M. v. Cigna Health and Life Insurance

CourtDistrict Court, D. Utah
DecidedJuly 28, 2021
Docket4:21-cv-00007
StatusUnknown

This text of M. v. Cigna Health and Life Insurance (M. v. Cigna Health and Life Insurance) is published on Counsel Stack Legal Research, covering District Court, D. Utah primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
M. v. Cigna Health and Life Insurance, (D. Utah 2021).

Opinion

THE UNITED STATES DISTRICT COURT DISTRICT OF UTAH

SCOTT M., individually and on behalf of MEMORANDUM DECISION AND J.M., a minor, ORDER GRANTING MOTION TO TRANSFER VENUE Plaintiff, Case No. 4:21-cv-00007-DN-PK v. District Judge David Nuffer CIGNA HEALTH AND LIFE INSURANCE COMPANY and the VERMONT ELECTRIC POWER COMPANY HEALTHCARE BENEFIT PLAN,

Defendants.

Plaintiff Scott M. brought suit under the Employee Retirement Income Security Act of 1974 (“ERISA”), seeking to recover expenses incurred for the medical care and treatment of J.M. at the Red Cliff Ascent (“Red Cliff”) and Telos treatment facilities located in Utah.1 Scott M. alleges that Defendants Cigna Health and Life Insurance Company (“Cigna”) and Vermont Electric Power Company Healthcare Benefit Plan (“Plan”) (collectively “Defendants”) improperly denied coverage of the cost of J.M.’s care.2 Defendants move for transfer of venue to the District of Vermont under 28 U.S.C. § 1404(a) (“Motion”).3 Plaintiff opposes4 the Motion (“Opposition”). For the reasons discussed below, Defendants’ Motion is GRANTED.

1 Complaint, docket no. 2, filed Jan. 19, 2021. 2 Id. 3 Cigna Health and Life Insurance Company’s Motion to Transfer Venue under 28 U.S.C. § 1404 (“Motion”), docket no. 24, filed May 21, 2021. 4 Plaintiff’s Memorandum in Opposition to Defendants’ Motion to Transfer Venue under 28 U.S.C. § 1404 (“Opposition”), docket no. 25, filed Jun. 6, 2021. Table of Contents BACKGROUND ........................................................................................................................... 2 DISCUSSION ................................................................................................................................ 4 I. LEGAL STANDARD FOR TRANSFERRING VENUE UNDER § 1404(A). ..................................... 4 II. TRANSFERRING VENUE IS PROPER UNDER § 1404(A). ......................................................... 6 A. Plaintiff’s choice of forum receives less deference where the location of treatment is the only connection to the forum state .......................................................................................... 6 B. The accessibility of witnesses and other sources of proof weigh in favor of transfer ........ 8 C. Court congestion is a neutral factor, weighing neither in favor of nor against transfer . 12 D. Practical considerations of privacy, cost of counsel, and the underlying purposes of ERISA weigh in favor of transfer .......................................................................................... 13 ORDER ........................................................................................................................................ 16

BACKGROUND Plaintiff Scott M. is a resident of Addison County, Vermont, and is the father of J.M.5 Scott M. is a participant in, and J.M. a beneficiary of, the Plan.6 The Plan is a self-funded employee welfare benefits plan under ERISA and is sponsored and administered by Vermont Electric Power Company, whose main office is in Rutland, Vermont.7 Cigna, an insurance company headquartered in Bloomfield, Connecticut, provided claims adjudication support to the Plan. Cigna denied claims for payment of J.M.’s treatment at Red Cliff and Telos.8 J.M. was treated in Utah, first at Red Cliff beginning on January 20, 2018, and then was moved to Telos for treatment on April 18, 2018.9 In June 2018, Cigna exercised its discretionary

5 Complaint ¶ 1 at 1. 6 Id. ¶ 3 at 2. 7 Motion at 3. 8 Id. 9 Complaint ¶ 4 at 2. authority under the Plan to adjudicate claims10 and denied J.M.’s treatment at Red Cliff, stating that “Outdoor Youth Programs a/k/a Wilderness Programs are not a covered service under the terms of your Plan.”11 After J.M. was transferred to Telos, Cigna again denied payment, stating that J.M.’s “symptoms do not meet the Cigna Behavioral Medical Necessity Criteria for

Residential Mental Health Treatment for Children and Adolescents for admission and continued stay from April 18, 2018.”12 Cigna’s decision was informed, at least in part, by Frederick Green’s MD assessment that J.M. did not meet the criteria for admission and continued stay, stating that “[t]here is no evidence of acute psychosis or medical illness interfering with your process of problem sloving [sic].”13 Plaintiff brought suit against Defendants under ERISA, with an additional claim for violations under the Mental Health Parity and Addiction Equity Act (“Parity Act”).14 Plaintiff alleges proper venue under 29 U.S.C. § 1132(e)(2) and 28 U.S.C. § 1391(c),15 asserting that Cigna does business in Utah, J.M.’s treatment took place in Utah, and litigation in Utah would serve the privacy interests of Plaintiff.16 Defendants move for transfer, asserting that “the interests of justice mandate that the District Court of Vermont resolve this dispute.”17 Defendants

10 Motion at 3. 11 Complaint ¶ 12 at 4. 12 Id. ¶ 20 at 6. 13 Id. ¶ 21 at 6. 14 Id. ¶ 8 at 3. 15 Id. ¶ 7 at 2. 16 Id. 17 Defendant’s Reply to Response to Defendant’s Motion to Change Venue (“Reply”) at 1, docket no. 28, filed June 25, 2021. argue that Plaintiff and the Plan are in Vermont,18 the Plan is administered in Vermont,19 and Cigna’s adjudication of the claims had no connection to Utah.20 DISCUSSION I. Legal Standard for Transferring Venue under § 1404(a). 28 U.S.C. § 1404(a) provides that “[f]or the convenience of parties and witnesses, in the

interest of justice, a district court may transfer any civil action to any other district or division where it might have been brought or to any district or division to which all parties have consented.”21 Under the ERISA statute, venue is proper “in the district where the plan is administered, where the breach took place, or where a defendant resides or may be found.”22 “The breach of an ERISA plan occurs at the place the policy holder resides and would have received benefits.”23 “The place is the location where the payment is to be made, even though the services may have been provided at an out-of-state location.”24 Pursuant to § 1404(a), the moving party “bears the burden of establishing that the existing forum is inconvenient.”25 “[M]ere allegations are not sufficient to meet the moving party’s burden of proof.”26 “Merely shifting the inconvenience from one side to the other . . . is

18 Motion at 3. 19 Id. 20 Id. at 7. 21 28 U.S.C. § 1404(a). 22 29 U.S.C. § 1132(e)(2). 23 Rula A.-S. v. Aurora Health Care, 2020 WL 7230119, *2 (D. Utah 2020) (quoting IHC Health Servs. V. Eskaton Props., 2016 WL 4769342, *4 (D. Utah 2016). 24 Eskaton, 2016 WL 4769342 at *4 (quoting Island View Residential Treatment Ctr. v. Kaiser Permanente, 2009 WL 2614682, *2 (D. Utah 2009)). 25 Chrysler Credit Corp. v. Country Chrysler, Inc., 928 F.2d 1509, 1515 (10th Cir. 1991). 26 Rula A.-S, 2020 WL 7230119 at*2 (internal quotation marks omitted).

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M. v. Cigna Health and Life Insurance, Counsel Stack Legal Research, https://law.counselstack.com/opinion/m-v-cigna-health-and-life-insurance-utd-2021.