Schwartz v. FHP International Corp.

947 F. Supp. 1354, 20 Employee Benefits Cas. (BNA) 2299, 1996 U.S. Dist. LEXIS 17440, 1996 WL 676761
CourtDistrict Court, D. Arizona
DecidedNovember 19, 1996
DocketCIV-96-1362-PHX-ROS
StatusPublished
Cited by35 cases

This text of 947 F. Supp. 1354 (Schwartz v. FHP International Corp.) is published on Counsel Stack Legal Research, covering District Court, D. Arizona primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

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Schwartz v. FHP International Corp., 947 F. Supp. 1354, 20 Employee Benefits Cas. (BNA) 2299, 1996 U.S. Dist. LEXIS 17440, 1996 WL 676761 (D. Ariz. 1996).

Opinion

ORDER

SILVER, District Judge.

Plaintiffs Diane and Joel Schwartz have filed a Motion to Remand this action to state court. Defendants FHP International, FHP, Inc., FHP of Arizona, and Ultralink, Inc. (“FHP”) have filed a Motion to Dismiss Plaintiffs’ state law causes of action.

*1357 FACTUAL BACKGROUND

Plaintiff Diane Schwartz was eligible to receive, selected and received FHP’s HMO benefit coverage under the Group Service Agreement issued by FHP, Inc. to Xerox corporation, as a dependent of her husband, Xerox employee Joel Schwartz.

Plaintiff Diane Schwartz began to receive medical care from FHP physicians beginning in 1993. According to Plaintiff, she told her general practitioner, Dr. Lawrence Grass, during her 1994 checkup that she had a family history of cancer and that she believed she had found a lump in her left breast. Plaintiff claims that Dr. Grass told .her it was nothing, but that during the next year she felt the lump increase in size and sought a mammogram. Dr. Denise Smith, the radiologist, read the results as normal. Finally, Plaintiff was examined by a surgeon, Dr. Christi Bourne, who did not perform a breast biopsy although she noted that there was a mass of considerable size in Plaintiffs left breast. In early 1996, Plaintiffs breast cancer was detected. Plaintiff alleges that the oncologist, Dr. Martin Langford, placed her on an atypical and ineffective chemotherapy regimen.

On February 20,1996, Plaintiffs filed their original Complaint in Superior Court, Mari-copa County. On March 22, 1996, Plaintiffs filed their First Amended Complaint against Defendants: FHP International; FHP, Inc.; FHP of Arizona; Ultralink, Inc.; Arizona Primary Care Physicians; Estate of Lawrence E. Grass, M.D.; Valley Radiologists, Ltd.; Valley Surgical Clinic; Palo Verde Hematology/Oncology; John C. Lincoln Hospital; Denise and John Doe Smith; Christi Bourne, M.D.; Martin B. Langford, M.D.; and other unknown defendants.

Count One of the Complaint alleges medical malpractice against all Defendants except Defendants FHP.

Count Two alleges Defendants FHP breached their contract by breaching then-promise to provide Plaintiffs access to health care practitioners possessing the degree of skill and knowledge possessed by medical practitioners in the community; to refer Plaintiffs to specialists when medically indicated; to perform tests and procedures required to ensure Plaintiffs health; to authorize indicated therapeutic treatment promptly; and to inform Plaintiff of all reasonable diagnostic and treatment options.

Count Three alleges that Defendants FHP breached the implied covenant of good faith and fair dealing by not providing Plaintiffs with the benefits of their agreement with Defendants.

Count Four alleges fraud on the part of Defendants FHP by misrepresenting to Plaintiffs that Plaintiffs would receive referrals and specialist care when required.

Count Five alleges intentional misrepresentation by all Defendants by making intentional misrepresentations regarding Plaintiff Diane Schwartz’s medical condition and recommended medical treatment.

Count Six alleges intentional infliction of emotional distress by all Defendants by advancing their own monetary interests to the detriment of Plaintiff Diane Schwartz’s health.

On June 5, 1996, Defendants FHP filed a notice of removal to federal district court pursuant to 28 U.S.C. §§ 1331, 1441(a), (b), and (c) and 29 U.S.C. § 1132. Defendants FHP alleged that removal to federal court was appropriate based upon federal question jurisdiction under the Employee Retirement Income Security Act of 1974, 29 U.S.C. §§ 1001 et seq (“ERISA”).

On June 12, 1996, Defendants FHP filed a Motion to Dismiss Plaintiffs’ state law causes of action on the grounds that , all Plaintiffs’ state law claims are, preempted by ERISA.

On July 5,1996, Plaintiffs filed a Motion to Remand the complaint to Maricopa County. Plaintiffs argue that the removal was defective because Defendants did not obtain the consent of all Defendants as required by 28 U.S.C. §§ 1446(a)-(b). Plaintiffs further argue that there is no federal question jurisdiction because: (1) medical malpractice claims and claims of vicarious liability for negligence are not preempted; and .(2) any benefits that Plaintiffs received from FHP were not pursuant to an ERISA plan.

*1358 Plaintiffs characterize their complaint as divisible into two types of claim: (1) the allegation of medical malpractice against Plaintiff Diane Schwartz’s doctors and the allegation of vicarious liability for the doctors’ negligence against FHP, allegations relating to the “quality” of care; and (2) allegations of breach of contract, breach of the implied covenant of good faith and fair dealing, fraud, and intentional infliction of emotional distress against FHP, allegations relating to the “quantity” of care. Plaintiffs dispute that any of their claims are preempted by federal law.

LEGAL DISCUSSION

A. MOTION TO REMAND

Plaintiffs’ motion for remand places the burden of establishing federal jurisdiction on Defendants FHP. Gaus v. Miles, Inc., 980 F.2d 564 (9th Cir.1992). Because thé parties are non-diverse and Plaintiffs argue there is no federal question presented, Plaintiffs’ Motion for Remand is based on a challenge to the subject matter jurisdiction of the Court. Pursuant to Fed.R.Civ.P. 43(e), the Court may rely on affidavits when hearing a motion challenging its subject matter jurisdiction. See 9 Charles A. Wright & Arthur R. Miller § 2416 at 604.

Plaintiffs have not alleged causes of action under ERISA. However, under the complete-preemption doctrine, removal to federal court is appropriate where the complaint raises claims that fall within ERISA’s broad preemptive scope, even though the plaintiff does not allege federal question jurisdiction. Metropolitan Life Insurance Company v. Taylor, 481 U.S. 58, 63-64, 107 S.Ct. 1542, 1546-1547, 95 L.Ed.2d 55 (1987); Pilot Life Insurance Company v. Dedeaux, 481 U.S. 41, 46, 107 S.Ct. 1549, 1552, 95 L.Ed.2d 39 (1987); Clorox v. United States District Court, 779 F.2d 517, 521 (9th Cir.1985).

B. ERISA PREEMPTION

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947 F. Supp. 1354, 20 Employee Benefits Cas. (BNA) 2299, 1996 U.S. Dist. LEXIS 17440, 1996 WL 676761, Counsel Stack Legal Research, https://law.counselstack.com/opinion/schwartz-v-fhp-international-corp-azd-1996.