Cappeli v. Liberty Mutual Group et al
Filing
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ORDER granting 7 Motion to Remand. by Judge R. Brooke Jackson on 3/18/16.(jdyne, )
IN THE UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF COLORADO
Judge R. Brooke Jackson
Civil Action No 16-cv-00012-RBJ
LISA CAPPELI,
Plaintiff,
v.
LIBERTY MUTUAL GROUP,
LIBERTY MUTUAL INSURANCE CO., and
LIBERTY MUT. FIRE INS. CO.,
Defendants.
ORDER
Plaintiff moves to remand this case to the Denver District Court. ECF No. 7. The motion
has been fully briefed, and neither party has requested oral argument. The motion to remand is
granted.
In her Complaint Ms. Cappeli alleges that on April 7, 2010, while in the course and scope
of her employment as a stage hand with Rhino Staging and Events Product, she fell from stage
scaffolding and sustained multiple injuries including a comminuted tibial plateau fracture and
spinal injuries. She was covered under a workers’ compensation policy issued by the Liberty
Mutual Fire Insurance Co. Liberty Mutual admitted liability, albeit claiming a 50% wage loss
benefits due to an alleged safety rule violation, provided benefits in relation to the initial
surgeries and other medical care rendered by orthopedic surgeons and therapists.
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According to Ms. Cappeli, the problems began in September 2010 when Liberty Mutual
declined to approve her orthopedic surgeon’s referral to a physical medicine specialist. A
hearing before an Administrative Law Judge in April 2011 resulted in a decision in Ms.
Cappeli’s favor. However, she claims that her problems with Liberty Mutual continued for
several years, causing her to be without necessary medical care until January 2015 and without
wage loss benefits to which she was entitled through the present time. I will discuss plaintiff’s
specific allegations about her plight between September 2010 and the present in more detail later
in this order.
On September 3, 2015 Ms. Cappeli filed her Complaint in the present action in the
Denver District Court. ECF No. 5. She asserts one claim for relief based on breach of the
covenant of good faith and fair dealing implied in the insurance contract – recognized as a tort
under Colorado law. She seeks economic and non-economic damages plus interest, costs and
attorney’s fees but does not identify any dollar amount of losses or any dollar amount of
damages requested. Her Civil Cover Sheet filed with her state-court complaint, however, does
indicate that she is seeking a monetary recovery in excess of $100,000. ECF No. 2-1 at 2.
Liberty Mutual was served on October 30, 2015 and filed an answer on November 25,
2015. On January 5, 2016 Liberty Mutual removed the case to this Court pursuant to 28 U.S.C.
§§ 1332, 1441 and 1446. ECF No. 1. Plaintiff now argues that the case should be remanded
because it was not removable under 28 U.S.C. § 1445(c), and, in any event, the removal was
untimely.
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CONCLUSIONS
A. Removability.
“A civil action in any State court arising under the workmen’s compensation laws of such
State may not be removed to any district court of the United States.” 28 U.S.C. § 1445(c). The
parties dispute whether the present action arises under the Colorado’s Worker’s Compensation
Act, C.R.S. § 8-40-101 et seq. Although the case concerns an insurer’s alleged failure to provide
benefits to which plaintiff believes she was entitled pursuant to her workers’ compensation
claim, she asserts a common law tort claim, not an action codified in the Workers’ Compensation
Act. As such, 28 U.S.C. § 1445(c) arguably does not apply. See Rundle v. Frontier-Kemper
Constructors, Inc., 170 F. Supp. 2d 1075, 1079 (D. Colo. 2001) (a judicially-created claim that
an employee was wrongfully terminated in violation of public policy because he had received
workers’ compensation benefits did not arise under Colorado’s worker’s compensation laws).
However, I need not decide that issue, because I conclude that the notice of removal was
untimely.
