Reyes v. Claria Life & Health Insurance Co.

190 So. 3d 154, 2016 Fla. App. LEXIS 4033, 2016 WL 1039131
CourtDistrict Court of Appeal of Florida
DecidedMarch 16, 2016
Docket3D15-1840
StatusPublished
Cited by5 cases

This text of 190 So. 3d 154 (Reyes v. Claria Life & Health Insurance Co.) is published on Counsel Stack Legal Research, covering District Court of Appeal of Florida primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Reyes v. Claria Life & Health Insurance Co., 190 So. 3d 154, 2016 Fla. App. LEXIS 4033, 2016 WL 1039131 (Fla. Ct. App. 2016).

Opinion

EMAS, J.

INTRODUCTION

Jose Manuel Reyes, the plaintiff below, appeals from a final order compélling arbi *156 tration and dismissing the complaint. The trial court found that the arbitration and forum selection clauses, of the parties’ contract were valid and enforceable, and entered an order (i) dismissing the complaint upon its conclusion that any further litigation of the matter must take place in Delaware, and (ii) compelling, arbitration in Delaware.

We affirm that portion of the trial court’s order which concluded that the forum selection clause ‘validly established Delaware as the exclusive jurisdiction for determination of any legal right' under the certificate of insurance. However, we reverse that portion of the order compelling arbitration and hold that the trial court should not have determined the'merits of thé arbitration issue." Having properly made the determination that this dispute must be pursued in Delaware pursuant to the terms of the parties’ agreement, any order compelling arbitration under that agreement must be rendered in Delaware as well.

FACTS

Jose Manuel Reyes, a Guatemalan resident, received medical treatment at Jackson Memorial Hospital. Reyes held a certificate of international health insurance (the" “Certificate”) with .Ciaría Life and Health Insurance ■ Company (“Ciaría”), a Delaware-based insurance company specializing in providing international health insurance policies exclusively to individuals residing outside of the United States. Reyes’ Certificate provided coverage for treatment at a number of hospitals across the United States, including Jackson Memorial Hospital.

Utilizing the coverage afforded by the Certificate, Reyes underwent a multi-or-gan transplant at Jackson Memorial Hos.pital. Following surgery, Reyes filed suit against Ciaría, Global Assurance Group, Inc. and Dr. Arturo Guerra (collectively with Ciaría “the Defendants”) asserting various causes of action, including insurance fraud, fraud in the inducement, breach of the Certificate including the covenant of good faith and fair dealing, breach of the managed care agreements between Jackson Memorial Hospital and' Ciaría (which Reyes asserts as the third party beneficiary to that agreement, alleging Defendants' failed to pay Jackson for Reyes’ benefit), and fraudulent conveyance.

In response to the suit, the Defendants filed a motion to dismiss the action for improper venue,, as well as a motion to compel arbitration, both of which were based upon Section 6.5 of the Certificate, entitled “Arbitration, Legal Actions and Jury Waiver.” That section provides in pertinent part:

Any and all disputes, claims, controversies, arising out, of or relating to this Certifícate, or its alleged breach that were not resolved by a claim appeal must be submitted to arbitration in the state of Delaware. The insured and the company will submit their dispute to three (3) arbiters. Each party will chose [sic] one arbiter and the third arbiter will be chose by the two arbiters chosen by the parties. Either party can initiate arbitration by written notice to the other party naming an arbiter and demanding arbitration. The other party shall have thirty (30) days once such notice is received to name its arbiter. The two chosen arbiters will choose within fifteen (15) days the third arbiter with arbitration taking place within fifteen (15) days. If either party fails to name a second arbiter within the thirty (30) days from when notice .is served then the party who fails to choose the arbiter agrees that the other party will choose the. second arbiter .and the arbitration will move forward as above. Arbitration will take place in the State of *157 Delaware unless both parties agree to another location. The expense - of arbitration shall be shared equally between the insured and the company.
The insured and the Company agree to exclusive jurisdiction in the State of Delaware for determination of any legal right under this Certifícate. The insured and Company both agree to trial by a judge and not a jury in any legal action arising directly or indirectly from this Certifícate. The insured and the Company agree that each party will pay their own legal and attorney costs.

(Emphases added.)

After holding a hearing on the motions, the court entered an order compelling.arbitration “in accordance with the parties’ agreement[,]” and dismissing the action because the trial court “lack[ed] jurisdiction to resolve any matters relating to the dispute [as] the proper venue is. in Delaware.” This timely appeal followed. 1 .

We review de novo the interpretation of a contractual forum selection clause. Espresso Disposition Corp. 1 v. Santana Sales & Mktg. Grp., Inc., 105 So.3d 592 (Fla. 3d DCA 2013). We likewise review de novo an order granting or denying a motion to compel arbitration. Roth v. Cohen, 941 So.2d 496 (Fla. 3d DCA 2006).

ANALYSIS

1. The Forum Selection Clause

'“[F]orum selection clauses should be enforced in the absence of a showing that enforcement would be unreasonable or unjust.” Manrique v. Fabbri, 493 So.2d 437, 440 (Fla.1986). “Parties have the right to control their litigation destinies by bargaining for -the ability to litigate in a specific forum.” Am. Online, Inc. v. Booker, 781 So.2d 423, 424 (Fla. 3d DCA 2001). Here, as set forth above, the Certificate contains an express, mandatory forum, selection clause:

The insured and the Company agree to exclusive jurisdiction in the State of Delaware for determination of any legal right under this Certificate. The insured and Company both agree to trial by a judge and not a jury in any legal action arising directly qr indirectly, from this Certificate.

(Emphasis added.)

The-scope 'of the foregoing ’clause is broad. In'utilizing'the phrase “any legal right” under' thé Certificate, the clause assuredly covers Reyes’ claims against the Defendants. All of Reyes’ claims have an obvious nexus to the Certificate, mandating enforcement of the parties’ agreement that the State of Delaware serve as the exclusive jurisdiction “for determination of any legal right under the Certificate.” This forum selection elaüse is “presumptively valid.” Corsec, S.L. v. VMC Int'l Franchising, LLC, 909 So.2d 945, 947 (Fla. 3d DCA 2005). In order to avoid enforcement of this presumptively valid clause, Reyes is required to show that the clause is unjust or unreasonable, though “the test of unreasonableness is not mere- inconvenience or additional expense.” Manrique, 493 So.2d 437 at n. 4. Reyes did not contend below, or here on appeal, that the mandatory forum selection clause is unjust or unreasonable.. Instead, Reyes contends that the forum selection clause, when’ considered with -the'arbitration clause, is ám- *158 biguous and contradictory, such that the two clauses negate one another. We find this argument unpersuasive.

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Bluebook (online)
190 So. 3d 154, 2016 Fla. App. LEXIS 4033, 2016 WL 1039131, Counsel Stack Legal Research, https://law.counselstack.com/opinion/reyes-v-claria-life-health-insurance-co-fladistctapp-2016.