First State Orthopaedics, P.A. v. Liberty Mutual Insurance

CourtSuperior Court of Delaware
DecidedNovember 20, 2020
DocketN15C-12-054 WCC CCLD
StatusPublished

This text of First State Orthopaedics, P.A. v. Liberty Mutual Insurance (First State Orthopaedics, P.A. v. Liberty Mutual Insurance) is published on Counsel Stack Legal Research, covering Superior Court of Delaware primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
First State Orthopaedics, P.A. v. Liberty Mutual Insurance, (Del. Ct. App. 2020).

Opinion

IN THE SUPERIOR COURT OF THE STATE OF DELAWARE

FIRST STATE ORTHOPAEDICS, P.A., on behalf of itself and all others similarly situated,

) ) ) ) Plaintiff, ) V. ) C.A. No. N15C-12-054 WCC CCLD

)

LIBERTY MUTUAL INSURANCE COMPANY, et al.,

Defendants.

Submitted: July 22, 2020 Decided: November 20, 2020

Plaintiff First State Orthopaedics, P.A.’s Renewed Motion for Leave to File Second Amended Complaint - DENIED IN PART and GRANTED IN PART

MEMORANDUM OPINION

John S. Spadaro, Esquire; John Sheehan Spadaro, LLC, 54 Liborio Lane, Smyrna, DE 19977. Attorney for Plaintiff.

Kevin J. Connors, Esquire; Marshall Dennehey Warner Coleman & Goggin, 1007 North Orange Street, Suite 600, Wilmington, DE 19801. Attorney for Defendants.

Tiffany Powers, Esquire; Andrew Hatchett, Esquire; Alston & Bird LLP, 1201 West Peachtree Street, Atlanta, GA 30309. Attorneys for Defendants.

CARPENTER, J. Before the Court is Plaintiff First State Orthopaedics, P.A.’s (“Plaintiff or “FSO”) Renewed Motion for Leave to File Second Amended Complaint. For the reasons set forth in this Opinion, Plaintiff's Renewed Motion for Leave to File

Second Amended Complaint is DENIED IN PART and GRANTED IN PART.

I. Factual & Procedural Background

In 2015, FSO brought suit against insurer-members of Liberty Mutual (“Defendants” or “Insurers”).'! On April 3, 2017, FSO filed an amended proposed class action Complaint to recover statutory interest allegedly owed under 19 Del. C. § 2322F(h) of the Delaware Workers’ Compensation Act.” Essentially, FSO is attacking the Insurers’ alleged practice of generally refusing to pay the 1% interest on invoices not timely paid as mandated by § 2322F(h), a claim denied by the Defendants.’

On May 22, 2018, Plaintiff filed a Motion for Leave to File Second Amended Complaint. Subsequently, Plaintiff filed a Motion for Partial Summary Judgment on the Meaning of Sections 2362(b) and 2322F(h). On July 3, 2018, the Court denied Plaintiff's Motion for Leave to File Second Amended Complaint without prejudice

and stayed discovery until the Court resolved the summary judgment motions before

"Compl. ¢ 1.

2 First State Orthopaedics, P.A. v. Liberty Mut. Ins. Co., 2019 WL 3797376, at *1 (Del. Super.), corrected (Aug. 27, 2019).

3 Id. it.4 Thereafter, on August 17, 2018, Defendants submitted their Motion for Partial Summary Judgment on Invoices that Defendants Paid within 30 Days of Receipt. On October 5, 2018, Defendants submitted their Motion to Strike Class Allegations.

On August 6, 2019, this Court ruled on Plaintiff's Motion for Summary Judgment finding that under § 2362(b), “if the Insurer contests the invoice or requests further verification, the time for payment and any associated penalty would in essence be stayed until the issue was resolved.”° Furthermore, if the invoice remains in a disputed classification, no payment is required during that time.© However, if it is determined that the insurance company’s denial was not justified and payment is ordered, “the interest calculation relates back to the thirty- first day after the invoice was initially received by the insurer.”

