MSP Recovery, LLC v. Allstate Insurance Company
Filing
38
ORDER granting 20 Motion to Dismiss. Amended Pleadings due by 10/13/2015. Signed by Judge Patricia A. Seitz on 10/6/2015. (cqs)
UNI
TED STATES DI
STRI COURT
CT
SOU THERN D I
STRI O F FLO RI
CT
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CA SE N O .1520788 CI - TZ/
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M SP RECO VERY ,LLC,
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ai if
V S.
ALLSTATE W SURAN CE COM PAN Y,
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f ndan .
t
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O RDER GRANTI G M OTI TO DI I
N
ON
SM SS
Thi mate i be or t Cour on Def nda ' M otont Dimi sSe
s t r s f e he
t
e nts i o s s cond Am e d
nde
Compli g 201 I t sa i Pl ntf s e ri s ntfom Deenda , Pl no-a t
ant DE- . n hi cton, ai if e ks embureme r
f nta p/ ful
i urr purua t t M e c r Sec r Pa e Ac ( SPA) f me c e ns spad b a
ns e, s nt o he diae onday y r t M
, or dial xpe e i y
Me c r AdvantgePln. Purua t Fe r Rul ofCi lPr e ze 1 b)6) Defnda
diae
a a l s nt o deal e
vi oc dlr 2( ( , e nt
movest dim isPl i ifstze coun Se ondAmende Compli ,whi Pli tf fld afe
o s s antf lr e- t c
d
ant
ch a n if ie tr
t Cour dim is d isAme d Compl i f f iur t sat a cai upon whih r i c n be
he
t s se t
nde
ant or a l e o t e l m
c elef a
g a e W hie Pl i ifsSe ond Ame
r nt d.
l antf
c
nded Compl i i l rt n t Am e d Compl i ,
ant s onge ha he
nde
ant
Pl ntf ha nota
ai if s
dequael a e s d t pr e si t Amende Compl nt Pl i ifhas
t y ddr s e he oblm n he
d
ai ; antf
ag n f ie t a qua ey aleget m i m a f c st s
ai a ld o de t l l he ni l a t o uppor iscli s Thus t moton t
t t am .
, he
i o
dim isi gr nt d wih la t r pla Co sIand1 onl CountIIa Pl i ifsba f ih
s s s a e t e ve o e e d unt
1 y.
l nd antf
d at
alg to saeds se wi p eu ie Ho ve,h Co r wan Plitf t a t i wi b is
le ain r imis d t rj dc . we r te u t r s anif h t hs l e t
h
l
The M SPA w a e c e t s f t c tofm edi alc e f om M edi ar t pr va e
s na t d o hi t he os
c ar r
c eo i t
i u e s s h aslabiiy i ur r a s l-ns ed t tea o s
ns r r , uc
i lt ns e s nd efi ur orf s r .
ls c
a t hanc t plad isc e. l Pl ntf f ist a uael al geisc am si isThid Am e
e o e t as f ai if a l o deq t y le t l i n t
r
nded
Co an ,h Co r wil imist i a to wi prj d c .
mplit te u t ld s s hs cin t eu ie
h
1 Fac sA le d i t Se
.
t l ge n he cond A m e
nded C om pl ntand R e e
ai
l vantProc dur H i t y
e al s or
Fl i He lhc r Pl (
orda at ae us FHCP)i ahe t mantna or niai a apari pa
s alh i e nce ga z ton nd
tci nt
pr de i t M e ca epr a . FHCP pr de M e c r Adva ag c r t En ole .
ovi r n he di r ogr m
ovi d dia e
nt e ove age o r l ez
FHCP as i ne alofisrght wih r s c t c am sf t r c r ofa
s g d 1 t i s t e pe t o l i or he e ove y mount owe t FHCP
s d o
t LaLe Re
o
y cove' LaLe Rec r i t n, sgne alt r ove y a r i bu s m e
l
y.
