Cima v. Wellpoint Health Networks, Inc.

250 F.R.D. 374, 2008 U.S. Dist. LEXIS 21224, 2008 WL 754105
District Court, S.D. Illinois·Decided March 18, 2008·No. No. 05-cv-4127-JPG·Published·Cited by 20 cases

Opinion

MEMORANDUM AND ORDER

GILBERT, District Judge.

This matter comes before the Court on the motion for class certification brought by plaintiffs Greg Cima, Diana Peek, Linda McMahon, Mike Beard, Sharon Beard, John Beckwith, Jr, and Stephen Jellen (Doc. 152).1 For the following reasons, the motion is DENIED.

I. Introduction

As the Court has discussed in previous orders outlining the nature of the claims and the procedural history of this ease, see, e.g., Cima v. Wellpoint Healthcare Networks, Inc., No. 05-CV-4127-JPG, 2006 WL 1914107 (S.D.Ill. July 11, 2006), the plaintiffs are former holders of health insurance policies issued through defendant RightCHOICE Insurance Company and/or its parent corporation defendant RightCHOICE Managed Care, Inc. (hereinafter, collectively, “RightCHOICE”). The plaintiffs allege that in 2001 defendant WellPoint Health Networks, Inc., (“WellPoint”) acquired RightCHOICE through a merger from which RightCHOICE emerged as a wholly-owned subsidiary of WellPoint. The plaintiffs contend that, although at the time WellPoint acquired RightCHOICE WellPoint represented in a “Form A” filing with the Illinois Department of Insurance (“IDOI”) that it had no plans to make material changes in RightCHOICE’s business, in fact WellPoint intended to cause, and did cause, RightCHOICE to withdraw from the Illinois insurance market. As a result of the market withdrawal, the plaintiffs allege, RightCHOICE insureds were forced by WellPoint to convert to more expensive policies issued through defendants Unicare National Services, Inc., Unicare Illinois Services, Inc., and Unicare Health Insurance Company of the Midwest, (hereinafter, collectively, “Unicare”) which are Illinois subsidiaries of WellPoint. RightCHOICE insureds who could not afford to convert to Unicare policies were compelled to seek coverage through other carriers or else do without health insurance.

The operative complaint in this case alleges that the market withdrawal and conversion scheme executed by WellPoint with respect to RightCHOICE policyholders constitutes a breach of contract in that the withdrawal and conversion violated the re-newability provisions of RightCHOICE policies, which incorporated provisions of the Illinois Health Insurance Portability and Accountability Act (“HIPAA”), 215 ILCS 97/1-97/99. The complaint alleges also that the withdrawal and conversion scheme constitutes an unfair trade practice under the Illinois Consumer Fraud and Deceptive Business Practices Act (“ICFA”), 815 ILCS 505/1-505/12. The plaintiffs have moved for certification of a class of Illinois Ri-ghtCHOICE policyholders, defined as “all persons who were RightCHOICE individual or group health insurance policyholders at the time of the notice of the conversion scheme who owned health insurance policies issued by RightCHOICE, which were either (a) converted into Unicare policies, or (b) discontinued by the insurer after the merger of WellPoint and RightCHOICE.” Doc. 152 at 14. The motion for class certification has been fully briefed and is ripe for decision. Having reviewed carefully the submissions of the parties, the Court rules as follows.

