Collins v. Anthem Health Plans, Inc.

836 A.2d 1124, 266 Conn. 12, 2003 Conn. LEXIS 376
Supreme Court of Connecticut·Decided September 30, 2003·No. SC 16900·Published·Cited by 25 cases

Opinion

Opinion

BORDEN, J.

The defendant, Anthem Health Plans, Inc., appeals1 and the plaintiffs, Edward Collins, a physician, and numerous other named physicians and groups of physicians,2 cross appeal from the order of the trial court granting in part, and denying in part, the plaintiffs’ motion for class certification3 of this action, which [17] sounds in breach of contract, tortious interference with business expectations, and violation of the Connecticut Unfair Trade Practices Act (CUTPA), General Statutes § 42-110a et seq.4 The plaintiffs are several orthopedic surgeons and groups of orthopedic surgeons employed in this state, who brought this action to challenge, among other things, the defendant’s alleged failure to pay adequately for medical procedures under the terms of certain written agreements between the parties. On appeal, the defendant claims that the trial court abused its discretion in granting, in part, the plaintiffs’ motion for class certification because: (1) the plaintiffs had failed to establish the elements of commonality and typicality, as required to bring a class action under [18] Practice Book § 9-7 (2) and (3);5 (2) the trial court failed to consider whether questions of law or fact common to the members of the certified class predominated over questions affecting only individual members, as required to maintain a class action under Practice Book § 9-8;6 (3) the plaintiffs could not fairly and adequately represent the certified class, as required to bring a class action under Practice Book § 9-7 (4); and (4) a class action was not superior to other available methods for the fair and efficient adjudication of the controversy, which is required to maintain a class action under Practice Book § 9-8.7 The plaintiffs have moved to dismiss the defendant’s appeal “insofar as [it] purports to raise nonCUTPA issues,” on the basis that General Statutes § 42-110h8 only provides for the interlocutory appeal of class certification orders entered in CUTPA actions.9 We deny the plaintiffs’ motion to dismiss that aspect of the appeal. On the merits of the appeal, we agree [19] with the defendant’s second claim, and, accordingly, we reverse the trial court’s order granting the plaintiffs’ motion for class certification, and we remand the case to the trial court for further proceedings. We proceed, nonetheless, to consider the remaining issues raised in the defendant’s appeal, and in the plaintiffs’ cross appeal, because the issues will arise again on remand. We disagree with the defendant’s remaining claims in the appeal.

On the cross appeal, the plaintiffs claim that the trial court improperly: (1) refused to rule on the merits of the motion for class certification with respect to their claim that the defendant unlawfully altered the payment terms10 of the agreements at issue; (2) denied their subsequent motion to amend the class certification to encompass that claim; and (3) denied their motion for class certification with respect to their allegation that the defendant had engaged in “illegal profiling” of their utilization of medical resources, leading to their potential termination from participation in the agreements. We disagree with the plaintiffs’ first two claims, but we agree with the third claim.

The following facts and procedural history are undisputed. The plaintiffs ar e several orthopedic surgeons and groups of orthopedic surgeons, who brought this class action in 1999, alleging breach of contract, tortious interference with business expectations, and violation of CUTPA. See footnote 2 of this opinion. In support of those counts, the plaintiffs alleged that they had each entered a written agreement with the defendant for the provision of certain medical services to persons insured by the defendant, and that the defendant had breached the terms of those agreements in several ways. Specifi[20] cally, the plaintiffs alleged that the defendant: (1) failed to pay adequately for the plaintiffs’ medical services in a timely manner; (2) failed to develop and communicate consistent policies and procedures for the coverage of the plaintiffs’ medical services; (3) engaged in unlawful “profiling and other discriminatory practices” designed to prevent payment for services; (4) arbitrarily amended the agreements without providing adequate notice or an adequate procedure for the plaintiffs to challenge those amendments; (5) failed “to provide senior personnel to work with the [p]laintiffs”; and (6) shifted costs to the plaintiffs that properly were to be borne by the defendant.

In March, 2001, the plaintiffs moved for class certification to serve as representative parties for the following class of unnamed persons: “ ‘[A]ll those providers, doctors and physicians who have signed with the defendant [one of several written agreements to provide medical services to persons insured by the defendant].’ ” At a hearing on the motion, the plaintiffs further limited the proposed class to “include only physicians, not social workers or other providers who are not medical doctors,” “who signed such agreements from 1993 to the present.”11

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Collins v. Anthem Health Plans, Inc., 836 A.2d 1124, 266 Conn. 12, 2003 Conn. LEXIS 376 (Colo. 2003).

836 A.2d 1124 (Collins v. Anthem Health Plans, Inc.) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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