MSPA Claims 1, LLC v. IDS Property Casualty Insurance Company

District Court, S.D. Florida·Decided March 18, 2024·No. 1:23-cv-24265·Unknown

Opinion

UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF FLORIDA

Case No. 23-cv-24265-BLOOM/Torres

MSPA CLAIMS 1, LLC,

Plaintiff,

v.

IDS PROPERTY CASUALTY INSURANCE COMPANY,

Defendant. _________________________/

ORDER REMANDING CASE THIS CAUSE is before the Court upon Plaintiff MSPA Claims 1, LLC’s Motion to Remand, ECF No. [7] (“Motion”). Defendant IDS Property Casualty Insurance Company filed a Response in Opposition, ECF No. [14], to which Plaintiff filed a Reply, ECF No. [17]. The Court has reviewed the Motion, the supporting and opposing submissions, the record in this case, the applicable law, and is otherwise fully advised. For the reasons set forth below, the Motion is granted and the case is remanded to state court. I. BACKGROUND

Plaintiff originally filed this action against Defendant on September 28, 2023, in the Circuit Court for the Eleventh Judicial Circuit for Miami-Dade County, Florida, styled MSPA Claims 1, LLC v. IDS Property Casualty Insurance Company, 2023-023852-CA-13. Plaintiff’s Complaint asserts one Count for Statutory Bad Faith against Defendant pursuant to Florida Statutes § 626.9541(1)(i)(3)(a). Plaintiff alleges it is the current assignee of an assignment originally obtained from Florida Health Care Plus (“FHCP”) to pursue claims against Defendant for its failure to fully reimburse FHCP for conditional payments it made for treatment and services on behalf of a Medicare enrollee referred to as “M.A.” ECF No. [1-1] ¶ 2. M.A. was injured in a personal injury accident in January 2014 while enrolled in a “Medicare Advantage plan issued and administered by FHCP” as well as a “no-fault/PIP policy issued by Defendant.” Id. ¶¶ 15-16. Plaintiff accordingly seeks “a judgment awarding reimbursement of damages for

those amounts to which [Plaintiff] is entitled[,]” namely, the conditional payments made by FHCP that Defendant failed to fully reimburse. Id. ¶ 34. On November 7, 2023, Defendant removed the case to this Court. ECF No. [1] (“Notice of Removal”).1 In the Motion, Plaintiff seeks to remand this case to state court because the amount in controversy requirement is not satisfied. Defendant responds that a demand letter sent by Plaintiff in 2015—coupled with attorney’s fees likely accrued at the time of removal— demonstrate that the amount in controversy requirement is satisfied. Plaintiff replies that the evidence provided in support of her Motion demonstrates the amount in controversy requirement is not satisfied and remand is appropriate. II. LEGAL STANDARD

Removal is proper in “any civil action brought in a State court of which the district courts of the United States have original jurisdiction.” 28 U.S.C. § 1441(a). To establish original jurisdiction, a lawsuit must satisfy the jurisdictional prerequisites of either federal question jurisdiction pursuant to 28 U.S.C. § 1331 or diversity jurisdiction pursuant to 28 U.S.C. § 1332. Federal question jurisdiction exists when the civil action arises “under the Constitution, laws, or treaties of the United States.” Id. § 1331. Diversity jurisdiction exists when the parties are citizens of different states, and the amount in controversy exceeds $75,000. See id. § 1332(a). “To determine whether this standard is met, a court first examines whether ‘it is facially

1 Defendant also filed a Motion to Dismiss the State Court Complaint on December 11, 2023. ECF No. [12]. Plaintiff filed a Response in Opposition, ECF No. [25], to which Defendant filed a Reply, ECF No. [26]. apparent from the complaint that the amount in controversy exceeds the jurisdictional requirement.’” Miedema v. Maytag Corp., 450 F.3d 1322, 1330 (11th Cir. 2006), abrogated on other grounds by Dudley v. Eli Lilly & Co., 778 F.3d 909 (11th Cir. 2014). “If the jurisdictional amount is not facially apparent from the complaint, the court should look to the notice of

removal and may require evidence relevant to the amount in controversy at the time the case was removed.” Id. “A court’s analysis of the amount-in-controversy requirement focuses on how much is in controversy at the time of removal, not later.” Pretka v. Kolter City Plaza II, Inc., 608 F.3d 744, 751 (11th Cir. 2010). The removing party has the burden “to demonstrate that federal jurisdiction exists.” Kirkland v. Midland Mortg. Co., 243 F.3d 1277, 1281 n.5 (11th Cir. 2001). “[T]he right of removal is strictly construed, as it is considered a federal infringement on a state’s power to adjudicate disputes in its own courts.” Rietwyk v. State Farm Mut. Auto. Ins. Co., No. 09-CV- 82433, 2010 WL 2219730, at *1 (S.D. Fla. June 2, 2010) (citing Shamrock Oil & Gas Corp. v. Sheets, 313 U.S. 100 (1941)).

III. DISCUSSION

A. Remand

Plaintiff’s Complaint alleges this action is “for damages that exceeds $50,000.00” but does not specify the damages sought for Defendant’s failure to reimburse Plaintiff for M.A.’s medical bills. ECF No. [1-1] ¶ 11. The Court accordingly must “look to the notice of removal” as well as “evidence relevant to the amount in controversy at the time the case was removed[]” to determine if it has diversity jurisdiction. Miedema, 450 F.3d at 1330. Defendant contends that diversity jurisdiction exists because the Parties are citizens of different states, and the amount in controversy exceeds $75,000.00. ECF No. [1] ¶¶ 3, 5-7, 9-13. Defendant is correct that the Parties are diverse—Defendant is a corporation organized under the laws of Wisconsin with its principal place of business in De Pere, Wisconsin, and Plaintiff is a corporation organized under the laws of Florida with its principal place of business in Miami-Dade County, Florida. However, Defendant is incorrect that the amount in controversy exceeds $75,000.00. i. Damages

Plaintiff contends that Defendant’s removal relies on an improper, unverified, and speculative calculation of the amount in controversy. Plaintiff attaches its Demand Letter, see ECF No. [7-1], and points out that its Demand Letter fails to establish that the amount in controversy requirement is satisfied. Plaintiff asserts that it seeks only $69,992.80, and the amount in controversy is necessarily limited to $10,000.00 because M.A.’s Personal Injury Protection Policy (“PIP Policy”) caps Defendant’s liability at $10,000.00. Defendant responds that the amount of controversy is satisfied because Plaintiff’s Demand Letter demonstrates Plaintiff is seeking $87,491.00 in damages. 1. The Demand Letter

The Demand Letter provides the total sum paid by FHCP on behalf of M.A.: Demand is hereby made for charges of the medical services and treatment provided to the above named member for the dates of service of 1/13/2014 through 4/28/2014, totaling $ 87,491.00, of which 80 % is due less deductible if applicable. MSP Recovery, LLC has received $ 0.00, which is not the total amount due for the services billed and rendered.

Id. at 19. (emphasis added). The Court disagrees with Plaintiff that Defendant’s PIP liability limit of $10,000.00 demonstrates the amount in controversy is limited to $10,000.00.

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MSPA Claims 1, LLC v. IDS Property Casualty Insurance Company, (S.D. Fla. 2024).

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