Centura Health Corporation et al v. Agnew et al
Filing
45
ORDER granting 27 Motion to Remand to State Court by Judge R. Brooke Jackson on 7/18/18. (jdyne, )
Case 1:18-cv-00569-RBJ Document 45 Filed 07/18/18 USDC Colorado Page 1 of 16
IN THE UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF COLORADO
Judge R. Brooke Jackson
Civil Action No. 18-cv-00569-RBJ
CENTURA HEALTH CORPORATION,
PORTERCARE ADVENTIST HEALTH SYSTEM, d/b/a Littleton Adventist Hospital,
Plaintiffs,
v.
DEBRA A. AGNEW,
MYR GROUP, INC.,
MYR GROUP HEALTH PLAN,
ELAP SERVICES, LLC, and
PROFESSIONAL BENEFIT ADMINSTRATORS, INC.,
Defendants.
ORDER ON MOTION TO REMAND
This case was originally filed in the Arapahoe County District Court (Case No.
2017CV31173). Defendants MYR Group, Inc., MYR Group Health Plan, and ELAP Services,
LLP removed the case to this Court based on federal question jurisdiction. ECF No. 3 at 3.
Defendants argue that plaintiffs’ state law claims are preempted by the Employee Retirement
Income Security Act of 1974 (“ERISA”), 29 U.S.C. § 1001, et seq. Id. The case is before the
Court on plaintiffs Centura Health Corporation’s and Portercare Adventist Health System’s
(collectively, the “Hospital”) motion to remand. ECF No. 27. For the reasons stated herein, the
motion is GRANTED.
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I. BACKGROUND
This case stems from a dispute over a patient’s obligation to pay a medical bill. The
patient, Debra Agnew, underwent a “bladder sling” surgery at the Littleton Adventist Hospital in
2012. ECF No. 3 at 5. Before undergoing surgery Ms. Agnew signed a “patient-hospital
contract” in which she acknowledged full financial responsibility for, and agreed to pay, all of
the charges from the Hospital that were not otherwise paid by her health insurance or other
payor. Id. at 8. The hospital charged Ms. Agnew $21,166.70 for the surgery. Id. at 12. The
Hospital determined this amount based on its “Chargemaster,” a comprehensive listing of the
hospital’s prices for all of its billable services and supplies. Id. Ms. Agnew’s insurance plan
paid part of the bill, leaving an outstanding balance of $15,987.80. Id.
Ms. Agnew is insured by defendant MYR Group Health Plan (“the Plan”), which is an
ERISA Group Welfare Plan. ECF No. 1-6 at 2. The Plan is established and maintained by Ms.
Agnew’s husband’s employer, which is a subsidiary company of defendant MYR Group. Id.
Defendant Professional Benefit Administrators Incorporation (“PBA”) is a third-party
administrator for the Plan. Id. at 3. Defendant ELAP is a named fiduciary to the Plan and serves
as its designated decision maker. Id.
The Hospital asserts that ELAP “caused Ms. Agnew and many other patients not to pay
the full amount of their hospital bills” despite the patients’ being contractually obligated to pay
those amounts. ECF No. 3 at 4. After Ms. Agnew failed to pay the outstanding balance on her
bill, the Hospital alleges that ELAP “caused Ms. Agnew to file” a suit in Arapahoe District Court
against the Hospital to avoid paying her outstanding bill. Id. The parties entered mediation and
the case was dismissed without prejudice. Id. at 14. However, after Ms. Agnew continued
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refusing to pay her outstanding bill, the Hospital filed the present lawsuit in Arapahoe County
District Court. Id.
In its initial complaint, the Hospital sued only Ms. Agnew. However, the Hospital added
ELAP, MYR, the Plan, and PBA as defendants when it filed the First Amended Complaint on
January 31, 2018. ECF No. 3. In this operative complaint, the Hospital raises two claims against
Ms. Agnew alone: (1) breach of contract and (2) claim on account stated. Id. at 17–18. The
Hospital’s third claim for declaratory judgment applies to all defendants. Id. at 14.
