Beckman v. Aetna Health Insurance

CourtDistrict Court, E.D. New York
DecidedJanuary 11, 2021
Docket2:20-cv-03635
StatusUnknown

This text of Beckman v. Aetna Health Insurance (Beckman v. Aetna Health Insurance) is published on Counsel Stack Legal Research, covering District Court, E.D. New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Beckman v. Aetna Health Insurance, (E.D.N.Y. 2021).

Opinion

UNITED STATES DISTRICT COURT EASTERN DISTRICT OF NEW YORK ---------------------------------------------------------------x LINDA BECKMAN,

Plaintiff, MEMORANDUM AND ORDER 20-CV-3635 (RRM)(AKT) v.

AETNA HEALTH INSURANCE; MEDICARE HEALTH; MARSHALLS; HUMANA HEALTH INSURANCE,

Defendants. ---------------------------------------------------------------x ROSLYNN R. MAUSKOPF, Chief United States District Judge:

Plaintiff, proceeding pro se, filed this action alleging “official misconduct” relating to her healthcare coverage. Plaintiff’s request to proceed in forma pauperis is granted pursuant to 28 U.S.C. § 1915. The Court has reviewed Plaintiff’s complaint and finds that it does not state a plausible claim for relief. For the reasons set forth below, the complaint is dismissed, but Plaintiff is afforded thirty days to submit an amended complaint as to her 42 U.S.C. § 1983 claims against proper defendants. BACKGROUND Plaintiff, a resident of Riverhead, New York in Suffolk County, files this action to challenge a recent change in her healthcare provider. Although her complaint is unclear, it appears that Plaintiff, a Medicare beneficiary, is dissatisfied that her coverage was switched from one health insurance company to another. She names as defendants Aetna Health Insurance, “Medicare Health,” Humana Health Insurance, and “Marshalls.1” There are no allegations

1 From the address she provides for Marshalls, it appears that Plaintiff has named the retail establishment Marshalls & Home Goods at 1762 Old County Road in Riverhead, New York. (ECF No. 1 at 4.) against any defendants. Plaintiff seeks $20,000.00 in damages for “official misconduct” under New York Penal Law § 195.00. (ECF No. 1 at 2.) In light of plaintiff's pro se status, the Court has also reviewed April 23, 2020, letter that Plaintiff filed with the Court on August 18, 2020. None of the documents attached thereto clarify her claim or suggest any facts in support of a federal claim. However, a statement contained therein provides the best glimpse into her allegation: Newse Lule Wokice oF Ve Folly nepork? —— Orlereaty 31st Ualchedtherlls cane certcel’ PlnittFE’S dict. oR Violalindy Rule's oF conkmack's shaking Winolled MSM Hen sugges kahit __ denies” So Plast E Lost Full. coverage For two rons —_ □□□□□□□□□□□□□□□□□□□□□□□□□□□□□□ document Mook adtcave bad AePnoved “Eabvothmnett With-Nebsbia Tatsunentce!! \neatasiini-b-MLOVLI Nn -wo-Aulhontzaltent trom Maier

(ECF No. 4 at 5.)

STANDARD OF REVIEW A pleading must provide “a short, plain statement of the claim showing that the pleader is entitled to relief.” Fed. R. Civ. P. 8(a)(2). To avoid dismissal, such a statement must include “enough facts to state a claim to relief that is plausible on its face.” Bell Atl. Corp. v. Twombly, 550 U.S. 544, 570 (2007). A claim will be considered plausible on its face “when the plaintiff pleads factual content that allows the court to draw the reasonable inference that the defendant is liable for the misconduct alleged.” Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009). Although “detailed factual allegations” are not required, “[a] pleading that offers ‘labels and conclusions’

or ‘a formulaic recitation of the elements of a cause of action will not do.’” Id. (quoting Twombly, 550 U.S. at 555). Similarly, a complaint is insufficient to state a claim “if it tenders ‘naked assertion[s]’ devoid of ‘further factual enhancement.’” Id. (quoting Twombly, 550 U.S. at 557). A district court shall also dismiss an in forma pauperis action if the action: “(i) is

