Doe v. Blue Cross Blue Shield Healthcare Plan of Georgia Incorporated

CourtDistrict Court, D. Arizona
DecidedAugust 22, 2024
Docket2:24-cv-00476
StatusUnknown

This text of Doe v. Blue Cross Blue Shield Healthcare Plan of Georgia Incorporated (Doe v. Blue Cross Blue Shield Healthcare Plan of Georgia Incorporated) is published on Counsel Stack Legal Research, covering District Court, D. Arizona primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Doe v. Blue Cross Blue Shield Healthcare Plan of Georgia Incorporated, (D. Ariz. 2024).

Opinion

1 WO 2 3 4 5 6 IN THE UNITED STATES DISTRICT COURT 7 FOR THE DISTRICT OF ARIZONA

9 John Doe, No. CV-24-00476-PHX-MTL

10 Plaintiff, ORDER

11 v.

12 Blue Cross Blue Shield Healthcare Plan of Georgia Incorporated, 13 Defendant. 14 15 Before the Court is Defendant’s Motion to Transfer Venue (Doc. 24). Plaintiff has 16 not filed a response to the Motion and the time to do so has passed. See LRCiv. 7.2(c). 17 Accordingly, the Court presumes that Plaintiff consents to the Motion. LRCiv. 7.2(i) (“[I]f 18 the unrepresented party or counsel does not serve and file the required answering 19 memoranda . . . such non-compliance may be deemed a consent to the denial or granting 20 of the motion and the Court may dispose of the motion summarily.”) 21 While the Court may grant the Motion summarily, the Court will nevertheless 22 address it on its merits. For the following reasons, the Court will grant the Motion and 23 transfer this case to the United States District Court for the Northern District of Georgia, 24 Atlanta Division. 25 I. 26 The Court takes the following facts from Plaintiff John Doe’s Complaint. (Doc. 1.) 27 Plaintiff brings this action on behalf of his minor child, M.C., who suffers from a 28 complex left mandibular arteriovenous malformation. (Id. ¶ 2.) While on vacation in 1 Arizona, M.C. suffered dangerous medical complications due to her condition. (Id. ¶¶ 3-5.) 2 She was treated at Phoenix Children’s Hospital, where doctors contacted M.C.’s “vascular 3 anomaly team at Children’s Healthcare of Atlanta – Egleston Hospital,” (“Children’s 4 Healthcare”). (Id. ¶¶ 6-7.) The doctors at Children’s Healthcare recommended a procedure, 5 but the doctors at Phoenix Children’s Hospital were not capable of performing it. 6 (Id. ¶¶ 7-8.) As a result, the Phoenix Children’s Hospital staff determined that M.C. 7 required a transfer via air-ambulance to Children’s Healthcare of Atlanta, where she could 8 receive the required procedure. (Id. ¶¶ 8-9.) 9 Plaintiff and M.C.’s insurer, Anthem Blue Cross and Blue Shield (“Anthem”), 10 pre-certified M.C.’s flight to Children’s Healthcare.* Thereafter, Angel MedFlight 11 transported M.C. (Id. ¶ 10.) Upon arrival at Children’s Healthcare, doctors performed the 12 contemplated procedure and saved M.C.’s life. (Id. ¶ 11.) 13 M.C.’s insurance claim was timely submitted on March 2, 2022. (Id. ¶ 12.) For six 14 months, Anthem and its related entities refused to pay the claim based on a variety of 15 rationales. (Id. ¶ 13.) Eventually, it issued a partial payment, explaining that it could not 16 issue a full payment because M.C. was transported to Children’s Healthcare instead of the 17 nearest appropriate hospital. (Id. ¶¶ 14-15.) Angel MedFlight submitted an appeal on 18 M.C.’s behalf, but Anthem did not change its decision. (Id. ¶¶ 16-17.) 19 As a result of these events Plaintiff alleges that, under the Employee Retirement 20 Income Security Act of 1974 (“ERISA”) § 502(a)(1)(B), 29 U.S.C. § 1132(a)(1)(B), M.C. 21 is entitled to an award of benefits due under the terms of the operative health plan, 22 prejudgment interest, and reasonable attorneys’ fees and costs incurred in bringing this 23 action. (Doc. 1 ¶ 20.) Defendant moves the Court to transfer this case to the United 24 States District Court for the Northern District of Georgia, Atlanta Division under 28 25 U.S.C. § 1404(a). (Doc. 24.) 26 II. 27 Section 1404(a) of Title 28 of the United States Code provides that, “[f]or the

