Fossen v. Caring for Montanans, Inc.

993 F. Supp. 2d 1254, 2014 WL 282665, 2014 U.S. Dist. LEXIS 9219
CourtDistrict Court, D. Montana
DecidedJanuary 24, 2014
DocketNo. CV 09-61-H-CCL
StatusPublished
Cited by6 cases

This text of 993 F. Supp. 2d 1254 (Fossen v. Caring for Montanans, Inc.) is published on Counsel Stack Legal Research, covering District Court, D. Montana primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Fossen v. Caring for Montanans, Inc., 993 F. Supp. 2d 1254, 2014 WL 282665, 2014 U.S. Dist. LEXIS 9219 (D. Mont. 2014).

Opinion

OPINION & ORDER

CHARLES C. LOVELL, Senior District Judge.

Before the Court are motions filed by the parties. Defendant has filed its second Motion for Summary Judgment. Plaintiffs have filed their second Motion for Remand or, in the alternative, Motion to Certify Questions. Each motion is opposed. Having considered the briefs and arguments of the parties, the Court is prepared to rule. Background

This case returns to the Court on remand from the Court of Appeals of the Ninth Circuit, following this Court’s grant of summary judgment to Defendant. The Ninth Circuit panel affirmed this Court’s finding that a Montana statute, MontCode Ann. § 33-22-526(2)(a), was preempted by an identical ERISA statute, 29 U.S.C. § 1182(b)(1). Fossen v. Blue Cross and Blue Shield of Montana, Inc., 660 F.3d 1102, 1111-12 (9th Cir.2011). This Court also found that AMI/MCCT1 met the federal definition of a multiple employer welfare association for purposes of the federal statute. Because this Court did not provide a legal analysis of Plaintiffs’ non-preempted state claim for appellate review, the panel remanded for further proceedings by this Court in that regard.

This opinion will provide a legal analysis of Plaintiffs’ non-preempted state claims for the purpose of determining whether Plaintiffs should be permitted to proceed on their Amended Complaint or whether final summary judgment should be granted to Defendant, as is now requested.

Second Motion for Remand

Before addressing Defendant’s summary judgment motion, however, the Court must consider Plaintiffs second motion for remand to state court and alternative motion for certification of questions to the Montana Supreme Court. Having considered the parties’ arguments, it is this Court’s belief that the state claims are not unclear and they do not raise complex issues of state law. Because this Court has delved deeply into the federal claim upon which summary judgment was granted and has invested considerable resources in this litigation, and because the state law claims are fundamentally dependent upon and/or restricted by that federal claim, it would be a waste of judicial resources to remand this case to a state district court for litigation beginning anew.

The decision to certify a question to a state supreme court is discretionary. See Eckard Brandes, Inc. v. Riley, 338 F.3d 1082, 1087 (9th Cir.2003). Even when state law is unclear, certification is not obligatory. See Lehman Bros. v. Schein, 416 U.S. 386, 390, 94 S.Ct. 1741, 40 L.Ed.2d 215 (1974). In this case, the Court remains dubious of Plaintiffs’ assertion that state insurance law is unclear, and therefore the Court will hold this [1258]*1258question pending its analysis of the state claims as follows.

Second Motion for Summary Judgment

Summary judgment is proper if the pleadings, the discovery and disclosures on file, and affidavits show that there is no genuine issue as to any material fact and the moving party is entitled to judgment as a matter of law. Fed.R.Civ.P. 56(c); see Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 257-58, 106 S.Ct. 2505, 91 L.Ed.2d 202 (1986). Material facts are those that may affect the outcome of the case. See id. at 248, 106 S.Ct. 2505. A dispute about a material fact is genuine if there is sufficient evidence for a reasonable jury to return a verdict for the non-moving party. See id. at 248-49, 106 S.Ct. 2505.

The party moving for summary judgment has the initial burden of identifying those portions of the pleadings, discovery and disclosures on file, and affidavits that demonstrate the absence of a genuine issue of material fact. See Celotex Corp. v. Catrett, 477 U.S. 317, 323, 106 S.Ct. 2548, 91 L.Ed.2d 265 (1986). When the nonmoving party has the burden of proof at trial, the moving party need point out only “that there is an absence of evidence to support the nonmoving party’s case.” Id. at 325, 106 S.Ct. 2548. If the moving party meets this initial burden, the non-moving party must go beyond the pleadings and' — by its own affidavits or discovery — set forth specific facts showing a genuine issue for trial. See Fed.R.Civ.P. 56(e); Celotex, 477 U.S. at 324, 106 S.Ct. 2548; Matsushita Elec. Indus. Co. v. Zenith Radio Corp., 475 U.S. 574, 586-87, 106 S.Ct. 1348, 89 L.Ed.2d 538 (1986). If the non-moving party does not produce evidence to show a genuine issue of material fact, the moving party is entitled to summary judgment. See Celotex, 477 U.S. at 323, 106 S.Ct. 2548. In ruling on a motion for summary judgment, inferences drawn from the underlying facts are viewed in the light most favorable to the non-moving party. See Matsushita, 475 U.S. at 587, 106 S.Ct. 1348.

1. History of Model Insurance Code in Montana.

“The statutes at issue here are part of a statutory scheme enacted by the Montana Legislature in 1959.” Shupak v. New York Life Ins. Co., 780 F.Supp. 1328, 1337 (D.Mont.1991). As in Shupak, the statute at issue in the instant case, 33-18-206(2)2, is part of Montana’s Model Insurance Code, and, specifically, part of the Unfair Trade Practices Act (“UTPA”) codified as Chapter 18 of Title 33. This Model Insurance Code was promulgated by the National Association of Insurance Commissioners, id. (citing Montana’s Comprehensive New Insurance Law, 22 Mont. Law Rev. 1, 9 (1960)), and has been adopted in 48 states. Shupak, 780 F.Supp. at 1337 (citing Moradi-Shalal v. Fireman’s Fund Ins. Co., 46 Cal.3d 287, 250 Cal.Rptr. 116, 758 P.2d 58, 63 (1988)). The “vast majority” of these states “have declined to imply a private remedy for its violation.” Id. (citing Moradi-Shalal, 250 Cal.Rptr. 116, 758 P.2d at 63-64). According to Shupak, “the National Association of Insurance Commissioners has reiterated that ‘[t]he 1971 Model Act does not contain an individual right of action provision’.” Id. (citing Moradi-Shalal, 250 Cal.Rptr. 116, 758 P.2d at 65 (citing 2 [1259]*1259N.A.I.C. Proceedings (1980) 345-46)). Therefore, the Shupak court held that the two UTPA statutes (33-18-204, -212) at issue in that case did not provide an independent private right- of action to a plaintiff. Shupak, 780 F.Supp. at 1338 (“neither the Montana Legislature nor the courts has expressly granted a private right of action under the provisions of Chapter 18, Title 33 [the Montana UTPA].”). More recently, an identical conclusion was reached by a state district court, in the case of Victory Insurance Co. v. Montana State Fund, Cause No. BDV-2011-284 (Mont. First Judicial Dist.2011). (Doc. 54-1.) In Victory Insurance,

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993 F. Supp. 2d 1254, 2014 WL 282665, 2014 U.S. Dist. LEXIS 9219, Counsel Stack Legal Research, https://law.counselstack.com/opinion/fossen-v-caring-for-montanans-inc-mtd-2014.