Gunderson v. FA RICHARD & ASSOCIATES

977 So. 2d 1128, 7 La.App. 3 Cir. 331, 2008 La. App. LEXIS 275, 2008 WL 508687
CourtLouisiana Court of Appeal
DecidedFebruary 27, 2008
DocketCW 2007-331, CW 2007-400, CA 2007-264
StatusPublished
Cited by15 cases

This text of 977 So. 2d 1128 (Gunderson v. FA RICHARD & ASSOCIATES) is published on Counsel Stack Legal Research, covering Louisiana Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Gunderson v. FA RICHARD & ASSOCIATES, 977 So. 2d 1128, 7 La.App. 3 Cir. 331, 2008 La. App. LEXIS 275, 2008 WL 508687 (La. Ct. App. 2008).

Opinion

977 So.2d 1128 (2008)

Dr. Clark GUNDERSON, et al.
v.
F.A. RICHARD & ASSOCIATES, INC., et al.

Nos. CW 2007-331, CW 2007-400, CA 2007-264.

Court of Appeal of Louisiana, Third Circuit.

February 27, 2008.
Rehearing Denied April 16, 2008.

*1131 William B. Monk, Stockwell, Sievert, et al., Lake Charles, LA, for Plaintiff/Appellee, Dr. Clark Gunderson.

Thomas A. Filo, Cox, Cox, Fily & Camel, L.L.P., Lake Charles, LA, for Plaintiff/Appellee, Dr. Clark Gunderson.

Arthur M. Murray, The Murray Firm, New Orleans, LA, for Plaintiff/Appellee, Dr. Clark Gunderson.

Perry Staub, Jr., Taggart, Morton, et al, New Orleans, LA, for Defendant/Appellant, First Health Group, Corp.

John E. Galloway, Galloway, Johnson, et al, New Orleans, LA, for Defendant/Appellant, F.A. Richard & Associates, Inc.

Todd A. Rossi, Kean, Miller, etc., Baton Rouge, LA, for Defendant/Appellee, Focus Healthcare Management, Inc.

Michael D. Kendall, McDermott Will & Emery, Boston, MA, for Defendant/Appellee, Focus Healthcare Management, Inc.

David W. O'Quinn, Irwin, Fritchie, et al., New Orleans, LA, for Defendant/Appellant, Cambridge Integrated Services, Inc.

Janice Unland, Rabalais, Unland, et al., Covington, LA, for Third Party Appellant, National Loss Control Management, Inc.

Edward P. Sensenbrenner, Adams & Reese, L.L.P., New Orleans, LA, for Third Party Appellant, AIG Claims Service, Inc.

Theodore R. Scarborough, Sidley Austin, LLP, Chicago, IL, for Third Party Appellant, AIG Claims Service, Inc.

Court composed of JOHN D. SAUNDERS, JIMMIE C. PETERS, and GLENN B. GREMILLION, Judges.

SAUNDERS, Judge.

In these consolidated writs, the defendants, National Loss Control Management, Inc. and AIG Domestic Claims, Inc. (hereinafter "the defendants"), seek review of the trial court's judgment denying their exceptions of lack of subject matter jurisdiction. They also appeal the trial court's ruling certifying the matter as a class action. For the following reasons, we deny the application for supervisory writs on the trial court's denial of the defendants' subject matter exception and affirm the trial court's ruling certifying this matter as a class action.

FACTS AND PROCEDURAL HISTORY:

On April 14, 2004, the plaintiffs, Clark A. Gunderson, M.D. (A Medical Corporation), Beutler-England Chiropractic Clinic, and Frank W. Lopez, M.D. (A Professional Medical Corporation)(hereinafter "the *1132 healthcare providers"), filed the instant Petition for Damages, Injunctive Relief, and Class Certification. Southwest Louisiana Hospital Association d/b/a Lake Charles Memorial Hospital was added as an additional plaintiff in an amending petition. The following parties were named as defendants: F.A. Richard & Associates, Inc.; First Health Group Corporation; Focus Healthcare Management, Inc.; Cambridge Integrated Services Group, Inc.; National Loss Control Management, Inc.; and AIG Claim Services, Inc (hereinafter "AIG"). The healthcare providers subsequently entered into a Memorandum of Understanding with defendant AIG, and this court signed on November 14, 2007, a court order staying the instant matter as to AIG during the pendency of the class settlement proceedings.

