Pannell v. Health Care Service Corporation
Filing
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OPINION AND ORDER by Judge Terence Kern ; setting/resetting deadline(s)/hearing(s): ( Status Report due by 4/28/2016); denying 14 Motion to Remand (vah, Chambers)
IN THE UNITED STATES DISTRICT COURT
FOR THE NORTHERN DISTRICT OF OKLAHOMA
ROBERT PANNELL,
Plaintiff,
vs.
HEALTH CARE SERVICE
CORPORATION, A MUTUAL LEGAL
RESERVE COMPANY, d/b/a/ BLUE
CROSS BLUE SHIELD OF
OKLAHOMA,
Defendants.
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Case No. 15-CV-656-TCK-TLW
OPINION AND ORDER
Before the Court is Plaintiff’s Motion to Remand (Doc. 14).
I.
Background
On March 6, 2015, Plaintiff Robert Pannell filed this action in the District Court for Tulsa
County, State of Oklahoma. In his Petition, Plaintiff alleges that he purchased an insurance policy
from Defendant Blue Cross Blue Shield of Oklahoma and that, on or about July 23, 2014, Defendant
willfully or recklessly “denied the Plaintiff medical benefits covered by its policy of insurance.”
Despite Oklahoma statutes requiring a plaintiff to plead actual and punitive damages in an amount
greater or less than $75,000, see Okla. Stat. tit. 12, §§ 2008(A)(2), 2009(G), Plaintiff sought actual
and punitive damages “in an amount exceeding $10,000.”
In state court, Defendant moved to strike the Petition as non-compliant with Oklahoma
pleading requirements. While the motion to strike was pending, Plaintiff moved to transfer the case
to another judge due to an alleged conflict with Plaintiff’s counsel’s law firm. On June 26, 2015,
Defendant requested an initial damages disclosure under Okla. Stat. tit. 12, § 3226(A)(2), but
Plaintiff refused to respond. On August 18, 2015, the state court judge recused herself, and the case
was transferred to another judge. On September 21, 2015, Defendant served a request for admission
asking Plaintiff to admit that his damages do not exceed $75,000. On October 26, 2015, Plaintiff
responded by stating “Objection. Not discoverable.” The state court never ruled on Defendant’s
motion to strike Plaintiff’s initial pleading.
On November 17, 2015, Defendant filed a Notice of Removal pursuant to 28 U.S.C. § 1332
(a)(1) (creating federal subject-matter jurisdiction in cases where there exists complete diversity
among the parties and the matter in controversy exceeds $75,000). With respect to the timing of its
removal, Defendant argues that Plaintiff’s October 26, 2015 discovery response “makes clear that
Plaintiff will not identify whether his damages exceed $75,000 and triggered [Defendant’s]
removal.” (Not. of Removal at 7.) With respect to the amount in controversy, Defendant alleges:
28. In the two-year period preceding this litigation (the statute of limitations for bad
faith), there were $237,595 in denied home health care or private nursing claims for
K.P. There were $608,937 in total denied claims for K.P. in the two years preceding
this lawsuit.
29. Plaintiff also prays for punitive damages, which may exceed $500,000 in cases
of insurance bad faith. See Okla. Stat. tit. 23, § 9.1.
30. Although the claims at issue in this litigation are anyone’s guess, given the
potential benefits at issue for home health care or private nursing, the total amount
of denied benefits, as well as Plaintiff’s claims for emotional distress and punitive
damages, the amount in controversy plausibly—indeed, almost certainly—exceeds
$75,000.
(Id.)
Plaintiff filed a motion to remand on two grounds. First, Plaintiff argues there is no diversity
of citizenship because Defendant is an Oklahoma citizen. Second, Plaintiff argues removal was
untimely because Defendant could first ascertain the case was removable on March 6, 2015, when
the Petition was filed. Plaintiff contends Defendant’s right to remove was particularly clear in light
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of the United States Supreme Court’s opinion in Dart Cherokee Basin Operating Co. v. Owens, 568
U.S. ---, 135 S. Ct. 547, 554 (2014). Notably, Plaintiff does not challenge that the amount in
controversy actually exceeds $75,000.
II.
Diversity of Citizenship
In its Notice of Removal, Defendant alleges that it is an Illinois corporation with its principal
place of business in Illinois. Plaintiff argues that, because Defendant is a “mutual legal reserve
company,” Defendant is owned by its insureds and is a citizen of every state in which its insureds
reside, including Oklahoma. Plaintiff did not cite any relevant legal authority or develop this
argument in a manner that would permit meaningful analysis. Defendant’s allegations of diversity
are sufficient.
