Leonard J. Klay v. All

389 F.3d 1191, 2004 U.S. App. LEXIS 23277, 2004 WL 2480781
CourtCourt of Appeals for the Eleventh Circuit
DecidedNovember 5, 2004
Docket03-14828
StatusPublished
Cited by164 cases

This text of 389 F.3d 1191 (Leonard J. Klay v. All) is published on Counsel Stack Legal Research, covering Court of Appeals for the Eleventh Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Leonard J. Klay v. All, 389 F.3d 1191, 2004 U.S. App. LEXIS 23277, 2004 WL 2480781 (11th Cir. 2004).

Opinion

BIRCH, Circuit Judge:

This appeal requires us to determine the propriety of a district court order in light of prior appeals and the scope to be afforded to broad arbitration clauses. Based on our previous rulings and existing precedent, the district court refused to compel arbitration of various claims asserted by plaintiffs-appellees and declined to stay litigation of nonarbitrable claims. Because we previously affirmed the district court’s refusal to compel arbitration of RICO con *1195 spiracy and aiding and abetting claims in a decision not disturbed by the United States Supreme Court, the law of the case doctrine compels us to affirm the district court’s order regarding these claims. With respect to the scope to be given to broad arbitration clauses, a matter not decided previously, we also affirm the district court’s ruling that broad arbitration clauses cannot be extended to compel parties to arbitrate disputes they have not agreed to arbitrate.

I. BACKGROUND

Plaintiffs-appellees, a group of physicians acting on behalf of themselves and others similarly situated (“physicians”), sued defendants-appellants, a collection of health maintenance organizations (“HMOs”), on various grounds — including violations of the Racketeer Influenced and Corrupt Organizations Act (RICO), breaches of various state prompt pay statutes, and claims for quantum meruit, breach of contract, and unjust enrichment. At bottom, the physicians alleged that the HMOs, individually and collectively by conspiring and aiding and abetting each other, failed to properly reimburse physicians for services rendered. Because the facts of this case have been detailed in prior opinions, see PacifiCare Health Sys., Inc. v. Book, 538 U.S. 401, 402-03, 123 S.Ct. 1531, 1533-34, 155 L.Ed.2d 578 (2003); In Re Humana Inc. Managed Care Litig., 285 F.3d 971, 973 (11th Cir.2002); In Re Managed Care Litig., 132 F.Supp.2d 989, 992 (S.D.Fla.2000), we recount here only those facts relevant to this appeal.

The physicians’ complaint alleged ten claims against HMOs: (1) conspiracy to commit RICO violations under 18 U.S.C. § 1962(d); (2) aiding and abetting RICO violations under 18 U.S.C. § 2; 1 (3) direct RICO violations under 18 U.S.C. §§ 1962(a) and (c); (4) RICO declaratory and injunctive relief under 18 U.S.C. § 1964(a); (5) breach of contract; (6) unjust enrichment; (7) violations of various state prompt pay statutes; (8) violations of the California Business and Professional Code; (9) violations of the Connecticut Unfair Trade Act; and (10) violations of the New Jersey Consumer Fraud Act. In response, HMOs moved to compel arbitration of these claims pursuant to arbitration agreements that had been signed between some of the physicians and some of the HMOs. See In Re Humana Inc. Managed Care Litig., 285 F.3d at 973 & n. 1 (“[S]ome of the doctors had contracts with some of the HMOs; some of those contracts had arbitration clauses.”). In deciding which of physicians’ claims must be arbitrated, the district court made four rulings:

First, the court held that claims between plaintiffs and defendants who are both signatories to contracts containing enforceable arbitration clauses must be arbitrated. Second, relying primarily on our opinion in Paladino v. Avnet Computer Technologies, Inc., 134 F.3d 1054 (11th Cir.1998), the court found that those arbitration clauses that exclude punitive damages are unenforceable in this suit because they preclude recovery of treble damages under RICO; therefore, an HMO may not compel arbitration of a RICO suit under such an arbitration clause. Third, the court determined that an HMO may not invoke its arbitration clause to compel arbitration of an aiding-and-abetting charge regarding a doctor’s contractual rights with a different HMO. Fourth, the court held that exceptions to the *1196 general rule that a non-party to a contract may not invoke the contract — exceptions we described in MS Dealer [Serv.] Corp. v. Franklin, 177 F.3d 942 (11th Cir.1999)—do not apply in the present case; thus, an HMO that is not a signatory to a particular contract may not invoke that contract’s arbitration clause to compel arbitration.

In Re Humana Inc. Managed Care Litig., 285 F.3d at 973 (footnotes omitted). On appeal, we “affirm[ed] in its entirety the district court’s order for the reasons set forth, in its comprehensive opinion found at 132 F.Supp.2d 989 (S.D.Fla.2000).” Id. at 973-74.

HMOs then appealed to the United States Supreme Court with respect to the district court’s second finding, i.e. that HMOs could not compel arbitration of RICO claims if the arbitration clauses excluded punitive damages awards because such clauses were unenforceable. 2 The Supreme Court reversed our decision and held that whether punitive damages limitations in the arbitration clauses precluded an award of treble damages, and whether such a finding would render the arbitration agreements unenforceable, should be decided by an arbitrator in the first instance. PacifiCare Health Sys., Inc., 538 U.S. at 407, 123 S.Ct. 1531. As a result, we remanded this case to the district court “for further proceedings in accordance with the Supreme Court’s decision.” In Re Humana Inc. Managed Care Litig., 333 F.3d 1247, 1248 (11th Cir.2003).

While the issue of the arbitrability of RICO claims in light of contractual punitive damages limitations was on appeal, the physicians amended their complaint to add two new defendants, twelve new physician-plaintiffs, and six new medical association plaintiffs. They also amended their complaint to clarify the general allegations of conspiracy found in their prior amended complaint. 3 Following our remand, HMOs again moved to compel arbitration based on the Supreme Court’s PacifiCare opinion. The district court ruled that: (1) direct RICO claims must be arbitrated pursuant to PacifiCare regardless of damages limitations in the arbitration agreements; (2) indirect RICO claims remain nonarbitrable pursuant to prior decisions which had not been disturbed by Pacifi-Care; (3) nonparticipating provider claims (“non-par claims”) 4 are nonarbitrable if *1197

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Cite This Page — Counsel Stack

Bluebook (online)
389 F.3d 1191, 2004 U.S. App. LEXIS 23277, 2004 WL 2480781, Counsel Stack Legal Research, https://law.counselstack.com/opinion/leonard-j-klay-v-all-ca11-2004.