Harris v. Physicians Mutual Insurance

240 F. Supp. 2d 715, 2003 U.S. Dist. LEXIS 764, 2003 WL 151271
CourtDistrict Court, N.D. Ohio
DecidedJanuary 6, 2003
Docket3:02-cv-07393
StatusPublished
Cited by5 cases

This text of 240 F. Supp. 2d 715 (Harris v. Physicians Mutual Insurance) is published on Counsel Stack Legal Research, covering District Court, N.D. Ohio primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Harris v. Physicians Mutual Insurance, 240 F. Supp. 2d 715, 2003 U.S. Dist. LEXIS 764, 2003 WL 151271 (N.D. Ohio 2003).

Opinion

ORDER

CARR, District Judge.

Plaintiffs Aldene Harris and Willie Harris bring this suit individually and on behalf of a putative class of others similarly situated, claiming defendants Physicians Mutual Insurance Company and Physicians Life Insurance Company violated Ohio statutory and common law by selling worthless insurance policy riders to Ohio citizens. Plaintiffs brought the suit in the Lucas County Court of Common Pleas, and defendants removed it to this court. This court has jurisdiction pursuant to 28 U.S.C. §§ 1332(a)(1) and 1441(a). Pending is plaintiffs’ motion to remand to state court. For the following reasons, plaintiffs’ motion shall be granted.

BACKGROUND

Physicians Mutual Insurance Company and its wholly owned subsidiary, Physicians Life Insurance Company (collectively, “Physicians Mutual”), are Nebraska corporations doing business in the state of Ohio.

Plaintiffs, Ohio citizens, filed this action against Physicians Mutual on July 5, 2002, in the Lucas County Court of Common Pleas. They filed the action on behalf of themselves and a putative class alleged to consist of at least 1,000 other Ohio citizens who bought outpatient sickness benefit riders from defendants between 1993 and 1999.

The rider, known as the R359 rider, purported to provide outpatient sickness benefits to policyholders. Plaintiffs allege that Physicians Mutual denied covered claims under the rider on the ground that the claims were not submitted with medical bills itemizing room charges, though neither the rider nor Physicians Mutual’s representations about the rider contained this requirement. Plaintiffs allege that *718 some policyholders had incurred the room charges, whether or not they were separately itemized on the medical bills.

The complaint states seven claims against the defendants: 1) misleading or deceptive advertising in violation of O.R.C. § 3923.16; 2) breach of contract; 3) breach of the covenant of good faith and fair dealing; 4) unfair, deceptive, or unconscionable acts or practices in violation of O.R.C. § 1345 et seq.; 5) unjust enrichment; 6) fraud; and 7) negligent misrepresentation.

The plaintiffs seek damages, injunctive relief, and fees and costs. More specifically, plaintiffs seek punitive damages under their third and sixth claims, breach of the covenant of good faith and fair dealing and fraud, in an amount “sufficient to punish Physicians Mutual for engaging in this conduct and to deter similar conduct on their part in the future.” (Doc. 1, Exh. A, p. 15). The plaintiffs do not specifically ask for disgorgement as a remedy for the fifth claim, unjust enrichment, but disgorgement is a cognizable remedy for that claim. Gavriles v. Verizon Wireless, 194 F.Supp.2d 674, 681 (E.D.Mich.2002). Plaintiffs’ reply to defendants’ response to plaintiffs’ motion to remand states that plaintiffs will seek disgorgement.

On August 2, 2002, defendants removed the case to this court, pursuant to 28 U.S.C. § 1332(a)(1) and § 1441(a). Defendants argue the amount in controversy is more than $75,000, the minimum jurisdictional requirement for this court, because the plaintiffs’ claims for punitive damages and disgorgement should be aggregated.

Plaintiffs moved to remand the case, arguing that neither type of damages may be aggregated to satisfy the amount-in-controversy requirement.

STANDARD OF REVIEW

Federal courts have jurisdiction over cases in which citizenship is diverse and the amount in controversy exceeds $75,000, exclusive of interest and costs. 28 U.S.C. § 1332(a). A defendant who removes a case to federal court has the burden of establishing the court’s jurisdiction. Coyne v. Am. Tobacco Co., 183 F.3d 488, 493 (6th Cir.1999). Generally, a civil case brought in state court may be removed by a defendant to federal court if it could have been brought there originally. Gafford v. Gen. Elec. Co., 997 F.2d 150, 155 (6th Cir.1993); see 28 U.S.C. § 1441(a). Where, as here, the plaintiffs damages are unspecified, courts generally require that a defendant establish the jurisdictional amount by a preponderance of the evidence. Id. at 158. Where the basis for federal jurisdiction appears doubtful, any doubt should be resolved in favor of remand. Long v. Bando Mfg. of Am., 201 F.3d 754, 757 (6th Cir.2000).

DISCUSSION

The Supreme Court ruled in 1911 that whether plaintiffs’ claims may be aggregated to satisfy the amount-in-controversy requirement depends on whether their claims are “separate and distinct” or “common and undivided.” Troy Bank v. G.A. Whitehead & Co., 222 U.S. 39, 40-41, 32 S.Ct. 9, 56 L.Ed. 81 (1911).

When two or more plaintiffs, having separate and distinct demands, unite for convenience and economy in a single suit, it is essential that the demand of each be of the requisite judicial amount; but when several plaintiffs unite to enforce a single title or right, in which they have a common and undivided interest, it is enough if their interests collectively equal the jurisdictional amount.

Id.

As a general rule, where a defendant seeks removal of a diversity class *719 action suit in which the plaintiffs’ claims are separate and distinct, the defendant must show each class member’s claim exceeds the jurisdictional amount in controversy. Snyder v. Harris, 394 U.S. 332, 335, 89 S.Ct. 1053, 22 L.Ed.2d 319 (1969). 1 Therefore, aggregation of the value of plaintiffs’ separate and distinct claims is not permitted. Id. The fact that plaintiffs have filed the suit as a class action does not change this rule. Zahn v. Int’l Paper Co., 414 U.S. 291, 301, 94 S.Ct. 505, 38 L.Ed.2d 511 (1973). If a class member’s individual claim does not meet the jurisdictional amount in controversy, he or she must be dismissed from the case. Id. at 295, 94 S.Ct. 505; see also Snyder, 394 U.S. at 336, 89 S.Ct. 1053.

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240 F. Supp. 2d 715, 2003 U.S. Dist. LEXIS 764, 2003 WL 151271, Counsel Stack Legal Research, https://law.counselstack.com/opinion/harris-v-physicians-mutual-insurance-ohnd-2003.