Ruderman v. Washington National Insurance

263 F.R.D. 670, 2010 U.S. Dist. LEXIS 5783, 2010 WL 62871
CourtDistrict Court, S.D. Florida
DecidedJanuary 5, 2010
DocketNo. 08-23401-CIV
StatusPublished
Cited by6 cases

This text of 263 F.R.D. 670 (Ruderman v. Washington National Insurance) is published on Counsel Stack Legal Research, covering District Court, S.D. Florida primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Ruderman v. Washington National Insurance, 263 F.R.D. 670, 2010 U.S. Dist. LEXIS 5783, 2010 WL 62871 (S.D. Fla. 2010).

Opinion

ORDER GRANTING MOTION TO INTERVENE AND GRANTING MOTION FOR CLASS CERTIFICATION

JAMES I. COHN, District Judge.

THIS CAUSE is before the Court on Motion of Kate Kolber, through her Attorney-[673]*673in-Faet, Fred Kolber, Robert Schwarz and Bluma Schwarz to Intervene as Additional Plaintiffs and Class Representatives [DE 78] (“Motion to Intervene”) and Plaintiffs’ Motion for Class Certification [DE 58]. The Court has carefully reviewed the Motion to Intervene, the Motion for Class Certification, all of the parties’ submissions, and is otherwise fully advised in the premises.

I. BACKGROUND

This case is a putative class action on behalf of all citizens of Florida who purchased a Limited Benefit Home Health Care Coverage Policy (“Policy”) from Pioneer Life Insurance Company (“Pioneer Life”) in the state of Florida where either: (a) Washington National Insurance Company (“WNIC”) has rejected all or a portion of a claim on the Policy due to the Lifetime Maximum Benefit amount, the Per Occurrence Benefit amount, or both, having been reached; or (b) the Policy was in effect at the time of the filing of this action.

The Policies issued to plaintiffs, under the heading “Benefits,” provide as follows:

HOME HEALTH CARE: We will pay 100% of the usual and customary charges for Home Health Care expenses if the care was pre-authorized. If the care was not pre-authorized we will pay 75% of the usual and customary charges for Home Health Care expenses incurred, up to 75% of the Daily Benefit Amount shown in the schedule. These benefits will be paid up to the Home Health Care Daily Benefit shown in the schedule. All benefits will be limited to the Per Occurrence Maximum Benefit Amount for ALL injuries and sicknesses which are shown in the certificate schedule.

FAC para. II.1 Each of the three benefits in the Certificate Schedule (i.e., the Home Health Care Daily Benefit, the Lifetime Maximum Benefit Amount, and the Per Occurrence Maximum Benefit) are subject to a maximum dollar amount (i.e., per day, per lifetime, per occurrence).2 The Certificate Schedule also contains an “Automatic Benefit Increase Percentage and states that “Benefits increase by 8% each year.” Id. The Policy does not state that the 8% Automatic Benefit Increase applies only to the Daily Benefit Amount. Defendant, however, has applied the 8% increase only to the Daily Benefit.

Plaintiff Ruderman filed her initial class action complaint (“Complaint”) on December 9, 2008. The Complaint contained only a damages claim for breach of contract. WNIC filed a motion to dismiss on February 9, 2009. The Court denied the Motion to Dismiss and on April 28, 2009, plaintiffs filed an amended complaint (“FAC”) which alleged that the action was brought pursuant to Rule 23(b)(2) and (3). The FAC, however, contained only two causes of action: a damages claim for breach of contract and a claim [674]*674for injunctive relief. WNIC filed its answer to the FAC on May 12, 2009.

Thereafter, Plaintiffs filed a motion for class certification on July 15, 2009. Plaintiffs seek to represent two groups: 1) a Rule 23(b)(2) class defined as “[a]ll of Defendant’s Florida Insureds who currently have a Policy in effect[;]” and 2) a Rule 23(b)(3) class defined as “[a]ll of Defendant’s Florida Insureds who were denied Policy benefits during the Class Period because they reached their Lifetime Maximum and/or Per Occurrence Maximum benefit under the Policy.”3 Plaintiffs seek to be appointed as class representatives and to have their counsel appointed as class counsel.

Movants Kate Kolber, through her attorney-in-fact, Fred Kolber, Robert Schwarz and Bluma Schwarz (collectively, “Proposed Intervenors”) assert that neither of the plaintiffs in this action is a member of the proposed Rule 23(b)(2) Class. According to the Proposed Intervenors, “Plaintiff Sydelle Ruderman exhausted her coverage under the Per Occurrence Benefit on January 28, 2007 and plaintiff Sylvia Powers exhausted her coverage under the Lifetime Maximum Benefit on September 14, 2007.” Motion to Intervene at 4. Furthermore, Proposed Intervenors note that the FAC does not allege that Ms. Ruderman’s Policy remains in effect. “Thus,” Proposed Intervenors contend, “neither of plaintiffs Policies is ‘in effect.’ ” Id.

Conversely, proposed intervenor Kate Kolber is a member of the proposed Rule 23(b)(2) Class. Ms. Kolber purchased a Limited Benefit Home Health Care Coverage Policy from Pioneer Life on October 19,1992. Moreover, on July 22, 2009, WNIC rejected a claim submitted by Ms. Kolber because she had reached the Policy’s Per Occurrence Maximum Benefit. She contends that “[h]er Policy is currently in effect, as she has not reached the Lifetime Maximum Benefit amount.” Motion to Intervene at 5. Accordingly, Proposed Intervenors contend that Ms. Kolber is a member of the Rule 23(b)(2) Class.

Likewise, proposed intervenors Robert Schwarz and Bluma Schwarz contend that they are members of the proposed Rule 23(b)(2) Class. On March 12, 1993, Robert Schwarz and Bluma Schwarz each purchased a Limited Benefit Home Health Care Coverage Policy from Pioneer Life. Neither of them, they contend, have exhausted the benefits under their policies.

Proposed Intervenors therefore maintain that the Court should permit them to intervene in the instant action to represent the Rule 23(b)(2) Class as a matter of right pursuant to Federal Rule of Civil Procedure 24(a)(2). Alternatively, Proposed Intervenors seek permissive intervention pursuant to Rule 24(b). Plaintiffs argue that the Court should not allow Proposed Intervenors to intervene because Plaintiffs adequately represent their interests.

Defendants contend that Plaintiffs do not adequately represent the class. Defendants further contend that this case should not be certified as a class action because Plaintiffs cannot satisfy the typicality, commonality, numerosity, or predominance requirements of Federal Rule of Civil Procedure 23. Thus, Defendants maintain that the instant action is inappropriate for class resolution and that the Court should deny the Plaintiffs’ Motion for Class Certification.

II. DISCUSSION

A. Legal Standards

1. Intervention as a Matter of Right Standard

A party seeking to intervene as a matter of right pursuant to Rule 24(a)(2) must show each of the following: “(1) his application to intervene is timely; (2) he has an interest relating to the property or transaction which is the subject of the action; (3) he is so situated that disposition of the action, as a practical matter, may impede or impair his ability to protect that interest; and (4) his interest is represented inade[675]*675quately by the existing parties to the suit.” Chiles v. Thornburgh, 865 F.2d 1197, 1213 (11th Cir.1989).

2. Permissive Intervention Standard

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Bluebook (online)
263 F.R.D. 670, 2010 U.S. Dist. LEXIS 5783, 2010 WL 62871, Counsel Stack Legal Research, https://law.counselstack.com/opinion/ruderman-v-washington-national-insurance-flsd-2010.