Quintana v. Lightner

818 F. Supp. 2d 964, 50 Employee Benefits Cas. (BNA) 2897, 2011 U.S. Dist. LEXIS 28793, 2011 WL 976773
CourtDistrict Court, N.D. Texas
DecidedMarch 21, 2011
DocketCivil Action No. 3:10-CV-0571-G
StatusPublished
Cited by1 cases

This text of 818 F. Supp. 2d 964 (Quintana v. Lightner) is published on Counsel Stack Legal Research, covering District Court, N.D. Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

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Quintana v. Lightner, 818 F. Supp. 2d 964, 50 Employee Benefits Cas. (BNA) 2897, 2011 U.S. Dist. LEXIS 28793, 2011 WL 976773 (N.D. Tex. 2011).

Opinion

MEMORANDUM OPINION AND ORDER

A. JOE FISH, Senior District Judge.

Before the court is the motion of the plaintiff, Justin Quintana (“Quintana”), to remand this case to the state court from which it was previously removed (docket entry 6). For the reasons set forth below, the motion is granted.

I. BACKGROUND

This is an action brought by Quintana against defendants Kem L. Lightner (“Lightner”),1 State Farm Mutual Automobile Insurance Company (“State Farm”), and Ingenue, Inc. (“Ingenix”) for violations of Quintana’s right to privacy, conspiracy to invade his privacy, violations of the Health Information Portability and Ac[967]*967countability Act of 1996 (“HIPAA”), and intentional infliction of emotional distress. Defendant’s Notice of Removal (“Notice of Removal”) ¶ 6 (docket entry 1); see also Plaintiffs Original Petition and Petition for Injunctive Relief (“Petition”) at 3-4, attached to Appendix to Notice of Removal. Quintana’s claims arise out of Ingenix’s alleged disclosure of medical information to State Farm.2 Notice of Removal ¶ 6.

On January 5, 2005, Quintana was injured in an automobile accident. Id. ¶ 4. At the time of the accident, Quintana was a participant in the Choice EPO Plan for Employees of Tenet Healthcare Corporation (“the Plan”), a self-funded plan established and maintained under the Employee Retirement Income Security Act (“ERISA”), 29 U.S.C. § 1132. Id. On Quintana’s behalf, the Plan paid for certain medical expenses resulting from injuries sustained in the accident. Id. Subsequently, Quintana filed suit in state court against the third party he alleges caused his injuries. Id.

In August of 2009, defendant State Farm, the liability carrier for the third party, contacted defendant Ingenix, the Plan’s subrogation vendor, regarding the Plan’s right to subrogation for the payments it made on Quintana’s behalf for medical treatment.3 Id. ¶ 5. Ingenix allegedly provided State Farm’s employee, defendant Lightner, an itemization of Quintana’s medical bills and the amounts paid to each provider for the treatment. Id. In November of 2009, Ingenix agreed to settle with State Farm on behalf of the Plan for approximately one-third of the Plan’s subrogation interests. Id. When Quintana’s counsel learned of the settlement, he filed suit in a Dallas County district court seeking an injunction to prevent Ingenix and State Farm from communicating about Quintana’s medical information, and alleging “damages against the Defendants for violations of his right to privacy, conspiracy to invade his privacy, violations of HIPAA and intentional infliction of emotional distress.”4 Id. ¶ 6. Quintana asserts “[n]either Lightner nor State Farm held any medical authorization or other authority to communicate with Ingenix to discuss Quintana’s medical treatment or records, including billings.” Petition at 2.

On March 22, 2010, Ingenix removed the case to this court, asserting that “[t]he terms of the Summary Plan Document [ (“SPD”) ] control the authority of Inge-nix, and determine the outcome of [the] Plaintiffs claims.” Notice of Removal ¶ 6. Because it believes “the terms [of the SPD] are essential” to the resolution of this case, Ingenix contends that “[a]ll matters asserted by [the] Plaintiff are [completely] pre-empted by ERISA” under 29 U.S.C. § 1132, and thus, removal is proper. Id. ¶¶ 6,11.

[968]*968II. ANALYSIS

A. ERISA Preemption Generally

District courts have federal question jurisdiction over civil cases “arising under the Constitution, laws, or treaties of the United States.” See 28 U.S.C. § 1331; Frank v. Bear Steams & Company, 128 F.3d 919, 922 (5th Cir.1997). In determining whether a claim arises under federal law, the well-pleaded complaint rule allows a plaintiff to be the “master to decide what law he will rely upon” in pursuing his claims. The Fair v. Kohler Die & Specialty Company, 228 U.S. 22, 25, 33 S.Ct. 410, 57 L.Ed. 716 (1913); see also Beneficial National Bank v. Anderson, 539 U.S. 1, 6, 123 S.Ct. 2058, 156 L.Ed.2d 1 (2003); Aaron v. National Union Fire Insurance Company of Pittsburg, Pa., 876 F.2d 1157, 1160-61 (5th Cir.1989), cert. denied, 493 U.S. 1074, 110 S.Ct. 1121, 107 L.Ed.2d 1028 (1990). Where potential remedies exist under both state and federal law, a plaintiff may choose to proceed only under state law and avoid federal court jurisdiction. Caterpillar Inc. v. Williams, 482 U.S. 386, 392, 107 S.Ct. 2425, 96 L.Ed.2d 318 (1987); Carpenter v. Wichita Falls Independent School District, 44 F.3d 362, 366 (5th Cir.1995). “There is an exception to the well-pleaded complaint rule, though, if Congress ‘so completely preempts] a particular area that any civil complaint raising this select group of claims is necessarily federal in character.’” Arana v. Ochsner Health Plan, 338 F.3d 433, 437 (5th Cir.2003) (en banc) (quoting Metropolitan Life Insurance Company v. Taylor, 481 U.S. 58, 63-64, 107 S.Ct. 1542, 95 L.Ed.2d 55 (1987)), cert. denied, 540 U.S. 1104, 124 S.Ct. 1044, 157 L.Ed.2d 889 (2004).

The Supreme Court has held that state-law claims seeking relief within the scope of ERISA § 502(a)(1)(B)5 must be recharacterized as arising under federal law, and, as so recharacterized, are removable to federal court. Metropolitan Life, 481 U.S. at 60, 66-67, 107 S.Ct. 1542; see also Ramirez v. Inter-Continental Hotels, 890 F.2d 760, 762 (5th Cir.1989). When a claimant seeks relief “within the scope of [ERISA’s] civil enforcement provisions,” his or her claims are subject to complete preemption. Metropolitan Life, 481 U.S. at 66, 107 S.Ct. 1542. Complete preemption “ ‘recharacterizes’ preempted state law claims as ‘arising under’ federal law for the purposes of ... making removal available to the defendant.” McClelland v. Gronwaldt, 155 F.3d 507, 516 (5th Cir. 1998), overruled on other grounds, Arana, 338 F.3d at 440 n. 11; see also Johnson v. Baylor University, 214 F.3d 630, 632 (5th Cir.), cert. denied, 531 U.S. 1012, 121 S.Ct. 567, 148 L.Ed.2d 486 (2000).

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818 F. Supp. 2d 964, 50 Employee Benefits Cas. (BNA) 2897, 2011 U.S. Dist. LEXIS 28793, 2011 WL 976773, Counsel Stack Legal Research, https://law.counselstack.com/opinion/quintana-v-lightner-txnd-2011.