Lakeland Regional Health System v. Walgreens Health Initiatives, Inc.

604 F. Supp. 2d 983, 2009 WL 792289
CourtDistrict Court, W.D. Michigan
DecidedMarch 26, 2009
Docket1:08-cr-00072
StatusPublished
Cited by10 cases

This text of 604 F. Supp. 2d 983 (Lakeland Regional Health System v. Walgreens Health Initiatives, Inc.) is published on Counsel Stack Legal Research, covering District Court, W.D. Michigan primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Lakeland Regional Health System v. Walgreens Health Initiatives, Inc., 604 F. Supp. 2d 983, 2009 WL 792289 (W.D. Mich. 2009).

Opinion

OPINION and ORDER

Granting Defendant WHI’s Motion to Dismiss Count 3; Directing Defendant WHI to File an Answer to Counts 1 and 2

PAUL L. MALONEY, Chief Judge.

This is an ERISA action with pendent tort and contract claims under Michigan law. Defendant Walgreens Health Initiatives Inc.’s (“WHI”) has filed a Rule 12(b)(6) motion to dismiss count 3, negligence, for failure to state a claim on which relief can be granted. WHI contends that the negligence claim does not allege any duty independent and distinct from the contractual duties the breach of which is the subject of count 2. The plaintiffs filed an opposition brief, WHI filed a reply, and plaintiffs with leave of court filed a surreply. Having considered the briefs and determined that oral argument is unnecessary, the court will grant the motion and dismiss count 3.

BACKGROUND

Plaintiffs Lakeland Regional Health System, doing business as Lakeland Healthcare, and Lakeland Hospitals at Niles and Saint Joseph, Inc., doing business as Lakeland Regional Medical Center (collectively “Lakeland”) are Michigan corporations with their principal places of business in Michigan. See Complaint filed January 18, 2008 (“Comp”) ¶¶ 1-2. In 1996, Lakeland instituted the Lakeland Regional Health System Group Health Plan (“the Plan”) as a self-funded employ *985 er group health plan within the meaning of the Employee Retirement Income Security Act of 1974 (“ERISA”). Lakeland is the Plan sponsor. Comp ¶ 3 and Ex 1. Defendant Walgreen’s Health Initiatives, Inc. (“WHI”) is an Illinois corporation with its principal place of business in Illinois, and defendant Rite-Aid Corporation (“Rite-Aid”) is a Delaware corporation with its principal place of business in Pennsylvania. Comp ¶¶ 4-5.

Lakeland’s Plan includes a prescription-drug benefit. After the beneficiary makes a co-payment, the Plan pays the remaining charges for eligible drugs that are prescribed by a physician, physician’s assistant, or nurse practitioner who is acting within the scope of his/her license. Comp ¶ 9. In 2000, the Plan and WHI entered into a one-year Prescription Services Agreement (“the agreement”) which called for WHI to provide prescription benefit management and claim-processing services to the Plan. The agreement provided that it would automatically renew indefinitely for one-year periods unless the parties terminated the agreement according to its terms. Comp ¶¶ 10-11. WHI agreed to provide “general support and consultative services regarding pharmacy benefit design and implementation, formulary management, administrative and claims processing services, standard reporting packages, marketing, quality management, and utilization functions. Comp ¶ 12 & Ex 2.

In order to implement the agreement, defendant WHI entered into Pharmacy Network Agreements with a number of community retail pharmacies, including Rite-Aid. Under a pharmacy network agreement, a pharmacy agrees to “cooperate with and support” WHI’s drug-utilization review program, use its professional judgment to act on review information provided by WHI, and exercise professional judgment in dispensing — or refusing to dispense — covered drugs. Comp ¶¶ 13-15. The pharmacy network agreement requires a participating pharmacy (such as Rite-Aid) to indemnify and hold harmless the Plan sponsor (Lakeland) from any liability which may result or arise out of, inter alia, actual or alleged malpractice, negligence or misconduct by the pharmacy, or from the sale or dispensing of a covered drug to a Plan participant. Comp 1116.