frivolous or malicious; (ii) fails to state a claim on which relief may be granted; or (iii) seeks monetary relief against a defendant who is immune from such relief.” 28 U.S.C. § 1915(e)(2)(B). “[A] pro se plaintiff is not exempt from compliance with relevant rules of procedural and substantive law.” McCrary v. Cty. of Nassau, 493 F. Supp. 2d 581, 584 (E.D.N.Y. 2007) (citing Faretta v. California, 422 U.S. 806, 834 n.36 (1975)). At the same time, “document[s] filed pro se [are] to be liberally construed, and a pro se complaint, however inartfully pleaded, must be held to less stringent standards than formal pleadings drafted by lawyers.” Erickson v. Pardus, 551 U.S. 89, 94 (2007) (internal quotations and citations omitted). If a liberal reading of a pro se complaint “gives any indication that a valid claim might be stated,” a court must grant the

plaintiff leave to amend the complaint. Cuoco v. Moritsugu, 222 F.3d 99, 112 (2d Cir. 2000). “When a complaint does not comply with the [Rule 8] requirement that it be short and plain, the court has the power, on its own initiative or in response to a motion by the defendant, to strike any portions that are redundant or immaterial, or to dismiss the complaint.” Salahuddin v. Cuomo, 861 F.2d 40, 42 (2d Cir. 1988). The Second Circuit has “repeatedly emphasized that Rule 8 reflects ‘liberal pleading standards,’ simply requiring plaintiffs to ‘disclose sufficient information to permit the defendant to have a fair understanding of what the plaintiff is complaining about and to know whether there is a legal basis for recovery.’” Riles v. Semple, 763 F. App’x 32, 34 (2d Cir. Feb. 27, 2019) (quoting Kittay v. Kornstein, 230 F.3d 531, 541 (2d Cir. 2000)). Dismissal of claims is “usually reserved for those cases in which the complaint is so confused, ambiguous, vague, or otherwise unintelligible that its true substance, if any, is well disguised.” Salahuddin, 861 F.2d at 42. DISCUSSION Plaintiff’s Complaint does not satisfy Rule 8 and does not plead sufficient facts “to state a

claim to relief that is plausible on its face.” Twombly, 550 U.S. at 570. While Plaintiff lists health insurance companies, Medicare, and Marshalls as defendants, the Court is unable to identify the substance of these claims even with a liberal eye and broad construction. For example, although she asserts that the basis for this court’s jurisdiction is “195.00 official misconduct by public officials acting under [42 U.S.C. §] 1983”1, (ECF No. 1 at 4), none of the defendants are state actors as would be required to assert a Section 1983 claim. Nor does she allege the violation of a constitutional right. And, to the extent she wishes to file criminal charges against the defendants under New York Penal Law 195.00,2 she may not. As a private citizen, she lacks standing to bring criminal charges under New York Penal Law § 195.00 or any other criminal statute in federal court. See Leeke v. Timmerman, 454 U.S. 83, 85–86 (1981)

(“[A] private citizen lacks a judicially cognizable interest in the prosecution or nonprosecution

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Related

Coppedge v. United States
369 U.S. 438 (Supreme Court, 1962)
Faretta v. California
422 U.S. 806 (Supreme Court, 1975)
Leeke v. Timmerman
454 U.S. 83 (Supreme Court, 1982)
Erickson v. Pardus
551 U.S. 89 (Supreme Court, 2007)
Bell Atlantic Corp. v. Twombly
550 U.S. 544 (Supreme Court, 2007)
Ashcroft v. Iqbal
556 U.S. 662 (Supreme Court, 2009)
Farid v. Ellen
593 F.3d 233 (Second Circuit, 2010)
McCrary v. County of Nassau
493 F. Supp. 2d 581 (E.D. New York, 2007)
Cuoco v. Moritsugu
222 F.3d 99 (Second Circuit, 2000)
Davis v. Goord
320 F.3d 346 (Second Circuit, 2003)
Salahuddin v. Cuomo
861 F.2d 40 (Second Circuit, 1988)
Linda R. S. v. Richard D.
410 U.S. 614 (Supreme Court, 1973)

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Bluebook (online)
Beckman v. Aetna Health Insurance, Counsel Stack Legal Research, https://law.counselstack.com/opinion/beckman-v-aetna-health-insurance-nyed-2021.