B. Timeliness of Removal.
Defendants were served on October 30, 2015. They filed their Notice of Removal on
January 5, 2016. Plaintiff argues that the removal was untimely, citing 28 U.S.C. § 1446(b)(1)
which provides that “The notice of removal of a civil action or proceeding shall be filed within
30 days after receipt by the defendant, through service or otherwise, of a copy of the initial
pleading setting forth the claim for relief upon which such action or proceeding is based.”
Liberty Mutual responds that it initially could not remove the case on diversity of
citizenship because the Complaint did not indicate the amount of damages claimed. Only when
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plaintiff’s Initial Rule 26 Disclosures served on January 4, 2016, in which plaintiff estimates that
her damages exceed $500,000, was there “proof” that the matter in controversy met the
jurisdictional minimum. Accordingly, they argue, its notice of removal filed the following day
was timely under 28 U.S.C. § 1446 (b)(3) and (c)(3)(A). Id. at 5-6.
The two provisions on which defendants rely provide as follows:
(b)(3). Except as provided in subsection (c), if the case stated by the initial
pleading is not removable, a notice of removal may be filed within 30 days after
receipt by the defendant, through service or otherwise, of a copy of an amended
pleading, motion, order or other paper from which it may first be ascertained that
the case is one which is or has become removable.
(c)(3)(A). If the case stated by the initial pleading is not removable solely
because the amount in controversy does not exceed the amount specified in
section 1332(a), information relating to the amount in controversy in the record
of the state proceeding, or in responses to discovery, shall be treated as an “other
paper” under subsection (b)(3).
Id. (emphasis added).
Oddly, neither the motion to remand nor the response nor the reply mentions the Civil
Cover Sheet. Under Rule 16.1(b)(3) of the Colorado Rules of Civil Procedure, “Each pleading
containing an initial claim for relief in a civil action . . . shall be accompanied by a completed
Civil Cover Sheet in the form and content of Appendix to Chapter 1 to 17, Form 1.2 (JDF 601 at
the time of filing.” The form states that “[t]his cover sheet shall be filed with each pleading
containing an initial claim for relief . . . and shall be served on all parties along with the
pleading.” Id., Form 1-2. Plaintiff’s Civil Cover Sheet in this case was filed by Liberty Mutual
as part of its filing of the state court record when it removed the case. ECF No. 2-1 at 2.
C.R.C.P 16.1 limits a plaintiff’s recovery to a maximum of $100,000. Indeed, Rule
16l.1(c) provides that if a jury were to award more than $100,000 in a Rule 16.1 case, the court
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must reduce the verdict to $100,000. In exchange, Rule 16.1 provides for simplified procedures
in these smaller cases. The Rule was enacted to promote speedier and less expensive resolution
of such cases and thereby maximize access to the district courts in civil litigation. See Rule
16.1(a)(1). To that end, plaintiffs must designate whether they seeks a monetary judgment over
$100,000 (and thus exclusion from Rule 16.1) by checking the appropriate box on the prescribed
form.
In the present case plaintiff checked the box on her Civil Cover Sheet indicating that she
seeks a monetary judgment exceeding $100,000. ECF No. 2-1 at 2. Arguably, the Civil Cover
Sheet is an “other paper” from which it was ascertainable by Liberty Mutual that the
jurisdictional amount necessary for removal was met. Presuming that plaintiffs’ Civil Cover
Sheet was served with her Complaint, as the form itself requires, then defendants had it more
than 30 days before they filed their notice of removal.
There have been a number of reported decisions by judges in this district that have
considered the effect of checking the “over $100,000” box as it relates to the jurisdictional
amount requirement for removal on grounds of diversity of citizenship. Some cases have
concluded that the Civil Cover Sheet is sufficient to satisfy the requirement. See, e.g.,
Henderson v. Target Stores, Inc., 431 F. Supp. 2d 1143, 1144-45 (D. Colo. 2006); Janice W.
