Brannigan v. Excellus Blue Cross and Blue Shield

CourtDistrict Court, W.D. New York
DecidedMarch 29, 2022
Docket6:22-cv-06151
StatusUnknown

This text of Brannigan v. Excellus Blue Cross and Blue Shield (Brannigan v. Excellus Blue Cross and Blue Shield) is published on Counsel Stack Legal Research, covering District Court, W.D. New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Brannigan v. Excellus Blue Cross and Blue Shield, (W.D.N.Y. 2022).

Opinion

UNITED STATES DISTRICT COURT MIDDLE DISTRICT OF FLORIDA TAMPA DIVISION

MICHAEL BRANNIGAN, et al.,

Plaintiffs,

v. Case No. 8:21-cv-2352-TPB-AAS

EXCELLUS BLUE CROSS AND BLUE SHIELD,

Defendant. /

ORDER GRANTING IN PART “DEFENDANT’S MOTION TO DISMISS COMPLAINT”

This matter is before the Court on “Defendant’s Motion to Dismiss Complaint,” filed on December 17, 2021. (Doc. 16). Plaintiffs filed a response in opposition on January 14, 2022. (Doc. 20). The Court briefly addressed the pending motion at the initial case management conference held on March 23, 2022. (Doc. 24). Upon review of the motion, response, court file, and record, the Court finds as follows: Background Plaintiffs Worldwide Aircraft Services, Inc. d/b/a Jet ICU (an air ambulance company) and Michael Brannigan (Jet ICU’s attorney and purported attorney-in- fact for CM) seek to recover reimbursement under a health insurance benefits plan governed by the Employee Retirement Income Security Act (“ERISA”), in which CM is a participant in the health insurance plan issued by Defendant Excellus Blue Cross and Blue Shield. According to the allegations of the complaint, on December 4, 2019, while CM was in the Bahamas on a cruise, she had an acute cardiac episode that required her to be medically evacuated. CM is a resident of New York.

CM’s cruise departed from a port in South Florida, not Tampa. In fact, CM has no connection whatsoever to Tampa, Florida. However, CM was evacuated by Jet ICU, as the air ambulance provider, to St. Joseph’s Hospital, a level-one trauma center in Tampa, Florida. The only reason CM was evacuated to Tampa, Florida is because Jet ICU happens to be based in Tampa, Florida. Defendant reimbursed the ground ambulance portion of CM’s bill as

medically necessary but refused to reimburse the air transportation invoice, contending that the air ambulance was medically unnecessary. Legal Standard Under 28 U.S.C. § 1404(a), “[f]or the convenience of the parties and witnesses, in the interest of justice, a district court may transfer any civil action to any other district or division where it might have been brought or to any district or division to which all parties have consented.” The purpose of § 1404(a) is to

“prevent the waste ‘of time, energy and money’ and ‘to protect litigants, witnesses and the public against unnecessary inconvenience and expense.’” Van Dusen v. Barrack, 376 U.S. 612, 616 (1964) (quoting Continental Grain Co. v. The Barge FBL-585, 364 U.S. 19, 26-27 (1960)). When a valid forum selection clause is present and applicable to the dispute brought, the analysis of whether to transfer venue changes in the following three respects. First, the plaintiff’s choice of forum after the dispute arises should not be considered. Atl. Marine Const. Co., Inc. v. U.S. Dist. Ct. for W. Dist. of Tex., 571 U.S. 49, 63 (2013). Second, courts should also not consider arguments about the

parties’ private interests, such as convenience, in determining whether to transfer. Id. at 64. Third and finally, where a party flouts their contractual obligations under a forum selection clause and files suit in a different venue, “transfer of venue will not carry with it the original venue's choice-of-law rules.” Id. Furthermore, forum selection clauses are presumptively valid. Krenkel v. Kerzner Intern. Hotels Ltd., 579 F.3d 1279, 1281 (11th Cir. 2009) (citations omitted). Valid forum selection