After the Hospital filed its suit, defendants agreed to pay the full amount claimed under
the patient-hospital contract, including the outstanding balance, prejudgment interest, and
reasonable attorneys’ fees and costs. Id. Nonetheless, the Hospital maintains that ELAP, PBA,
MYR, and the Plan continue to (1) cause other patients with identical contracts to refuse to pay
the amounts due; (2) assert that they are entitled to unilaterally dictate what is due under
substantially identical contracts; (3) assert that contracts like Ms. Agnew’s are invalid and
unenforceable; and (4) force the Hospital to litigate the validity of its contracts while ultimately
agreeing to pay the full amount due to avoid binding judicial determinations. Id. at 15.
As a result, the Hospital seeks a declaratory judgment against all defendants construing
the validity of the patient-hospital contract and declaring that (1) the contracts incorporate
Chargemaster rates; (2) a patient’s promise to pay all charges refers to the hospital’s prices as set
forth in its Chargemaster; (3) the phrase, “all charges of the hospital” refers to the Chargemaster,
not to an open or undefined term; and (4) the terms of Ms. Agnew’s patient-hospital contract and
all other substantially identical contracts require the patient to pay all charges not otherwise paid
by health insurance or other payor. Id. at 15–17 (citing C.R.S. § 13-51-101, et seq.).
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Defendants MYR, ELAP, and the Plan filed their Notice of Removal on March 9, 2018.
ECF No. 1 at 1; ECF No. 1-5 at 2. In their Notice of Removal these defendants invoked federal
question jurisdiction because “Plaintiffs’ claims are completely preempted by the Employee
Retirement Income Security Act of 1974 (‘ERISA’), 29 U.S.C. §§ 1001, et seq.” ECF No. 1 at 3.
Defendants Agnew and PBA did not join in the Notice, nor did they file a consent to the
removal. The Hospital responded with the pending motion to remand on April 9, 2018. ECF
No. 27. The Hospital contends that defendants’ Notice of Removal is procedurally defective
because not all defendants consented to removal, and that the Court should remand because it
does not have removal jurisdiction. Id. On April 26, 2018, the same day that defendants
responded in opposition to the motion to remand, Ms. Agnew and PBA filed their consent to
removing the case to federal court. ECF No. 33. at 6–7.
II. STANDARD OF REVIEW
A civil action filed in a state court may be removed to federal court if the dispute
“aris[es] under” federal law. See 28 U.S.C. §§ 1331, 1441(a). “Federal courts are courts of
limited jurisdiction and, as such, must have a statutory basis to exercise jurisdiction.” Montoya
v. Chao, 296 F.3d 952, 955 (10th Cir. 2002). “[R]emoval statutes[] are to be narrowly construed
in light of our constitutional role as limited tribunals.” Pritchett v. Office Depot, Inc., 420 F.3d
1090, 1095 (10th Cir. 2005). The removing party bears the burden of establishing federal
jurisdiction. Martin v. Franklin Capital Corp., 251 F.3d 1284, 1290 (10th Cir. 2001).
III. ANALYSIS
The Hospital raises both a procedural and a substantive reason the case should be
remanded to state court pursuant to 28 U.S.C. § 1447(c). It contends that (a) defendants did not
unanimously consent to removal and (b) removal jurisdiction does not exist. ECF No. 27 at 1.
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The Hospital also seeks attorneys’ fees and costs on the grounds that there was not an objectively
reasonable basis for removal. Id.
A. Lack of Unanimous Consent to Removal.
28 U.S.C. § 1446 outlines the procedure for removing a civil action from state to federal
court. In key part, this section provides that a “defendant or defendants desiring to remove any
civil action from a State court” shall file notice of removal “within 30 days after the receipt by
the defendant, through service or otherwise, of a copy of the initial pleading.” 28 U.S.C. §
1446(a)–(b)(1). Additionally, “[w]hen a civil action is removed solely under section 1441(a), all
defendants who have been properly joined and served must join in or consent to the removal of
the action.”1 Id. at § 1446(b)(2)(A). “Each defendant shall have 30 days after receipt by or
service on that defendant of the initial pleading or summons . . . to file the notice of removal.”
