IV Solutions, Inc. v. Empire Healthchoice Assurance

CourtCourt of Appeals for the Ninth Circuit
DecidedJanuary 29, 2020
Docket18-55613
StatusUnpublished

This text of IV Solutions, Inc. v. Empire Healthchoice Assurance (IV Solutions, Inc. v. Empire Healthchoice Assurance) is published on Counsel Stack Legal Research, covering Court of Appeals for the Ninth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
IV Solutions, Inc. v. Empire Healthchoice Assurance, (9th Cir. 2020).

Opinion

NOT FOR PUBLICATION FILED UNITED STATES COURT OF APPEALS JAN 29 2020 MOLLY C. DWYER, CLERK U.S. COURT OF APPEALS FOR THE NINTH CIRCUIT

IV SOLUTIONS, INC., No. 18-55613

Plaintiff-Appellant, D.C. No. 2:17-cv-05615-ODW-SK v.

EMPIRE HEALTHCHOICE MEMORANDUM* ASSURANCE, INC., DBA Empire Blue Cross Blue Shield,

Defendant-Appellee.

Appeal from the United States District Court for the Central District of California Otis D. Wright II, District Judge, Presiding

Argued and Submitted January 8, 2020 Pasadena, California

Before: WATFORD and BENNETT, Circuit Judges, and RAKOFF,** District Judge.

IV Solutions, Inc. (“IVS”) appeals the district court’s order dismissing its

breach of contract claim with prejudice on statute of limitations grounds. We have

* This disposition is not appropriate for publication and is not precedent except as provided by Ninth Circuit Rule 36-3. ** The Honorable Jed S. Rakoff, United States District Judge for the Southern District of New York, sitting by designation. jurisdiction under 28 U.S.C. § 1291. We affirm the district court’s dismissal of the

breach of contract claim, but we reverse its denial of leave to amend and therefore

remand with instructions to grant IVS leave to amend. We affirm the district

court’s rejection of the doctrines of equitable tolling and equitable estoppel.

We review a district court’s dismissal on statute of limitations grounds de

novo, “accepting all factual allegations in the complaint as true and drawing all

reasonable inferences in favor of the nonmoving party.” Gregg v. Hawaii, Dep’t of

Pub. Safety, 870 F.3d 883, 886–87 (9th Cir. 2017) (internal quotation marks

omitted) (quoting TwoRivers v. Lewis, 174 F.3d 987, 991 (9th Cir. 1999)). De

novo review also applies to “a decision granting a motion to dismiss with

prejudice, i.e., without leave to amend.” Schmier v. U.S. Court of Appeals for

Ninth Circuit, 279 F.3d 817, 824 (9th Cir. 2002). “The district court’s decision

regarding equitable tolling is ‘generally reviewed for an abuse of discretion, unless

the facts are undisputed, in which event the legal question is reviewed de novo.’”

Hensley v. United States, 531 F.3d 1052, 1056 (9th Cir. 2008) (quoting Santa

Maria v. Pac. Bell, 202 F.3d 1170, 1175 (9th Cir. 2000), overruled on other

grounds by Socop-Gonzalez v. INS, 272 F.3d 1176 (9th Cir. 2001) (en banc)). And

we review a district court’s decision on equitable estoppel for an abuse of

discretion. See O’Donnell v. Vencor Inc., 466 F.3d 1104, 1109 (9th Cir. 2006) (per

curiam).

2 Drawing all reasonable inferences in favor of IVS, the complaint sufficiently

alleges that the breach of contract claim is founded upon a written instrument.

Thus, the district court correctly determined that IVS’s breach of contract claim is

subject to a four-year statute of limitations. See Cal. Civ. Proc. Code § 337. The

district court also correctly concluded that, based on the allegations in the

complaint, IVS’s breach of contract claim is barred by the statute of limitations.

