Naria v. Trover Solutions, Inc.

967 F. Supp. 2d 1332, 2013 WL 4516483, 2013 U.S. Dist. LEXIS 120415
CourtDistrict Court, N.D. California
DecidedAugust 23, 2013
DocketNo. C 13-02086 WHA
StatusPublished
Cited by4 cases

This text of 967 F. Supp. 2d 1332 (Naria v. Trover Solutions, Inc.) is published on Counsel Stack Legal Research, covering District Court, N.D. California primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Naria v. Trover Solutions, Inc., 967 F. Supp. 2d 1332, 2013 WL 4516483, 2013 U.S. Dist. LEXIS 120415 (N.D. Cal. 2013).

Opinion

ORDER RE MOTION TO COMPEL ARBITRATION AND STAY

WILLIAM ALSUP, District Judge.

INTRODUCTION

In this putative class action, defendants move to compel arbitration and stay this action. For the following reasons, defendants’ motion to compel arbitration and to stay is Granted.

STATEMENT

This action concerns plaintiff Bipinkumar Naria’s claim under California’s Confidentiality of Medical Information Act (“CMIA”). Cal. Civ.Code § 56.20. Defendant Trover Solutions, Inc. is the parent corporation of defendants Healthcare Recoveries and Healthcare Recoveries, Inc., two companies that the complaint alleges are the same (Compl. ¶ 2).

In January 2008, plaintiff changed his health insurance to the Kaiser Foundation Health Plan, Inc. (Abad Decl. Exh. C). Upon plaintiffs enrollment, Kaiser provided him with a copy of its Individual Plan Membership Agreement and Disclosure Form and Evidence of Coverage for Kaiser Permanente for Individuals and Families {id. ¶ 4). The membership agreement includes an arbitration provision {id. Exh. A at 53-54):

Scope of arbitration
Any dispute shall be submitted to binding arbitration if all of the following requirements are met:
The claim arises from or is related to an alleged violation of any duty incident to or arising out of or relating to this Membership Agreement and Evidence of Coverage or a Member Party’s relationship to Kaiser Foundation Health Plan, Inc. (Health Plan), including any claim for medical or hospital malpractice (a [1335]*1335claim that medical services or items were unnecessary or unauthorized or were improperly, negligently, or incompetently rendered), for premises liability, or relating to the coverage for, or delivery of, services or items, irrespective of the legal theories upon which the claim is asserted
The claim is asserted by one or more Member Parties against one or more Kaiser Permanente Parties or by one or more Kaiser Permanente Parties against one or more Member Parties....

The membership agreement defines “Kaiser Permanente Parties” as including Kaiser and several related entities, as well as “[a]ny employee or agent of any of the foregoing” (id. at 54). Additionally, the agreement addresses Kaiser’s privacy practices, referencing Kaiser’s Notice of Privacy Practices for more detail (id. at 60.) Specifically, the notice explains the limited situations in which Kaiser may disclose patients’ protected health information without their consent (Abad Decl. Exh. F at § V).

In November 2012, a third party injured plaintiff in a motor vehicle collision. Using his Kaiser health insurance, plaintiff received medical treatment for his injuries. To recover payment for that treatment, Kaiser contracted with defendant Healthcare Recoveries to obtain payment from the third party’s insurance carrier.

Kaiser and Healthcare Recoveries’ work agreement is set forth in their Statement of Work, which covers the scope of Healthcare Recoveries’ duties, its status with Kaiser, and Kaiser’s ability to terminate the agreement (Abad Reply Decl. Exh. A). Additionally, in June 2013, Kaiser issued a letter, stating that Kaiser obtained Healthcare Recoveries “to act as our agent regarding our other party liability recovery rights concerning Bipinkumar Naria” (Abad Decl. Exh. D). Kaiser did not indicate to whom it issued this letter.

To receive payment for plaintiffs medical treatment, Healthcare Recoveries provided the third party’s insurance carrier with some of plaintiffs medical information (Compl. ¶ 9). On May 7, 2013, plaintiff commenced this action against defendants, alleging that they violated the CMIA by disclosing his medical information. On June 16, 2012, defendants filed a motion to compel arbitration and stay this action.

ANALYSIS

1. Legal Standard.

The Federal Arbitration Act governs defendants’ motion to compel arbitration. Under the FAA, a district court determines (1) whether a valid agreement to arbitration exists, and if it does, (2) whether the agreement encompasses the dispute at issue. Lifescan, Inc. v. Premier Diabetic Servs., Inc., 363 F.3d 1010, 1012 (9th Cir.2004). If the court finds that a valid arbitration agreement encompasses the dispute, the FAA requires the court to enforce the arbitration agreement. Ibid. “Any doubts concerning the scope of arbitrable issues should be resolved in favor of arbitration.” Simula, Inc. v. Autoliv, Inc., 175 F.3d 716, 721 (9th Cir.1999) (internal quotation marks omitted).

Defendants move to compel arbitration and stay the claims on the basis that the arbitration provision in the membership agreement mandates arbitration of this action. Plaintiff advances several arguments against arbitration, each of which is addressed in turn.

2. Validity of the Arbitration Provision.

Plaintiff asserts that the arbitration provision is unenforceable because the provision is both procedurally and substantively [1336]*1336unconscionable. First, as to procedural unconscionability, plaintiff claims that the membership agreement is a contract of adhesion that is lengthy and difficult to understand, leaving plaintiff no real choice or bargaining ability as to its terms. Second, plaintiff asserts that the arbitration provision is substantively unconscionable because the provision would not require defendants to arbitrate their disputes against plaintiff.

A district court looks to state law in determining whether a valid, enforceable arbitration agreement exists. See Lowden v. T-Mobile USA, Inc., 512 F.3d 1213, 1217 (9th Cir.2008). Here, the parties do not dispute that California provides the relevant state law. Accordingly, this order takes California law as controlling, as the parties have done.

Under California law, an arbitration agreement is unenforceable if the agreement is both procedurally and substantively unconscionable. See Armendariz v. Found. Health Psychcare Servs., Inc., 24 Cal.4th 83, 114, 99 Cal.Rptr.2d 745, 6 P.3d 669 (2000). Whereas the procedural inquiry examines any “oppression or surprise due to unequal bargaining power” with the agreement, the substantive inquiry focuses on whether the agreement produces “overly harsh or one-sided results.” Ibid, (internal quotation marks omitted). A contract of adhesion — i.e., a standardized contract that is drafted by a party of superior bargaining strength and which relegates to the subscribing party only the opportunity to accept or reject the contract — is at least somewhat procedurally unconscionable under California law. Ting v. AT & T, 319 F.3d 1126, 1148 (9th Cir.2003); Bridge Fund Capital Corp. v. Fastbucks Franchise Corp., 622 F.3d 996

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Bluebook (online)
967 F. Supp. 2d 1332, 2013 WL 4516483, 2013 U.S. Dist. LEXIS 120415, Counsel Stack Legal Research, https://law.counselstack.com/opinion/naria-v-trover-solutions-inc-cand-2013.