On February 13, 2020, the Court denied Defendants’ Motion for Partial Summary Judgment and granted Defendants’ Motion to Strike Class Allegations.® The Court granted Defendants’ Motion to Strike Class Allegations, ultimately denying Plaintiff's Rule 23(b)(3) class certification, because the proposed class failed to satisfy the commonality requirement.’ Prior to issuing its Memorandum

Opinion on Defendants’ motions, Plaintiff informed the Court of its intention to

4 Super. Ct. Proceeding Sheet, E-File 62199880, at 1.

5 First State Orthopaedics, P.A., 2019 WL 3797376, at *3 (emphasis in original).

8 Id.

7 Id.

8 First State Orthopaedics, P.A., v. Liberty Mutual Ins. Co., 2020 WL 764149, at *1 (Del. Super.). ° Id. at *6. withdraw its request for Rule 23(b)(3) certification and to alternatively seek certification under 23(b)(2).!° On December 16, 2019, Plaintiff filed its Renewed Motion for Leave to File Second Amended Complaint. Oral argument was held on

July 22, 2020.

II. Standard of Review

Superior Court Civil Rule 15(a) provides that, after the permissive amendment window, a party may only amend a pleading “by leave of court...and leave shall be freely given when justice so requires.”'' Unless presented with evidence of undue delay, bad faith, dilatory motive, prejudice, futility, or the like, the Court must exercise its broad discretion to grant the party leave to amend.”

A motion to amend a pleading is deemed futile if the amendment would not survive a motion to dismiss under Superior Court Civil Rule 12(b)(6)."° A proposed amendment will only be denied under Rule 12(b)(6) if “the plaintiff would not be entitled to recover under any reasonably conceivable set of circumstances susceptible to proof.”'4 When asked to deny a proposed amendment for untimeliness,

the Court must consider whether the opposing party will be prejudiced.’” “The mere

10 7q.; Pl.’s Status Report, E-File 63130337, April 3, 2019, at 14.

'! Del. Super. Ct. Civ. R. 15(a).

12 Parker v. State, 2003 WL 24011961, at *3 (Del. Super.); Howell v. Kusters, 2010 WL 877510, at *1 (Del. Super.). 13 Aug. v. Hernandez, 2020 WL 95658, at *4 (Del. Super.) (citing E.1. du Pont de Nemours & Co. v. Allstate Ins. Co., 2008 WL 555919, at *1 (Del. Super.)).

'4 Td.

'5 See Rinaldi v. lomega Corp., 2000 WL 973257, at *1 (Del. Super.).

3 fact tha[t] an amendment is offered late in the case is not enough to bar it if the other

party is not prejudiced.”!®

If. Discussion

Plaintiff is asking the Court to grant leave to file a second amended Complaint.'” Plaintiff proposes three substantial changes as well as “housekeeping issues, such as the correction of typographical errors, stylistic changes, and the like.”!8 Because Defendants do not contest Plaintiffs cosmetic changes,'? the Court grants these amendments insofar as the changes are consistent with the Court’s Opinion.

Plaintiff's first substantial amendment “sets forth a new class definition” that includes all Delaware health care providers who have submitted invoices for workers’ compensation claimants to Defendants since December 4, 2012.”° Plaintiff argues that all Delaware providers who submit workers’ compensation claims to

Defendants have an interest in Defendants’ statutory compliance.”

16 Id. (citing Itek Corp. v. Chicago Aerial Indus., Inc., 257 A.2d 232, 234 (Del. Super. Ct. 1969), aff'd, Del. Supr., 274 A.2d 141 (1971)).

17 P|, First State Orthopaedics, P.A.’s Renewed Mot. for Leave to File Second Am. Compl. at | [hereinafter “P1.’s Renewed Mot. to File Second Am.”].

'8 Td. at 5.

'9 See Defs.’ Opp’n to Pls.” Mot. for Leave to File Second Am. Compl. [hereinafter “Defs.’ Opp’n”].

20 Iq, at 2.

21 Td. Plaintiffs second proposed amendment “abandons FSO’s classwide claim for money damages, and replaces it with a prayer for declaratory relief.””* The Court previously denied class certification under Rule 23(b)(3) for lack of commonality,” and Plaintiff now seeks certification under Rule 23(b)(2).

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