III.
Notice of Removal Requirements - Amount in Controversy
In Owens, the Supreme Court expressly overruled Laughlin v. Kmart Corp., 50 F.3d 871
(10th Cir. 1995), and its progeny to the extent these cases imposed heightened pleading requirements
in a notice of removal. Owens, 135 S. Ct. at 554. Prior to addressing the parties’ timeliness
arguments, it is necessary to discuss the changes effected by Owens.
A.
Prior Law
Prior to their abrogation by Owens, a line of Tenth Circuit decisions required removing
defendants to “set forth, in the notice of removal itself, the underlying facts supporting [the]
assertion that the amount in controversy exceeds [$75,000].” See Laughlin, 50 F.3d at 873; Archer
v. Kelly, 271 F. Supp. 2d 1320, 1322 (N.D. Okla. 2003) (“Where the face of the petition does not
affirmatively establish that the amount in controversy exceeds $75,000, the rationale of Laughlin
contemplates that the removing party will undertake to perform an economic analysis of the alleged
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damages supported by the underlying facts.”). Consistent with these cases, the Local Rules for the
Northern District of Oklahoma provide:
(a)
(b)
Where one or more defendants seek to remove an action from
state court based upon diversity of citizenship, and where the
face of the state court petition does not contain an express
damages clause as to at least one claim asserted by at least
one plaintiff, in an amount exceeding $75,000 (exclusive of
interest and costs), the notice of removal shall include either:
(1)
A particularized statement of facts upon which the
jurisdictional amount is based set forth in accordance
with applicable law; or
(2)
With respect to at least one plaintiff in the state court
action, either a response by such plaintiff to an
interrogatory or interrogatories as to the amount in
controversy or an admission by such plaintiff in
response to a request for admissions. In either case,
that plaintiff’s response must state unequivocally that
the damages actually sought by the plaintiff exceed
$75,000.
The receipt by the removing defendant or defendants of the
response by a plaintiff or of the admission by a plaintiff
referred to in paragraph (a)(2) shall constitute the receipt of
a “paper from which it may first be ascertained that the case
is one which is or has become removable” within the meaning
of 28 U.S.C. § 1446(b). Where the defendant or defendants
do not include the statement required by paragraph (a)(1) of
this rule, or do not comply with one of the alternatives
described in paragraph (a)(2) of this rule, the action will be
subject to remand to the state court for failure to establish a
basis of federal jurisdiction.
....
N.D. LCvR 83.1 (emphasis added).
Under this local rule, a removing defendant may not file a notice of removal based simply
upon a plausible allegation that the amount in controversy is satisfied. A defendant must submit an
admission from the plaintiff or a particularized statement of facts with accompanying economic
analysis. Courts in this district have interpreted this requirement in a fairly strict manner. See
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Herndon v. Am. Ins. Co., 651 F. Supp. 2d 1266, 1268 (N.D. Okla. 2009) (collecting cases
remanding to state court based on a defendant’s insufficient showing of amount in controversy).
B.
Owens Decision
In Owens, the Supreme Court held that Laughlin and its progeny placed too onerous a burden
on a removing defendant and clarified that the notice of removal itself need not demonstrate that the
amount in controversy exceeds $75,000:
A defendant’s notice of removal need include only a plausible allegation that the
amount in controversy exceeds the jurisdictional threshold. Evidence establishing
the amount is required by § 1446(c)(2)(B) only when the plaintiff contests, or the
court questions, the defendant’s allegation.
Owens, 135 S. Ct. at 554. Quoting legislative history surrounding the Federal Courts Jurisdiction
and Venue Clarification Act of 2011, the Supreme Court further held:
Defendants do not need to prove to a legal certainty that the amount in controversy
requirement has been met. Rather, defendants may simply allege or assert that the
jurisdictional threshold has been met. Discovery may be taken with regard to that
question. In case of a dispute, the district court must make findings of jurisdictional
fact to which the preponderance standard applies.
Id. (internal alterations and quotations omitted).