y
ove y, n ur as i d 1 he ec r nd em r e nt
r g s i r e ved f om FH CP t Pl i if M SP Re
i ht t ec i
r
o a ntf ,
cove y LLC.
r
On J 1 201 Enr le wasa pa s ri a c rwhih wa sr ck fom be nd.
une 9, 4, ole
s enge n a
c
s tu r
hi
En o les fee b dl ij r a dic re me ia bls
r le u fr d o i nu y n n u rd d c l il.FHCP, sEn olesMe iae
y
a r le ' dc r
Adva ag pln, d Enr l sm e c lex ns s Def ndanti Enr le' P1 a no-a t
nt e a pai
olee' di a pe e . e
s ole s P nd ful
a omobiei ur ra t r f e wa t prma y pa rf t medi le ns sa ii f o
ut
l ns e nd, he e or , s he i r ye or he
ca xpe e rsng r m
t a o obie a ci t Att tm eFH CP madet pa nt , twa una r t tDe e nt
he ut m l c den . he i
he yme s i s wa e ha f nda ,
a P1 i ur r pr de prm a y c r gea t r f e FHCP' pa e swe e S ondii l'
s P ns e , ovi s i r ove a nd, he e or ,
S ym nt r l
c tona '
pa e s u rt M SPA . A f e l a i a
ym nt nde he
t r e m ng boutDef nda ,Pl i ifs nts ve alno i e
e nt a ntf e e r
tc s
de a ng r i
m ndi e mbur e e f t medials viespad f by FHCP,ot lng $2, 00.
s m nt or he
c er c
i or
t ai
869.
Ac or ngt Pl n if Enr l e' medialte menta a s i t bil we er as
c di o aitf, ole s
c r at
nd s oc aed ls r e onabl
e,
ne s a y,a r lt d t t a i nt
ce s r nd ea e o he ccde .TheSec Amende c
ond
d ompli doesnotsa ewha
ant
tt
t
me ia te t n wa gv n o h w ir ltst En olesij re i u rd i tea t a cd n .
dc lr ame t s ie r o t eae o r l ' n u is nc re n h uo c i e t
e
Pl ntf' t e c tSe ondAme dComplitale cli f : 1 aprvaec us
ai ifs hr e oun c
nde
an lges ams or ( ) i t a e
ofa tonunde t M SPA f doubl da ge ,( br a hofco rct a ( equiabl
ci
r he
or
e ma s 2) e c
nta ; nd 3) t e
2 Fo prva y r s ,t pa te ha notus t na o t i ur d.
r i c ea ons he ri s ve
ed he me f he ns e
-
2-
s oga i Pl ntf fl d isSe ondAm e d Compl ntafe t Cour dimi s d isfr t
ubr ton. ai if ie t c
nde
ai t r he
t s s e t is
Amende Compli . I t Or rGr ntng M oton t Dim is t Cour ga Pl i ifl vet
d
ant n he de a i
i o s s , he
t ve antf ea o
a e is c a m undert M SPA a f br c ofco r c . The Cour s cii ly no e t t
m nd t l i
he
nd or ea h
nta t
t pe fca l t d ha ,
whieaco r c ua o i ton m a bes fcen t de o taeDe e ntsr ponsbiiy f r
l
nta t l blga i
y
ufi i t o m nsr t f nda ' es i lt o
pa
ymen oft m e c lbil ,Pl i ifha f iedt a uael al geDe e ntsco r c ua
t he dia ls antf d a l o deq t y le
f nda ' nta t l
rs
e ponsbiiy bec us Pli ifha no aleg t m e c lbil f whih i s htr pa nt
i lt
a e a ntf d t l ed he di a ls or c t oug e yme
we er as bl nec s a y,a r l td t t a om o l a ci nt n din i sng Pl ntf s
r e ona e, e s r nd e ae o he ut bie c de .I s as i
ai ip
br a ofc ta cli wih la t r pl d t Cour f
e ch on r d am t e ve o e ea he
t ound t tPl ntf ha f ie t pl a a
ha ai if d al d o e d
bea hofco rd cli be a e( )Pli ifha nota quaeypldfcst s t ti wa a
r c
nta am c us 1 antf d
de tl e a t o how ha t s
me ca s r cepr de , a i me ;2)Pli ifha fie t pl dt eeme sofat r
di l evi ovi r not n ns r ( antf d ald o ea he l nt
hidparybe iir cli and( i Pli ifi no a i e dt r pa t be iir Pli ifha
t nefcay am; 3) f antf s t n ntnde hid- ry nefcay, antf d
f l d t pl ad a as i nm e ofr gh s f o Enr l e t Pl i if
aie o e n s g nt i t r m
ole o a ntf .
