Whole Health Chiropratic v. Humana Medical Plan

254 F.3d 1317
CourtCourt of Appeals for the Eleventh Circuit
DecidedJune 28, 2001
Docket00-13754
StatusPublished

This text of 254 F.3d 1317 (Whole Health Chiropratic v. Humana Medical Plan) is published on Counsel Stack Legal Research, covering Court of Appeals for the Eleventh Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Whole Health Chiropratic v. Humana Medical Plan, 254 F.3d 1317 (11th Cir. 2001).

Opinion

[PUBLISH]

IN THE UNITED STATES COURT OF APPEALS

FOR THE ELEVENTH CIRCUIT FILED U.S. COURT OF APPEALS ________________________ ELEVENTH CIRCUIT JUNE 28, 2001 THOMAS K. KAHN No. 00-13754 CLERK ________________________

D. C. Docket No. 00-01519-CV-JLK

WHOLE HEALTH CHIROPRACTIC & WELLNESS, INC., on its own behalf and on behalf of a similarly situated class, Plaintiffs-Appellees,

versus

HUMANA MEDICAL PLAN, INC. and HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC.,

Defendants-Appellants.

________________________

Appeal from the United States District Court for the Southern District of Florida _________________________ (June 28, 2001)

Before TJOFLAT and WILSON, Circuit Judges, and RESTANI*, Judge.

_______________________ *Honorable Jane A. Restani, Judge, U.S. Court of International Trade, sitting by designation. WILSON, Circuit Judge:

This appeal raises an issue of first impression in this circuit – whether the

Federal Removal Statute, 28 U.S.C. § 1441 et seq., permits a district court’s sua

sponte remand of a case because of a defect in the removal procedure. Aligning

ourselves with those of our sister circuits that have previously decided this issue,

we conclude that such action is not permitted as it falls outside the scope of 28

U.S.C. § 1447(c). We also decide that such an error is subject to appellate review.

I.

The original plaintiff, Medical Re-Hab Center, filed this case on its own

behalf and on behalf of an alleged similarly situated class, against Humana Medical

Plan, Inc. (“Humana”), a Florida Health Maintenance Organization (HMO)

governed by Florida Statutes chapter 641. The plaintiffs filed the complaint in a

Florida circuit court. The complaint alleged breach of contract and statutory

violations, and specifically alleged that Humana violated Florida Statutes chapter

627.613, for failing to make interest payments on medical bills paid more than

forty-five days after receiving written notice of a covered loss. Humana filed a

motion to dismiss the complaint for failure to state a cause of action, arguing that

because it is an HMO governed by Florida Statutes chapter 641, insurance laws

such as chapter 627.613 did not apply to it.

2 In response to the motion to dismiss, the Appellees filed their first amended

class representation complaint (“first amended complaint”). They named Whole

Health Chiropractic & Wellness, Inc. (“Whole Health”) as the plaintiff and named

Humana as the defendant. The first amended complaint identified Mayra Abella as

a patient of Whole Health. Abella was a participant in and beneficiary of an

employee welfare benefit plan of Humana Health Insurance Company of Florida,

Inc. (“HHIC”). Humana and HHIC alleged that the employee benefit plan in

which Abella participated was governed by the Employee Retirement Income

Security Act (“ERISA”).1

HHIC and Humana filed a notice of removal pursuant to 28 U.S.C. §

1441(b), alleging that ERISA preempted all of the Appellees’ state law claims.

The Appellants argued, therefore, that the claims arose under federal law, giving

the district court original jurisdiction pursuant to 28 U.S.C. § 1331.

The district court, acting sua sponte, remanded the case to the Florida court.

The court determined that because the case had been pending in the state court for

over one year before removal, the time for removing the case to federal court had

1 The Employee Retirement Income Security Act of 1974 and as amended, 29 U.S.C. §§ 1001 et seq. 3 expired.2 The court then denied the Appellants’ motion to reconsider, stating that it

had no jurisdiction to reconsider the remand order under 28 U.S.C. § 1447(d)

because it had remanded the action due to “a defect in the removal process.” This

appeal followed.

II.

We first decide whether we have jurisdiction to review the district court’s

order. Section 1447(d) of Title 28 provides that: “An order remanding a case to the

State court from which it was removed is not reviewable on appeal or otherwise . . .

.” 28 U.S.C. § 1447(d). Section 1447(c) authorizes remand for a procedural defect

in the removal process. In relevant part, it provides:

2 The removal procedure statute provides:

The notice of removal of a civil action or proceeding shall be filed within thirty days after the receipt by the defendant, through service or otherwise, of a copy of the initial pleading . . . .

If the case stated by the initial pleading is not removable, a notice of removal may be filed within thirty days after receipt by the defendant, through service or otherwise, of a copy of an amended pleading . . . from which it may first be ascertained that the case is one which is or has become removable . . . .

28 U.S.C. § 1446(b). 4 A motion to remand the case on the basis of any defect other than lack of subject matter jurisdiction must be made within 30 days after the filing of the notice of removal . . . . If at any time before final judgment it appears that the district court lacks subject matter jurisdiction, the case shall be remanded.

28 U.S.C. § 1447(c).

The Supreme Court has held that sections 1447 (c) and (d) must be

construed together. See Thermtron Prods., Inc. v. Hermansdorfer, 423 U.S. 336,

345-46 (1976), abrogated on other grounds in Quackenbush v. Allstate Ins. Co.,

517 U.S. 706 (1996). “This means that only remand orders issued under § 1447(c)

and invoking the grounds specified therein that removal was improvident and

without jurisdiction are immune from review under § 1447(d).” Id. at 346. We

have interpreted the statutory language to mean that:

[A] remand order is reviewable if and only if it is openly based on grounds other than (1) lack of district court subject matter jurisdiction; or (2) a motion to remand the case filed within 30 days of the notice of removal which is based upon a defect in the removal procedure.

In re: Bethesda Mem’l Hosp., Inc., 123 F.3d 1407, 1409 (11th Cir. 1997)

(emphasis added).

In the instant case, the district court sua sponte remanded the case to the

state court within thirty days of removal because of a procedural defect. Although

the statutory language makes it clear that we would not have jurisdiction to review

the remand order if the plaintiffs had made a motion to remand the case, it is

5 unclear whether 28 U.S.C. § 1447(d) precludes our review where the court orders a

remand sua sponte.

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Related

Thermtron Products, Inc. v. Hermansdorfer
423 U.S. 336 (Supreme Court, 1976)
Quackenbush v. Allstate Insurance
517 U.S. 706 (Supreme Court, 1996)
In Re Allstate Insurance Company
8 F.3d 219 (Fifth Circuit, 1993)
In the Matter of Continental Casualty Company
29 F.3d 292 (Seventh Circuit, 1994)
In Re: BETHESDA MEMORIAL HOSPITAL, INC., Petitioner
123 F.3d 1407 (Eleventh Circuit, 1997)
In re First National Bank of Boston
102 F.3d 1577 (Eleventh Circuit, 1996)

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254 F.3d 1317, Counsel Stack Legal Research, https://law.counselstack.com/opinion/whole-health-chiropratic-v-humana-medical-plan-ca11-2001.