Encore Benefit Management, Inc. v. Phoenix Benefit Management, LLC

CourtDistrict Court, D. Puerto Rico
DecidedNovember 12, 2019
Docket3:18-cv-01788
StatusUnknown

This text of Encore Benefit Management, Inc. v. Phoenix Benefit Management, LLC (Encore Benefit Management, Inc. v. Phoenix Benefit Management, LLC) is published on Counsel Stack Legal Research, covering District Court, D. Puerto Rico primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Encore Benefit Management, Inc. v. Phoenix Benefit Management, LLC, (prd 2019).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF PUERTO RICO

ENCORE BENEFIT MANAGEMENT, INC., Plaintiff, v. CIVIL NO. 18-1788 (RAM) PHOENIX BENEFITS MANAGEMENT, LLC, 18-1821 (Member Case)

Defendant.

OPINION AND ORDER

RAÚL M. ARIAS-MARXUACH, District Judge

Pending before the Court is Defendant Phoenix Benefits Management, LLC’s Motion to Stay Proceedings and Compel Arbitration (Docket No. 33). Having considered the parties’ submissions in support and in opposition of said motion, the Court GRANTS Defendant’s motion at Docket No. 33 and ORDERS Encore Benefits Management, Inc. (“EBM”) to arbitrate its claims against Phoenix Benefits Management, LLC (“Phoenix”). Also pending before the court is EBM’s Motion for a Preliminary Injunction and Phoenix’s opposition thereto. (Docket Nos. 12-1 at 4-13 and 40). The Court hereby DENIES EBM’s request for a preliminary injunction at Docket 12-1 for Plaintiff’s failure to show irreparable harm and provide verified allegations. Lastly, given that all of the parties’ claims are subject to arbitration, this action is DISMISSED WITHOUT PREJUDICE. I. BACKGROUND This case arises from the demise of the contractual relationship between plaintiff Encore Benefits Management, Inc. (“EBM” or “Plaintiff”) and defendant Phoenix Benefits Management, LLC. (“Phoenix” or “Defendant”). On January 12, 2016, the parties entered into a service contract entitled “Phoenix PBM/Encore

Agreement”. (Docket Nos. 12-1 ¶ 2; 15 ¶ 5; and 33 at 1). Under the Phoenix PBM/Encore Agreement, Phoenix would provide 340B testing and inventory management services to 340B qualified pharmacies operated by EBM. (Docket No. 33-2 at 11-12).1 EBM in turn would provide bedside delivery of prescriptions to patients among other services. Id. at 12. The parties agreed to split the revenues collected from “the Hospital” after deduction of expenses. Id. at 13.

1 The Department of Health and Human Services describes the 340B Drug Pricing Program as follows: The 340B Program provides discounts on outpatient drugs to certain safety net health providers, including Title X agencies. The program's intent is to allow safety net providers to increase patient services with the savings realized from participation in the 340B program. Providers typically save 25-50% on outpatient drug costs through participation in the program. These savings can be used to reduce the price of pharmaceuticals for patients, expand services offered to patients, or provide services to more patients. Outpatient prescription drugs, over the counter drugs (accompanied by a prescription), and clinic-administered drugs within eligible facilities are covered. Vaccines and inpatient drugs are not covered. See https://www.hhs.gov/opa/grants-and-funding/340b-drug-pricing- program/index.html (last visited on November 12, 2019). EBM initiated this action through a Complaint filed on June 9, 2018 before the Court of First Instance, San Juan Superior Part. (Docket No. 33-3). Succinctly stated, EBM alleges that “since the beginning of the contractual relationship between EBM and Phoenix, EBM has entered into and maintained service contracts for the 340B Program with the Damas, San Lucas, and Menonita Hospitals.

(hereinafter, “EBM’s clients”).” Id. ¶ 5. EBM further alleges that Phoenix breached its contractual obligation to provide information necessary for Encore to fulfill its obligations to its clients. Id. ¶¶ 8, 13-14. Lastly EBM, alleges that Phoenix approached Hospital Menonita to provide services directly to said hospital without EBM’s consent and copied the hospital on a letter of termination of the Phoenix PBM/Encore Agreement in which Phoenix demanded that EBM pay $449,563. Id. ¶¶ 22, 31. Premised on these allegations, EBM asserts claims for breach of contract and for tortious interference with the contractual relationship between EBM and its clients. Id. at 7-10. EBM seeks $1,116,416 in damages.

