MSPA Claims 1, LLC v. Covington Specialty Insurance Company

2019 DNH 050
CourtDistrict Court, D. New Hampshire
DecidedMarch 21, 2019
Docket18-cv-830-JL
StatusPublished

This text of 2019 DNH 050 (MSPA Claims 1, LLC v. Covington Specialty Insurance Company) is published on Counsel Stack Legal Research, covering District Court, D. New Hampshire primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
MSPA Claims 1, LLC v. Covington Specialty Insurance Company, 2019 DNH 050 (D.N.H. 2019).

Opinion

UNITED STATES DISTRICT COURT DISTRICT OF NEW HAMPSHIRE

MSPA Claims 1, LLC

v. Civil No. 18-cv-830-JL Opinion No. 2019 DNH 050 Covington Specialty Insurance Company

MEMORANDUM ORDER

Whether this Medicare-secondary-payer case should be

transferred to the Southern District of Florida turns primarily

on the location of the operative facts and convenience of

potential witnesses, but is also informed by that district’s

resolution of a previous lawsuit between these parties.

Plaintiff MSPA Claims 1, LLC alleges that defendant Covington

Specialty Insurance Company systematically avoided repaying

Medicare Advantage Organizations (“MAOs”) for secondary payments

as required under the Medicare Secondary Payer Act (“MSP Act”),

42 U.S.C. § 1395y(b)(2)(A). MSPA seeks to represent a

nationwide class of MAOs based on a representative claim

involving an accident in Florida. MSPA’s standing to bring this

representative claim depends on whether it was validly assigned

the rights of a now-defunct Florida-based MAO. Covington moves

under 28 U.S.C. § 1404(a) to transfer the case to the Southern

District of Florida. After reviewing the parties’ written submissions and conducting oral argument, the court grants

Covington’s motion to transfer.

Several private-interest and public-interest factors weigh

in favor of transfer, including the important factor of the

convenience of potential witnesses. Only MSPA’s choice of forum

and the relative congestion of the courts weigh against

transfer. And MSPA’s choice is entitled to lesser weight here

because it is bringing a class action, is not a resident of New

Hampshire, and previously filed an extremely similar lawsuit

against Covington in Florida. Transfer under § 1404(a) is

justified.

Applicable legal standard

“[A] district court may transfer any civil action to any

other district where it may have been brought ‘[f]or the

convenience of parties and witnesses, in the interest of

justice.’” Coady v. Ashcraft & Gerel, 223 F.3d 1, 11 (1st Cir.

2000) (quoting 28 U.S.C. § 1404(a)). “The burden of proof rests

with the party seeking transfer; there is a strong presumption

in favor of the plaintiff’s choice of forum.” Id. at 11.

“A properly grounded motion to transfer venue is committed

to the discretion of the transferor court, which has wide

latitude in determining whether to grant it.” Jackson Nat. Life

Ins. Co. v. Economou, 557 F. Supp. 2d 216, 220 (D.N.H. 2008)

2 (citing Auto Europe, LLC v. Conn. Indem. Co., 321 F.3d 60,64

(1st Cir. 2003)).

Background

MSPA is a Florida limited liability company with its

principal place of business in Miami, Florida.1 Covington is a

New Hampshire-registered insurance company with a principal

place of business in New Hampshire and an administrative office

in Atlanta, Georgia.2

MSPA alleges that Covington has repeatedly failed to make

payments required by the MSP Act. It alleges that the Act

requires Covington to reimburse MAOs for accident-related

expenses paid out to enrollees in the MAOs’ Medicare Advantage

health plans if those enrollees were also covered by a Covington

no-fault insurance policy.3 MSPA brings a nationwide class

action against Covington on behalf of harmed MAOs.4

MSPA outlines a “representative claim” against Covington

arising from an accident in Florida.5 MSPA alleges that the

1 Compl. (doc. no. 1) ¶ 1. 2 Id. ¶ 2; Def.’s Mem. in Supp. of Mot. to Transfer Venue (doc. no. 12-1) at 2. 3 Compl. (doc. no. 1) ¶¶ 9-10. 4 Id. ¶¶ 42-50. 5 Id. ¶¶ 23-25.

3 injured party was both enrolled in a Medicare Advantage plan

administered by a now-defunct MAO, Florida Health Care Plus

(“FHCP”), and covered by a Covington-issued policy on the

premises where the accident occurred.6 FHCP paid medical

expenses to the injured party, but MSPA argues that Covington

was responsible for these expenses under the MSP Act.7

MSPA claims it is the assignee of FHCP.8 FHCP assigned

certain recovery rights to La Ley Recovery, Systems, Inc.9 La

Ley in turn purported to assign rights to MSPA.10

The Florida Department of Financial Services was appointed

receiver of FHCP.11 The validity and scope of the purported

assignments to MSPA depend in part upon a settlement agreement

between the Department of Financial Services, La Ley, MSPA, and

other related companies.12

MSPA previously brought an extremely similar lawsuit

against Covington that was removed to the Southern District of

6 Id. ¶¶ 24-25, 28. 7 Id. ¶¶ 27-28. 8 Id. ¶¶ 23-33; Pl.’s Resp. in Opp’n to Def.’s Mot. to Dismiss Compl. (doc. no. 19) at 2-11. 9 Compl. (doc. no. 1) ¶ 30. 10 Id. ¶ 30. 11 Ex. 4 to Def’s Mot. to Dismiss Compl. (doc. no. 10-4). 12 See Compl. (doc. no. 1) ¶ 32-33.

4 Florida. MSPA Claims 1, LLC v. Covington Specialty Ins. Co.,

212 F. Supp. 3d 1250 (S.D. Fla. 2016).13 That case was dismissed

for lack of standing, but the dismissal turned in part on the

fact that standing is determined as of the time when a complaint

is filed. Id. at 1257-58. The complaint in that case was filed

before the settlement agreement was entered, and the court did

not decide whether that agreement would give MSPA standing in a

new lawsuit. Id. MSPA argues here that it has standing as a

result of the settlement agreement.14

Covington moves to transfer this action to the Southern

District of Florida, Miami Division.15 In addition to the

previous case between these parties, Covington claims that MSPA

13That lawsuit involved the same underlying “class representative claim” as this case. See Def.’s Mem. in Supp. of Mot. to Transfer Venue (doc. no. 12-1) at 9. While the parties represented otherwise at oral argument, the record indicates that the injured party “F.C.” described by the Florida court is identical to the injured party “P.M.” described in MSPA’s complaint. Compare Compl. (doc. no. 1) ¶ 24-28 and Demand Letter (doc. no. 1-6) (demanding $15,825.43 based on P.M.’s claim) with MSPA Claims, 212 F. Supp. 3d at 1255 (“FHCP paid for F.C.’s medical expenses, totaling $15,825.43.”). The original complaint filed in the Florida action identified the injured party as “P.M.” Compl. at 4 n.5, MSPA Claims 1, 212 F. Supp. 3d 1250 (No. 16-cv-20338), ECF No. 1-1. 14Pl.’s Resp. in Opp’n to Def.’s Mot. to Dismiss Compl. (doc. no. 19) at 2-11. 15Def.’s Mot. to Transfer Venue (doc. no. 12). Covington has also moved to dismiss the complaint (doc. no. 10) and to strike the class action allegations (doc. no. 11). Because the court grants the motion to transfer, it does not reach these other motions.

5 and related entities have brought numerous other lawsuits

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Bluebook (online)
2019 DNH 050, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mspa-claims-1-llc-v-covington-specialty-insurance-company-nhd-2019.