Ramin M. Roohipour, M.D., Inc. v. ILWU-PMA Welfare Plan

CourtDistrict Court, C.D. California
DecidedJanuary 28, 2020
Docket2:19-cv-08177
StatusUnknown

This text of Ramin M. Roohipour, M.D., Inc. v. ILWU-PMA Welfare Plan (Ramin M. Roohipour, M.D., Inc. v. ILWU-PMA Welfare Plan) is published on Counsel Stack Legal Research, covering District Court, C.D. California primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Ramin M. Roohipour, M.D., Inc. v. ILWU-PMA Welfare Plan, (C.D. Cal. 2020).

Opinion

UNITED STATES DISTRICT COURT JS-6 CENTRAL DISTRICT OF CALIFORNIA CIVIL MINUTES - GENERAL

Case No.: CV 19-08177-AB (Ex) Date: January 28, 2020

Title: Ramin M. Roohipour, M.D., Inc., v. ILWU-PMA Welfare Plan et al.

Present: The Honorable ANDRE BIROTTE JR., United States District Judge Carla Badirian N/A Deputy Clerk Court Reporter

Attorney(s) Present for Plaintiff(s): Attorney(s) Present for Defendant(s): None Appearing None Appearing

Proceedings: [In Chambers] Order GRANTING Plaintiff's Motion for Remand (Dkt. No. 12), DENYING Plaintiff’s Request for Attorney’s Fees and Costs, and DISMISSING Defendant’s Motion to Dismiss (Dkt. No. 14) as Moot

Before the Court is Plaintiff Ramin M. Roohipour, M.D., Inc.’s (“Plaintiff” or “Dr. Roohipour”) Motion for Remand. (“Motion,” Dkt. No. 12). Defendant ILWU-PMA Welfare Plan (“Defendant”) filed an opposition (Dkt. No. 15), and Plaintiff replied (Dkt. No. 19). For the reasons below, the Court GRANTS the Motion, DENIES Plaintiff's Request for Attorney’s Fees and Costs, and DISMISSES Defendant’s Motion to Dismiss as moot. (See Dkt. No. 14). I. BACKGROUND This case follows a recent action by Plaintiff in which Plaintiff sought to recover payments from Defendant for treatments provided to six ILWU-PMA Welfare Plan (“Plan”) participants. Ramin M. Roohipour M.D., Inc., v. Zenith American Sols., Inc., et al., No. 2:18-CV-09621-AB (Ex), 2019 WL 4390569 (C.D. Cal. June 25, 2019) (“Roohipour I’). In Roohipour I, Plaintiff brought six claims

CV-90 (12/02) CIVIL MINUTES — GENERAL Initials of Deputy Clerk CB

against Defendant under both the Employee Retirement Income Security Act of 1974 (“ERISA”), 29 U.S.C. § 1001 et seq., and under state law for breach of contract, breach of the covenant of good faith and fair dealing, and violation of unfair competition law. There, Defendant argued that “even if Plaintiff was validly assigned the rights to ERISA benefits from Assignors, the Plan prohibits participants and beneficiaries from assigning benefits or interest under the Plan for any purpose.” Roohipour I, 2019 WL 4390569, at *7. This Court agreed, and on June 25, 2019 dismissed Plaintiff’s Complaint in Roohipour I with prejudice. Id. at *10. This Court held that Plaintiff lacked standing to sue under ERISA based on the Plan’s anti-assignment clause, and that because his “state law claims are entirely dependent on the Plan,” ERISA “preempts Plaintiff’s state law claims.” Id.

