Mitchell-Hollingsworth Nursing & Rehabilitation, Center, LLC v. Blue Cross & Blue Shield

919 F. Supp. 2d 1209, 54 Employee Benefits Cas. (BNA) 2210, 2013 WL 246072, 2013 U.S. Dist. LEXIS 6922
CourtDistrict Court, N.D. Alabama
DecidedJanuary 17, 2013
DocketCivil Action No. CV-12-S-3558-NW
StatusPublished
Cited by4 cases

This text of 919 F. Supp. 2d 1209 (Mitchell-Hollingsworth Nursing & Rehabilitation, Center, LLC v. Blue Cross & Blue Shield) is published on Counsel Stack Legal Research, covering District Court, N.D. Alabama primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Mitchell-Hollingsworth Nursing & Rehabilitation, Center, LLC v. Blue Cross & Blue Shield, 919 F. Supp. 2d 1209, 54 Employee Benefits Cas. (BNA) 2210, 2013 WL 246072, 2013 U.S. Dist. LEXIS 6922 (N.D. Ala. 2013).

Opinion

MEMORANDUM OPINION

C. LYNWOOD SMITH, District Judge.

This case is before the court on the motion to remand to state court filed by plaintiff, Mitehell-Hollingsworth Nursing & Rehabilitation Center (“Mitchell-Hollingsworth” or “plaintiff’);1 the motion to dismiss the non-ERISA claims in plaintiffs original complaint filed by defendant Blue Cross-Blue Shield of Michigan (“BCBSMichigan”);2 and the motion to dismiss the non-ERISA claims in plaintiffs amended complaint, also filed by BCBS-Michigan.3 Upon consideration of these motions, the pleadings, and the parties’ briefs, the court concludes that the motion to remand should be granted, and this case should be remanded to state court. The motions to dismiss will be denied.

I. STANDARD OF REVIEW

Federal district courts are tribunals of limited jurisdiction, “ ‘empowered to hear only those cases within the judicial power of the United States as defined by Article III of the Constitution,’ and which have been entrusted to them by a jurisdictional grant authorized by Congress.” University of South Alabama v. The American Tobacco Co., 168 F.3d 405, 409 (11th Cir.1999) (quoting Taylor v. Appleton, 30 F.3d 1365, 1367 (11th Cir.1994)). Accordingly, an “Article III court must be sure of its own jurisdiction before getting to the merits” of any action. Ortiz v. Fibreboard Corp., 527 U.S. 815, 831, 119 S.Ct. 2295, 144 L.Ed.2d 715 (1999) (citing Steel Co. v. Citizens for a Better Environment, 523 U.S. 83, 88-89, 118 S.Ct. 1003, 140 L.Ed.2d 210 (1998)). A removing defendant bears the burden of proving that federal jurisdiction exists. See, e.g., Leon[1212]*1212ard v. Enterprise Rent A Car, 279 F.3d 967, 972 (11th Cir.2002); Williams v. Best Buy Co., 269 F.3d 1316, 1319-20 (11th Cir.2001); Kirkland v. Midland Mortgage Co., 243 F.3d 1277, 1281 n. 5 (11th Cir.2001) (“[T]he burden is on the party who sought removal to demonstrate that federal jurisdiction exists.”) (citing Tapscott v. MS Dealer Service Corp., 77 F.3d 1353, 1356 (11th Cir.1996), overruled on other grounds by Cohen v. Office Depot, Inc., 204 F.3d 1069 (11th Cir.2000)). Accordingly, removal statutes must be construed narrowly, and “all uncertainties as to removal jurisdiction are to be resolved in favor of remand.” Russell Corp. v. American Home Assurance Co., 264 F.3d 1040, 1050 (11th Cir.2001) (citing Burns v. Windsor Insurance Co., 31 F.3d 1092, 1095 (11th Cir.1994)). Further, the court must focus upon jurisdictional facts alleged on the date the case was removed from state court. See, e.g., Burns, 31 F.3d at 1097 n. 13 (“Jurisdictional facts are assessed on the basis of plaintiffs complaint as of the time of removal.”) (emphasis in original) (citations omitted); see also, e.g., Leonard, 279 F.3d at 972 (same).

