McPhillips v. Blue Cross and Blue Shield of Ala.

79 F. Supp. 2d 1325, 2000 U.S. Dist. LEXIS 230, 2000 WL 20970
CourtDistrict Court, M.D. Alabama
DecidedJanuary 10, 2000
DocketCiv.A. 99-A-1313-N
StatusPublished

This text of 79 F. Supp. 2d 1325 (McPhillips v. Blue Cross and Blue Shield of Ala.) is published on Counsel Stack Legal Research, covering District Court, M.D. Alabama primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
McPhillips v. Blue Cross and Blue Shield of Ala., 79 F. Supp. 2d 1325, 2000 U.S. Dist. LEXIS 230, 2000 WL 20970 (M.D. Ala. 2000).

Opinion

MEMORANDUM OPINION AND ORDER

ALBRITTON, Chief Judge.

I. INTRODUCTION

This cause is before the court on a Motion to Remand filed by the Plaintiff, Julian L. McPhillips (“McPhillips”), on November 30, 1999. The- Plaintiff originally filed this action on October 13, 1999, in the District Court of Montgomery County, Alabama. The Defendant, Blue Cross and *1326 Blue Shield of Alabama (“BCBS”) filed a Notice of Removal on November 2, 1999.

For reasons to be discussed, the Motion to Remand is due to be DENIED.

II. FACTS

McPhillips was insured under a group health insurance plan issued by BCBS to McPhillips, Shinbaum & Gill, L.L.P. He received treatment for a back condition and was administered Colchicine injections and Prolotherapy as part of his treatment by Dr. Teresa Allen. McPhillips’ medical bills for these treatments totaled $950. See Complaint ¶ 5. He submitted his claim to BCBS for this treatment. BCBS reviewed the treatment and denied McPhillips’ claims based on an exclusion in his policy for procedures that “do not meet generally accepted standards of medical practice.” See Def.Br. at 2. Dr. Patrick E. Ryce, BCBS Senior Vice President and Medical Director, notified McPhillips of BCBS’s decision to deny the claim.

McPhillips filed suit alleging breach of contract and is seeking $950, the amount of his claim that was denied by BCBS. This suit is governed by the Employment Retirement Income Security Act of 1974 (“ERISA”), 29 U.S.C. § 1001, et seq., because McPhillips’ health plan with BCBS was an Employee Welfare Benefit Plan, 29 U.S.C. § 1003(a).

III. REMAND STANDARD

Federal courts are courts of limited jurisdiction. See Kokkonen v. Guardian Life Ins. Co. of Am., 511 U.S. 375, 114 S.Ct. 1673, 128 L.Ed.2d 391 (1994); Burns v. Windsor Insurance Co., 31 F.3d 1092, 1095 (1994); Wymbs v. Republican State Executive Committee, 719 F.2d 1072, 1076 (11th Cir.1983), cert. denied, 465 U.S. 1103, 104 S.Ct. 1600, 80 L.Ed.2d 131 (1984). As such, federal courts only have the power to hear cases that they have been authorized to hear by the Constitution or the Congress of the United States. See Kokkonen, 511 U.S. at 377, 114 S.Ct. 1673. Because federal court jurisdiction is limited, the Eleventh Circuit favors remand of removed cases where federal jurisdiction is not absolutely clear. See Burns, 31 F.3d at 1095.

IV. DISCUSSION

Section 1132(e), United States Code, Title 29, describes the jurisdiction for ERISA claims brought by an individual. It states:

Except for actions under subsection (a)(1)(B) of this section, the district courts of the United States shall have exclusive jurisdiction of civil actions under this subchapter brought by the Secretary or by a participant.... State courts of competent jurisdiction and district courts of the United States shall have concurrent jurisdiction of actions under paragraphs (1)(B) and (7) of subsection (a) of this section.

29 U.S.C. § 1132(e) (1999). Section 1132(a)(1)(B) states that “[a] civil action may be brought by a participant or beneficiary to recover benefits due to him under the terms of his plan, to enforce his rights under the terms of the plan, or to clarify his rights to future benefits under the terms of the plan.” McPhillips is seeking to recover a benefit he believes is due to him under his plan. Consequently, his claim is governed by § 1132(a)(1)(B) and state court and federal court have concurrent jurisdiction over his claim.

McPhillips makes two arguments to support his contention that this case should be remanded to state court. First, McPhil-lips argues that Montgomery County District Court has competent jurisdiction over the case and thus, the case should remain there. See Pl.Br. ¶ 10. Removing the case to federal court, according to McPhil-lips, “will only increase the time and the costs associated with litigating this case.” See id. ¶ 9. Second, relying on Younger v. Harris, 401 U.S. 37, 91 S.Ct. 746, 27 L.Ed.2d 669 (1971), and Blue Cross and Blue Shield v. Weiner, 868 F.2d 1550 (11th Cir.1989), McPhillips argues that this court should abstain from exercising jurisdiction over this case under the abstention doctrine. See id. ¶¶ 11 & 13.

*1327 BCBS argues that where a district court has concurrent jurisdiction with a state court, as is the case with a claim for ERISA benefits, the district court cannot remand the case if the proper procedure for removal of the case was followed. Citing to Mercy Hospital Association v. Miccio, 604 F.Supp. 1177 (E.D.N.Y.1985), BCBS alleges that there is no express bar to removal in 29 U.S.C. § 1132(a)(1)(B) and, therefore, the district court does not have discretionary power to remand the case. See Def.Br. at 3. Further, BCBS argues that “the very purpose and effect of removal statues are to limit a plaintiffs discretion in choosing where to bring his suit.” See id. at 4 (citing White v. Enron Corp. Merger Severance Plan, 686 F.Supp. 582, 583 (N.D.Texas 1988)). Accordingly, BCBS argues that it should have the right to remove this case to federal court.

BCBS properly reasons that the existence of concurrent jurisdiction does not require remand to state court. The federal removal statutes explicitly contemplate concurrent jurisdiction in all cases eligible for removal. See 28 U.S.C. §§ 1441-1450. The courts cannot reasonably construe the exception under subsection 1132(a)(1)(B) from exclusive federal jurisdiction to mean that it bestows on plaintiff an irrevocable choice of forum. The removal statutes by their very nature take away a plaintiffs power to choose his forum in limited cases and defendants have an absolute right to remove cases over which a federal court would have had original jurisdiction. See 28 U.S.C. § 1441.

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Related

Younger v. Harris
401 U.S. 37 (Supreme Court, 1971)
Kokkonen v. Guardian Life Insurance Co. of America
511 U.S. 375 (Supreme Court, 1994)
Brown v. Connecticut General Life Ins. Co.
934 F.2d 1193 (Eleventh Circuit, 1991)
Jacqueline Burns v. Windsor Insurance Co.
31 F.3d 1092 (Eleventh Circuit, 1994)
White v. Enron Corp. Merger Severance Plan
686 F. Supp. 582 (N.D. Texas, 1988)
Mercy Hospital Ass'n v. Miccio
604 F. Supp. 1177 (E.D. New York, 1985)
Robinson v. Fikes of Alabama, Inc.
804 F. Supp. 277 (M.D. Alabama, 1992)

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Bluebook (online)
79 F. Supp. 2d 1325, 2000 U.S. Dist. LEXIS 230, 2000 WL 20970, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mcphillips-v-blue-cross-and-blue-shield-of-ala-almd-2000.