I.
I
M oton To D i m i sSt
i
s s andar
d
Thepu pos ofam o i t dimistl dpur ua t Fede a Rul ofCi lPr e e
r e
ton o s s ie
s nt o
rl e
vi oc dur
1 b)6)i t t tt fca s fcinc ofacompli .Ther epe t dimis lofac ant
2( ( s o es he a il ufi e y
ant
ul nnis s s a
ompli
t tf ist sa eacl m u whih r i c n be g an ed.I s d ber ad a o i Fe r
ha a l o tt
ai pon c elef a
r t
t houl
e l ngsde de al
Rul ofCi lPr dur 8a)2)whihrquie a: hor a pli sae ntoft cai s ng
e
vi oce e ( ( , c e r s t t nd an ttme
s
he l m howi
t tt pla ri e il t r i .'Alhoughacompli chalnge byaRul 1 b)6 moton
ha he e de s ntted o elef' t
ant le d
e 2( () i
t dimi sdoesnotne d de a ld f t la lga i ,apl i ifi siloblga e t pr det
o s s
e t ie acua le tons
antf s tl i t d o ovi he
lr
l ounds'f rhi e il m e t r i , nd a û or ul i r cia i oft el m e sofa c us of
g
' o s ntte nt o elef a
t m a c e t ton he e nt
f
a e
a tonwilnotdo.'BelAtantcCor v Twombl 550U. 5 555(
ci
l
' l l i p. .
y,
S. 44,
2007)
.
-
3-
W he ac anti c le dunderRul 1 b)6 ,ac twilpr s t tal
n ompli s halnge
e 2( () our l e ume ha 1
we lpl de aleg to a etueand viw t pladi i t lg mos f vor bl t t
l- ea d l a i ns r r
e he e ngs n he i ht t a a e o he
p an if Ame ia Uni dL# I s Co v Ma t e , 8 F.d 1 43 1 6 ( lh Ci. 0 7 .
litf. rc n t
e
n . . . ri z 4 0 3 0 , 0 6 1 t r 2 0 )
n
Howeve ,onc ac tSden ii spladi t t be a et y a eno mor t n conc usons a e
r e our l tfe e ngs ha , c us he r
i
e ha
l i ,r
note il t t a s pton oft t 'i mus de e mi whe he t we lpl d f c si t t a
ntted o he s um i
nzh, t t t r ne t r he l- e a t û a e
'
s
cam t r l f h ti plusb eo isfc . As co v I b l5 6U. 6 2 6 ( 0 ) A
li o ei t a s a il n t a e' h rh . q a, 5 S. 6 , 78 2 09 .
e
'
c antca onl s vi a 1 b)6)moto t dimisi iconansf cualalegai t tae
ompli n y ur ve 2( (
in o s s f t ti a t l tons ha r
i
i
enough t r i e a rghtt r le a
o a s i o e i f bove t s cul tve l vel on t a s pton t ta 1t
he pe a i e , he s um i ha l he
(a t a)alg to si t c mplitaet e' T mby, 5 U. a 5 5.Ho v r awelpe
fcu l le ain n he o an r nl. wo l 5 0 S. t 5
'
we e, l ld
c mplits r ie amoi nt ds s C v ni isrk sas v yj d et t cu l r f ft s
o an u vv s to o imis l e f t tie a v u g ha a ta p oo o he e
e
f t i i obabl a iha ar ove y i ve y r mot a unlke y.' Twombl 55 U . a
acs s mpr
e, nd t t ec r s r e e nd i l ''
y, 0 S. t
55
6.