Id. at § 1446(b)(2)(B). Finally, “[i]f defendants are served at different times, and a later-served
defendant files a notice of removal, any earlier-served defendant may consent to the removal
even though that earlier-served defendant did not previously initiate or consent to removal.” Id.
at § 1446(b)(2)(C).
A removal that does not comply with the express statutory requirements for removal
“‘can fairly be said to render the removal ‘defective’ and justify a remand.’” Huffman v. Saul
Holdings Ltd. P’ship, 194 F.3d 1072, 1077 (10th Cir. 1999) (quoting Snapper, Inc. v. Redan, 171
F.3d 1249, 1253 (11th Cir. 1999)). Because removal is entirely a statutory right, the relevant
procedures must be followed. Cohen v. Hoard, 696 F.Supp. 564, 565 (D.Kan.1988). “The
failure of all defendants to consent to removal will result in remand.” Padilla v. Am. Modern
Home Ins. Co., 282 F. Supp. 3d 1234, 1254–55 (D.N.M. 2017).
1
28 U.S.C. § 1441(a) provides that “any civil action brought in a State court of which the district courts
of the United States have original jurisdiction, may be removed by the defendant or the defendants” to the
United States district court.
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In this case the Hospital first filed its state complaint only against defendant Ms. Agnew.
The Hospital then filed an amended complaint on January 31, 2018 in which it added MYR, the
Plan, ELAP, and PBA as defendants. ECF No. 3 at 2. MYR and PBA were served the amended
complaint on February 7, 2018, and ELAP was served on February 8, 2018.2 ECF No. 34-1 at 2;
ECF No. 34-2 at 2; ECF No. 34-3 at 2. Defendants MYR, the Plan, and ELAP filed their Notice
of Removal on March 9, 2018. ECF No. 1 at 1; ECF No. 1-5 at 2. In their Notice of Removal
they contended that the case was based upon federal question jurisdiction because “Plaintiffs’
claims are completely preempted by the Employee Retirement Income Security Act of 1974
(‘ERISA’), 29 U.S.C. §§ 1001, et seq.” ECF No. 1 at 3. Defendants Agnew and PBA did not
join in the Notice, nor did they file a consent to the removal.
The Hospital argues that the failure of the defendants to unanimously consent to the
removal of this case merits remand. Defendants, however, argue that they cured this defect by
filing a notice of consent for the two missing defendants concurrent with their response to the
motion to remand on April 26, 2018. ECF No. 33 at 7. However, I do not agree that this filing
remedied the procedural error.
Defendants point out that the statute does not provide a date by which all defendants
“must join in or consent to the removal of the action.” Id. (citing 28 U.S.C. § 1446(b)(2)(A)). In
contrast, they note that the statute provides a clear deadline to file a notice of removal of thirty
days after being served with the complaint. Id. (citing 28 U.S.C. § 1446(b)(2)(B)). Defendants
point to this difference in the statutory sections as evidence that Congress did not intend to create
a deadline in which all parties must join in or consent to the removal of an action. Id. Thus, in
2
The Plan was not served, but it executed a waiver of service on March 2, 2018. ECF No. 1 at 1 n.1;
ECF No. 1-4 at 2.
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their case, they urge the Court to find that the notice of consent filed on April 26, 2018 is
sufficient, and should not be deemed untimely. Id. at 6–7.
It is true that a federal court’s discretion to retain an action when there are procedural
defects in the notice of removal is a matter of unsettled law. Day Imaging, Inc. v. Color Labs
Enters., L.L.C., No. 09-cv-02123-DME-MEH, 2009 WL 4884274, at *2 (D. Colo. Dec. 11,
2009). In particular, “whether remand is required because of a defect in obtaining consent that is
cured only after the removal period has expired is not entirely certain.” Id. However, courts
have observed that to give any meaning to the procedural requirement that all defendants consent
to or join a notice to remove, such consent or joinder must at the very least be filed before the
plaintiff moves to remand.
