Delta Dental of Rhode Island v. Blue Cross & Blue Shield of Rhode Island

942 F. Supp. 740, 1996 U.S. Dist. LEXIS 14413, 1996 WL 554758
CourtDistrict Court, D. Rhode Island
DecidedSeptember 26, 1996
DocketC.A. 95-0546L
StatusPublished
Cited by20 cases

This text of 942 F. Supp. 740 (Delta Dental of Rhode Island v. Blue Cross & Blue Shield of Rhode Island) is published on Counsel Stack Legal Research, covering District Court, D. Rhode Island primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Delta Dental of Rhode Island v. Blue Cross & Blue Shield of Rhode Island, 942 F. Supp. 740, 1996 U.S. Dist. LEXIS 14413, 1996 WL 554758 (D.R.I. 1996).

Opinion

MEMORANDUM AND ORDER

LAGUEUX, Chief Judge.

This case involves an antitrust action brought by Delta Dental of Rhode Island (“Delta Dental”) alleging anticompetitive practices by defendant Blue Cross & Blue Shield of Rhode Island (“Blue Cross”) in the market for prepaid dental services in Rhode Island. Delta Dental initiated this suit in Rhode Island Superior Court, relying exclusively on state law in asserting that Blue Cross has engaged in predatory pricing and other exclusionary practices in ’violation of the Rhode Island Antitrust Act, R.I.Gen. Laws § 6-36-1 et seq. Delta Dental further claims that the challenged practices violate Rhode Island’s common law doctrines of unfair competition and tortious interference with contractual relations.

*742 On the motion of Blue Cross, the case was removed to this District Court pursuant to 28 U.S.C. § 1441(b). Subsequently, Magistrate Judge Timothy M. Boudewyns entered an order dated February 22, 1996 remanding the action to the state court, upon a finding that no federal question existed to support jurisdiction under 28 U.S.C. § 1381. The matter is now before this Court on the appeal of Blue Cross from the Magistrate Judge’s remand order. For the reasons that follow, the Magistrate Judge’s Order is affirmed.

I. Facts and Procedural Background

The following facts are not in dispute, unless otherwise noted. The somewhat tortured relationship between the parties dates back to Delta Dental’s entry into the Rhode Island dental services market in the early 1970’s. Because Delta Dental, as a new provider, had little administrative structure to speak of, it turned to Blue Cross’ established health care network (which did not at that time include a dental benefits package) to provide the necessary support and administration. In June of 1973, the parties agreed to jointly develop a prepaid dental benefits plan for the Rhode Island market. Pursuant to the agreement between the parties (the “Administrative Agreement”), Delta Dental determined all professional matters regarding the plan’s coverage, such as fee schedules and benefits structures. Blue Cross assumed the management duties for the plan, including the maintenance of enrollment records and administration of claims.

The relationship between the parties broke down in the early 1990’s. Complaining that Delta Dental was interfering with the effective administration of the plan, 1 Blue Cross terminated the Administrative Agreement on December 13, 1991, effective January 13, 1993. According to Delta Dental, however, Blue Cross’ true motive for termination was a desire to develop its own dental benefits plan to compete with the Delta Dental plan. Delta Dental asserted that a program to develop such a competing plan had already been initiated prior to the December 1991 notice of termination, in violation of a non-competition clause in the Administrative Agreement.

These events culminated in the parties’ first trip to this federal court. In 1992, Blue Cross filed an action against Delta Dental here, seeking damages, declaratory relief, and injunctive relief for alleged violations of both federal and state antitrust laws. Delta Dental of Rhode Island v. Blue Cross & Blue Shield of Rhode Island, C.A. No. 92-0336L (D.R.I. filed June 22, 1992). At the heart of that ease was the assertion that Delta Dental had provided false and misleading information to the dental community and potential customers — first to discourage Blue Cross from entering the market, and then to discourage customers from purchasing Blue Cross’ dental plan 2 — all in an effort to protect and maintain its dominance of Rhode Island’s dental care financing market. 3 Blue Cross maintained that these and other practices violated sections 1 and 2 of the Sherman Act, 15 U.S.C. § let seq., as well as §§ 6-36-4 and 6-36-5 of the Rhode Island Antitrust Act, supra.

Delta Dental denied the allegations in Blue Cross’ complaint, and asserted as an additional defense the McCarran-Ferguson Act’s “business of insurance” exemption from antitrust scrutiny, 15 U.S.C. § 1012. Moreover, Delta Dental filed numerous counterclaims stemming from the Administrative Agreement, including claims for breach of contract, conversion, breach of fiduciary duty, and intentional interference with contractual and business relations.

This initial dispute was eventually resolved by a settlement approved by this Court on *743 April 20, 1994. However, this second round of litigation between the parties commenced in September 1995, when Delta Dental filed the present action against Blue Cross in the Rhode Island Superior Court in and for the County of Providence. The complaint alleges that Blue Cross has engaged in exclusionary and predatory practices since its entry into Rhode Island’s prepaid dental benefits market in January 1993. Specifically, Delta Dental asserts that Blue Cross has engaged in illegal cross-subsidization and predatory pricing in an effort to achieve a monopoly. According to the complaint, Blue Cross has deliberately driven dental insurance prices to unprofitably low levels, choosing to operate at a loss in dental insurance while covering these losses with the profits generated by its other health care service plans. Delta Dental avers that Blue Cross is willing to sustain such losses until all competitors, unable to cover similar losses, are driven from the Rhode Island market.

Delta Dental asserts that the challenged conduct violates the Rhode Island Antitrust Act, supra. In addition, Delta Dental has asserted claims under the state common law doctrines of unfair competition, interference with contractual relations, and interference with prospective contractual relations, on the theory that Blue Cross has used the challenged practices to take former and prospective customers away from Delta Dental. Blue Cross has filed counterclaims against Delta Dental under federal and state antitrust law, as well as state tort theories of intentional interference with current contractual and prospective business relations.

While Delta Dental’s complaint is based entirely on state law, Blue Cross removed the action to this Court under the “artful pleading” doctrine enunciated in Federated Dept. Stores, Inc. v. Moitie, 452 U.S. 394, 101 S.Ct. 2424, 69 L.Ed.2d 103 (1981). The crux of the argument is that while Delta Dental could have brought its claims in federal court under the Sherman Act, it instead chose to bring its claim exclusively under the state antitrust statute, allegedly in order to deprive Blue Cross of certain federal defenses as well as to avoid the res judicata

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942 F. Supp. 740, 1996 U.S. Dist. LEXIS 14413, 1996 WL 554758, Counsel Stack Legal Research, https://law.counselstack.com/opinion/delta-dental-of-rhode-island-v-blue-cross-blue-shield-of-rhode-island-rid-1996.