Hartland Lakeside Joint No. 3 School District v. Wea Insurance

756 F.3d 1032, 2014 WL 2915919, 2014 U.S. App. LEXIS 12344
CourtCourt of Appeals for the Seventh Circuit
DecidedJune 27, 2014
Docket13-3787
StatusPublished
Cited by34 cases

This text of 756 F.3d 1032 (Hartland Lakeside Joint No. 3 School District v. Wea Insurance) is published on Counsel Stack Legal Research, covering Court of Appeals for the Seventh Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Hartland Lakeside Joint No. 3 School District v. Wea Insurance, 756 F.3d 1032, 2014 WL 2915919, 2014 U.S. App. LEXIS 12344 (7th Cir. 2014).

Opinion

*1033 EASTERBROOK, Circuit Judge.

Section 1102 of the Patient Protection and Affordable Care Act, 42 U.S.C. § 18002, provides $5 billion to reimburse employers and their proxies for some outlays on early retirees’ medical care. WEA Insurance, which administers healthcare programs on behalf of many school districts in Wisconsin, told them that it would collect on their behalf. It decided to use the federal money to reduce premiums in future years. The school districts contended that WEA should have rebated premiums for the years in which the retirees received the medical care that led to the federal payments. The difference matters to school districts that want to switch carriers. WEA’s plan to cut future rates, rather than provide rebates, gave it a competitive advantage: a district that switched to another insurer would never see a penny of the federal money.

Three districts that did switch filed this suit, in Wisconsin court, contending that state law requires WEA to apply the receipts so that the school districts whose expenses justified the federal payments receive the economic benefit. The school districts characterize WEA’s choice to allocate none of the money to districts that switch carriers as a form of conversion. All of the complaint’s claims arise under state law, and all litigants are citizens of Wisconsin. WEA nonetheless removed to federal court, contending that § 18002 and its implementing regulations, 45 C.F.R. §§ 149.1 to 149.700, are the crux of the litigation. A magistrate judge, presiding by consent under 28 U.S.C. § 636(c), denied the districts’ motion to remand. 2012 U.S. Dist. Lexis 57085 (E.D.Wis. Apr. 24, 2012). The judge certified the issue under 28 U.S.C. § 1292(b), but a motions panel declined to accept the interlocutory appeal. After the magistrate judge ruled in WEA’s favor on the merits, the school districts appealed from the final decision. Subject-matter jurisdiction is our first order of business.

Removal was proper if, and only if, the school districts’ claim arises under federal law. 28 U.S.C. §§ 1331, 1441. Yet the complaint relies entirely on state law, and although WEA contends that federal law is material to the suit, the existence of a federal issue rarely allows removal. See, e.g., Gunn v. Minton, — U.S.-, 133 S.Ct. 1059, 185 L.Ed.2d 72 (2013); Bennett v. Southwest Airlines Co., 484 F.3d 907, rehearing denied, 493 F.3d 762 (7th Cir.2007).

“Rarely” differs from “never,” and WEA relies on Grable & Sons Metal Products, Inc. v. Darue Engineering & Manufacturing, 545 U.S. 308, 125 S.Ct. 2363, 162 L.Ed.2d 257 (2005), for the proposition that, when the principal issue is federal, removal is permitted. The magistrate judge agreed, writing that WEA has a good defense if federal law (including the regulations) allows insurers to collect the payments as the effective sponsors of the healthcare plans. The magistrate judge did not conclude that federal law occupies the field (the misleadingly named doctrine that “complete preemption” supplies federal jurisdiction); nothing in § 18002 suggests that all claims related to its benefits necessarily are federal. Instead the judge thought that a federal issue is itself enough for federal jurisdiction.

Grable announced a multifactor approach that has been hard to use consistently. Its application here is doubtful, since WEA does not contend that the only material issue is federal. To make such an argument, it would have to concede that the school districts have a good claim under state law. Yet far from conceding this, WEA denies that the districts have valid state-law claims. Thus even from *1034 WEA’s perspective, the case contains nontrivial issues of both state and federal law.

Moreover, it is difficult to see a federal defense. There is no doubt a federal issue. The school districts have argued that WEA, as an insurer rather than either a sponsor or fiduciary of a welfare-benefit plan governed by ERISA, see Wisconsin Education Association Insurance Trust v. Iowa State Board of Public Instruction, 804 F.2d 1059 (8th Cir.1986), is ineligible to collect funds under § 18002 except as the school districts’ agent. See 42 C.F.R. § 423.882. If that’s so, then it is easy to classify WEA’s retention of the money as a form of conversion or breach of duty to the school districts, for which state law supplies a remedy.

The magistrate judge thought otherwise, ruling that the statute and regulations allow WEA to treat itself as a plan sponsor rather than (solely) as the school districts’ agent for collection. The judge added that reducing premiums in future years complies with the federal statute or regulations. Suppose that’s right: Where’s the federal defense? To say that a particular plan of distribution complies with federal law (as a rebate also would) is not the end of the line. Many things comply with federal law but violate state law. To displace state law, federal law must require a particular course of action at odds with state rules, and the magistrate judge did not conclude that § 18002 or the regulations does that.

But we are getting ahead of ourselves. The magistrate judge thought that a federal rule blocks the districts’ recovery. If Grable allows federal-issue removal, and the magistrate judge is wrong, that would be a reason to reverse on the merits, not to send the case back to state court. See, e.g., Bell v. Hood, 327 U.S. 678, 66 S.Ct. 773, 90 L.Ed. 939 (1946). We must approach subject-matter jurisdiction on the assumption that WEA’s federal arguments are not frivolous.

WEA’s understanding of Grable is the sticking point. WEA treats it as allowing the removal of cases in which the predominant issue concerns federal law. Some language in Grable might be understood that way. But the Court held in Gunn that this understanding is unsound. The Justices wrote that “federal jurisdiction over a state law claim will lie if a federal issue' is: (1) necessarily raised, (2) actually disputed, (3) substantial, and (4) capable of resolution in federal court without disrupting the federal-state balance approved by Congress.” 133 S.Ct. at 1065. Gunn

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756 F.3d 1032, 2014 WL 2915919, 2014 U.S. App. LEXIS 12344, Counsel Stack Legal Research, https://law.counselstack.com/opinion/hartland-lakeside-joint-no-3-school-district-v-wea-insurance-ca7-2014.