In Padilla, 282 F. Supp. 3d at 1239, for example, the federal District Court for the
District of New Mexico found that “while all defendants must join in or consent to removal, they
need not do so within thirty days after they receive a copy of the initial pleading.” In Padilla
several defendants were served with state complaints. Id. at 1240. One of the defendants
removed the case to federal court, and two co-defendants consented to the removal
contemporaneously. Id. The remaining defendant, however, failed to consent concurrent with
the notice of removal, but it did so 37 days after it had been served with the complaint. Id. at
1241. The court concluded that this consent to removal was not procedurally defective since
there is no statutory requirement that consent be filed within a given timeframe. Id. at 1265.
However, the Padilla court’s finding does not give defendants carte blanche to file their
consent to removal at any time. Instead, the court observed that “defendants face a de facto time
limit for consent to removal” because a motion to remand a case must be made within thirty days
after the notice of removal is filed. Id. at 1265. Thus, “[d]efendants must either assert that they
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do not consent to removal within those thirty days or they are treated as if they had consented
insofar as their lack of consent can no longer cause a court to remand the case.” Id. This
language should not be read to imply that courts will treat defendants who fail to join or consent
to removal “as if they had consented” in general, but instead this rule applies in the more limited
context where the plaintiff fails to file a motion to remand within the thirty day deadline.
Because plaintiffs bear the burden of remanding for procedural violations, they may waive
defendants’ noncompliance with procedures by failing to timely remand.
In this case the Hospital did not waive defendants’ noncompliance with procedure.
Instead, the Hospital properly noted that the defendants had failed to obtain unanimous consent
to the removal of the case, and as such the Hospital seeks remand. ECF No. 27. If the
procedural requirement to obtain consent from all defendants is to have any meaning, it must be
the case that if all defendants have failed to consent to removal by the time a motion to remand is
filed, the removal “‘can fairly be said to render the removal ‘defective’ and justify a remand.’”
Huffman, 194 F.3d at 1077 (internal citation omitted).
Moreover, even assuming there is flexibility in the time period within which defendants
may consent to the removal of the case to federal court, this case far exceeds any such reasonable
time period. In Glover v. W.R. Grace & Co., Inc., 773 F. Supp. 964, 965 (E.D. Tex. 1991), for
example, one of the defendants filed its consent to remove 34 days after it had been served, or
just four days after the thirty-day period to remove a case. Id. The court observed that “[t]he
thirty day time limit for removal, however, is a formal requirement that may be waived, it is not
a jurisdictional barrier.” Id. (citing Powers v. Chesapeake & O. Ry., 169 U.S. 92, 99 (1898)).
The court “decline[d] to elevate form over function,” and thus denied the plaintiffs’ motion to
remand. Id. This is not such a case. Instead, as noted, Ms. Agnew and PBA filed their consent
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to remove on April 26, 2018, which is nearly three months after the First Amended Complaint
was filed, nearly two months after the initial notice of removal was filed by the other defendants
on March 9, and three weeks after the motion to remand was filed. ECF Nos. 3, 27. No
explanation is provided for this delay. To waive this error as merely a de minimis procedural
violation would render meaningless the requirement that all defendants consent to removal.
Thus, I find that though there might not be a definitive statutory deadline within which
defendants must obtain unanimous consent to remove a case, the de facto deadline must be
sometime before the end of the thirty day period in which plaintiffs may seek to remand the case.
Because defendants far exceeded that deadline in this case, their error was more than de minimis
and may not be excused. This error thus constitutes grounds for remand.
B. Removal Jurisdiction.
Although I am satisfied that defendants’ procedural error mandates remand, I will also
address the Hospital’s contention that the Court does not have removal jurisdiction, as this
contention is relevant for the Hospital’s request for attorneys’ fees. ECF No. 27.
Typically a federal court has original jurisdiction to hear a dispute only if a question of
federal law appears on the face of the well-pleaded complaint. See Louisville & Nashville R.R. v.
