Hartford Fire Insurance Company v. Alabama Pain Center, LLC

CourtDistrict Court, N.D. Alabama
DecidedDecember 28, 2020
Docket5:17-cv-02132
StatusUnknown

This text of Hartford Fire Insurance Company v. Alabama Pain Center, LLC (Hartford Fire Insurance Company v. Alabama Pain Center, LLC) is published on Counsel Stack Legal Research, covering District Court, N.D. Alabama primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Hartford Fire Insurance Company v. Alabama Pain Center, LLC, (N.D. Ala. 2020).

Opinion

UNITED STATES DISTRICT COURT NORTHERN DISTRICT OF ALABAMA NORTHEASTERN DIVISION

HARTFORD FIRE INSURANCE ) COMPANY, ) ) Plaintiff ) ) vs. ) Case No. 5:17-cv-02132-HNJ ) ALABAMA PAIN CENTER, LLC, ) et al., ) ) Defendants )

MEMORANDUM OPINION AND ORDER

This diversity action proceeds before the court on Defendants’ Motion for Judgment on the Pleadings on their Second and Fourth Defenses for lack of standing and lack of subject matter jurisdiction. (Doc. 113). In this civil action, Hartford claims Defendants misrepresented the amount of medication it dispensed to certain patients, resulting in Hartford’s overpayment on reimbursements it tendered on workers’ compensation insurance claims. The record reveals the existence of disputed issues of fact as to whether Hartford constituted the payor on the reimbursements, which incites concerns whether Hartford suffered an injury pursuant to the constitutional standing doctrine, and whether it possesses legal rights and interests as to the prudential standing doctrine. Therefore, based on the analyses herein, the court DENIES Defendants’ motion. PROCEDURAL POSTURE A party may move for judgment on the pleadings only after the pleadings have

closed. See Fed. R. Civ. P. 12(c). Under the typical scenario, “[j]udgment on the pleadings is proper when no issues of material fact exist, and the moving party is entitled to judgment as a matter of law based on the substance of the pleadings and any judicially noticed facts.” Interline Brands, Inc. v. Chartis Specialty Ins. Co., 749 F.3d 962, 965 (11th

Cir. 2014) (internal citation omitted). In determining whether a defendant is entitled to judgment on the pleadings, courts must “accept all the facts in the complaint as true and view them in the light most favorable to the non-moving party.” Id. If comparison of the averments in the pleadings reveals a material dispute of fact, the

court must deny judgment on the pleadings. Perez v. Wells Fargo N.A., 774 F.3d 1329, 1335 (11th Cir. 2014). However, Rule 12(c) also may serve as a vehicle for asserting a Rule 12(b) motion to dismiss after pleadings have closed. See Jiles v. United Parcel Serv., Inc., No.

308CV01192J25MCR, 2010 WL 11519465, at *2 (M.D. Fla. May 12, 2010), aff’d, 413 F. App’x 173 (11th Cir. 2011) (“Rule 12(c) is also a vehicle by which litigants may, after the pleadings are closed, assert a 12(b)(6) motion for their opponent’s failure to state a claim upon which relief can be granted.”) (citation omitted); Gold v. Markham, No. 98-7036-

CIV, 1998 WL 1118629, at *1 (S.D. Fla. Dec. 2, 1998) (“Although Markam styles his motion as one for judgment on the pleadings, the crux of his arguments is that the Tax 2 Injunction Act, 29 U.S.C. § 1341, and principles of comity bar federal subject matter jurisdiction over this controversy. Therefore, the Court considers Markam’s motion

to be brought pursuant to Federal Rule of Civil Procedure 12(b)(1) rather than 12(c).”); 5C Charles Alan Wright, Arthur R. Miller & May Kay Kane, Federal Practice and Procedure § 1367 (3d ed. 1995) (Rule 12(c) may serve “as an auxiliary device that enables a party to assert certain procedural defenses after the close of the pleadings”); see also

Fed. R. Civ. P. 12(h)(3) (“If the court determines at any time that it lacks subject-matter jurisdiction, the court must dismiss the action.”). When a party raises subject matter jurisdiction challenges pursuant to Rule 12(c), the court will apply the same standards that govern a motion to dismiss for lack of

jurisdiction pursuant to Rule 12(b)(1). U.S. ex rel. Powell v. Am. InterContinental Univ., Inc., No. 1:08-CV-2277-RWS, 2012 WL 2885356, at *3 (N.D. Ga. July 12, 2012) (citing Dorsey v. Georgia Dep’t of State Rd. & Tollway Auth. SRTA, No. CIV.A. 1:09-CV- 1182, 2009 WL 2477565, at *3 n. 1 (N.D. Ga. Aug. 10, 2009) (in turn citing 5C Charles