McGrew Living Revocable Trust v. Anadarko Land Corp., No 96-cv-842-MEH-BNB, 2006 WL
2038168, at *1 (D. Colo. July 19, 2006). Henderson is similar to the present case in that the
defendant’s receipt of the Civil Cover Sheet was deemed sufficient notice to have triggered the
30-day removal period, resulting in an untimely removal and a remand order. Other cases have
concluded the Civil Cover sheet is not sufficient insufficient to satisfy the jurisdictional amount
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requirement, noting, for example, that it is not a pleading subject to Rule 11; that it was created
for a different purpose; or that it is too imprecise to demonstrate the amount in controversy for
federal jurisdiction purposes. See, e.g., Phillips v. Lincare Inc., No. 13-cv-1746-LTB-BNB,
2013 WL 6689361, at *3 (D. Colo. Dec. 19, 2013); Livingston v. American Family Mut. Ins. Co.,
No. 07-cv-1896-JLK-WJW, 2007 WL 2601207, at *1-2 (Sept. 10, 2007).
In my view, the Civil Cover Sheet should be viewed as some evidence relevant to the
jurisdiction amount issue but not as dispositive evidence. Under Rule 8(a) of the Colorado Rules
of Civil Procedure, “No dollar amount shall be stated in the prayer or demand for relief.” 1 But
the Civil Cover Sheet permits, indeed requires, the plaintiff to categorize the relief sought as
either being more or less than $100,000. I see no reason to ignore it.
On the other hand, I have seen cases in which the “more than $100,000” box has been
checked where, at least in my view, there was no way that the case would generate that level of
recovery. After all, the plaintiff does not have to support the check in the box with factual
allegations that plausibly support it. The box might be checked (inappropriately) for reasons not
reflective of the true value of the case, such as if the plaintiff does not want the simplified
procedures to be applied, or the plaintiff does not want to reveal his expectations to the opposing
party, or the plaintiff does not want to take a chance that a jury might unexpectedly award more
than $100,000, or the plaintiff simply has failed to value the case realistically. Federal courts are
courts of limited jurisdiction, and they have an independent obligation to assure themselves that
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Plaintiffs are not precluded from including allegations concerning the dollar amount of economic losses
they have sustained in the body of the complaint. If they do, the defendant can rely on those allegations,
in whole or in part, to attempt to satisfy the jurisdictional amount requirement for removal on diversity of
citizenship grounds. See, e.g., Shylayeva-Kuchar v. Liberty Mut. Fire Ins. Co., No. 06-cv-1417-EWNBNB, 2006 WL 2942939, at *3 (D. Colo. Oct. 13, 2006). Plaintiff did not include specific economic loss
numbers in her Complaint in the present case.
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federal jurisdiction exists. See, e.g., Lovell v. State Farm Mut. Auto. Ins. Co., 466 F.3d 893, 897
(10th Cir. 2006).
In short, while a bright line test might be easier of application, in my view the
jurisdictional amount cannot be met solely based on the plaintiff’s having checked the “over
$100,000” box. Rather, the court should consider the complaint and the Civil Cover Sheet and
make a finding as to whether the matter in controversy exceeds the sum or value of $75,000. A
number of cases in this district appear to subscribe to that view. See Lentz v. Amica Mut. Ins.
Co., No. 12-cv-2537-PAB-MEH, 2013 WL 4510316, at *3 (D. Colo. Aug. 26, 2013); Baker v.
Sears Holding Corp., 557 F. Supp. 2d 1208, 1213-16 (D. Colo. 2007); Bishelli v. State Farm
Mut. Auto. Ins. Co., No. 07-cv-385-WJD-MEH, 2007 WL 1455852, at *3 (D. Colo. May 15,
2007) (Daniel, J). See also Warner v. CitiMortgage, Inc., 533 F. App’x 813, 816 (10th Cir.
2013) (unpublished).