In their petition, the healthcare providers stated that the defendants had entered into contracts with them pursuant to the Preferred Provider Organization Act (hereinafter "PPOA"), La.R.S. 40:2201 et seq., which allowed them to pay a discounted rate for the provision of health care. They alleged that the defendants routinely reimbursed them in workers' compensation cases at the lower Preferred Provider Organization (hereinafter "PPO") contracted rates, rather than at the higher mandated workers' compensation rates. La.R.S. 23:1203(B). In doing so, the healthcare providers claim that the defendants violated the provisions of La. R.S. 40:2203.1 by failing to provide them with prior notice of their intent to reimburse at the PPO rates either by providing the injured worker with a PPO card or by providing thirty days' written notice of their intent to utilize an existing PPO agreement. La.R.S. 40:2203.1(B). In addition to the penalties provided by La.R.S. 40:2203.1(G), the healthcare providers sought an injunction and certification of the matter as a class action.

Two and a half years into the litigation, each defendant filed a declinatory exception of lack of subject matter jurisdiction alleging that the Office of Workers' Compensation (hereinafter "OWC") had exclusive jurisdiction over this matter. This came about as a result of this court's holding in Southwest Louisiana Hospital Association v. Superior Carriers, Inc., 06-807 (La.App. 3 Cir. 11/2/06), 942 So.2d 754. There, we held that La.R.S. 23:1310.3(E), as amended, granted "exclusive jurisdiction over contractual and coverage disputes . . . to workers' compensation judges." Id. at 755-56. Following a hearing, the trial court denied the defendants' exceptions, and the defendants sought supervisory writs. The trial court later certified this matter as a class action, and the defendants appealed that decision to this court. These matters have been consolidated for disposition by this court.

ASSIGNMENTS OF ERROR:

1. Did the trial court commit legal error when it concluded that it, and not the OWC, possessed jurisdiction to adjudicate plaintiffs' claims that the reimbursements at issue violated the Louisiana PPO Act?
2. Did the trial court abuse its discretion in certifying this matter for class action treatment under La. Code Civ.P. art. 591?

ASSIGNMENT OF ERROR # 1:

The defendants first seek supervisory writs, arguing that the trial court erred in concluding that it possessed subject matter jurisdiction over the claims asserted in this action.

Subject matter jurisdiction is "the legal power and authority of a court to hear and determine a particular class of actions or proceedings." La.Code Civ.P. art. 2. Any judgment rendered by a court that lacks *1133 subject matter jurisdiction is null. La. Code Civ.P. arts. 2001, 2002; Bryant v. Pierson, 583 So.2d 97 (La.App. 3 Cir.1991).

"Except as otherwise authorized by [the] constitution or except as heretofore or hereafter provided by law for administrative agency determinations in worker's compensation matters, a district court shall have original jurisdiction of all civil and criminal matters." La. Const. art. 5, § 16(A)(1) (emphasis added). Louisiana Revised Statute 23:1310.3 provides for the original jurisdiction afforded to the OWC under the Worker's Compensation Act (hereinafter "WCA") as follows:

Except as otherwise provided . . . the workers' compensation judge shall be vested with original, exclusive jurisdiction over all claims or disputes arising out of this Chapter, including but not limited to workers' compensation insurance coverage disputes, group self-insurance indemnity contract disputes, employer demands for recovery for overpayment of benefits, the determination and recognition of employer credits as provided for in this Chapter, and cross-claims between employers or workers' compensation insurers or self-insurance group funds for indemnification or contribution, concursus proceedings pursuant to Louisiana Code of Civil Procedure Articles 4651 et seq.

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Bluebook (online)
977 So. 2d 1128, 7 La.App. 3 Cir. 331, 2008 La. App. LEXIS 275, 2008 WL 508687, Counsel Stack Legal Research, https://law.counselstack.com/opinion/gunderson-v-fa-richard-associates-lactapp-2008.