Narinder M. Gupta, M.D., individually and on behalf of PAIN MANAGEMENT SURGI-GROUP, LLC, AND BONNIE ALFORD v. LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY, d/b/a BLUE CROSS AND BLUE SHIELD OF LOUISIANA AND HMO LOUISIANA, INC.

CourtDistrict Court, M.D. Louisiana
DecidedMarch 30, 2026
Docket3:24-cv-00404
StatusUnknown

This text of Narinder M. Gupta, M.D., individually and on behalf of PAIN MANAGEMENT SURGI-GROUP, LLC, AND BONNIE ALFORD v. LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY, d/b/a BLUE CROSS AND BLUE SHIELD OF LOUISIANA AND HMO LOUISIANA, INC. (Narinder M. Gupta, M.D., individually and on behalf of PAIN MANAGEMENT SURGI-GROUP, LLC, AND BONNIE ALFORD v. LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY, d/b/a BLUE CROSS AND BLUE SHIELD OF LOUISIANA AND HMO LOUISIANA, INC.) is published on Counsel Stack Legal Research, covering District Court, M.D. Louisiana primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Narinder M. Gupta, M.D., individually and on behalf of PAIN MANAGEMENT SURGI-GROUP, LLC, AND BONNIE ALFORD v. LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY, d/b/a BLUE CROSS AND BLUE SHIELD OF LOUISIANA AND HMO LOUISIANA, INC., (M.D. La. 2026).

Opinion

UNITED STATES DISTRICT COURT MIDDLE DISTRICT OF LOUISIANA NARINDER M. GUPTA, M.D., individually and on behalf of PAIN MANAGEMENT SURGI-GROUP, LLC, AND BONNIE ALFORD CIVIL ACTION VERSUS NO. 24-404-JWD-SDJ LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY, d/b/a BLUE CROSS AND BLUE SHIELD OF LOUISIANA AND HMO LOUISIANA, INC. RULING AND ORDER This matter comes before the Court on Plaintiffs’ Motion for Reconsideration/New Trial (“Motion for Reconsideration”) (Doc. 52), filed by Plaintiffs Narinder M. Gupta, M.D. (“Gupta”), individually and on behalf of Pain Management and Surgi-Group, LLC, and Bonnie Alford (collectively, “Plaintiffs”). Defendants Louisiana Health Service and Indemnity Company, d/b/a Blue Cross and Blue Shield of Louisiana and HMO Louisiana, Inc. (collectively, “Defendants” or “BCBSLA”) oppose this motion. (Doc. 54.) Plaintiffs have filed a reply. (Doc. 57.) The Court has carefully considered the law, the Amended Motion to Vacate Arbitration Award (“Amended Motion”) (Doc. 12), and the arguments and submissions of the parties and is prepared to rule. For the following reasons, Plaintiffs’ motion is denied. I. RELEVANT FACTUAL & PROCEDURAL BACKGROUND Plaintiffs and Defendants participated in arbitration on December 21 and 22, 2023.1 (Doc. 1-1 at 2.) Defendants initiated this arbitration based on state law claims arising out of a 2019 Physician Agreement, including breach of contract. (Doc. 1-1 at 4–5 (referencing La. R.S. 1 The above factual allegations come primarily from Plaintiffs’ Amended Motion (Doc. 12) and Plaintiffs’ Memorandum in Support of Motion to Vacate Arbitration Award (Doc. 1-1). §22:1838); Doc. 1-3 at 3.) According to Plaintiffs, the issue at arbitration was whether Defendants could “recoup” funds “without first providing [Plaintiff Gupta] and [his] patients notice of [Defendants’] intent to recoup . . . , as mandated by both state and federal statutes, and the parties’ contractual agreement” (i.e., the 2019 Physician Agreement). (Doc. 1-1 at 3.) On February 22, 2024, Arbitrator Melinda Jayson (“the Arbitrator”) awarded Defendants

the total recoupment amount. (Doc. 1-3 at 3, 13–14.) Plaintiffs then moved to vacate the arbitral award on the grounds that the Arbitrator failed to “join indispensable parties” and thus did not “hear evidence pertinent and material to the controversy,” as required by the Federal Arbitration Act (“FAA”), specifically 9 U.S.C. § 10(a)(3). (Doc. 12 at 2–3.) Relatedly, Plaintiffs averred that the Arbitrator “so imperfectly executed her arbitral powers that ‘a mutual, final, and definite award upon the subject matter submitted was not made’ pursuant to 9 U.S.C. § 10(a)(4).” (Id. at 3.) Plaintiffs filed their original Motion to Vacate Arbitration Award (Doc. 1) in this Court on May 22, 2024. This motion and the accompanying Memorandum in Support of Motion to Vacate Arbitration Award (Doc. 1-1) did not directly address this Court’s jurisdiction, dealt primarily with