In the present case, plaintiff’s counsel checked the box in the Civil Cover Sheet
indicating that plaintiff is seeking a monetary judgment exceeding $100,000. In addition, the
plaintiff alleges, among other things, that (1) she went without treatment by a doctor to whom
she was referred by her orthopedic surgeon for nearly eight months (September 2010 to May
2011), starting such treatment only after hiring a lawyer and going through an administrative
hearing which concluded in her favor; (2) after she began treating with the referred doctor, many
of his treatment recommendations were denied or delayed by Liberty Mutual; (3) meanwhile,
plaintiff was coping with chronic pain; (4) in July 2012 plaintiff underwent an Independent
Medical Examination at Liberty Mutual’s request; the IME doctor found that plaintiff was not at
maximum medical improvement and provided treatment recommendations; (5) in November
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2012 Liberty Mutual filed a “Final Admission of Liability” terminating wage loss benefits and
claiming an overpayment of such benefits, even though (and contrary to the Workers’
Compensation Act) plaintiff still had not been determined to have reached maximum medical
improvement and had not been released to regular employment or modified duty; (6) despite
receiving a letter from the Division of Workers Compensation in December 2012 regarding the
absence of a determination of maximum medical improvement, in January 2013 Liberty Mutual
filed another “Final Admission of Liability terminating wage loss benefits and claiming
overpayment; (7) the Diversion of Workers Compensation sent another letter, but in February
2013 Liberty Mutual filed a third “Final Admission of Liability” terminating wage loss benefits
and claiming overpayment; (8) Liberty Mutual filed a fourth “Final Admission of Liability” in
March 2013, once again terminating wage loss benefits and claiming an overpayment despite no
report of maximum medical improvement; (9) in February 2014 plaintiff underwent a second
IME at Liberty Mutual’s request with a different doctor than the doctor who performed the first
IME in July 2012; the second IME doctor also concluded that plaintiff was not at maximum
medical improvement and needed medical care; (10) nevertheless, Liberty Mutual continued its
refusal to reinstate medical or wage loss benefits; (11) plaintiff went without needed medical
care for her injuries from September 2013 until January 2015; (12) plaintiff was without wage
loss benefits from November 2012 through the present time; (13) plaintiff through counsel
initiated litigation with the Office of Administrative Courts to secure denied benefits, resulting in
another administrative hearing in August 2014; the ALJ’s order issued on October 27, 2014
found that plaintiff was not at maximum medical improvement, ordered a general award of
medical benefits, and voided Liberty Mutual’s four “Final Admission[s] of Liability;” (14) a new
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doctor took over plaintiff’s care in January 2015, but his treatment recommendations were not
authorized by Liberty Mutual; (15) meanwhile Liberty Mutual appealed the ALJ’s decision, but
the appeal was dismissed by the Industrial Claims Appeals Commission in April 2015 for lack of
an appealable order; and (16) Liberty Mutual nevertheless has persisted in its denial of medical
care, and it has refused to reinstate wage loss benefits, forcing plaintiff once again to seek relief
through the administrative process. ECF No 5 at ¶¶16-47.
These are allegations, and this Court makes no comment on their ultimate merits.
However, “[a] complaint that presents a combination of facts and theories of recovery that may
support a claim in excess of $75,000 can support removal.” McPhail v. Deere & Co., 529 F.3d
947, 955 (10th Cir. 2013). If plaintiff’s allegations or even some of them are proven, the
potential monetary judgment could well exceed $75,000. The Court finds that this collection of
allegations, certainly when taken in conjunction with the Civil Cover Sheet, put Liberty Mutual
on notice when it was served that the matter in controversy exceeds the sum or value of $75,000.
Because more than 30 days passed before the Notice of Removal was filed, the Notice was
untimely. Therefore, any right to remove the case to federal court was lost.
ORDER
For the foregoing reasons, plaintiff’s motion to remand, ECF No. 7, is GRANTED, and
the case is remanded to the Denver District Court for further proceedings.
DATED this 18th day of March, 2016.
BY THE COURT:
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___________________________________
R. Brooke Jackson
United States District Judge
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