Alan Wright, Arthur R. Miller & May Kay Kane, Federal Practice and Procedure § 1367 (3d ed. 1995))) (“While the Court will operate under Rule 12(c), the Rule 12(b)(1) standards apply to this construed 12(c) motion.”). “Federal courts are courts of limited jurisdiction” and, as such, possess the power

to hear cases only as authorized by the Constitution or United States’ laws. Kokkonen v. Guardian Life Ins. Co. of Am., 511 U.S. 375, 377 (1994). “[B]ecause a federal court is 3 powerless to act beyond its statutory grant of subject matter jurisdiction, a court must zealously insure that jurisdiction exists over a case.” Smith v. GTE Corp., 236 F.3d 1292,

1299 (11th Cir. 2001). Federal Rule of Civil Procedure 12(b)(1) permits a district court to dismiss a case for “lack of subject-matter jurisdiction.” Fed. R. Civ. P. 12(b)(1). Plaintiff bears the burden of persuasion on establishing the court’s subject matter jurisdiction. OSI, Inc.

v. United States, 285 F.3d 947, 951 (11th Cir. 2002) (citing Thomson v. Gaskill, 315 U.S. 442, 446 (1942); Menchaca v. Chrysler Credit Corp., 613 F.2d 507, 511 (5th Cir. 1980)). BACKGROUND Plaintiff, Hartford Fire Insurance Company (Hartford), filed suit against

Alabama Pain Center, LLC (APC), and Covenant Pain Therapies Center, LLC (Covenant), asserting causes of action for fraud, unjust enrichment, money paid by mistake, rescission, and successor liability. Hartford’s Amended Complaint alleges Hartford issued worker’s compensation policies covering patients who received pain

management treatment from APC and Covenant. After providing treatment to a covered patient, APC and Covenant would submit an HCFA 1500 form to Hartford requesting reimbursement for covered expenses. Each form contained representations regarding the volume of medication dispensed to the patient, and

Hartford determined the amount of reimbursement due based upon those representations. 4 Hartford claims that APC misrepresented the amounts of medication it dispensed to three patients between July 8, 2012, and February 8, 2016, resulting in

Hartford overpaying APC a total of $503,006.56. Hartford also claims that Covenant rendered similar misrepresentations regarding the same three patients between May 18, 2017, and October 8, 2017, resulting in an overpayment of $14,788.99. APC and Covenant deny fostering any misrepresentations, and they refuse to reimburse Hartford

for the alleged overpayments. Hartford claims that Covenant, as APC’s successor-in- interest, bears liability for all amounts APC owes. (See Doc. 21). APC and Covenant both answered Hartford’s Amended Complaint, and both Defendants asserted affirmative defenses for lack of standing and lack of subject matter

jurisdiction. (Doc. 22, at 18; Doc. 29, at 12-13). Defendants’ motion requests the court enter judgment on the pleadings in their favor on those affirmative defenses.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

OSI, Inc. v. United States
285 F.3d 947 (Eleventh Circuit, 2002)
Allen v. Board of Public Educ. for Bibb County
495 F.3d 1306 (Eleventh Circuit, 2007)
McElmurray v. CONSOLIDATED GOV'T, AUGUSTA-RICHMOND COUNTY
501 F.3d 1244 (Eleventh Circuit, 2007)
Thomson v. Gaskill
315 U.S. 442 (Supreme Court, 1942)
Baker v. Carr
369 U.S. 186 (Supreme Court, 1962)
Warth v. Seldin
422 U.S. 490 (Supreme Court, 1975)
Anderson v. Liberty Lobby, Inc.
477 U.S. 242 (Supreme Court, 1986)
Lujan v. Defenders of Wildlife
504 U.S. 555 (Supreme Court, 1992)
Kokkonen v. Guardian Life Insurance Co. of America
511 U.S. 375 (Supreme Court, 1994)
Jiles v. United Parcel Service, Inc.
413 F. App'x 173 (Eleventh Circuit, 2011)
Eugene Steele v. National Firearms Act Branch
755 F.2d 1410 (Eleventh Circuit, 1985)
Norma Rollins v. Techsouth, Inc.
833 F.2d 1525 (Eleventh Circuit, 1987)
Dolcie Lawrence v. Peter Dunbar, United States of America
919 F.2d 1525 (Eleventh Circuit, 1990)
Connie Strickland v. Norfolk Southern Railway Company
692 F.3d 1151 (Eleventh Circuit, 2012)
Reeves v. Sanderson Plumbing Products, Inc.
530 U.S. 133 (Supreme Court, 2000)

Cite This Page — Counsel Stack

Bluebook (online)
Hartford Fire Insurance Company v. Alabama Pain Center, LLC, Counsel Stack Legal Research, https://law.counselstack.com/opinion/hartford-fire-insurance-company-v-alabama-pain-center-llc-alnd-2020.