Mottley, 211 U.S. 149, 152 (1908). Thus, a defense based on the preemptive effect of a federal
law usually will not provide a basis for removal. See id. There is, however, a corollary to the
well-pleaded complaint rule: the complete preemption doctrine. Under this doctrine, “if a federal
cause of action completely preempts a state cause of action any complaint that comes within the
scope of the federal cause of action necessarily ‘arises under’ federal law.” Franchise Tax Bd. v.
Constr. Laborers Vacation Trust, 463 U.S. 1, 24 (1983).
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Defendants contend in defense of their removing the case to federal court that the
Hospital’s claims are completely preempted by ERISA, and that as a result the Court has
removal jurisdiction. ECF No. 33 at 8. The Hospital counters that because its declaratory
judgment claim is not subject to complete ERISA preemption, removal jurisdiction does not
exist, and the case must be remanded to state court. ECF No. 27 at 7.
The United States Supreme Court has articulated the following test for determining
ERISA complete preemption:
Where the individual is entitled to coverage only because of the terms of an
ERISA-regulated employee benefit plan, and where no legal duty (state or
federal) independent of ERISA or the plan terms is violated, then the suit falls
within the scope of ERISA § 502(a)(1)(B). In other words, if an individual, at
some point in time, could have brought his claim under ERISA § 502(a)(1)(B),
and where there is no other independent legal duty that is implicated by a
defendant's actions, then the individual cause of action is completely pre-empted
by ERISA § 502(a)(1)(B).
Aetna Health Inc. v. Davila, 542 U.S. 200, 210 (2004) (internal citations omitted).
Thus, to decide whether a plaintiff’s claim is completely preempted, courts must
determine (1) whether the plaintiff could have brought its claim under § 502(a)(1)(B), and (2)
whether no other legal duty supports the plaintiff’s claims. Vetanze v. NFL Players Ins. Plan,
No. 11-cv-2734-RBJ-KLM, 2011 WL 6813182, at *2 (D. Colo. Dec. 11, 2011). In this case, I
find that defendants have failed to establish that the Hospital could have brought its claim under
§ 502(a)(1)(B).
Section 502(a)(1)(B) provides that a civil action may be brought by a participant or
beneficiary “to recover benefits due to him under the terms of his plan, to enforce his rights
under the terms of the plan, or to clarify his rights to future benefits under the terms of the plan.”
29 U.S.C. § 1132 (a). To show that the Hospital could have brought its claim under this section
of ERISA, defendants must show that (1) the Hospital is a plan participant or beneficiary or
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otherwise has standing to sue and (2) the Hospital is seeking relief available under §
502(a)(1)(B). See Vetanze, 2011 WL 6813182, at *2 (citing Memorial Health Sys. v. Aetna
Health, 730 F. Supp. 2d 1289, 1294 (D. Colo. 2010)); see also In re Managed Care Litig. v.
Aetna Health, Inc., No. 00-1334-MD, 2009 WL 855967, at *4 (S.D.Fla. March 30, 2009). While
the defendants have made a sufficient showing under the first prong that the Hospital has
standing to sue, they have failed to establish pursuant to the second prong that the Hospital is
seeking relief available under this section.
1. The Hospital Has Standing To Sue.
First, the parties agree that the Hospital is not a plan participant or beneficiary. The Plan
defines a “participant” as an employee or former employee who is eligible to receive benefits
from an employee benefit plan. ECF No. 27 at 9–10. A “beneficiary” is a person designated by
a participant to receive benefits under a plan. Id. “Health care providers generally are not
considered to be beneficiaries or participants, and therefore they lack standing to bring a claim
under § 502(a)(1)(B).” Vetanze, 2011 WL 6813182, at *2. “However, a health care provider
may acquire standing to sue by obtaining assignments of participants’ or beneficiaries’ rights to
receive payments.” Id.