II. PROCEDURAL HISTORY

Plaintiff, Mitehell-Hollingsworth Nursing & Rehabilitation Center, LLC (“Mitchell-Hollingsworth” or “plaintiff’) originally filed this case in the Circuit Court of Lauderdale County, Alabama, on June 21, 2012, against defendants Blue Cross and Blue Shield of Michigan (“BCBS-Michigan”) and Blue Cross and Blue Shield of Alabama (“BCBS-Alabama”).4 Plaintiffs complaint contained state law claims for breach of express contract, breach of implied contract, negligence/wantonness, fi-aud/misrepresentation/suppression of material facts, promissory fraud, equitable/promissory estoppel, quantum meruit, unjust enrichment, conspiracy, and conversion — all based upon BCBS-Michigan’s alleged denial of coverage for health care services plaintiff provided to a beneficiary under a health benefits plan administered by BCBS-Michigan. BCBS-Alabama removed the case to this court on October 9, 2012, asserting federal jurisdiction under 28 U.S.C. § 1331 on the basis that plaintiffs state law claims are completely preempted by the comprehensive statutory scheme of the Employee Retirement Income Security Act of 1974 (“ERISA”), 29 U.S.C. § 1001 et seq.5 BCBS-Michigan joined in the Notice of Removal.6 BCBSMichigan also filed a motion to dismiss all non-ERISA claims in plaintiffs complaint on October 16, 2012.7 Plaintiff filed an amended complaint on November 2, 2012,8 and BCBS-Michigan filed a motion to dismiss all non-ERISA claims asserted in the amended complaint on November 16, 2012.9

III. ALLEGATIONS OF PLAINTIFF’S COMPLAINT

The following allegations are taken from plaintiffs original complaint, filed in the Circuit Court of Lauderdale County, Alabama, on June 21, 2012. The allegations of plaintiffs amended complaint are irrelevant to the determination of whether the removal was proper. As discussed above, in the removal and remand context, all jurisdictional facts are assessed as of the date of removal, and subsequent events, [1213]*1213including the filing of an amended complaint, do not alter the jurisdictional analysis. See, e.g., Burns, 31 F.3d at 1097 n. 13.

Mitchell-Hollingsworth is a skilled nursing facility located in Florence, Alabama.10 BCBS-Michigan allegedly provided insurance coverage to an individual named Jean Beauchamp, who became a resident at the Mitchell-Hollingsworth facility in 2007.11 On or about June 4, 2007, Mitchell-Hollingsworth allegedly placed a telephone call to BCBS-Michigan prior to admitting Ms. Beauchamp in order to inquire about the limits of the coverage available to her.12 During that telephone call, BCBS-Michigan allegedly informed Mitchell-Hollingsworth that Ms. Beauchamp was covered for 730 days of skilled nursing care, and it did not mention any limitation that might reduce the amount of skilled nursing coverage available to her.13 BCBS-Michigan allegedly made the same representation to Mitchell-Hollingsworth after a second inquiry on October 16,2008.14

Allegedly in reliance on the information it received from BCBS-Michigan, Mitchell-Hollingsworth admitted Ms. Beau-champ as a patient on June 5, 2007, and it treated her until her death on September 27, 2009. Ms. Beauchamp received a total of 774 days of skilled nursing care at Mitchell-Hollingsworth,15

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919 F. Supp. 2d 1209, 54 Employee Benefits Cas. (BNA) 2210, 2013 WL 246072, 2013 U.S. Dist. LEXIS 6922, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mitchell-hollingsworth-nursing-rehabilitation-center-llc-v-blue-cross-alnd-2013.