state law (e.g., La. R.S. § 22:1838), and made mostly passing references to the Employee Retirement Income Security Act of 1974 (“ERISA”), always in the context of the dispute underlying the arbitration. (See, e.g., Doc. 1 at 1–2; Doc. 1-1 at 11 (“[Defendants’] procedure violates Louisiana state law and ERISA obligations . . . .” (emphasis added)); id. at 12 (discussing the underlying “claims governed by ERISA” and arguing that the recoupment remedy sought by Defendants at arbitration “was preempted by ERISA and/or constituted an effort to cross-plan offset in violation of ERISA”).) On June 12, 2024, Plaintiffs filed an Amended Motion (Doc. 12). This motion asserted that the “overwhelming majority of claims as to which [Defendants] sought recoupment arose under group employee health benefit plans governed by ERISA.” (Doc. 12 at 2.) It also argued that ERISA preempted “[t]he recoupment remedy recognized by La. R.S. 22:1838.”2 (Id.) The motion noted that ERISA and La. R.S. § 22:1838 both “require notice of an adverse benefit determination to an impacted plan beneficiary.” (Id.) According to Plaintiffs, no such notice was provided. (Id.) The Amended Motion included the following statement of jurisdiction:

The Court has jurisdiction over this proceeding pursuant to 28 U.S.C. [§] 1331, which gives the district court jurisdiction over actions that arise under the laws of the United States[,] and [ERISA], 29 U.S.C. [§] 1132(e)(1) and . . . (f), which provides the district courts with jurisdiction to hear civil actions brought to recover benefits due under the terms of an employee welfare benefit plan or to clarify a plan participant’s rights under a group health benefit plan and/or to address equitable remedies, including injunction, for breaches of fiduciary duties arising in connection with the administration of such employee welfare benefit plans, as well as failures to provide (1) required notices to participants and beneficiaries, (2) an opportunity to appeal, and (3) information related to the particular welfare benefit plan at issue in this case.

(Id. at 1–2.) Defendants moved to dismiss Plaintiffs’ Amended Motion for lack of subject matter jurisdiction. (Docs. 16, 28.) After the parties had briefed the issue in full, the Court granted Defendants’ motion, dismissing Plaintiffs’ claims without prejudice, (Doc. 50 at 11–12), and entering a judgment to that effect, (Doc. 51). In granting Defendants’ motion, the Court explained that the Amended Motion’s statement of jurisdiction required the Court to “look through” to the underlying dispute, in contravention of Badgerow v. Walters, 596 U.S. 1 (2022). (Doc. 50 at 11.) Thus, an independent basis for federal jurisdiction did not appear on the face of the Amended Motion. (See id. at 10–11 (determining that “any attempted assertion of independent federal jurisdiction [wa]s an attempt to relitigate” the underlying dispute).) Rather, the Amended Motion “merely s[ought]” vacatur, invoking 9 U.S.C. § 10. (Id.)

2 In their Memorandum in Support of Motion for Reconsideration, Plaintiffs “agree that courts are not permitted to look through to the underlying case and determine whether a claim was preempted by ERISA.” (Doc. 52-1 at 4.) II. PARTIES’ ARGUMENTS A. Plaintiffs’ Motion for Reconsideration (Doc. 52) Plaintiffs now move for reconsideration of this Court’s Amended Ruling and Order (“Ruling and Order”) (Doc. 50) and associated Amended Judgment (Doc. 51),3 arguing that the Court did not consider Plaintiffs’ ERISA and due process claims and failed to apply “Fifth Circuit

jurisprudence narrowing the application of Badgerow.” (Doc. 52 at 1–2.) Plaintiffs reiterate that “[v]irtually all of the[] claims” for which Defendants sought recoupment “were group health benefit claims governed by ERISA.” (Doc. 52-1 at 5.) By awarding Defendants the total recoupment amount, the Arbitrator “effectively vacat[ed]” the original benefits determinations— “years after the fact and without patient involvement or notice.” (Id. at 6.) Plaintiffs insist that the Amended Motion asserts, inter alia, a claim for breach of fiduciary duty under ERISA and a “procedural challenge to the fairness of” ERISA benefits determinations. (Id. at 6–8 (citing, inter alia, 29 U.S.C. § 1132(a)(1)(B), (a)(3)).) According to Plaintiffs, such claims “establish[] a separate and independent basis for federal subject matter jurisdiction.” (Id. at 8.)

Plaintiffs add that Sentry Insurance v. Morgan, 101 F.4th 396 (5th Cir.

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Narinder M. Gupta, M.D., individually and on behalf of PAIN MANAGEMENT SURGI-GROUP, LLC, AND BONNIE ALFORD v. LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY, d/b/a BLUE CROSS AND BLUE SHIELD OF LOUISIANA AND HMO LOUISIANA, INC., Counsel Stack Legal Research, https://law.counselstack.com/opinion/narinder-m-gupta-md-individually-and-on-behalf-of-pain-management-lamd-2026.