On July 17, 2019, Plaintiff filed the instant action against Defendant in the Superior Court of the State of California, County of Los Angeles (Case No. 19TRCV00605) for damages based on state-law claims alleging (1) breach of oral contract, (2) reasonable value of services (quantum meruit), and (3) promissory estoppel. (Complaint (“Compl.”), Dkt. No. 1-1, Ex. A). Plaintiff maintains that he is an independent third-party healthcare provider seeking to recover on independent state-law claims arising from alleged independent contractual obligations between him and Defendant. (Motion at 8). Plaintiff alleges that these obligations were created when Defendant pre-authorized treatment and then agreed, but later failed, to pay Plaintiff at specific rates for specific services prior to performing them. (Id.). Thus, Plaintiff asserts that his state-law claims exist independently of any promise Defendant may have made to its plan members regarding coverage under the terms of the Plan. (Id. at 8–9).

On September 20, 2019, Defendant removed this case to federal court, pursuant to 28 U.S.C. sections 1331 and 1441. (Notice of Removal, Dkt. No. 1). Defendant contends that the Court has federal question jurisdiction over this case because the Complaint is completely preempted by Section 502 of ERISA. Specifically, Defendant asserts that “because Plaintiff makes a claim for benefits based on his alleged provision of medical services to Plan participants and/or beneficiaries . . . ERISA Section 502(a)(1)(B) provides the exclusive remedy for resolution of Plaintiff’s claims for benefits under the terms of the Plan.” (Id. at ¶ 12). Defendant advances this argument despite its position in Roohipour I that Plaintiff lacked standing to bring a claim under ERISA Section 502(a)(1)(B) (“ERISA § 502”).

Plaintiff brings the instant Motion for Remand pursuant to 28 U.S.C. section 1447(c) on grounds that removal of this action was improper as a matter of law because Defendant cannot satisfy the Supreme Court’s two-prong Davila test to establish grounds for complete preemption removal under ERISA § 502. Accordingly, Plaintiff contends that because this Court lacks subject matter jurisdiction, specifically federal question jurisdiction, it must remand this case back to state court.

II. LEGAL STANDARD

A defendant may remove a civil action from state court to federal district court if the district court has original jurisdiction over the action. 28 U.S.C. § 1441(a); Sullivan v. First Affiliated Sec., Inc., 813 F.2d 1368, 1371 (9th Cir. 1987) (“A suit may be removed to federal court under 28 U.S.C. § 1441(a) only if it could have been brought there originally.”). Federal district courts have original jurisdiction over “all civil actions arising under the Constitution, laws, or treaties of the United States,” known as federal question jurisdiction. 28 U.S.C. § 1331.

A civil action arises under federal law “when federal law creates the cause of action asserted.” Gunn v. Minton, 568 U.S. 251, 257 (2013). Generally, “[a] cause of action arises under federal law only when the plaintiff’s well-pleaded complaint raises issues of federal law.” Hansen v. Blue Cross of Cal., 891 F.3d 1384, 1386 (9th Cir. 1989). Thus, a civil action is typically only removable when the face of the “well-pleaded” complaint presents a federal question. See Caterpillar, Inc. v. Williams, 482 U.S. 386, 392 (1987).

However, “when a federal statute wholly displaces the state-law cause of action through complete pre-emption,” as is the case with ERISA § 502(a), the well-pleaded complaint rule does not apply and the state law claim is removable because “‘even if pleaded in terms of state laws, [it] is in reality based on federal law.’” Aetna Health Inc. v. Davila, 542 U.S. 200, 207–08 (2004) (quoting Beneficial Nat. Bank v. Anderson, 539 U.S. 1, 8 (2003)). In Metropolitan Life Insurance Company v. Taylor, 481 U.S. 58 (1987), the Supreme Court created the doctrine of complete preemption under ERISA §502(a) and explained that while “[f]ederal pre-emption is ordinarily a federal defense to the plaintiff’s suit[,]” id. at 63, Congress had “clearly manifested an intent to make causes of action within the scope of the civil enforcement provision of § 502(a) removable to federal court[,]” id. at 66.

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Bluebook (online)
Ramin M. Roohipour, M.D., Inc. v. ILWU-PMA Welfare Plan, Counsel Stack Legal Research, https://law.counselstack.com/opinion/ramin-m-roohipour-md-inc-v-ilwu-pma-welfare-plan-cacd-2020.