Uima Inc. v. Community Ins., Unpublished Decision (9-13-2002)

CourtOhio Court of Appeals
DecidedSeptember 13, 2002
DocketAppeal No. C-020056, Trial No. A-0105344.
StatusUnpublished

This text of Uima Inc. v. Community Ins., Unpublished Decision (9-13-2002) (Uima Inc. v. Community Ins., Unpublished Decision (9-13-2002)) is published on Counsel Stack Legal Research, covering Ohio Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Uima Inc. v. Community Ins., Unpublished Decision (9-13-2002), (Ohio Ct. App. 2002).

Opinion

DECISION.
Defendant-appellant, Community Insurance Company, d.b.a. Anthem Blue Cross and Blue Shield ("Anthem"), appeals the judgment of the Hamilton County Court of Common pleas denying its motion to stay proceedings pending arbitration in a breach-of-contract action filed by plaintiff-appellee, Oncology Division of UIMA, Inc., d.b.a. Oncology/Hematology Care, Inc. ("OHC"). For the following reasons, we affirm the trial court's judgment.

Prior to 1999, Anthem and OHC had entered into a contract (the "Provider Agreement"), pursuant to which Anthem was obligated to reimburse OHC for certain covered surgical services and radiation therapy provided to persons insured by Anthem. Under the Provider Agreement, the parties were obligated to follow Anthem's "provider appeal" procedure to resolve any dispute arising out of the agreement. If that procedure was not successful, the parties were required to "meet to attempt to resolve the dispute." If those efforts were unsuccessful, the Provider Agreement provided that "[t]he dispute will be resolved through arbitration."

In the fall of 1999, OHC disputed Anthem's refusal to pay a number of claims totaling approximately $1.3 million. In December 1999, the parties entered into a second contract (the "1999 Agreement") pursuant to which the parties agreed "to use good faith efforts to agree how the Disputed Claims are to be adjudicated/readjudicated and whether payment and/or additional payment is due to OHC." The 1999 Agreement did not mention arbitration, and the parties specifically reserved "all rights to enforce the terms of this Agreement." And though it referred to the Provider Agreement, the 1999 Agreement included a clause stating that "[t]his Agreement contains the entire agreement by and between the Parties and the terms of the Agreement are contractual, not a mere recital."

In August 2001, OHC filed a complaint in the common pleas court alleging that Anthem had "breached its obligations under the [1999] Agreement to act in good faith and to cooperate with OHC in resolving the Disputed Claims." Specifically, OHC alleged that Anthem had failed to compile data that would have allowed the parties to resolve the disputed claims and had failed to make documents and employees available to OHC to assist OHC in resolving the claims.1 In its complaint, OHC sought damages as well as specific performance of the 1999 Agreement. At the time OHC filed suit in the common pleas court, arbitration of the disputed claims under the Provider Agreement had begun.

In September 2001, Anthem filed a motion to stay the proceedings pending arbitration and to dismiss the tortious-interference count against Paragon Health System, LTD. The trial court overruled both motions.

In a single assignment of error, Anthem now claims that the trial court erred in overruling its motion to stay the proceedings pending arbitration. Before we address the assignment of error, though, we must first address OHC's contention that the trial court's judgment did not constitute a final appealable order.

R.C. 2711.02(C) states that "an order * * * that grants or denies a stay of a trial of any action pending arbitration * * * is a final order and may be reviewed, affirmed, modified, or reversed on appeal * * *." Notwithstanding this language, OHC argues that, to make the order final and appealable, the trial court had to first make a threshold finding, pursuant to R.C. 2711.02(B), that the matter was referable to arbitration. We are not persuaded by this argument. R.C. 271102(B) states that the trial court "shall" grant a stay upon application if the matter is referable.2 Therefore, a finding that the matter is referable would necessitate the grant of a stay.3 But because a denial of the stay is also contemplated under the statute, the trial court would, in the event of such a denial, necessarily conclude that the matter was not referable. Both the grant and the denial of a stay are appealable under subsection (C), and we therefore reject OHC's argument that the trial court must find the matter to be referable as a prerequisite to immediate appeal.

OHC next argues that the judgment was not a final appealable order because Anthem had filed a motion to stay the "proceedings" rather than a motion to stay the "trial" as provided for in R.C. 2711.02. While we acknowledge that there is a distinction between a stay of trial and a stay of all proceedings, we believe it would be hypertechnical to say that the terminology used by Anthem in its motion, and by the trial court in denying the motion, vitiated the judgment's status as a final appealable order. Accordingly, we overrule OHC's motion to dismiss the appeal.

We now turn to the merits of Anthem's assignment of error. Anthem claims that the dispute in the instant case arose from the Provider Agreement and that it therefore was subject to the arbitration clause. OHC contends that the issues before the trial court related only to the 1999 Agreement, which did not contain an arbitration clause. Therefore, OHC argues, the trial court properly denied the motion to stay the proceedings.

We agree with OHC's position. It is the policy of the law to favor and encourage arbitration.4 But arbitration is nonetheless a matter of contract, and despite the strong policy in its favor, a party cannot be compelled to arbitrate any dispute that he has not agreed to submit.5 The courts have therefore been careful to require arbitration only where the parties have agreed to it.

In Teramar, a franchise agreement between two corporations contained an arbitration clause, whereas a guaranty of payments due under the franchise agreement signed by the president of the franchisee corporation did not contain such a clause.6 The Eighth District Court of Appeals held that a dispute concerning the guaranty agreement was not subject to arbitration even though the underlying franchise agreement provided for arbitration of "any controversy or claim arising out of or relating to this agreement or the breach thereof."7

Similarly, in Honchul v. Driver's Mart of Cincinnati,8 the Twelfth District Court of Appeals held that a contract without an arbitration clause was not subject to arbitration. In Honchul, the parties entered into a purchase agreement for an automobile, as well as a financing agreement and an agreement for insurance.9 Only the purchase agreement contained an arbitration clause, which stated that any controversy or claim "arising out of or relating to this Purchase Agreement" was to be settled through arbitration.10 When a dispute arose from the financing and insurance agreements, the defendants argued that the dispute was covered by the arbitration clause.11 The court rejected that argument and expressly declined to "take an expansive view of the phrase `relating to this Purchase Agreement' so that any controversy in any way related to the purchase of the automobile is covered by the arbitration clause."12

We hold these cases to be controlling in the instant case.

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Related

Smith v. Whitlatch & Co.
739 N.E.2d 857 (Ohio Court of Appeals, 2000)
Teramar Corp. v. Rodier Corp.
531 N.E.2d 721 (Ohio Court of Appeals, 1987)

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Uima Inc. v. Community Ins., Unpublished Decision (9-13-2002), Counsel Stack Legal Research, https://law.counselstack.com/opinion/uima-inc-v-community-ins-unpublished-decision-9-13-2002-ohioctapp-2002.