111. D i
scussi
on
Pl it f i sNo Ad qu tl PldCou t aPrv eCau eo t Un rt eMS
an f la t e aey e
n L iat s fAci
on de h PA
Defndantm ove t dim isPl ntf'sM SPA cli on s ve algr
e
s o s s ai it
am
e r ounds The fr t t t
.
is, ha
Plitf mu t is oban a u g nt rs tlme ta r e n t d mo taeDee d nts
an if s frt ti j d me o ete n g e me t o e nsrt fn a '
r s o sb lyf rp y n , sp e o syr ie b De e d n a drj ce b t sCou t S e
e p n iii o a me twa rviu l as d y fn a t n ee td y hi r. e
t
Or rGr ntng M oton t Dim isa DE- 5.De pie t r e de sonsbyJ esKi and
de a i
i o s s t 1
s t he ec nt cii
udg
ng
Sc a whih De enda br
ol , c
f nt oughtt t Cour' at in i t Notc sofSuppl me a
o he
ts tento n w0
ie
e ntl
Aut iy,DE- a DE- ,t Cour s e no r as t r vii t e a gum e sa ispror
hort
27 nd
31 he
t e s e on o e st hes r
nt nd t i
h l ig whc rj ce t sag me t
o dn , ih ee td hi r u n.
-
4-
Def nda ne a gue t tPli ifhasf iedt a
e nt xt r s ha antf
a l o dequael pl d isM SPA cl m
t y ea t
ai
b c us ih sn t e a yf cst etb ihDee d n ' rs o sb l yt p y.Plitf d e
e a e t a o pld n a t o sa ls fn a ts e p n iii o a an if o s
t
not ngm or t n ma c us y sa e nt t tt m e c lbil i pai we er a ona e
hi
e ha
ke oncl or t t me s ha he di a ls t d r e s bl ,
ne es a y,a r l t t t a o ac i nt Pl i if howe r hasnotpl a unde l ng f t .
c s r nd e aed o he ut c de . antf,
ve ,
ed ny
ryi ac s
Th r a en alg to srg r igwh ttp o ij re Plitf s frdi tea cd n , a
ee r o le ain e a dn a y e f n u is an if ufee n h c ie twh t
ij re weete td, a s r ie t eme ia b l p y db F
nu is r rae wh t e vc s h dc l il a e y HCP weef r t ea u t o te
s
r o ,h mo n s f h
i vi
ndi dualbil t tw e e pay o whe he t a o s oft bil w e e r s bl . W hie
ls ha r
ed, r
t r he m unt
he ls r ea ona e
l
Panifalg sta En ol e sme ia p o i esd tnnie t a teij re s ti db
litf le e h t r l ' d c l r v d r ee n d h t h nu is usane y
e
En ole wer diec l t r ul oft us oft m o orve c e, ti notc ea t tt m edi l
r le
e r ty he es t he e he t
hi l i s
l r ha he
ca
sr ie a t al p i f rb FHCP we ef rte esmeij re .P an ifsc n ls r
e vc s cu ly ad o y
r o h s a nu is litf' o cu o y
ale tons c e wih isale ton t tDe e n pai s
lga i , oupl d t t lga i ha f nda t d omem e c lbil f Enr l et t
di a ls or ole ha
r s t d f om t a o a ci nt a e s m pl a f m ul i r c t ton oft e e e s ofiscl i a
e ule r he ut c de , r i y or a c e ia i
he l m nt
t a m nd
a e, hus i uf i i ntt m ee t pl di s a r ofI
r t , ns fc e o
t he ea ng t nda d qbala Twom bl Thus Pl ntf ha
nd
y.