28 * Anthem is a trade name of Defendant Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. (Doc. 1 ¶ 21.) 1 convenience of parties and witnesses, in the interest of justice, a district court may transfer 2 any civil action to any other district or division where it might have been brought.” Id. 3 District courts have “discretion to adjudicate motions for transfer according to an 4 individualized, case-by-case consideration of convenience and fairness.” Jones v. GNC 5 Franchising, Inc., 211 F.3d 495, 498 (9th Cir. 2000) (citing Stewart Org. v. Ricoh Corp., 6 487 U.S. 22, 29 (1988)) (internal quotation marks removed). When analyzing whether 7 transfer is appropriate, the Court performs a two-step analysis: first, it determines “whether 8 the case could have been brought in the forum to which the moving party seeks to transfer 9 the case,” and second, “whether the proposed transferee district is a more suitable choice 10 of venue based upon the convenience of the parties and witnesses and the interests of 11 justice.” R. Prasad Indus. v. Flat Irons Env’t Sols. Corp., No. 12-CV-08261-PCT-JAT, 12 2017 WL 4409463, *2-3 (D. Ariz. Oct. 4, 2017) (internal quotation marks and citations 13 removed). 14 III. 15 A. 16 In an ERISA action, venue is proper “in the district where the plan is administered, 17 where the breach took place, or where a defendant resides or may be found[.]” 29 18 U.S.C. § 1132(e)(2). An ERISA breach takes place “where the beneficiary was to receive 19 benefits.” Angel Jet Servs., LLC v. Red Dot Bldg. Sys.’ Emp. Ben. Plan, No. 20 CV-09-2132-PHX-GMS, 2010 WL 481420, at *3 (D. Ariz. Feb. 8, 2010). Plaintiff 21 concedes that he lives with M.C. in Gwinnett County, Georgia, which is in the Northern 22 District of Georgia, Atlanta Division. (Doc. 1 ¶ 22.) M.C. would have received benefits 23 there. See Angel Jet Servs., LLC, 2010 WL 481420, at *3 (finding that the plaintiff resided 24 in Athens, Texas and would have received benefits there); Int’l Air Med. Servs. Inc. v. 25 Triple-S Salud Inc., No. CV-15-00149-PHX-DGC, 2015 WL 5158832, at *4 (D. Ariz. 26 2015) (finding that the plaintiff resided in Puerto Rico and would have received benefits 27 there). Accordingly, venue is proper in that district and division and the Court will proceed 28 to the second step of the analysis. 1 B. 2 In determining whether the proposed transferee district is a more suitable choice of 3 venue, the Ninth Circuit has enumerated the following eight factors to be considered 4 by the Court: 5 (1) the location where the relevant agreements were negotiated and executed, (2) the state that is most familiar with the 6 governing law, (3) the plaintiff’s choice of forum, (4) the respective parties’ contacts with the forum, (5) the contacts 7 relating to the plaintiff’s cause of action in the chosen forum, (6) the differences in the costs of litigation in the two forums, 8 (7) the availability of compulsory process to compel attendance of unwilling non-party witnesses, and (8) the ease 9 of access to sources of proof. 10 Jones, 211 F.3d at 498-99. 11 Here, the first factor weighs in favor of transfer. The relevant agreement is M.C.’s 12 insurance plan pursuant to which she, through Plaintiff, seeks payment of benefits under 13 ERISA. Defendant avows that the agreement was negotiated and executed in Georgia. 14 (Doc. 24 at 7; Doc. 24-1 ¶ 7.) 15 The second factor does not weigh for or against transfer. This Court and the 16 Northern District of Georgia are equally familiar with ERISA actions. 17 The third factor weighs against transfer because Plaintiff filed this action in the 18 District of Arizona, but only slightly so because Plaintiff is a Georgia citizen. See Scovil v. 19 Medtronic, Inc., 995 F. Supp. 2d 1082, 1099 (D. Ariz. 2014) (“[A] plaintiff’s choice of 20 forum is entitled to less deference if he is not a citizen of the forum.”).

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

Related

Stewart Organization, Inc. v. Ricoh Corp.
487 U.S. 22 (Supreme Court, 1988)
Jones v. GNC Franchising, Inc.
211 F.3d 495 (Ninth Circuit, 2000)
Scovil v. Medtronic, Inc.
995 F. Supp. 2d 1082 (D. Arizona, 2014)

Cite This Page — Counsel Stack

Bluebook (online)
Doe v. Blue Cross Blue Shield Healthcare Plan of Georgia Incorporated, Counsel Stack Legal Research, https://law.counselstack.com/opinion/doe-v-blue-cross-blue-shield-healthcare-plan-of-georgia-incorporated-azd-2024.