In this case, the Hospital’s patient-hospital contract with Ms. Agnew contains a provision
entitled “Assignment for Direct Payment.” See ECF No. 3 at 7. This provision, to be signed by
patients, states that “I authorize and direct payment of any insurance or healthcare benefits
otherwise payable to me for health care services of goods be made directly to the Hospital and
my physicians . . . I understand that I am financially responsible to the Hospital or my physicians
for charges not covered or paid pursuant to this authorization.” Id. As such, I will assume that
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this provision is a valid assignment of Ms. Agnew’s rights to receive payments such that
defendants have demonstrated that the Hospital has standing to sue under section 502.
The Hospital claims that it is not acting “as the assignee of Agnew.” See ECF No. 27 at
10. Nonetheless, this Court has previously found that even where a plaintiff chooses not to bring
his claim in his status as an assignee, that plaintiff had derivative standing given his “admitted
assignments for care and services.” Vetanze, 2011 WL 6813182, at *3. ERISA’s complete
preemption doctrine would be rendered ineffectual if a party’s choice not to bring claims under
ERISA despite its right to do so ended this inquiry. Id. Similarly in this case, the Hospital
cannot avoid its standing to sue as an assignee by the way it files its complaint. Thus, I am
satisfied that the Hospital has standing to sue as an assignee.
2. The Hospital Is Not Seeking Relief Available Under § 502(a)(1)(B).
Nonetheless, defendants have failed to satisfy the second prong of the Vetanze test by
establishing that the Hospital is seeking relief available under § 502(a)(1)(B). As noted, this
statutory section allows an action to be brought “to recover benefits due to [a participant or
beneficiary] under the terms of his plan, to enforce his rights under the terms of the plan, or to
clarify his rights to future benefits under the terms of the plan.” 29 U.S.C. § 1132 (a). The
Hospital’s request for relief in its first amended complaint does not seek any of the relief
available under 29 U.S.C. § 1132 (a).
The Hospital seeks a declaration that the prices it charges in its patient-hospital contracts
are based on the Chargemaster, and are not open price terms. ECF No. 3 at 17. Additionally, the
Hospital seeks a declaration that pursuant to its patient-hospital contracts, patients are required to
pay all the charges that are not otherwise paid by their health insurance. Id. From these
demands it is plain that the Hospital does not seek plan benefits in the form of “money from
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MYR, the Plan, ELAP or PBA.” ECF No. 27 at 10; cf Vetanze, 2011 WL 6813182, at *3 (the
plaintiff medical provider was seeking benefits under the terms of the Plan where he was seeking
“the reasonable value of services rendered to various insureds of the Defendant”). Here, the
Hospital does not seek payment from the defendants pursuant to the terms of the Plan.
Nevertheless, defendants argue that the Hospital’s requests for declaratory relief seek “to
clarify [patients’] rights to future benefits under the terms of the plan,” thereby fitting into the
type of action covered by section 502(a)(1)(B). ECF No. 33 at 10–11 (citing 29 U.S.C.
§1132(a)). I disagree. The Hospital’s request for declaratory relief does not attempt to clarify
the absolute or relative amount of hospital charges that will be covered by the Plan versus the
participant. If it did, the requested relief would clarify patients’ rights to future benefits, since
that information would explain how much patients could expect to have covered by the Plan.
Instead, the request for relief seeks only to reinforce that patients are obligated to pay whatever
remains of their bill after the Plan has paid its portion, regardless of what amount or percentage
that portion is. As such, this request for relief does not fall into section 502.
I am not persuaded by defendants’ citation of In re Managed Care Litigation v. Aetna
Health, Inc., No. 00-1334-MD, 2009 WL 855967, at *2 (S.D. Fla. March 30, 2009) in support of
their argument that the Hospital attempts to “clarify rights to future benefits under the terms of
the plan.” ECF No. 33 at 10–11. The defendants emphasize that “ERISA governs not only what
a Plan affirmatively pays for benefits but also a Plan’s determinations and related
communications regarding what a Plan member is obligated to pay under a Plan.” Id. at 11
(emphasis in original). In Managed Care, a medical provider sued two health insurers for
tortious interference with contract and negligent misrepresentations. 2009 WL 855967, at *2.