, ai if s
notade t l d m onsr t d' De e ntsr ponsbiiyt pa t bil ba e on is
qua ey ç
de
ta e ' f nda ' es i lt o y he ls s d t
3
c r c ualoblga i .
ont a t
i tons
Fi ly, ef nta gue t ta e bi a t c t t Se ond A m e d Com pl n
na l D enda r s ha n xhi t t a hed o he c
nde
ai t
i c t st tnopayme sha a t lybe n madet Enr le' he t r pr de s.W hie
ndi a e ha
nt ve c ua l e
o ole s alhca e ovi r
l
t exhi tdoe i c t t asofO c obe 7,201 FH CP ha notm a a pa e st
he
bi
s ndi a e hat
t r
4
d
de ny ym nt o
Enr l e' m e c pr der , ai ifha a l ge t ts h pa e sw e e m a Thus t
ole s di al ovi s Pl ntf s le d ha uc ym nt r
de.
, he
As s touti t Cour ' Or Gr ntng M oto t D i m i s undert M SPA ,a
e
n he
ts der a i
in o s s,
he
pr va e c us ofac i doe nota i e un i a prm a y pl n' r ponsbiiy t m a pa e t t
i t a e
ton s
r s t l i r a s es
i lt o ke ym nt o he
Me c r Tr tFu ha be nçde
diae us nd s e i monsrtd. SeeDE- a 4(ii 42U. C.j
tae '
'
15 t ctng
S.
l y( ( ( (i)
395 b)2)B)i).
-
5-
Se ond Ame d Compl i a t se bi a
c
nde
ant nd hi xhi t ppea t c r c o a he Howeve ,t
r o ontadit ne not n4
r he
Compli wa notfl d untlDe embe 4, 4, wo m ont a t t ltera i s Thus t
ant s
ie
i c
r 201 t
hs fer he et t s ue.
, he
pa e s c d ha be m a a t rt l t e was s nta prort t flng oft i tal
ym nt oul ve en de fe he e t r
e nd i o he ii
he nii
c
ompli .Att pl di sa t Cour m us m a a lr as bl i e enc si f
ant
he ea ng tge, he
t t ke l e ona e nf r e n avoroft
he
nonmovi pa t Pli if Co eque l Pl ntf ha a quatl alege t tFHCP m a
ng ry, a ntf
ns nty, ai if s de e y l d ha
de
pa nt t tar c r d by t M SPA .Ac r ngl t m oton t dim isCount1i gr nt d
yme s ha e ove e
he
co di y, he i o s s
s a e
wih la t r pla f Pl i ift alegef c ss
t e ve o e e d or antf o l a t uppori isc l i t tt pa e s
tng t oncuson ha he ym nt
madet Enr l sm e c pr de swe er s bl ne es a y,a r a e t t aut
o olee' di al ovi r r ea ona e, c s r nd elt d o he o
a c de .
