Collins v. Anthem Health Plans, Inc.

836 A.2d 1124, 266 Conn. 12, 2003 Conn. LEXIS 376
CourtSupreme Court of Connecticut
DecidedSeptember 30, 2003
DocketSC 16900
StatusPublished
Cited by25 cases

This text of 836 A.2d 1124 (Collins v. Anthem Health Plans, Inc.) is published on Counsel Stack Legal Research, covering Supreme Court of Connecticut primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

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

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]*17sounds 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]*18Practice 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]*19with 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]*20cally, 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

In July, 2001, the trial court granted the motion for class certification, but only with respect to three of the sixteen subparagraphs of the plaintiffs’ complaint asserting factual allegations in support of the counts of the complaint. Because the same factual allegations served as the basis for each count of the plaintiffs’ complaint, the court’s ruling applied to each count. The court denied the plaintiffs’ motion for class certification, however, with respect to the remaining thirteen [21]*21subparagraphs of the complaint, thereby creating a “partial class action.”12 7B C. Wright, A. Miller & M. Kane, Federal Practice and Procedure (2d Ed. 1986) § 1790, p. 268. The court determined that several of those thirteen subparagraphs contained allegations that, based on current deposition testimony, none of the plaintiffs sought to establish on their own behalf. On the basis of that conclusion, the court determined that the plaintiffs could not represent the proposed class with respect to those allegations because the plaintiffs’ claims were not typical of the claims raised for the class, as required under Practice Book § 9-7 (3). The court determined that other factual allegations in the complaint did not raise issues common to those of the class and that the claims supported by those allegations were not typical of the claims of the class because, as discovery thus far had demonstrated, the plaintiffs’ proof would be “highly individualized across the proposed class,” requiring “case-by-case” adjudication. More specifically, the court concluded that those allegations “relate [d] to discrete transactions concerning particular services in particular circumstances, with factual issues not common to other such transactions . . . .’’By contrast, the court determined that the three subparagraphs of factual allegations in the complaint for which it had granted class certification described “general practices” constituting a “uniform method of doing business . . . .” Thus, the court concluded, the issues raised in those allegations were common to the class and the claims supported by those allegations were typical of the claims of the class.

[22]

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Bluebook (online)
836 A.2d 1124, 266 Conn. 12, 2003 Conn. LEXIS 376, Counsel Stack Legal Research, https://law.counselstack.com/opinion/collins-v-anthem-health-plans-inc-conn-2003.