Gege Odion v. Avesis, Inc.

CourtCourt of Appeals of Georgia
DecidedJune 3, 2014
DocketA14A0264
StatusPublished

This text of Gege Odion v. Avesis, Inc. (Gege Odion v. Avesis, Inc.) is published on Counsel Stack Legal Research, covering Court of Appeals of Georgia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Gege Odion v. Avesis, Inc., (Ga. Ct. App. 2014).

Opinion

SECOND DIVISION ANDREWS, P. J., MCFADDEN and RAY , JJ.

NOTICE: Motions for reconsideration must be physically received in our clerk’s office within ten days of the date of decision to be deemed timely filed. http://www.gaappeals.us/rules/

June 3, 2014

In the Court of Appeals of Georgia A14A0264. ODION v. AVESIS, INC. et al.

MCFADDEN, Judge.

This is a dispute between a health care provider and a health insurance

provider. Acting pro se on behalf of himself and three corporate entities, Dr. Gege

Odion appeals from the trial court’s dismissal with prejudice of his lawsuit against

Avesis, Inc., Avesis Third Party Administrators, Inc. and several individual

defendants (collectively, “Avesis”). The trial court dismissed the lawsuit on the

ground that the claims asserted therein were subject to a contractual arbitration

provision.

We dismiss the appeal to the extent it raises claims of error on behalf of the

corporate entities, because Odion is not a licensed attorney entitled to represent them

before this court. Regarding the claims of error Odion brings on his own behalf, we reverse the dismissal of the lawsuit’s claims for injunctive relief, because those claims

are not arbitrable under the plain language of the parties’ agreement. We vacate the

dismissal as to the remaining claims in the lawsuit because, although the trial court

was authorized to dismiss them under the arbitration clause, the trial court erred in

doing so with prejudice. We remand this case for further proceedings not inconsistent

with this opinion.

1. Facts and procedural posture.

An agreement between Odion and Avesis Third Party Administrators

established Odion as a “Participating Provider,” which the agreement defined as an

“optometrist, ophthalmologist or optician who has been approved by Avesis to

provide covered [vision care] benefits to [certain patients].” The agreement described

each party’s responsibilities regarding the provision of those benefits. Its general

provisions included an arbitration clause that pertinently provided:

Except as may otherwise be provided for herein, any and all disputes arising out of or relating to this Agreement and the transactions contemplated herein, shall be solely and finally settled by binding arbitration. Such arbitration shall be administered by the American Arbitration Association in accordance with its Commercial Arbitration Rules (the “Rules”), by a single arbitrator selected in accordance with the Rules (the “Arbitrator”). . . . Except as set forth below, the parties

2 hereby renounce all recourse to litigation as to matters subject to arbitration hereunder, and the parties agree that the award of the Arbitrator shall be final and subject to no judicial review, except as expressly provided by applicable law. . . . Notwithstanding the foregoing, each party shall have the right to seek injunctive or other equitable relief in any court of competent jurisdiction to enforce the provisions of the Agreement without first seeking or obtaining any decision of the Arbitrator with respect to the subject matter of this Agreement, even if a similar or related matter has already been referred to arbitration in accordance with the terms of this paragraph.

On January 2, 2013, Odion brought this action in superior court. He argued that

Avesis breached the agreement by failing to notify his business, Optiworld Vision

Center, LLC, of an impending audit; by improperly conducting that audit; by

improperly suspending Odion’s status as a Participating Provider; by failing to

disclose that suspension; and by terminating the agreement without providing

“adequate alternative means of resolution.” He also asserted claims for

misrepresentation, fraud and conspiracy, tortious interference with business relations,

and violations of the United States Constitution. Odion based these claims on

allegations that, in 2007, Avesis had wrongfully audited his business and had taken

other actions that prevented him from obtaining the benefits of his agreement with

3 Avesis. Odion sought general and punitive damages, costs of litigation, and injunctive

relief.

Avesis answered and asserted several defenses, including that the terms of the

agreement barred the action. Avesis also moved to dismiss on the ground that the

agreement’s arbitration clause barred the action. It did not seek to compel arbitration

in either pleading.

Odion asserted several arguments in response to the motion to dismiss,

including (pertinent to this appeal) that Avesis had waived its right to enforce the

arbitration clause by taking actions inconsistent with its rights under that clause; that

the agreement fell within OCGA § 9-9-2 (c) (1), which excludes from the Georgia

Arbitration Act (OCGA §§ 9-9-1 et seq.) certain agreements “relating to arbitration

of medical malpractice claims”; that Avesis had not sought to compel arbitration

under § 9-9-6 of the Georgia Arbitration Act; and that the agreement’s arbitration

clause did not apply to an action seeking injunctive relief. Odion also submitted two

exhibits to support his argument that Avesis had waived its right to enforce the

arbitration clause: a September 14, 2007, letter from him to Avesis in which he

“strongly suggest[ed] the intervention of an independent third party; that is, a

mediator, arbitrator or judicial officer”; and Avesis’s responding October 15, 2007,

4 letter in which it declined to grant what it characterized as a request for third-party

mediation.

The trial court granted Avesis’s motion, finding that the agreement’s arbitration

clause was “clear and unambiguous, making it a valid and enforceable arbitration

clause.” The trial court also found that the complaint did not assert claims of medical

malpractice and, therefore, was “not excepted from the binding arbitration clause”

pursuant to OCGA § 9-9-2 (c) (1). The trial court dismissed Odion’s complaint with

prejudice.

2. Claims of the corporate entities.

Odion brought this appeal on behalf of himself “individually, and d/b/a

Optiworld Vision Center, LLC, Dr. Gege Odion, P. C., and Gege Odion Enterprise,

LLC.” Because Odion is not a licensed attorney, however, he cannot represent the

three corporate entities in a court of record. See Eckles v. Atlanta Technology Group,

267 Ga. 801, 805 (2) (485 SE2d 22) (1997); Sterling, Winchester & Long, LLC v.

Loyd, 280 Ga. App. 416, 417 (1) (634 SE2d 188) (2006). Accordingly, to the extent

the appeal advances claims on behalf of the corporate entities, it is dismissed.

3. Claims of Odion as an individual.

5 Odion challenges the trial court’s dismissal of his action with prejudice for

raising claims that were subject to arbitration. Under the Georgia Arbitration Act, “a

provision in a written contract to submit any controversy thereafter arising to

arbitration is enforceable without regard to the justiciable character of the

controversy.” OCGA § 9-9-3. Odion does not dispute the existence of a valid

arbitration agreement.

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