c i nt
Pl it 'Br a ho nr tCl i Co n I i Dimis d Wi ou Prj dc
an t s e c fco tac am, u t L s s s e t t eu ie
h
Pl i ifsbr a h ofconta c am al ge t tEnr le' m e ca pr de sas i d t
antf
ec
r ct l i le s ha
ole s di l ovi r sgne o
FHCP t e e usverg t bilEnr l e' c ua t i ur r De e
h xcl i iht o l ole s as ly ns e , f ndant t tt me c l
; ha he di a
pr de sa et r pa t be ii resoft i ur nc c r c bet e Enr le a De e nt
ovi r r hid- ry nefc a i
he ns a e onta t we n ole nd f nda ;
a t tElr l e as i
nd ha z ole sgned t FH CP he r g s t c l ctf c r d M e ca e s r c f w hi h
o
r i ht o ole or ove e
di r e vi es or c
M e c r i nott prmar pay . W hiei i notentr y cea fom t s alegai e c l
di a e s
he i y er
l ts
iel l r r he e l tons xa ty
wha t ba i ofPl i ifs br a h ofc r ctcl i i ,i a a st tPl i ifi r ly alegi
t he s s
a ntf
ec
onta a m s t ppe r ha a ntf s ea l l ng
t s part b e f t be hofc rc:( )a asinme ofrght fom Enr let FHCP,
wo e ae as s or he rac
onta t 1 n sg nt i s r
ole o
whi woul al FHCP t puruecli agans Dee nta ( a a i ntofrght t
ch
d low
o s ams i t fnda nd 2) n ssgnme
i so
FHCP b t r pa t be fciresofEnr l sPl no-aul i ur e c r t whi woul
y hid- ry ne i a i
olee' p/ f t ns anc ontac, ch
d
Thi c r di ton be w e n t pl di a t e bi ca be i e pr t i t o
s ont a c i
t e he ea ngs nd he xhi t n
nt r e ed n w
wa ( )Pli ifscou eli soppya i notpef mi att lve orpr e sonaim
ys: 1 antf
ns s l
nd s
ror ng he e l ofs i ls
e t byt Cour or( Pl ntf scou e hasvi aedRul 11byfii t ens et tt
xpeced he
t 2) ai if
ns l
olt
e
alng o ur ha he
f c sale d i t c
a t lge n he ompli ha e de ir s ppor.
ant ve vi nta y u
t
a l w FH CP t pur ue c ai sag ns D e e n . H oweve ,i is r pons t t m oton t
lo
o s lm
ai t f nda t
r n t es
e o he
i o
dimis Pli ifsatst i i notcli i de a ofbe ft puruantt Def nda ' polc
s s , antf t e hat t s
am ng nil
ne is s
o e nts iy
wih Enr le.Se DE- 1at1 1 Thus bas d on Pl ntf sr pr s nt ton,i a
t
ole
e
2
5- 6.
, e
ai if e e e ai t ppea st t
r ha
Pl i if s br a h ofc r tcl i i bas d onl on t a s gnm e ofr g s by t r pa t
a ntf
ec
ontac a m s e
y
he s i
nt i ht
hid- r y
be fcire oft no-aul i ur ec r c ,numbe 2,a
ne i a i s he f t ns anc onta t
r bove.
Defnda a gue t tPli ifhasf ie t a qua el ale t e se ofavald
e nt r s ha antf
a ld o de t y l ge he xit nce
i
a sgnm e ofrg sunde De e
si
nt iht
r f ndan ' polc t Pli if De e ntm ant i t tPli if
ts iy o antf . f nda
i a ns ha antf
m a uns ppore a s ri ofa as i
kes u
td s e tons n sgnmentofrght by medi lpr de st FHCP bec us
i s
ca ovi r o
a e
Pl ntf ha notquot d a l uage f om t a l ge as i e o a t c t a t l
ai i f s
e ny ang
r he le d sgnm nt r ta hed he c ua
a sgnm e .Thepl di sa r dono r quie s h pr . I i s fce f Pli ift
si
nt
ea ng tnda ds
t e r uc oof t s ufi int or a ntf o
al t e se eoft a sgnme a t naur oft rgh sa sgne whi Pl ntf ha
lege he xitnc
he s i
nt nd he t e he i t s i d, ch ai if s
done.
A l t as i e oft s r g s how e r i nots fc e t s
one, he sgnm nt he e i ht ,
ve , s
uf i i nt o uppor a br a h of
t ec
co r c c a m . Pl i ifm us a s e t bls t tt a s g r wasa t r pary be i a y oft
nt a t l i
a ntf
t l o s a i h ha he s i no
hid- t nefci r
he
co r c t tPl i tf now s e t e o c
nt a t ha a n i f
e ks o nf r e.W hie Pl i tf hasaleg t tEn olee' m edi a
l a n if
l ed ha r l s
cl
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eq t y e t a m n ny hi d
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