National Health Insurance Company v. Daphne Lever

Mississippi Supreme Court·Decided October 9, 2025·No. 2024-IA-00112-SCT·Published

Opinion

IN THE SUPREME COURT OF MISSISSIPPI NO. 2024-IA-00112-SCT

NATIONAL HEALTH INSURANCE COMPANY v. DAPHNE LEVER

DATE OF JUDGMENT: 01/09/2024 TRIAL JUDGE: HON. WINSTON L. KIDD TRIAL COURT ATTORNEYS: DANIEL DEWAYNE WARE ERIN DIANE SALTAFORMAGGIO JAMIE LEE MOORE

CAROLINE BRADLEY-KENNEY

KELLY D. SIMPKINS

COURT FROM WHICH APPEALED: HINDS COUNTY CIRCUIT COURT ATTORNEYS FOR APPELLANT: ERIN DIANE SALTAFORMAGGIO JAMIE LEE MOORE

CAROLINE BRADLEY-KENNEY

ATTORNEY FOR APPELLEE: DANIEL DEWAYNE WARE NATURE OF THE CASE: CIVIL - INSURANCE DISPOSITION: REVERSED AND REMANDED - 10/09/2025 MOTION FOR REHEARING FILED:

EN BANC.

COLEMAN, PRESIDING JUSTICE, FOR THE COURT:

¶1. National Health Insurance Company filed an interlocutory appeal challenging the Hinds County Circuit Court’s denial of its motion to transfer venue. Concluding that venue is proper in Madison County, the Court reverses the judgment of the trial court and remands the case for proceedings consistent with the opinion.

FACTS

¶2. On May 5 to 7, 2021, Daphne Lever, a Madison County resident, received medical treatment at the St. Dominic Hospital in Jackson, Mississippi, located in Hinds County. Lever pleaded that she was covered by a medical insurance policy issued by National Health.1 Codefendant Meritain Health2 is a third-party company that National Health uses to administrate claims. Both companies are foreign corporations doing business in Mississippi.

¶3. Subsequent to emergency room treatment, Lever was admitted to the hospital. A claim was then filed with National Health. National Health partially paid what was owed to the hospital. Later, Meritain told Lever that St. Dominic was out of network. Four months later, Meritain admitted that the hospital was in network. Lever made multiple attempts to resolve the dispute with the insurer and its administrator. She repeatedly contacted Meritain’s claims department, submitted additional documentation, and requested clarification regarding the coverage issue. Despite assurances that the outstanding claim was being processed, National Health failed to pay or even provide an explanation for paying only a partial amount. Meritain eventually told Lever “the number of days for the claim to be filed had expired.”

¶4. Lever filed suit against National Health and Meritain in August 2023 in the Circuit Court of Hinds County. She sought damages for breach of contract, breach of good faith and

1 The initial complaint listed Allstate Insurance Company as her insurer, but the trial court later substituted National Health as the correct party.

2 Meritain Health is not a party to the instant interlocutory appeal.

fair dealing, fraud, negligence, and bad faith. On November 8, 2023, National Health filed a “motion to dismiss or, in the alternative, transfer venue to Madison County.[3]” Two days later in the trial court, Meritain separately filed a motion to dismiss or transfer venue. The parties filed multiple briefs supporting and opposing the motion. Ultimately, on January 8, 2024, the trial court held a hearing on the motion.

¶5. After the hearing, the trial court entered an order denying both National Health’s and Meritain’s motions to dismiss or transfer venue. Only National Health sought and was granted permission to file the interlocutory appeal from that order. Meritain did not join the interlocutory appeal.

STANDARD OF REVIEW

¶6. Our Court reviews “a trial court’s grant or denial of a motion for change of venue for an abuse of discretion[.]” Greenwood v. Mesa Underwriters Specialty Ins. Co., 179 So. 3d 1082, 1085 (¶ 7) (Miss. 2015) (internal quotation mark omitted) (quoting Wood v. Safeway

3 The correct remedy for improper venue in Mississippi is transfer, not dismissal.

Mississippi Rule of Civil Procedure 82(d) states:

(d) Improper Venue. When an action is filed laying venue in the wrong county, the action shall not be dismissed, but the court, on timely motion, shall transfer the action to the court in which it might properly have been filed and the case shall proceed as though originally filed therein. The expenses of the transfer shall be borne by the plaintiff. The plaintiff shall have the right to select the court to which the action shall be transferred in the event the action might properly have been filed in more than one court.

