Brock v. Provident America Insurance

144 F. Supp. 2d 652, 2001 U.S. Dist. LEXIS 4852, 2001 WL 468662
CourtDistrict Court, N.D. Texas
DecidedApril 17, 2001
Docket2:01-cv-00365
StatusPublished
Cited by11 cases

This text of 144 F. Supp. 2d 652 (Brock v. Provident America Insurance) is published on Counsel Stack Legal Research, covering District Court, N.D. Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Brock v. Provident America Insurance, 144 F. Supp. 2d 652, 2001 U.S. Dist. LEXIS 4852, 2001 WL 468662 (N.D. Tex. 2001).

Opinion

MEMORANDUM OPINION AND ORDER

BUCHMEYER, Chief Judge.

Plaintiff Carol Brock (“Ms. Brock”) asserts claims against Defendant Provident America Insurance Company (“PAI”) for 1) misrepresentation in violation of the Texas Insurance Code, and 2) breach of contract. Now before this Court is Plaintiffs Motion to Remand, filed on March 15, 2001. For the reasons discussed below, Plaintiffs motion is GRANTED.

I. BACKGROUND FACTS

This action arises over a dispute about the terms of a health care policy Ms. *655 Brock purchased from PAI on August 21, 1997. Essentially, Ms. Brock’s complaint alleges that PAI misrepresented the policy’s term that it was “guaranteed for the life of each person insured” by failing to disclose that the policy was actually terminable under both state and federal law.

After Ms. Brock purchased the comprehensive health care policy from PAI, she made all required premium payments and paid all applicable fees on time for almost three years. On June 29, 2000, PAI sent Ms. Brock a notice that they were cancel-ling her policy, as well as all other members’ policies within the state of Texas, pursuant to 42 U.S.C. § 300gg-42(b)(3). This statute requires all health care policies in the United States to continue coverage at the option of the insured, and also states various exceptions to this general rule. See 42 U.S.C. § 300gg-42(a)-(e). The specific exception relied upon by PAI in this instance permits an insurance company to cancel an individual’s insurance policy as long as the company fully withdraws all coverage from a particular state’s market. See 42 U.S.C. § 300gg-42(b)(3); 42 U.S.C. § 300gg-42(c)(2)(A)(ii). As the statute dictates, PAI sent Ms. Brock the cancellation notice 180 days pri- or to the date they intended to cease her coverage (January 29, 2001). See 42 U.S.C. § 300gg-42(c)(2)(A)(i). At some point between the time Ms. Brock purchased coverage from PAI and the time this action was filed, she contracted breast cancer. As a result of her condition, Ms. Brock has been unable to secure alternate health insurance arrangements.

Ms. Brock filed suit in the 196th Judicial District of Hunt County, Texas on January 16, 2001, as a result of PAI’s actions. Her complaint contains two Texas state law causes of action; breach of contract, and misrepresentation under four separate statutes of the Texas Insurance Code. The crux of Ms. Brock’s misrepresentation claim is that PAI neither disclosed nor explained the exceptions to their representation that PAI health coverage was “guaranteed renewable,” as the Texas Insurance Code mandates. 1 Ms. Brock also claims that PAI misled her into believing that her coverage was renewable without exception. Ms. Brock’s claim does not contend that PAI’s cancellation of her policy violated any provisions of 42 U.S.C. § 300gg-42; nor does Ms. Brock’s complaint allege that state law prevents PAI from cancelling her insurance.

On February 23, 2001, PIA filed a timely notice of removal in this action pursuant to 28 U.S.C. § 1446(b). In its Notice, PAI states that this Court has federal-question jurisdiction over this action pursuant to 28 U.S.C. § 1331. 2 This Motion to Remand by Ms. Brock followed on March 15, 2001, and this Court considers the merits of the motion through its authority granted by Congress to review removed actions, 28 U.S.C. § 1447(c).

II. LEGAL ANALYSIS

Title 28 U.S.C. § 1441(a) permits removal of “any civil action brought in a State Court of which the district courts of *656 the United States have original jurisdiction.” “Removal jurisdiction must be strictly construed, however, because it ‘implicates important federalism concerns.’ ” Ray v. State Farm Lloyds, 1999 WL 151667 (N.D.Tex.l999)(citing Frank v. Bear Steams & Co., 128 F.3d 919, 922 (5th Cir.1997)). “Any doubts concerning removal must be resolved against removal in favor of remanding the case back to state court.” Cross v. Bankers Multiple Line Insurance Company, 810 F.Supp. 748, 750 (N.D.Tex.1992). For these reasons, the burden of establishing subject matter jurisdiction in federal court rests on the party seeking removal. See Gaitor v. Peninsular & Occidental Steamship Co., 287 F.2d 252, 253-254 (5th Cir.1961.)

In this case, diversity between the parties is not alleged. As such, this Court cannot exert its jurisdiction over this action unless the Defendant shows that one of the laws in question “aris[es] under the Constitution, laws, or treaties of the United States.” 28 U.S.C. § 1331. The Court’s inquiry about whether a case confers federal-question jurisdiction begins with the longstanding “well-pleaded complaint” rule, which requires that a federal question appear of the face of the Plaintiffs complaint before a district court can invoke its jurisdiction. See Caterpillar Inc. v. Williams, 482 U.S. 386, 392, 107 S.Ct. 2425, 96 L.Ed.2d 318 (1987); see also Louisville & Nashville R. Co. v. Mottley, 211 U.S. 149, 152, 29 S.Ct. 42, 53 L.Ed. 126 (1908). However, an exception to the “well-pleaded complaint rule” exists when a “substantial question of federal law” must be resolved before relief can be granted under the state law at issue. Franchise Tax Board v. Construction Laborers, 463 U.S. 1, 13, 103 S.Ct. 2841, 77 L.Ed.2d 420 (1983). 3 The “substantial question of federal law” must lie in the complaint itself, as a “defense that raises a federal question is inadequate to confer federal question jurisdiction....

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Bluebook (online)
144 F. Supp. 2d 652, 2001 U.S. Dist. LEXIS 4852, 2001 WL 468662, Counsel Stack Legal Research, https://law.counselstack.com/opinion/brock-v-provident-america-insurance-txnd-2001.