CIGNA HealthCare of St. Louis, Inc. v. Kaiser

181 F. Supp. 2d 914, 2002 U.S. Dist. LEXIS 581, 2002 WL 59109
CourtDistrict Court, N.D. Illinois
DecidedJanuary 16, 2002
Docket01C5130
StatusPublished
Cited by5 cases

This text of 181 F. Supp. 2d 914 (CIGNA HealthCare of St. Louis, Inc. v. Kaiser) is published on Counsel Stack Legal Research, covering District Court, N.D. Illinois primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
CIGNA HealthCare of St. Louis, Inc. v. Kaiser, 181 F. Supp. 2d 914, 2002 U.S. Dist. LEXIS 581, 2002 WL 59109 (N.D. Ill. 2002).

Opinion

MEMORANDUM OPINION AND ORDER

CASTILLO, District Judge.

This dispute formally began on May 26, 2000 when Defendant Timothy N. Kaiser, M.D., on behalf of certain healthcare providers, filed a class action suit against CIGNA Healthcare of St. Louis, Inc. (“CHCSL”), CIGNA Healthcare of Texas, Inc. (“CHCTX”), and CIGNA Corporation (“CIGNA Corp.”) (collectively “CIGNA”) in the Circuit Court of Madison County, Illinois. 1 Thereafter, on July 3, 2001, CIG-NA filed a class action petition in this Court to compel arbitration of the state court dispute with a sub-class of providers pursuant to the Federal Arbitration Act (“FAA”), 9 U.S.C. § 4. (R. 1, Class Action Pet.) We dismissed the petition without prejudice due to jurisdictional concerns. (R. 2, July 6, 2001 Minute Order.) Under the direction of the Court, both CIGNA and several of the named Defendants filed briefs with the Court addressing: (1) whether this Court has subject matter jurisdiction over the petition to compel arbitration; and (2) whether this Court should abstain from exercising jurisdiction given the pending state court proceeding in Madison County, Illinois. 2 For the reasons set out herein, the Court concludes *918 that although we have jurisdiction over the petition to compel arbitration pursuant to 28 U.S.C. § 1332, we will abstain from exercising jurisdiction under the doctrine set forth in Colorado River Water Conservation District v. United States, 424 U.S. 800, 96 S.Ct. 1236, 47 L.Ed.2d 483 (1976), and its progeny. As such, this action is stayed, and CIGNA retains full rights to reinstate this suit in the event of a material change in circumstances. (R. 1, Class Action Pet.)

RELEVANT FACTS

I. The Parties

CIGNA Corp. is a Delaware corporation with its principal place of business in Pennsylvania. CIGNA Corp. is the parent corporation of numerous health care subsidiaries, including CHCSL and CHCTX. CHCSL, a wholly-owned subsidiary of CIGNA Corp., is a Missouri corporation with its principal place of business in Missouri. CHCTX, a wholly-owned subsidiary of CIGNA Corp., is a Texas corporation with its principal place of business in Texas. CIGNA Healthcare of Illinois (“CHCIL”), an unnamed party to this action, is also a wholly-owned subsidiary of CIGNA Corp., incorporated in Delaware, with its principal place of business in Illinois. (R. 15, Pis.’ Reply at 2.) Certain subsidiaries of CIGNA Corp., such as CHCSL and CHCTX, market and operate health care entities, including Preferred Provider Organizations (“PPOs”).

Defendant Timothy N. Kaiser is a physician licensed to practice medicine in Illinois who practices and resides in Madison County, Illinois. Defendants Northwestern Medical Faculty Foundation and Midwest Neoped Associates are associations of physicians incorporated in Illinois with their principal places of business in Illinois. Defendants Northwestern Memorial Hospital, Evanston Northwestern HealthCare Corporation and Edward Hospital are also incorporated in Illinois and maintain their principal places of business in Illinois.

II. The Underlying State Court Action

On May 26, 2000, Dr. Kaiser, along with Dr. Corrigan and on behalf of all providers who have entered into PPO Managed Cai'e Agreements (“Agreements”) with CHCSL, CHCTX or one of its affiliates, filed a class action complaint against CIGNA in the Circuit Court of Madison County, Illinois. The plaintiffs alleged that CIGNA breached the Agreements by using ClaimCheck, a claims processing computer software that allegedly reduced the payments due to the providers. (R. 1, Ex. A, State Class Action Compl. ¶¶ 32^1.) As certified by the Madison County Circuit Court on April 20, 2001, the class of providers includes those providers who, from May 26, 1990 to the present, executed a PPO Agreement with CIGNA and submitted claims pursuant to the Agreements that were audited by ClaimCheck prior to any payment. (R. 1, Ex. B, Am. Order of Class Certification.) Currently, the state action is in the discovery phase. (See R. 13, Exs. 11, 12, 13, 14.) Provider contract files are being collected and placed in a document depository in Belleville, Illinois, and CIGNA is currently cataloging those providers with arbitration clauses in their Agreements and those providers with Program Requirement clauses. (R. 13, Defs.’ Resp., Ex. 15, July 18, 2001 Matoesian Order; Ex. 16, Chart of “Providers with Arbitration Agreements.”)

Judge Matoesian, presiding over the Madison County suit, has repeatedly ordered that CIGNA’s participation in discovery shall not prejudice their right to seek enforcement of any valid arbitration clause. (R. 21, State Court Record, Aug. 17, 2001 Matoesian Order, Nov. 28, 2001 Matoesian Order.) In fact, soon after the *919 Court dismissed the petition to compel arbitration, CIGNA filed a FAA motion in the Madison County action to compel arbitration of the claims of seven class members. (R. 13, Defs.’s Resp., Ex. 3, Mot. to Compel Arbitration and Dismiss.) In the state court motion to compel arbitration, CIGNA seeks to compel arbitration of the claims of seven class members whose Agreements make reference to dispute resolution procedures in accordance with Program Requirements. (Id., Ex. 3 at 2-3.) CIGNA also seeks the appointment of a special master to make recommendations with respect to the arbitration obligations of all the providers and to resolve the issue of arbitrability of the claims of those providers who have dispute resolution provisions incorporated into their Agreements by reference to Program Requirements. (Id., Ex. 3 at 3.)

III. CIGNA’s Motion to Compel Arbitration

On July 3, 2001, more than one year after the filing of the Madison County lawsuit, CIGNA filed a class action petition against Defendants with this Court. CIG-NA sought to create a defendant subclass of providers — those whose Agreements contain or contained an arbitration provision in the text of the Agreement — to compel members of the subclass to proceed with individual arbitrations and to enjoin them from pursuing their claims in the Madison County class action. The Court dismissed the lawsuit without prejudice on July 6, 2001 with directions to brief the jurisdictional issues.

DISCUSSION

I. Subject Matter Jurisdiction

The FAA does not create independent federal question jurisdiction under 28 U.S.C. § 1331. A federal district court has jurisdiction over a petition filed under the FAA only when the plaintiffs establish an independent basis of jurisdiction, such as diversity of citizenship. Moses H. Cone Mem’l Hosp. v. Mercury Constr. Corp., 460 U.S. 1, 25 n. 32, 103 S.Ct.

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Bluebook (online)
181 F. Supp. 2d 914, 2002 U.S. Dist. LEXIS 581, 2002 WL 59109, Counsel Stack Legal Research, https://law.counselstack.com/opinion/cigna-healthcare-of-st-louis-inc-v-kaiser-ilnd-2002.