Miss. R. Civ. P. 82(d).

Ins. Co., 114 So. 3d 714, 716 (Miss. 2013)). A court’s interpretation of Mississippi venue statutes are reviewed de novo. Id.

DISCUSSION

¶7. The medical treatment received by Daphne Lever in Hinds County might or might not have caused an injury to her, but it definitely did not cause the injury of which she complains. Because the applicable venue statute requires that the substantial event upon which venue rests cause the injury, which our cases make clear means that the substantial event also must be one in which the defendant played a role, we reverse the circuit court’s denial of National Health’s motion to transfer venue to Madison County.

¶8. The applicable venue statute provides, in pertinent part, as follows:

Civil actions of which the circuit court has original jurisdiction shall be commenced in the county where the defendant resides, or, if a corporation, in the county of its principal place of business, or in the county where a substantial alleged act or omission occurred or where a substantial event that caused the injury occurred.

Miss. Code. Ann. § 11-11-3(1)(a)(i) (Rev. 2019). Lever argues that, in the instant case, venue is proper in Hinds County because the medical treatment she received in Hinds County constitutes “a substantial event that caused the injury.” None of the other statutory grounds for venue are at issue here.

¶9. In Medical Assurance Co. of Mississippi v. Myers, 956 So. 2d 213, 214 (¶ 1) (Miss. 2007), Dr. Myers, who had been insured by Medical Assurance, sued Medical Assurance for refusing to renew his professional liability insurance. The Court faced the question of

whether proper venue for Myers’s claims was in Madison County or in Holmes County. Id. In the end, the Court held that venue was proper in Madison County and that the Madison County Circuit Court had abused its discretion by transferring the case back to Holmes County. Id.

¶10. En route to its holding, the Myers Court discussed events that did not suffice as substantial events that caused Myers’s injury.

Next, we note that the basis for Dr. Myers’s action was MACM’s decision not to renew his coverage once it expired on January 1, 2005, under its own terms.

With respect to establishing Dr. Myers’s cause of action and claims of wrongful conduct, we find little or no relevance to the particular place he completed his application or mailed his premium payments. Dr. Myers is not claiming that MACM rejected his application or decided not to renew his policy for failure to pay premiums. Completing an application in, and making payments from, Holmes County cannot be considered substantial acts or injury-causing events in this case.

Additionally, the chancery court’s finding of communications “from and between Holmes County and Madison County” and “to and from Myers in Holmes County and to and from MACM in Madison County” is an insufficient basis for establishing venue. MACM never communicated to Dr. Myers from Holmes County, and all of MACM’s deliberations, meetings, correspondence, and communication with Dr. Myers occurred in or were transmitted from its offices in Madison County. MACM never met with Dr. Myers in Holmes County, but the parties did meet in Madison County. In other words, Dr.

Myers is suing MACM based on the company’s own acts or omissions, all of which occurred in Madison County.

Free access — add to your briefcase to read the full text and ask questions with AI

National Health Insurance Company v. Daphne Lever, (Mich. 2025).

National Health Insurance Company v. Daphne Lever (National Health Insurance Company v. Daphne Lever) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

Related

Scaggs v. GPCH-GP, INC.
931 So. 2d 1274 (Mississippi Supreme Court, 2006)
Park on Lakeland Drive, Inc. v. Spence
941 So. 2d 203 (Mississippi Supreme Court, 2006)
Holmes v. McMillan
21 So. 3d 614 (Mississippi Supreme Court, 2009)
Snyder v. Logan
905 So. 2d 531 (Mississippi Supreme Court, 2005)
Caves v. Yarbrough
991 So. 2d 142 (Mississippi Supreme Court, 2008)
Hedgepeth v. Johnson
975 So. 2d 235 (Mississippi Supreme Court, 2008)
Flight Line, Inc. v. Tanksley
608 So. 2d 1149 (Mississippi Supreme Court, 1992)
Medical Assur. Co. of Mississippi v. Myers
956 So. 2d 213 (Mississippi Supreme Court, 2007)
Guice v. Mississippi Life Ins. Co.
836 So. 2d 756 (Mississippi Supreme Court, 2003)
William Greenwood v. MESA Underwriters Specialty Insurance Company
179 So. 3d 1082 (Mississippi Supreme Court, 2015)
Wood v. Safeway Insurance Co.
114 So. 3d 714 (Mississippi Supreme Court, 2013)