Dial v. HEALTHSPRING OF ALABAMA, INC.

612 F. Supp. 2d 1205, 2007 U.S. Dist. LEXIS 76558, 2007 WL 3025025
Procedural entryThis page is a short order in Dial v. HEALTHSPRING OF ALABAMA, INC.. Read the opinion of the Court — 501 F. Supp. 2d 1348
District Court, S.D. Alabama·Decided October 15, 2007·No. Civil Action 2:07-0412-KD-C·Published

Opinion

ORDER

KRISTI K. DuBOSE, District Judge.

This matter is before the court on plaintiffs’ motion for interlocutory order (doc. 28), defendants’ motion for joinder in plaintiffs’ motion for interlocutory order (doc. 30), plaintiffs’ supplemental motion for remand, or in the alternative, supplemental motion to request interlocutory appeal (doc. 32), and defendants’ opposition to plaintiffs’ supplemental motion for remand and joinder in plaintiffs’ supplemental motion to request interlocutory appeal (doc. 33). Upon consideration, and for the reasons set forth herein, plaintiffs’ motion for interlocutory order and supplemental motion (docs. 28, 32), and defendants’ motion for joinder and supplemental motion (doc. 30, 33) are GRANTED. Because this court has certified for interlocutory appeal its order denying plaintiffs’ motion for remand, plaintiffs’ supplemental motion for remand (doc. 32) is DENIED.

On June 7, 2007, defendants’ removed this case and plaintiffs timely filed their motion to remand. On August 9, 2007, 501 F.Supp.2d 1348, this court entered an order denying plaintiffs’ motion to remand. (Doc. 20). 1 The court found that at least some of plaintiffs’ state law claims, “those for fraud based on misrepresentations regarding marketing, enrollment, filing of claims, benefits, and coverage under the plan, unjust enrichment and breach of contract to the extent these claims result from a failure to pay benefits as promised” were completely preempted pursuant to Section 1395w-26(b)(3) of the Medicare Act, 42 U.S.C. § 1395w-21 through 28, as amended by the Medicare Prescription Drug, Improvement, and Modernization Act of 2003(MMA). (Doc. 20, p. 18-19). Therefore, this court had subject matter jurisdiction as to those claims and pendant jurisdiction as to claims not preempted.

Plaintiffs now move the court to certify interlocutory appeal from the order denying remand. Plaintiffs assert that there are important jurisdictional and preemption issues and allowing appeal as to these issues would serve the interest of the parties and the interest of judicial economy. Defendants join in the motion and explain that there exists a split among the district courts in the Eleventh Circuit on the legal issue of whether Section 1395w-26(b)(3) is a complete preemption statute 2 and that this is a legal issue of first impression *1207 which has not been ruled upon by any federal appeals court.

“An order denying a motion to remand, ‘standing alone,’ is ‘[ojbviously ... not final and [immediately] appealable’ as of right.” Caterpillar, Inc. v. Lewis, 519 U.S. 61, 74, 117 S.Ct. 467, 475,136 L.Ed.2d 437 (1996) (quoting Chicago, R.I. & P.R. Co. v. Stude, 346 U.S. 574, 578, 74 S.Ct. 290, 293, 98 L.Ed. 317 (1954)) (parenthetical and ellipsis in original). Section 1292 of Title 28 of the United States Code, governs interlocutory appeals and sets forth as follows:

(b) When a district judge, in making in a civil action an order not otherwise appealable under this section, shall be of the opinion that such order involves a controlling question of law as to which there is substantial ground for difference of opinion and that an immediate appeal from the order may materially advance the ultimate termination of the litigation, he shall so state in writing in such order. The Court of Appeals which would have jurisdiction of an appeal of such action may thereupon, in its discretion, permit an appeal to be taken from such order, if application is made to it within ten days after the entry of the order: Provided, however, that application for an appeal hereunder shall not stay proceedings in the district court unless the district judge or the Court of Appeals or a judge thereof shall so order.

28 U.S.C. § 1292.

Although addressing an interlocutory appeal from a summary judgment order, the Eleventh Circuit in McFarlin v. Conseco Services, LLC, 381 F.3d 1251 (11th Cir.2004) explained the requirements of Section 1292. First, there must be a “controlling question of law”, which is defined as a “question of the meaning of a statutory or constitutional provision, regulation, or common law doctrine.” Id. at 1258. To resolve the issue of complete preemption presented herein requires an interpretation of the meaning of a statute; specifically, Section 1395w-26(b)(3) of the MMA. Therefore, the first requirement is met.

Second, there must be “substantial ground for difference of opinion”. Id. The McFarlin court explained that if the Court of Appeals is in “complete and unequivocal agreement with the district court” on the issue, then it is not one which provides “a substantial ground for difference of opinion.” Id. In this circumstance, the Eleventh Circuit has not addressed the issue thus it cannot be in “unequivocal agreement” with the district court. Therefore, the second requirement is met.

Third, the appeal should “materially advance the termination of the litigation”. Id. The Court in McFarlin explained that this occurs if resolution of the controlling legal question “serves to avoid a trial or otherwise substantially shorten the litigation.” Id. at 1259. In that regard, trial may not be avoided in that either the state court or the federal will ultimately address the underlying issues once the controlling legal question is answered. However, resolution may shorten litigation in that parties would have guidance as to whether removal or remand, as the case may be, is a viable legal strategy.

The McFarlin Court further summarized that

... [Section] 1292(b) appeals were intended, and should be reserved, for situations in which the court of appeals can rule on a pure, controlling question of law without having to delve beyond the surface of the record in order to determine the facts. See, e.g., Allapattah Servs., Inc. v. Exxon Corp., 333 F.3d 1248, 1252-53 (11th Cir.2003) (granting § 1292(b) review of whether district court has jurisdiction over class members who do not satisfy the amount in *1208 controversy requirement, and whether following a jury verdict in favor of the class the district court should have awarded aggregate damages to the class); Tucker v. Fearn, 333 F.3d 1216, 1218 (11th Cir.2003) (granting § 1292(b) review of whether a nondependent parent may recover loss of society damages for the wrongful death of his minor child under general maritime law); Love v. Delta Air Lines,

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Dial v. HEALTHSPRING OF ALABAMA, INC., 612 F. Supp. 2d 1205, 2007 U.S. Dist. LEXIS 76558, 2007 WL 3025025 (S.D. Ala. 2007).

612 F. Supp. 2d 1205 (Dial v. HEALTHSPRING OF ALABAMA, INC.) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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