Carlos E. Wiegering, MD, P.A. v. Boston Scientific Corporation

Filing 26

ORDER granting 15 Motion to Dismiss. Signed by Judge Federico A. Moreno on 8/24/2015. (whl)

UNI
TED STATE S D I
STR I T C O U R T FO R TH E
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SO U TH ER N D I RI O F FLO R I
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Cas N um ber 1 ci 24508- O REN O
e
: 4- vM
CARLO S E.W I ERI G ,M . . P. .
EG
N
D, A,

Pl itf
an f i

BO STON SCI TI C CORPO RA TI ,
EN FI
ON

Dee d nt
fn a .

O RD ER G R A NTIN G M O T IO N T O D ISM I
SS

Thi i a a ton by a as oc a i of phys c a , Ca l E.W i rng,M . . P. . t
s s n ci
n s i ton
i i ns ros
ege i
D , A ,o
r cove f t unde pa e ofc a m s f m edi als r i st ti pr vi t D e e
e
r or he
r ym nt l i or
c e v ce ha t o ded o f ndantBos on
t

Scintfc Cor ai ' e pl s pur ua tt Boson Scintfc' e pl ye he t r pln.
e ii
por ton s m oyee
s n o
t
e ii s m o e alhca e a l
The e pl e who r c ved m e c ls vi esa s gne t i rght t W i ge i w ho no s e
m oye s
e ei
di a er c s i d he r i s o e r ng,
w e ks

t sa i t i pl e t r c
o t nd n her ac o e overt l ua ,c t a ysa r as
he û l usom r nd e onabl 'c r est ti bil t
us
e' ha g ha t led o
Boson Sc e i i
t
i ntfc.

W ige i alege t i pr ded $1 , i s r c t Boson Scintfc' e oye
e rng l s hat t ovi
48750 n e vies o t
e ii s mpl es
a t C ua, c t r a r as bl r t ,'f whih Boson Scintfc pad $31 1 7
t he t l usoma y, nd e ona e a e' or c
us
t
e ii i
, 05.4
ba ed on a i r t a y a c pr c ous'pa e m e hodol t cor e ponded t t a i abl
s
n s bir r nd a i i ' ym nt t
a
ogy hat r s
o he pplc e
f de alM edi r r t s W i ge i brngs c ai s f ER I vi a i ,br a h of c r t and
e r
ca e a e . e rng i
l m or
SA ol tons e c
ontac ,

u j s e rc me t orc v rtermann $1 76 4.6i s r ie p o ie .
nu t n ih n t e o e h e iig 1 ,4 2 n evc s r vd d
1w hie W i ge i di noti l t e pl yee he lhc r pl n i is Com pl i ,t Cou tw il
l
e rng d
nc ude he m o
at a e a n t
a nt he
r l
c i r t Pl n a t m oton t di m i s pha e be a e i i ce r lt W i erng' cl i s a
ons de he a t he
i o s s
s c us t s nt a o eg i s a m nd
undi put d i t nns of a he i iy. Se M axc s ,I .v.Luc Te
s e n e
ut ntc t
e
e s nc
ent chnol e , I . 433 F.
ogi s nc ,
3d

1 1 ( 1hCi. )
337, 340 1 t r 2005 .

Bos on Sci ntfc now m o s t dim i s W i rng' cl i s bas on t Pl s a i
t
e ii
ve o s s
ege i s a m
ed
he an' nt-

asi nta rde ( l
sgnme nd i r alowed c r )pr sons Ac di t Boson Sce ii,t Pln'
hage ovii . cor ng o t
intfc he a s
a ia s g e pr vi i de i s W i ge i of s a ng t br ng s t Fur he , Bos on
nt- s i nm nt o s on pr ve
e r ng
t ndi o i
ui.
t r
t
Sc en ii con e t ti s m pl a i t Pl s pa e m e hodol t de e m i t r t
i tf c t nds ha t i y ppled he an' ym nt t
ogy o t r ne he a e
a whi h i r m bur e W i gerng.
t c t ei
sd e i
l c i rng Bos on Sci ntfc' m o i t di m i s t Cou t e i w he he
n ons de i
t
e ii s ton o s s , he
r xam nes
t r

W ige i pld Ss fcen f t m at r a e e as tue,t tt t a cai t r le t t i
e rng e tufi i t acual te , cc pt d
r o sae l m o e if ha s
pl usbl on is f c ''As r f v. qbal 55 U. 662,678 (
a i e
t a e.' hc o t l , 6 S.
2009)( i BelAtantcCor
quotng l l i p.
.

v Twombl 550 U. 544,570 (
.
y,
S.
2007). The Cour f t rdrwsal ras
)
t urhe a
l e onabl i eenc i
e nfr es n

W i rng' fvor Se Dalympl v Re 334 F. 991 994( 1h Ci.2003) Eve g a i
egei s a . e r e . no,
3d ,
1t r
. n r ntng
W i rng t be ftofRul 1 b)6)slbea pla ng sa d,W i rng ha notsae a
egei he nei
e 2( ( ' i rl e di tndar
egei s
ttd
cl i t tcoul e il i t r i .
a m ha
d ntte t o elef
The pl i l ngua oft Pl n di a es t tBoson Sc entf c waspe ted t r i bur e
an a
ge he a ct t ha
t
i ii
nni t o e m s