Relying on a police report, Lakeland alleges that from August 2005 to August 2007, Brian Hart, the husband of former Lakeland employee Cindy Hart, forged 53 prescriptions for narcotic drugs in his name and his wife’s name, and he filled those prescriptions at four pharmacies. Comp ¶¶ 17-18 and 21. The total cost of narcotics dispensed under prescriptions for Brian and Cindy Hart during that period was about $625,000, of which the Plan paid about $620,000. Comp ¶¶ 19-20. Brian Hart was arrested in August 2007 when it was discovered that he had forged a prescription for an opioid pain medication, Fentora. Comp ¶ 18.

JURISDICTION

The court has uncontested federal-question jurisdiction pursuant to 28 U.S.C. § 1331 due to Lakeland’s assertion of an ERISA claim. Based on uncontested allegations in Lakeland’s complaint, it appears that the court also has jurisdiction pursuant to 28 U.S.C. § 1332, due to complete diversity of citizenship of the parties and more than $75,000 at stake exclusive of attorneys’ fees and costs and interest. See Comp ¶¶ 1-7. Pursuant to 28 U.S.C. § 1367, the court has the authority and discretion to exercise supplemental jurisdiction over Lakeland’s state-law claims.

CHOICE OF LAW

The Prescription Services Agreement between plaintiff Lakeland’s Plan *986 and defendant Walgreens states that Illinois law should govern. When interpreting contracts in a diversity action — or state-law claims that are pendent to a federal claim — federal courts generally enforce the parties’ contractual choice of law. Amerisure Mut. Ins. Co. v. Carey Transp., Inc., 578 F.Supp.2d 888, 897 (W.D.Mich.2008) (Maloney, C.J.) (citing Savedoff v. Access Group, Inc., 524 F.3d 754, 762 (6th Cir.2008) (citing Carnival Cruise Lines, Inc. v. Shute, 499 U.S. 585, 596, 111 S.Ct. 1522, 113 L.Ed.2d 622 (1991) & M/S Bremen v. Zapata Off-Shore Co., 407 U.S. 1, 15, 92 S.Ct. 1907, 32 L.Ed.2d 513 (1972))).

Here, however, the parties do not seek enforcement of their choice-of-law provision for purposes of this motion. WHI contends that Michigan law governs the tort issues in this case, see WHI’s MTD at 5 n. 4 (citing Allmand Assocs., Inc. v. Hercules, Inc., 960 F.Supp. 1216, 1223 n. 3 (E.D.Mich.1997) and Imaging Fin. Servs., Inc. v. Lettergraphics/Detroit, Inc., 178 F.3d 1294, 1999 WL 115473 (6th Cir.1999) (applying Michigan law to defendant’s third-party tort claims where the contracts involved contained provisions selecting Massachusetts and New York law)), and plaintiff Lakeland’s brief also proceeds under Michigan law.

Accordingly, the court will apply Michigan law to the determination of whether Lakeland has a cognizable tort cause of action against WHI. See, e.g., Savedoff, 524 F.3d at 762 (“As the parties do not dispute that the student loan contracts at issue are governed by Ohio law, we apply Ohio law to the parties’ contractual dispute.”); State Farm Fire & Cas. Co. v. Liberty Ins. Underwriters, Inc., 2009 WL 702863, *4 (W.D.Mich. Mar.

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

Related

Rollinger v. FCA us LLC
E.D. Michigan, 2022
John Lawrence Harper v. Ashgrove Apartments
Michigan Court of Appeals, 2019
Del Kostanko v. MVM, Inc.
365 F. Supp. 3d 881 (W.D. Michigan, 2018)
Mid-Century Insurance v. Fish
749 F. Supp. 2d 657 (W.D. Michigan, 2010)
Harshaw v. Bethany Christian Services
714 F. Supp. 2d 751 (W.D. Michigan, 2010)
William v. BETHANY CHRISTIAN SERVICES
714 F. Supp. 2d 751 (W.D. Michigan, 2010)
Leys v. Lowe's Home Centers, Inc.
664 F. Supp. 2d 828 (W.D. Michigan, 2009)

Cite This Page — Counsel Stack

Bluebook (online)
604 F. Supp. 2d 983, 2009 WL 792289, Counsel Stack Legal Research, https://law.counselstack.com/opinion/lakeland-regional-health-system-v-walgreens-health-initiatives-inc-miwd-2009.