Id. at 10. Phoenix removed this action on October 18, 2018. (Docket No. 1). And on November 1, 2018, Phoenix also filed a Notice of Removal in Civil No. 18-1821 (JAG) in which it invoked its right to arbitrate. That latter removed action was consolidated with the instant case on February 26, 2019. (Docket No. 29). On November 6, 2018, Phoenix filed an Answer and Counterclaim seeking to collect the $449,563 from Encore. (Docket No. 15). The latter answered said Counterclaim on November 17, 2018. (Dkt. No. 23). On April 12, 2019, Phoenix filed its Motion to Stay Proceedings and Compel Arbitration. (Docket No. 33). Encore filed

its opposition to the motion to compel arbitration on April 15, 2019. (Docket No. 35). II. APPLICABLE LAW A. Compelling Arbitration under Section 2 of the Federal Arbitration Act:

Under First Circuit precedent, “[i]n deciding a motion to compel arbitration, a court must ascertain whether: ‘(i) there exists a written agreement to arbitrate, (ii) the dispute falls within the scope of that arbitration agreement, and (iii) the party seeking an arbitral forum has not waived its right to arbitration.’” Gove v. Career Systems Development Corp., 689 F. 3d 1, 4 (1st Cir. 2012) (quoting Combined Energies v. CCI, Inc., 514 F.3d 168, 171 (1st Cir.2008)). If these factors are met, the court must enforce the arbitration agreement in accordance with its precise terms. See AT&T Mobility LLC v. Concepcion, 131 S. Ct. 1740, 1748 (2011). Section 2 of the Federal Arbitration Act (“FAA”) provides: A written provision in any maritime transaction or a contract evidencing a transaction involving commerce to settle by arbitration a controversy thereafter arising out of such contract or transaction, or the refusal to perform the whole or any part thereof, or an agreement in writing to submit to arbitration an existing controversy arising out of such a contract, transaction or refusal, shall be valid, irrevocable and enforceable, save upon such grounds as exist in law or in equity for the revocation of any contract.

9 U.S.C. § 2. (Emphasis added). The United States Supreme Court has stated that this statute “is a congressional declaration of a liberal federal policy favoring arbitration agreements, notwithstanding any state substantive or procedural policies to the contrary.” Moses H. Cone Mem. Hosp. v. Mercury Constr. Corp., 460 U.S. 1, 24 (1983). Therefore, section 2 of the FAA “create[s] a body of federal substantive law of arbitrability, applicable to any arbitration agreement within the coverage of the Act.” Id. at 24-25. Given the liberal federal policy favoring arbitration agreements established by the FAA, “as a matter of federal law, any doubts concerning the scope of arbitrable issues should be resolved in favor of arbitration, whether the problem at hand is the construction of the contract language itself or an allegation of waiver, delay, or a like defense to arbitrability.” Id. at 24- 25 (emphasis added). Indeed, it is well-settled that questions of arbitrability must be dealt with a high regard for the federal policy in favor of arbitration, and any doubts concerning the scope of an arbitration agreement should be resolved in favor of arbitration. See Colón de Sánchez v. Morgan Stanley Dean Witter, 376 F.Supp.2d 132, 135 (D.P.R. 2005); Carro v. Parade of Toys, Inc., 950 F. Supp. 449, 451-452 (D.P.R. 1996); Cardona Tirado v. Shearson Lehman American Exp., Inc., 634 F. Supp. 158, 159 (D.P.R. 1986). B. Stay or Dismissal of the Action under the FAA:

Section 3 of the FAA provides that:

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Encore Benefit Management, Inc. v. Phoenix Benefit Management, LLC, Counsel Stack Legal Research, https://law.counselstack.com/opinion/encore-benefit-management-inc-v-phoenix-benefit-management-llc-prd-2019.