Wachtel v. Health Net, Inc.

239 F.R.D. 81, 2006 U.S. Dist. LEXIS 88563, 2006 WL 3538935
CourtDistrict Court, D. New Jersey
DecidedDecember 6, 2006
DocketCiv. Nos. 01-4183, 03-1801
StatusPublished
Cited by52 cases

This text of 239 F.R.D. 81 (Wachtel v. Health Net, Inc.) is published on Counsel Stack Legal Research, covering District Court, D. New Jersey primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Wachtel v. Health Net, Inc., 239 F.R.D. 81, 2006 U.S. Dist. LEXIS 88563, 2006 WL 3538935 (D.N.J. 2006).

Opinion

OPINION

HOCHBERG, District Judge.

I. Introduction

Plaintiff-beneficiaries have sued their healthcare insurance providers under ERISA, 29 U.S.C. § 1001 et seq., for breach of fiduciary duty and other wrongs connected to the way in which Health Net1 reimburses out-of-network (“ONET”) claims. After a lengthy pattern of repeated and gross noncompliance with discovery emerged, exacerbated by representations to the Court that began to ring hollow, this Court granted a [83]*83motion by Plaintiffs for a Hearing Under the Inherent Power of the Court to Preserve the Integrity of the Judicial Process and Under Federal Rule of Civil Procedure 37 (“Rule 37/Integrity Hearing”). This Court held eleven days of evidentiary hearings between October 2005 and March 2006 about, inter alia, whether Defendants were compliant with Court orders to retain, search, and produce e-mail and other electronic documents and candid in their representations to the Magistrate Judge and this Court about their restitution to beneficiaries. This Court has reviewed the extensive briefing submitted by both parties as well as the parties’ proposed findings of fact and conclusions of law.2

This opinion and related order rule upon Plaintiffs’ motion for entry of default and for a discovery monitor; Plaintiffs’ applications to strike documents submitted by Defendants as summary judgment and trial exhibits; Magistrate Judge Shwartz’s Report and Recommendation that sanctions be considered for Defendants’ failure to produce emails during discovery and for Defendants’ decision to stop restoring and producing emails;3 Defendants’ appeal of Magistrate Judge Shwartz’s December 28, 2005 Order;4 Plaintiffs’ several motions to strike Defendants’ privilege logs numbers 12 through 53;5 Defendants’ several motions to strike Plaintiffs’ January 2, 2006 filing6 and other [84]*84filings;7 and Plaintiffs’ motion to supplement the Rule 37 findings, for summary judgment, and for sanctions.8

The Wachtel and McCoy cases are two of the oldest on this Court’s docket. The litigation has been fierce and without respite, through several changes of defense counsel. The docket sheet is 81 pages with 73 motions, 219 briefs, and 152 other applications to the Court. In sum, it gives new meaning to the term “scorched earth” litigation tactics. This litigation began more than five years ago and many of the events at issue in this Rule 37/Integrity Hearing go back even further.9 This Court is extremely reluctant to sanction parties or counsel. Unfortunately, Health Net’s repeated and unabated discovery abuses and lack of candor leave this Court no other choice in order to protect the integrity of the judicial process, remedy the prejudice suffered by Plaintiffs, punish the wrongdoers, and accord a measure of relief to the other parties and counsel in this case. When the abuses are as extreme as they are in this case, to refrain from sanctions is unfair to the parties who conduct themselves according to the rules.

II. Rule 37

Rule 37 of the Federal Rules of Civil Procedure governs sanctions against a party who fails to provide discovery as required by the discovery rules or a court order. The Court must analyze whether the defalcation is by the party, the attorney, or both. Rule 37 sanctions are available to the district court “not merely to penalize those whose conduct may be deemed to warrant such a sanction, but to deter those who might be tempted to such conduct in the absence of such a deterrent,” Nat’l Hockey League v. Metro. Hockey Club, 427 U.S. 639, 643, 96 S.Ct. 2778, 49 L.Ed.2d 747 (1976). The Court has broad discretion regarding the type and degree of sanctions it can impose, see Coca-Cola Bottling Co. of Shreveport, Inc. v. Coca-Cola Co., 110 F.R.D. 363, 367 (D.Del.1986) (citing Nat’l Hockey League, 427 U.S. at 642, 96 S.Ct. 2778), but the sanctions must be just and related to the claims at issue. Estate of Spear v. Comm’r of Internal Revenue Serv., 41 F.3d 103, 109 (3d Cir.1994) (citing Ins. Corp. of Ireland v. Compagnie des Bauxites, 456 U.S. 694, 707, 102 S.Ct. 2099, 72 L.Ed.2d 492 (1982)). Rule 37(b)(2) specifically provides for several sanctions, including discretion to deem facts as established, bar evidence, strike or dismiss pleadings, enter a default judgment, and find a party in contempt.

The Court also has inherent power to police litigant misconduct and impose sanctions on those who abuse the judicial process. See Chambers v. NASCO, Inc., 501 U.S. 32, 43, 111 S.Ct. 2123, 115 L.Ed.2d 27 (1991). These inherent powers exist in addition to the formal rules and legislative dictates designed to assist district courts in their truth-seeking process. See id. at 46, 111 S.Ct. 2123; see also Republic of Philippines v. Westinghouse Elec. Corp., 43 F.3d 65, 73 (3d Cir.1994) (noting that, under Chambers, the Federal Rules of Civil Procedure and Congressional statutes do not exhaust the district courts’ power to control misbehaving litigants). These powers include investigating whether a fraud has been committed upon the court and assessing attorneys’ fees when a party has acted in bad faith. See Chambers, 501 U.S. at 44-46, 111 S.Ct. 2123.

[85]*85III. Findings of Fact10

A. Health Net’s Lack of Candor to the Magistrate Judge and this Court concerning its Restitutions to the New Jersey Department of Banking and Insurance (“NJ-DOBI”)

Health Net’s strategy to limit the scope of its disclosures to NJ-DOBI about its use of outdated data to calculate the UCR11 for medical bill reimbursements led inexorably to discovery abuses and lack of candor in this case.12 Health Net’s small group employer plans in New Jersey are subject to state regulations requiring that Health Net must use the most recent data in calculating the UCR for certain services performed by ONET providers.13 Large group plans are governed by contractual language that does not expressly permit outdated data to be used for UCR.14

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Bluebook (online)
239 F.R.D. 81, 2006 U.S. Dist. LEXIS 88563, 2006 WL 3538935, Counsel Stack Legal Research, https://law.counselstack.com/opinion/wachtel-v-health-net-inc-njd-2006.