II. Discussion

A. Legal Standard

A party seeking certification of a class under Rule 23 of the Federal Rules of Civil Procedure must demonstrate that the proposed class meets all four requirements of Rule 23(a): (1) the class is so numerous that joinder of the class members is impracticable [377]*377(“numerosity”); (2) there are questions of law or fact common to the class (“commonality”); (3) the claims or defenses of the class representatives are typical of the claims or defenses of the class as a whole (“typicality”); and (4) the representatives will fairly and adequately protect the class interests (“adequacy”). See Fed.R.Civ.P. 23(a)(l)-(4); Uhl v. Thoroughbred Tech. & Telecomms., Inc., 309 F.3d 978, 985 (7th Cir.2002). An additional requirement courts have implied in Rule 23(a) is that a proposed class must be reasonably definite and ascertainable. See 7A Charles A. Wright, Arthur R. Miller & Mary Kay Kane, Federal Practice & Procedure § 1760 (1998 & Supp.2007) (collecting cases). If a proposed class meets the prerequisites of Rule 23(a), it must then be shown that the class satisfies at least one of the three requirements of Rule 23(b) as well. See Hispanics United of DuPage County v. Village of Addison, Ill., 160 F.R.D. 681, 686 (N.D.Ill.1995); Hardin v. Harshbarger, 814 F.Supp. 703, 706 (N.D.Ill.1993). “A party seeking class certification bears the burden of proving that each of the requirements under Rule 23 has been met, and a failure by the movant to satisfy any one of these prerequisite elements precludes certification.” Westefer v. Snyder, Civil Nos. 00-162-GPM, 00-708-GPM, 2006 WL 2639972, at *2 (S.D.Ill. Sept. 12, 2006) (citations omitted).

A court has broad discretion to determine whether a proposed class meets the Rule 23 certification requirements. See Westefer, 2006 WL 2639972, at *2. In making this determination, Rule 23 should be construed liberally to support its policy of favoring the maintenance of class actions. See King v. Kansas City S. Indus., Inc., 519 F.2d 20, 25-26 (7th Cir.1975). A court cannot consider the merits of the claims for relief asserted by the members of a proposed class, see Rodriguez v. Ford Motor Credit Co., No. 01 C 8526, 2002 WL 655679, at *1 (N.D.Ill. Apr. 19, 2002) (citing Eisen v. Carlisle & Jacquelin, 417 U.S. 156, 177-78, 94 S.Ct. 2140, 40 L.Ed.2d 732 (1974)), although in evaluating class certification a court “must take into account ‘the substantive elements of plaintiffs’ cause of action and inquire into the proof necessary for the various elements’ and envision ‘the form that trial on these issues would take.’ ” Spicer v. Chicago Bd. Options Exch., Inc., No. 88 C 2139, 1990 WL 16983, at *5 (N.D.Ill. Jan. 31, 1990) (quoting Simer v. Rios, 661 F.2d 655, 672 (7th Cir.1981)). See also Palmer v. Combined Ins. Co. of Am., 217 F.R.D. 430, 437 (N.D.Ill.2003) (quoting Dhamer v. Bristol-Myers Squibb Co., 183 F.R.D. 520, 530 (N.D.Ill.1998)) (in evaluating a request for class certification, a court “cannot consider the merits of [the plaintiffs’] claim and [is permitted to] consider the evidence presented by both parties only to the extent needed to ‘understand the claims, defenses, relevant facts and applicable substantive law.’ ”); Elliott v. ITT Corp., 150 F.R.D.

Free access — add to your briefcase to read the full text and ask questions with AI

Cima v. Wellpoint Health Networks, Inc., 250 F.R.D. 374, 2008 U.S. Dist. LEXIS 21224, 2008 WL 754105 (S.D. Ill. 2008).

250 F.R.D. 374 (Cima v. Wellpoint Health Networks, Inc.) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

Related

Untitled Case
N.D. Indiana, 2026
Untitled Case
N.D. Indiana, 2026
Huff v. Lott
N.D. Indiana, 2023
Taylor v. Gladieux
N.D. Indiana, 2022
McGuire v. Thompson
N.D. Indiana, 2021
Mudica v. Wexford Medical
N.D. Indiana, 2021
Mednick v. Precor, Inc.
320 F.R.D. 140 (N.D. Illinois, 2017)
Pietrzycki v. Heights Tower Service, Inc.
197 F. Supp. 3d 1007 (N.D. Illinois, 2016)
Charlotte Phillips v. Wellpoint Incorporated
764 F.3d 662 (Seventh Circuit, 2014)
Hill v. Wells Fargo Bank, N.A.
946 F. Supp. 2d 817 (N.D. Illinois, 2013)
Phillips v. Wellpoint, Inc.
900 F. Supp. 2d 870 (S.D. Illinois, 2012)
Abbott v. Lockheed Martin Corp.
286 F.R.D. 388 (S.D. Illinois, 2012)
Orr v. Elyea
279 F.R.D. 474 (C.D. Illinois, 2009)