Hively v. Merrifield

575 S.E.2d 414, 212 W. Va. 804, 2002 W. Va. LEXIS 245
CourtWest Virginia Supreme Court
DecidedDecember 9, 2002
DocketNo. 30437
StatusPublished
Cited by14 cases

This text of 575 S.E.2d 414 (Hively v. Merrifield) is published on Counsel Stack Legal Research, covering West Virginia Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Hively v. Merrifield, 575 S.E.2d 414, 212 W. Va. 804, 2002 W. Va. LEXIS 245 (W. Va. 2002).

Opinion

PER CURIAM.

The appellant, Robert L. Hively, M.D., appeals the July 24, 2001, order of the Circuit Court of Kanawha County dismissing his complaint for interference with a business relationship, defamation, and fraud against Anthem Health Plan of West Virginia, Inc., which does business as PrimeOne, a West Virginia Corpoi’ation (“PrimeOne”)- Because we find the dismissal order fails to set out sufficient findings of fact under this Court’s holding in Fayette County Nat. Bank v. Lilly, 199 W.Va. 349, 484 S.E.2d 232 (1997), we reverse and remand for the circuit court to enter a final order which conforms to the standards set forth in Lilly.

I.

FACTS

Dr. Robert L. Hively, the appellant, was a partner in a medical practice known as Dunbar Medical Associates with Drs. John V. Merrifield, John P. Lilly, Paul T. Kuryla, and Jonathan P. Lilly, who are defendants below.1 PrimeOne, the appellee, is a managed health care organization. Dunbar Medical Associates participated in PrimeOne’s network of physicians.2

On December 5, 1995, one of Dr. Hively’s patients showed him an October 17, 1995, letter she received in the mail. The letter was on Dunbar Medical Associates’ letterhead; it contained information about the Pri-meOne Health Plan, and it stated “[w]e hope you’ll consider the advantages of PrimeONE carefullyf.]” The names of the five partners in Dunbar Medical Associates were typed at the bottom of the letter with each partner’s signature located above his typed name. In his brief to this Court, Dr. Hively contends that he did not grant permission to use his name on the letter nor did he sign the letter. PrimeOne asserts in its brief to this Court, “the signature over Dr. Hively’s typed name is difficult to read. It is not, however, his name. Rather, it is the signature of another doctor with Dunbar Medical Associates, Jonathan P. Lilly.” (Citations omitted).

In May 1996, Dr. Hively departed Dunbar Medical Associates and started his own medical practice.3 Thereafter, another letter was sent out on Dunbar Medical Associates’ letterhead and addressed “To Whom It May Concern.” Some of the patients in Dr. Hively’s new practice received this letter. The letter informed its recipients that them physician elected not to participate with Pri-meOne, and that Dunbar Medical Associates would welcome the opportunity to serve their medical needs. According to Dr. Hively, his patients incorrectly received the letter because he was, at that time, participating in PrimeOne. Dr. Hively complained to Pri-meOne about the letter.

Thereafter, a letter on PrimeOne letterhead dated August 2, 1996, was mailed which informed its recipients that the previous letter “may have been sent to you by mistake.” The August 2, 1996, letter explained that the previous letter “should have been sent only to those few PrimeONE members who had not designated a Primary Care Physician, or to those few members whose Primary Care Physicians elected not to participate in the [806]*806network.” It further stated, “It was never our intention to disrupt any doctor-patient relationship.”

Dr. Hively withdrew from the PrimeOne network in September 1996. According to Dr. Hively, his withdrawal occurred after a patient, who was apparently dissatisfied with PrimeOne’s services, inquired of him why he had recommended that she switch to Pri-meOne in the October 17, 1995, letter. Dr. Hively asserts that at this point he realized that the October 17, 1995, letter may have given some of his patients the mistaken notion that he had a financial interest in Pri-meOne and that this interest caused him to endorse PrimeOne. Dr. Hively explains that in order to remove any appearance of impropriety, he withdrew from the PrimeOne network even though PrimeOne insured approximately 250 of his patients.

On December 23, 1997, Dr. Hively filed an amended complaint against his four former partners in Dunbar Medical Associates and PrimeOne. Dr. Hively does not appeal the counts filed against his former partners. At issue in this appeal are only those counts filed against PrimeOne. Count III of the complaint alleges “Interference with Business Relationship” and states:

Upon the wrongful dissolution and termination of the partnership, as aforesaid, the defendants set about to and did intentionally interfere with you [sic] plaintiffs doctor-patient relationship by providing incorrect and false information to your plaintiffs patients.
As a proximate result of the defendants [sic] acts and conduct your plaintiff lost business and profits and was otherwise damaged in that his reputation was damaged, he suffered emotional distress and was greatly annoyed and inconvenienced.

Count V alleges “Defamation” and states in part:

The defendants published a letter to you [sic] plaintiffs patients indicating that plaintiffs [sic] competition was a good alternative when defendants knew it would damage you [sic] plaintiff and plaintiff did not sign the letter.

Finally, Count VI alleges “Fraud” and states:

The acts and conduct of defendants as alleged above were fraudulent and plaintiff was damaged as aforesaid.
The acts and conduct of defendants were willful and wanton and in reckless disregard of plaintiffs rights and plaintiff is entitled to punitive damage[.]

On September 21, 1998, PrimeOne filed a motion to dismiss pursuant to Rule 12(b)(6) of the West Virginia Rules of Civil Procedure. In support of this motion, PrimeOne asserted:

First, [the complaint] names the wrong party in paragraphs 6 and 19. The complaint mentions PrimeOne instead of “Pri-maryOne”, which Dr. Hively now admits. Second, as the deposition of Dr. Hively reveals, his dispute with PrimeOne relates solely to two letters which Dr. Hively claims PrimeOne was involved, somehow, in sending. Even assuming PrimeOne was involved in sending them, those letters on them face do not provide a basis for Dr. Hively’s claims against PrimeOne: interference with business relationships ... defamation ... or fraud[.]
Finally, Dr. Hively’s deposition reveals that he suffered no harm as a result of the acts he alleges against PrimeOne. In September of 1996, he voluntarily decided to withdraw from the PrimeOne network, which meant he could no longer be paid by PrimeOne for treating patients insured by PrimeOne. No actions of any of these defendants caused him to make that decision. In fact, as he testified, PrimeOne urged him to stay within its network. Thus, by his own actions, Dr. Hively abandoned any claim against PrimeOne, or any of the other defendants, arising out of his alleged loss of any PrimeOne patients.

On March 23, 1999, the circuit court held a hearing on PrimeOne’s motion to dismiss at which arguments were heard. PrimeOne argued, in addition to the grounds set forth in its motion to dismiss, that the one year statute of limitations on the defamation claim had run. At the conclusion of the hearing, the circuit court stated, in part:

[807]*807Taken in the totality of everything that was said today, it seems to me that the reasons that have been put forth by Pri-meONE are the reasons that the motion to dismiss should be granted.

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Bluebook (online)
575 S.E.2d 414, 212 W. Va. 804, 2002 W. Va. LEXIS 245, Counsel Stack Legal Research, https://law.counselstack.com/opinion/hively-v-merrifield-wva-2002.