clauses should be “given controlling weight in all but the most exceptional cases” and plaintiffs “bear the burden of showing why the court should not transfer the case to the forum to which the parties agreed.” Id. at 63-64 (quoting Stewart Org., Inc. v. Ricoh Corp., 487 U.S. 22, 33 (1988) (Kennedy, J., concurring)). Analysis Defendant seeks dismissal of this action and contends, among other things, that the instant case should have been brought in the Western District of New York

as required by the forum selection clause in CM’s health insurance plan. Plaintiffs oppose transfer and appear to argue that venue is proper here because the alleged breach occurred here and because Michael Brannigan, as attorney-in-fact for CM, resides in this district. Under ERISA, claims brought in federal district courts may generally be brought in the following three districts: “where the plan is administered, where the breach took place, or where the defendant resides or may be found….” 29 U.S.C. § 1332(e)(2); Loeffelholz v. Ascension Health, Inc., 34 F. Supp. 3d 1187, 1189 (M.D. Fla. 2014). While it is well-settled that the ERISA statute sets a broad venue

provision, parties remain free to contractually choose the venue for these disputes to one of the three options afforded by the statute. Id. (enforcing a forum selection clause for ERISA claims contained within an employer-sponsored disability plan); In re Penn–Mont Benefit Services, Inc., No. 3:13-bk-05986-JAF, 2013 WL 6405046 at *11 (Bankr. M.D. Fla. Dec. 6, 2013) (“Forum selection clauses in any contract, including ERISA plans, are presumptively valid and should be enforced…”); Kydra

Manuel-Clark v. Manpowergroup Short-Term Disability Plan, 2019 WL 5558406 at *1 (“This language [referring to 29 U.S.C. § 1332(e)(2)] is permissive and does not preempt forum and venue selection clauses. Accordingly, § 1132(e)(2) does not invalidate the Plan’s clause.”). This is precisely what this clause seeks to do by selecting a venue where Defendant resides. Under the terms of the plan, all disputes arising under the plan must be resolved in a court located in the State of New York. This clause is not

invalidated or unenforceable because a breach may have occurred in Florida or because one of the plaintiffs resides here.1 Seeing no statutory or policy reason to depart from the precedent favoring forum selection clauses, the Court finds the clause contained in the health insurance plan enforceable and concludes that this case should be transferred to the Western District of New York. Because the Court

1 The Court does not address whether Michael Brannigan is a proper plaintiff in this action. is transferring the case, it does not address Defendant’s other arguments for dismissal or its request for attorney’s fees and costs. Accordingly, it is ORDERED, ADJUDGED, and DECREED: 1. “Defendant’s Motion to Dismiss Complaint” (Doc. 16) is hereby GRANTED to the extent that this action shall be transferred based on the forum selection clause. 2. The Clerk is directed to TRANSFER this case to the Western District of New York, Rochester Division, for all further proceedings. 3. Following transfer, the Clerk is directed to terminate any pending motions and deadlines, and thereafter close the case. DONE and ORDERED in Chambers in Tampa, Florida, this 29th day of March, 2022.

i )\ 7 — -TOMBARBER i (asssti—‘“‘—iststsS UNITED STATES DISTRICT JUDGE

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Related

Krenkel v. Kerzner International Hotels Ltd.
579 F.3d 1279 (Eleventh Circuit, 2009)
Continental Grain Co. v. Barge FBL-585
364 U.S. 19 (Supreme Court, 1960)
Van Dusen v. Barrack
376 U.S. 612 (Supreme Court, 1964)
Stewart Organization, Inc. v. Ricoh Corp.
487 U.S. 22 (Supreme Court, 1988)
Loeffelholz v. Ascension Health, Inc.
34 F. Supp. 3d 1187 (M.D. Florida, 2014)

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Bluebook (online)
Brannigan v. Excellus Blue Cross and Blue Shield, Counsel Stack Legal Research, https://law.counselstack.com/opinion/brannigan-v-excellus-blue-cross-and-blue-shield-nywd-2022.