The parties’ contract didn’t specify a time for Empire HealthChoice

Assurance, Inc.’s (“Empire’s”) performance, so the parties agree that California

Civil Code section 1657 determines when Empire needed to perform, and in turn

when the statute of limitations started running. Section 1657 specifies that a party

must generally perform within a reasonable time, but if the party’s act can be

“done instantly--as, for example, if it consists in the payment of money only--it

must be performed immediately upon the thing to be done being exactly

ascertained.” Cal. Civ. Code § 1657.

Though the district court relied exclusively on the reasonable time provision

in section 1657—an issue the parties did not brief—we conclude that IVS’s claim

is untimely under either the reasonable time provision or the immediate payment

provision, given the allegations pleaded in the complaint.

Applying the immediate payment provision under section 1657, we can

reasonably infer from the complaint that Empire’s obligation to pay was

3 ascertainable by October 4, 2012, at the latest, because the alleged agreement

provided that Empire would pay “IVS’s billed charges.” So Empire was required

to immediately pay at that time under section 1657. Empire’s failure to pay on that

date was a breach, and the statute of limitations started running. See Cochran v.

Cochran, 66 Cal. Rptr. 2d 337, 340 (Ct. App. 1997). Thus, as pleaded, IVS’s

breach of contract claim brought in June 2017 was barred by the statute of

limitations.

Likewise, for IVS’s claim to be timely under the reasonable time period

approach, the breach must have occurred, at the earliest, on June 23, 2013, four

years before IVS filed its complaint. At that time, over nine months had passed

since IVS provided its last treatment. IVS’s complaint does not allege any facts

that would make Empire’s failure to pay reasonable by that point in time.

While either approach supports the district court’s conclusion, the district

court should have allowed IVS to amend its complaint. Empire argues that leave

to amend is improper because it would be clearly futile. We disagree.

“Dismissal without leave to amend is improper unless it is clear, upon de

novo review, that the complaint could not be saved by any amendment.” Polich v.

Burlington N., Inc., 942 F.2d 1467, 1472 (9th Cir. 1991). On the limited record, it

is not clear “beyond doubt that amendment of the complaint would be futile.” Ctr.

for Biological Diversity v. Veneman, 394 F.3d 1108, 1114 (9th Cir. 2005). IVS

4 may be able to allege additional facts in an amended complaint that show, in the

health insurance context, its breach of contract claim is not barred by either

provision of section 1657.1 See, e.g., IV Solutions, Inc. v. Connecticut Gen. Life

Ins. Co., 2015 WL 12843822, at *11 (C.D. Cal. Jan. 29, 2015). IVS was denied

even one chance to amend its complaint, and it had no opportunity below to

address the district court’s basis for dismissal. Without oral argument, the district

court dismissed with prejudice IVS’s claim on a ground that Empire did not raise

and neither party briefed. Moreover, the district court offered no reason why IVS

should be denied leave to amend.

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Related

James F. Santa Maria v. Pacific Bell
202 F.3d 1170 (Ninth Circuit, 2000)
Center for Biological Diversity v. Veneman
394 F.3d 1108 (Ninth Circuit, 2005)
Lobrovich v. Georgison
301 P.2d 460 (California Court of Appeal, 1956)
Hensley v. United States
531 F.3d 1052 (Ninth Circuit, 2008)
Mills v. Forestex Co.
134 Cal. Rptr. 2d 273 (California Court of Appeal, 2003)
Cochran v. Cochran
56 Cal. App. 4th 1115 (California Court of Appeal, 1997)
O'Donnell v. Vencor, Inc.
466 F.3d 1104 (Ninth Circuit, 2006)
Alexandria Gregg v. Hawaii Dept. of Public Safety
870 F.3d 883 (Ninth Circuit, 2017)
Lantzy v. Centex Homes
73 P.3d 517 (California Supreme Court, 2003)
Tworivers v. Lewis
174 F.3d 987 (Ninth Circuit, 1999)

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IV Solutions, Inc. v. Empire Healthchoice Assurance, Counsel Stack Legal Research, https://law.counselstack.com/opinion/iv-solutions-inc-v-empire-healthchoice-assurance-ca9-2020.