (citation omitted)). Here, too, Plaintiff has not established that Defendant has the requisite minimum contacts with New Jersey to find that it purposefully availed itself of the New Jersey forum or that the

claims at issue—Defendant’s alleged failure to reimburse Plaintiff for testing services provided to Defendant’s members—arise from or relate to Defendant’s contacts with New Jersey. Accordingly, this Court does not have specific jurisdiction over Defendant.5

5 The Court is unconvinced that jurisdictional discovery would uncover evidence that would alter the conclusion, and the Court sees no reason to grant discovery when Plaintiff has not offered a sense of what relevant jurisdictional facts discovery might uncover. See Murphy v. Eisai, Inc., 503 F. Supp. 3d 207, 225 (D.N.J. 2020) (“The facts and allegations do not rise to the level where I, within my discretion, would permit further exploration through jurisdictional discovery.”); see also Abira Med. Lab’ys, 2023 WL 4074081, at *3 (“[J]urisdictional discovery is unwarranted because the Complaint does not include ‘factual allegations that suggest with reasonable particularity the possible existence of the requisite contacts.’” (quoting Toys “R” Us, Inc. v. Step Two, S.A., 318 F.3d 446, 456 (3d Cir. 2003))); Abira Med. Lab’ys, LLC, 2024 WL 1651678, at *3 (same). B. TRANSFER OF VENUE

Where jurisdiction is lacking, a district “court shall, if it is in the interest of justice, transfer such action . . . to any other such court . . . in which the action . . . could have been brought at the time it was filed or noticed, and the action . . . shall proceed as if it had been filed in . . . the court to which it is transferred on the date upon which it was actually filed in . . . the court from which it is transferred.”6 28 U.S.C. § 1631. The Third Circuit Court of Appeals has explained that “a district court that lacks personal jurisdiction must at least consider a transfer.” Danziger & De Llano, LLP v. Morgan Verkamp LLC, 948 F.3d 124, 132 (3d Cir. 2020). But “[t]he district court does . . . have ‘broad discretion’ not to transfer.” Id. (quoting Jumara v. State Farm Ins. Co., 55 F.3d 873, 883 (3d Cir. 1995)). “And though [the district court] may transfer a case at the parties’ request or sua sponte, it need not investigate on its own all other courts that ‘might’ or ‘could have’ heard the case.” Id. (citations omitted). Here, the Court does not find that it is in the interest of justice to transfer. The parties have not engaged in discovery or significant briefing. Plaintiff has not raised any concern that its claims

might become time-barred if the case were dismissed for lack of personal jurisdiction rather than transferred. Defendant has also not sought transfer. Because the Court is unaware of what interests and intentions may have led the parties not to seek transfer, the case shall be dismissed without prejudice. See, e.g., Rinaldi v. FCA US LLC, Civ. No. 22-00886, 2022 WL 17340667, at *7 (D.N.J. Nov. 30, 2022) (“It is further due to this lack of briefing that the Court is unaware of any interests and intentions that have led the parties to choose not to seek transfer. Therefore, the Court will not sua sponte transfer this matter when doing so may be counter to those interests and

6 See North v. Ubiquity, Inc., 72 F.4th 221, 227 (7th Cir. 2023) (“[E]very circuit court to address this issue has agreed that § 1631’s reference to ‘jurisdiction’ encompasses personal intentions.”); Klick v. Asbestos Corp., Ltd., Civ. No. 20-16654, 2021 WL 2666709, at *4 (D.N.J. June 28, 2021) (“[A]s the parties have not identified courts that may hear this case, nor have Plaintiffs argued they would be barred from refiling elsewhere, the Court declines to sever and transfer the claims against Boeing to another jurisdiction.”). IV. CONCLUSION For the reasons set forth above, and other good cause shown, Defendant’s Motion to Dismiss the Complaint (ECF No. 12) is GRANTED in part and DENIED in part.’ An appropriate Order follows.

Dated: September 30, 2024 by i ly (jade GEORGETTE CASTNER UNITED STATES DISTRICT JUDGE

7 The Court does not reach Defendant’s Rule 12(b)(6) arguments as to why Plaintiff's claims fail as a matter of law or its request for a more definite statement under Rule 12(e). 19