Momou, Gnamien v. Dean Health Plan

CourtDistrict Court, W.D. Wisconsin
DecidedJanuary 8, 2021
Docket3:20-cv-00014
StatusUnknown

This text of Momou, Gnamien v. Dean Health Plan (Momou, Gnamien v. Dean Health Plan) is published on Counsel Stack Legal Research, covering District Court, W.D. Wisconsin primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Momou, Gnamien v. Dean Health Plan, (W.D. Wis. 2021).

Opinion

re LOC ny os IN THE UNITED STATES DISTRICT COURT FOR THE WESTERAADISERICT OF WISCONSIN 2021 Jay 1 FP b: PE Te Sy ° 08 SER LORE Nep, GNAMIEN MOMOU, HD oF iy, SOURT

Plaintiff, .

V. Case No. 20-CV-00014 United States of America-Attorney General of Jury Trial Demanded . the United States, US Attomey for the Western District of Wisconsin,

SSM HEALTH CARE CORPORATION; DEAN HEALTH PLAN INC.

SSM HEALTHCARE OF WISCONSIN, INC. DBA SSM HEALTH ST. MARY’S HOSPITAL, Hackman Sarah, MD . ,

Lee, Peter J, MD, Hernandez Santiago, MD Defendants.

Amended Complaint for Damages and Notice of Appeal. Relief demanded

Plaintiff Gnamien Momou brings this Complaint and notice of Appeal against Defendants SSM Health Carc Corporation, Dean Health Plan Inc. and SSM Healthcare of Wisconsin, Inc. Dba □

SSM Health St. Mary’s Hospital (jointly referred to as “Defendants”). This action in appeal points the court to a tort claim (federal question) already submitted in court by plaintiff. It js to plaintiff’ s belief that the court has authority to rule on federal questions. ‘The claim will be filed as soon as possible in State court. Plaintiff seeks compensatory and punitive damages, monetary restitution, equitable relief, and all other available remedies because of injuries and wrongful death caused by Defendants’ Medical Malpractice and mental anguish, emotional distress, loss of enjoyment of life, fear, anxiety, and shock sustained by Plaintiff “wife and plaintiff himself taking care of his wife. Plaintiff suffered. He makes the following allegations based upon his personal knowledge and upon information and belief. as well as upon his investigative efforts, regarding Defendants’ Medica! Malpractice (unwarranted and botched biopsy). PARTIES !. Plaintiff Gnamien Momou, primary caretaker of his wife was born in 1964 and married to Hortense Momou born in 1969 and died in 2020. Gnamien and Hortense Momou are citizen of the United States and originally from the Ivory Coast. Hortense Momou. was diagnosed with ovarian cancer on or around August 19, 2016 and referred to Defendants for treatments. Plaintiff Gnamicn Momou is a resident and citizen of Dane County in the State of Wisconsin, 2. Defendant, SSM Health Care Corporation provides health care services. SSM Health

Care serves patients in the United States. It is a Missouri institution located at 1173 Corporate Lake Drive Saint Louis, MO 63132 United States. 3. SSM Health Care Corporation is engaged in offering cardiology, pediatrics, oncology, emergency care, orthopedic surgery, rehabilitation, pain management, behavioral health,

4. SSM Health Care Corporation is a Missouri corporation with its principal place of business in the State of Missouri. SSM Health Care Corporation may be served with process by serving its registered agent in Madison Wisconsin at CT Corporation’s Wisconsin office located at 301 S Bedford St, Suite 1, Madison, WI 53703. 5. At all relevant times, upon information and belief, SSM Health Care Corporation was engaged in the business of in offering cardiology, pediatrics, oncology, emergency care, orthopedic surgery, rehabilitation, pain management, behavioral health, cardiovascular medicine, transplant, and digestive health services. At all relevant times, SSM Health Care Corporation regularly transacted, solicited, and conducted business across the United States and in the State of Wisconsin.

6. At all relevant times, Defendants SSM Health Care Corporation, Dean Health Plan Inc. and SSM Healthcare of Wisconsin, Inc. Dba SSM Health St. Mary’s Hospital (jointly referred to as “Defendants”) were engaged in the business of in offering cardiology, pediatrics, oncology, emergency care, orthopedic surgery, rehabilitation, pain management, behavioral health, cardiovascular medicine, transplant, health insurance and digestive health services. At all relevant times, SSM Health Care Corporation and the above entities regularly transacted, solicited, and conducted business across the United States and in the State of Wisconsin testing, licensing, sale, distribution, marketing and/or introducing into interstate commerce, either directly or indirectly through third parties or related entities. 7. Defendants Dean Health Plan Inc. and SSM Healthcare of Wisconsin, Inc. Dba SSM Health St. Mary’s Hospital has been at all relevant times wholly owned subsidiaries of Defendant SSM Health Care Corporation, under the complete dominion of and control of Defendant SSM

Health Care Corporation. Hereinafter, unless otherwise delineated, these entities together shall be referred to as the “SSM Health Defendants.” 8. Dean Health Plan is the insurance services subsidiary of Dean Health System and SSM Health Care. Dean Health Plan is a diversified HMOs in the Midwest and provides insurance services through a physician-led integrated health system that improves the health status of its members and delivers a superior level of service and care. Products include HMO and freedom- of-choice insurance plans for commercial and individual customers, Medicare and Medicaid programs and third-party administrator services. JURISDICTION AND VENUE

Plaintiff Gnamien Momou sues the defendant United States of America pursuant to the Federal Tort Claims Act, 28 U.S.C. §1346(b), for injuries and death caused to plaintiff's decedent, Hortense Momou, by the Defendants. 9. An administrative claim will be timely presented to the U.S. Department of Health & Human Services. 10. This court has jurisdiction over this case pursuant to the Federal Tort Claims Act, 28 U.S.C. $1346(b). 11. This Court has jurisdiction over the plaintiffs’ federal claims pursuant to 28 U.S.C. § 1331 as an action raising a federal question, 12. Plaintiffs seek declaratory relief pursuant to 28 U.S.C. §§ 2201 and 2202 and Rule 57 of the Federal Rules of Civil Procedure and injunctive relief pursuant to 28 U.S.C. § 2202 and Rule 65 of the Federal Rules of Civil Procedure.

FACTUAL ALLEGATIONS

13. At all relevant times, Defendants have provided care to patient under Medicare and Medicaid, and as a result this court has jurisdiction over this case. President Johnson signed the Social Security Act in 1965. The Act included the provision of Medicare to provide hospitalization and other health benefits to Americans over 65 years of age. Employee Retirement Income Security Act of 1974 14. Healtheare Quality Jmprovement Act of 1986- The Healthcare Quality Improvement Act was enacted to encourage physicians to file official complaints after encountering unprofessional and dangerous conduct by other doctors. The act also to protects medical professionals from lawsuits by doctors who have been reported for malpractice. Title [V of Public Law 99-660. This court has jurisdiction over this case. H.R.2. CHIP Reauthorization Act 2009 15. Hospital Readmissions Reduction Program The Hospital Readmissions Reduction Program is designed to improve patient care by reducing payouts to hospitals that experience excessive patient readmissions.

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Momou, Gnamien v. Dean Health Plan, Counsel Stack Legal Research, https://law.counselstack.com/opinion/momou-gnamien-v-dean-health-plan-wiwd-2021.