Brown v. Wellpoint, Inc.

CourtDistrict Court, D. Massachusetts
DecidedAugust 13, 2025
Docket1:25-cv-10029
StatusUnknown

This text of Brown v. Wellpoint, Inc. (Brown v. Wellpoint, Inc.) is published on Counsel Stack Legal Research, covering District Court, D. Massachusetts primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Brown v. Wellpoint, Inc., (D. Mass. 2025).

Opinion

UNITED STATES DISTRICT COURT DISTRICT OF MASSACHUSETTS

) DONALD BROWN, ) ) Plaintiff, ) ) v. ) ) WELLPOINT, INC., U.S. CENTERS FOR ) No. 1:25-cv-10029-JEK MEDICARE & MEDICAID SERVICES, ) NATIONAL GOVERNMENT SERVICES, ) INC., JOHN DOES 1 THROUGH 5, and ) JANE DOES 6 THROUGH 10, ) ) Defendants. ) )

MEMORANDUM AND ORDER ON MOTIONS TO DISMISS

KOBICK, J. Plaintiff Donald Brown, proceeding pro se, brought this action seeking $50,000 in damages for the defendants’ allegedly improper withholding of his settlement payment from a personal injury action. The complaint asserts ten claims against defendants Wellpoint, Inc. (“Elevance”),1 the Centers for Medicare & Medicaid Services (“CMS”), National Government Services, Inc. (“NGS”), and ten unnamed individuals associated with those defendants. Pending before the Court are a motion to dismiss filed by CMS and NGS and a separate motion to dismiss filed by Elevance. For the reasons that follow, those motions will be granted. The claims against CMS will be dismissed for lack of subject matter jurisdiction or for failure to state a claim. Brown also fails to plausibly allege any claims against NGS. And the Court lacks personal jurisdiction over Elevance.

1 This defendant represents that Wellpoint, Inc. is the predecessor entity of Elevance Health, Inc. See ECF 17, at 1 n.1; ECF 18, ¶ 5; ECF 20. The Court follows the defendant’s lead and uses the term “Elevance” throughout this decision. BACKGROUND The Court recounts the facts based on the allegations in the complaint, which is construed liberally because Brown is pro se. See In re Fin. Oversight & Mgmt. Bd. for Puerto Rico, 919 F.3d 638, 642 (1st Cir. 2019); Erickson v. Pardus, 551 U.S. 89, 94 (2007). It also supplements those

facts with the jurisdictional evidence submitted in connection with Elevance’s motion to dismiss. See Baskin-Robbins Franchising LLC v. Alpenrose Dairy, Inc., 825 F.3d 28, 34 (1st Cir. 2016). Brown suffered mental injuries at a nursing home in July 2023. ECF 22-1, at 5-22 (“Complaint”), ¶¶ 10-11. He settled a lawsuit against that nursing home in August 2024. Id. ¶¶ 12- 13. Since then, Brown alleges, CMS has “held up” his settlement through “inaction” that has prevented him from receiving any funds from the nursing home. Id. ¶¶ 14-15. The complaint references and attaches a November 27, 2024 email, apparently from an attorney at Morrison Mahoney LLP, explaining that Brown’s claim had been submitted to CMS for review and was still being processed, which could “take some time” to resolve. ECF 22-1, at 23; Complaint ¶ 15. On November 29, 2024, Brown filed this action in Dedham District Court against

Elevance, CMS, NGS, and several John and Jane Does. Complaint ¶¶ 6-9; ECF 1-2. The complaint asserts the following ten claims against all defendants: false or misleading representations in violation of 15 U.S.C. § 1125(a) and state law (Counts I and III, respectively);2 fraud and concealment (Count II); invasion of privacy (Count IV); intentional and negligent infliction of emotional distress (Counts V and VI, respectively); negligent hiring, training, and supervision (Counts VII, VIII, and IX, respectively); and tortious interference with an advantageous

2 The complaint alleges a violation of “Massachusetts G.L. Sec 13A” without identifying the relevant chapter. Complaint, at 10. relationship (Count X). Complaint ¶¶ 16-98. Brown seeks $50,000 in damages. Id. ¶ 2; ECF 1-1, at 2. On January 6, 2025, CMS and NGS removed the case to this Court under 28 U.S.C. § 1442(a)(1). ECF 1, at 2. Three weeks later, they moved to dismiss for lack of subject matter

jurisdiction and for failure to state a claim. ECF 14. Elevance separately filed a motion to dismiss for lack of personal jurisdiction and for failure to state a claim. ECF 16. In a supporting declaration, Elevance’s Senior Vice President and Counsel, Pamela Williams, Esq., avers that “Elevance is a holding company incorporated in the State of Indiana,” with a “principal place of business in Indianapolis,” and has not done any business in Massachusetts, including, as relevant here, between 2021 and 2024. ECF 18, ¶¶ 3-4, 6. She also avers that Elevance’s predecessor entity, Wellpoint, “has never operated in Massachusetts.” Id. ¶ 5. Brown filed an opposition to Elevance’s motion but did not oppose CMS and NGS’s motion. ECF 23. After holding a hearing, at which Brown did not appear, the Court took the motions under advisement. ECF 35. DISCUSSION

I. CMS and NGS’s Motion to Dismiss. CMS and NGS move to dismiss the complaint for lack of subject matter jurisdiction and for failure to state a claim pursuant to Federal Rules of Civil Procedure 12(b)(1) and 12(b)(6), respectively. In evaluating a motion to dismiss for lack of subject matter jurisdiction under Rule 12(b)(1), “the party invoking the jurisdiction of a federal court carries the burden of proving its existence.” Johansen v. United States, 506 F.3d 65, 68 (1st Cir. 2007) (quotation marks omitted). When ruling on such a motion, the Court must credit the “‘plaintiff’s well-pled factual allegations and dra[w] all reasonable inferences in the plaintiff’s favor.’” Andersen v. Vagaro, Inc., 57 F.4th 11, 13 (1st Cir. 2023) (quoting Merlonghi v. United States, 620 F.3d 50, 54 (1st Cir. 2010)). In assessing a motion to dismiss for failure to state a claim pursuant to Rule 12(b)(6), the Court must determine “whether, construing the well-pleaded facts of the complaint in the light most favorable to the plaintif[f], the complaint states a claim for which relief can be granted.” Cortés-Ramos v. Martin-Morales, 956 F.3d 36, 41 (1st Cir. 2020) (quotation marks omitted). The

complaint must allege “a plausible entitlement to relief.” Bell Atl. Corp. v. Twombly, 550 U.S. 544, 559 (2007). “A claim has facial plausibility 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). “While legal conclusions can provide the framework of a complaint, they must be supported by factual allegations.” Id. at 679. A. Count I. Count I asserts a claim against CMS and NGS under the Lanham Act, 15 U.S.C. § 1125(a), for “false or misleading representations.” Complaint ¶¶ 16-20. To establish a claim under 15 U.S.C. § 1125

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