W ige i ba e on t a i a e M e c r r t Thoug W i erng e
e rng s d
he pplc bl
dia e a e.
h eg i xpeced t r ceve t
t o e i he
us l c t a y,a r as
ua , us om r nd e onabl r t f is s vi s t Pl n' rde pr s on s a es t tcl i
e a e or t er ce , he a s i r ovi i t t ha a m

pa
yment ae i e on 1
s r t d
bas
50% of t Mediar r mbureme rt (e s dul a unt
he
c e ei s nt ae fe che e mo s
pa ntr t orr s bl chage ,a a i bl ' Se Exhi t C,D. 1 11 The Pln
yme ae, ea ona e r ) s pplca e.' e
bi
E. 5- .
a
c i s ûlhe us l a c t ar c r m a s e i es be l s t
ontnue : t ua nd us om y ha ge y om tm
es han t he t c r
he alh a e
pr der s a t c r e. l t s i t c e, you w il be r s
ovi ' c ual ha g
f hi s he as
l
e pons bl f t a ount of t
i e or he m
he
cover pr der' act charge t i i excess oft us and cust ar char ' 1 Thi
ed ovi s ual
hat s n
he ual
om y
ge.' d.
s

t
ype of m e hodol
t
ogy w a he d va i a e or e bl i Li r
s l
ld nd nf c a e n ebe man v Unie H e t ar
.
td
alhc e
l
nsurance Co.
:

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I Li be m a s viw ,Unie i ope l a a bir rl pi ke a r mbur eme
n e r n' e
td mpr ry nd r ta iy c d ei
s nt
me hodol t oper t t m i m ie isfna a r s
t
ogy hat
aed o ni z t i ncil e ponsbiiy,a asa r s t
i lt nd
e ul,

s wa l tfnancaly r s i e f $9, 1 ofa$1 000 s wi . Howe r
he s ef i i l e ponsbl or 763.6
0, el ce
ve ,

w:a r e wi tedititc u tt a t Ce t ae epr s l afr s Untd t
g e t h src o r h t he rsc t x e sy fo d ie he
h
ds r to t c c l e r i u s me tb s d o a pe c na e o te r lv n
ic ein o aluat emb r e n a e n
r e tg f h ee a t
M e ca e r e and t
di r at
hat Unie had no ob i i t s l t an aler i e
td
lgaton o e ec
t natv
r m bu s m e m e hodol gy t atwoul hav yi de a hi
ei r e nt t
o h
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Li be man.A s t di t i t c tc r ty s a ed,Li r an c s as ng t Cour
e r
he s rc our or ec l t t
ebe m
û ki he
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t rwrt t Ce tfc t a prve g t fom e csng t dic ein
o e ie he riiae nd e nt uniedq r xerii he srto
g a edt i unde t Pln.
r nt o t
r he a '
'

fiber v Unie He t ar I s anc Co. 41 F.App' 1 , 1 2 ( 1h Ci.2011
e man . td alhc e n ur e , 3
x 71 7 1 t r
)
(mphassadde .
e
i
d)
H e e t Cour c nnot c l
r , he
t a
onc ude t t Bos on Sc e i i t r ta iy and c pr c ous y
ha
t
i ntfc û bir r l
a
a ii l

undepai g igei s bildc g bya yi a unras bl pa ntmehodol 'ha
r d W e rng'l le hares ppl ng n e ona e yme
t ogy't t
c r ponde t t a i a e M e ca e r t Bos on Sci ntfc has a s r
or es
d o he pplc bl
di r a e.
t
e ii
t onge c e t n t
r as ha he

fiber
e man de e ntbe aus whie t de e nti fibe man c e t mos s l-e vi of
f nda
c e, l he f nda n e r
hos he
t e fs r ng
t a l bl r i bur em e m e hodol e , Bos on Sc e ii a i d t onl m e hodol gy
he vaia e e m s nt t
ogi s
t
i ntfc pple he y
t
o

a ee t i t Pln. W i rng alges(n va t ms no omplanc wih t Pln,but
gr d o n he a
egei le i gue er ) nc i e t he a
W i ge i ca
e rng nnotpl a ar
e d ound ispl n l ng ge.
t ai a ua

Ac o dn l ti c s i ds se wi o tp eu ie ig rn i g a td la et fl
c r igy,h s a e s imis d t u rj dc .W e ei g s rn e e v o ie
h
a a nde c
n me d ompl i by Se e be 8,201 t tdea l how Boson Sc e ii ' bir iy a
ant
ptm r
5 ha tis
t
intfc t tarl nd
ar
c pr c ousy' under i W i erng' c ai s w he he by com pa i t pa e s i r c ve t
a ii l '
pa d eg i s l m ,
t r
r ng he ym nt t e ei d o
t a i bl M e c r f e s he e o ot r i e. At t t tm e, t Cour w il c i r
he pplca e
di a e e c dul s r he w s
ha i
he
t l ons de
w he he t Pl n' a ias i en pr s on i e or ea e unde f r l w . E. ,Ph i an
t r he a s nt- s gnm t ovi i s nf c bl
r ede al a
g. ys ci s

Mulipecaly Gr p v alh Car Pl o Horon Home,I . 371 F. 1 l 1 ( 1h
ts i t ou .He t
e an f t
s nc,
3d 29 , 295 1 t
Ci.2004)
r
.

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FEDER
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