According to the Managed Care complaint, the insurers reimbursed the provider but then
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miscalculated and misinformed the insured patients about their remaining financial obligations.
Id. In particular, the defendants were alleged to have calculated the amounts patients owed “in
accordance with their own ‘reduced’ rates” rather than “based on the actual amount charged by
the provider.” Id. Although the provider contended that it was not challenging the defendants’
calculations of their financial obligations, but instead was merely seeking to enjoin defendants’
further misrepresentations that patients owed “anything less than the balance of the amount
charged,” the court concluded that the plaintiff’s claim was subject to complete preemption
under ERISA section 502. Id.
While Managed Care is similar to this case, it can be distinguished. The defendants in
this case have allegedly challenged the validity of the patient-hospital contracts and instructed
Ms. Agnew and other patients not to pay any of their remaining balance, rather than
misinforming them about the amount they owed based on defendants’ own calculations. ECF
No. 3 at 13–15; cf. Managed Care, 2009 WL 855967, at *7 (noting that “the enforcement
provision under Section 502(1) allows a beneficiary to seek clarification of whether the financial
obligation as calculated by the insurer is correct under the plan”). Thus, the alleged interference
by defendants in this case has little to do with the calculation of patients’ obligation under the
Plan, which is the flip-side of the calculation of the benefits to which they are entitled. Instead,
the alleged interference is related to misinforming the patients about their obligation to pay at all,
which arises from the patient-hospital contract rather than under the Plan. ECF No. 3 at 17.
From the Hospital’s perspective, it does not matter how the Plan calculates its portion of the bill
versus the patient’s portion of the bill—which calculation would be related to the patient’s
benefits or obligations under the Plan—so long as the total bill is covered by some combination
of the two.
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Thus, even assuming the Hospital is standing in Ms. Agnew’s shoes as an assignee, the
actual allegations and claim for relief in the complaint do not reveal any request for a calculation
of her financial obligation or the benefits she will receive, but merely a clarification that she
does, in fact, owe whatever remains after that obligation is calculated by her insurer. See
Vetanze, 2011 WL 6813182, at *1, *3 (although the plaintiff was suing as an assignee, the Court
assessed the nature of the “claims brought by plaintiff,” which were for “the reasonable value of
services rendered to various insureds”). Therefore, I find that the Hospital’s claims do not seek a
form of relief available under section 502(a)(1)(B). As a result, I need not reach the second
prong of the test. See Vetanze, 2011 WL 6813182, at *2 (assessing whether no other legal duty
supports the plaintiff’s claims). I am satisfied that the Court lacks removal jurisdiction because
Hospital’s claim is not completely preempted by ERISA. Remand is thus appropriate.
In addition to seeking remand, the Hospital also seeks its attorneys’ fees and costs
associated with the removal pursuant to 28 U.S.C. § 1447(c). ECF No. 27 at 12. This section
provides that “[a]n order remanding the case may require payment of just costs and any actual
expenses, including attorney fees, incurred as a result of the removal.” The United States
Supreme Court has noted that “the standard for awarding fees should turn on the reasonableness
of the removal. Absent unusual circumstances, courts may award attorney’s fees under §
1447(c) only where the removing party lacked an objectively reasonable basis for seeking
removal.” Martin v. Franklin Capital Corp., 546 U.S. 132, 141 (2005). Despite my finding that
this case should be remanded to state court, I do not find that defendants’ reasons for removing
the case were objectively unreasonable. “[T]here is no reason to suppose Congress meant to
confer a right to remove, while at the same time discouraging its exercise in all but obvious
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cases.” Id. at 140. As a result, I decline plaintiffs’ request for attorneys’ fees and costs
associated with the removal of the case.
ORDER
Because the defendants failed to obtain unanimous consent by all defendants to remove
the case, and because the Court does not have removal jurisdiction, the motion to remand is
GRANTED. Plaintiffs’ motion for attorneys’ fees and costs associated with the removal of the
case is DENIED.
DATED this 18th day of July, 2018.
BY THE COURT:
___________________________________
R. Brooke Jackson
United States District Judge
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