Therefore, removing defendants in the Tenth Circuit no longer need a particularized
statement of facts or economic analysis prior to removal. They need only include “a short and plain
statement of the grounds for removal,” 28 U.S.C. § 1446(a), and a “plausible allegation” that the
amount in controversy exceeds the threshold, see Owens, 135 S. Ct. at 554. Where an initial
pleading is silent or alleges a lesser amount than what a defendant believes is actually in
controversy, a defendant may assert its own allegation of the amount in controversy in the notice
of removal. Id. § 1446(c)(2)(A). When a defendant does so, “removal of the action is proper . . .
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if the district court finds, by the preponderance of the evidence, that the amount in controversy
exceeds the amount specified in section 1332(a).” Id. § 1446(c)(2)(B).
For practical purposes, Owens changes when a defendant must be armed with proof of the
amount in controversy.1 Prior Tenth Circuit precedent required a removing defendant to conduct
any necessary discovery in state court, be prepared to prove the jurisdictional amount immediately
upon removal, or face the risk of remand. Now, a defendant can remove based on a plausible
allegation that unspecified damages exceed $75,000 and satisfy a burden of production/proof in
federal court only if the plaintiff or the court challenges the allegation. In light of Owens, the Court
believes that Northern District Local Civil Rule 83.1 must be revised or omitted.
IV.
Timeliness
With these changes explained, the Court turns to the issue of whether Defendant’s removal
was timely under 28 U.S.C. §§ 1446(b)(1). Because removal is a statutory right, failure to comply
with statutory requirements renders removal defective and results in remand. Ullman v. Safeway
Ins. Co., 995 F. Supp. 2d 1196, 1222 (D.N.M. 2013). A notice of removal must be filed within
thirty days from the initial pleading or from the date “it may first be ascertained” from an “amended
pleading, motion, order or other paper” that the case is removable. 28 U.S.C. §§ 1446(b)(1); (b)(3).
In order for the removal clock to begin, the right to remove “must be clearly determinable.”
Akin v. Ashland Chem. Co., 156 F.3d 1030, 1035 (10th Cir. 1998). A statement by a plaintiff that
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Owens does not speak to what proof is required or alter a removing defendant’s
ultimate burden of proving federal jurisdiction. Therefore, Owens does not appear to overrule
the Tenth Circuit’s leading case on the burden and available methods of proving the amount in
controversy. See McPhail v. Deere & Co., 529 F.3d 947 (10th Cir. 2008). It simply clarifies
that a defendant need not have this proof upon removal and may never bear any burden of
production if neither the plaintiff nor the court challenges the jurisdictional amount.
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is “ambiguous,” that could have a “double design,” or that “requires an extensive investigation to
determine the truth” is not sufficient to provide notice of removability. Id. at 1035-36. Unlike some
other circuits, the Tenth Circuit has held that a defendant has no duty “to investigate and determine
removability where the initial pleading indicates that the right to remove may exist.” Id. “[T]he key
to determining the date from which the clock begins to run is when the defendant is able to
intelligently ascertain removability.” Id. at 1036 (internal quotation omitted).
Plaintiff contends that, despite his failure to seek in excess of the jurisdictional amount,
Defendant could ascertain removability on the date the Petition was filed because (1) Defendant
knew the value of the denied insurance claims, and (2) Owens now requires only a plausible
allegation of the amount in controversy. Defendant argues that Plaintiff still has not provided “clear
notice” of what insurance claims are at issue or what amount is in controversy. Defendant did not
address how Owens impacts its removal clock. Defendant instead cited the local rules requiring a
particularized statement of facts regarding the amount in controversy and Plaintiff’s repeated failures
to answer discovery as the reasons for its delay.
The Court concludes that removal was timely under the circumstances presented. First,
Plaintiff’s counsel ignored Oklahoma’s pleading requirements and refused to respond to discovery
requests. This weighs against a finding of untimeliness. See Stiles v. Chattem, 10-CV-598-CVE,
2011 WL 90321, at *3-4 (N.D. Okla. Jan. 11, 2011) (“[T]hat plaintiffs refused to [respond to
discovery] severely undermines their current argument that the jurisdictional amount was clear from
the face of the petition.”).
Second, although Owens was controlling law, Defendant was attempting to comply with the
local rules, which continue to require particularized facts. Without information from Plaintiff
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regarding what insurance claims were at issue, Defendant did not have unequivocal notice of
removability. Instead, Defendant knew the total amount of denied claims within the statute of
limitations, which led it to conclude that more than $75,000 was likely in controversy. This is
something less than “clear and unequivocal” notice that Defendant could remove the case in
compliance with this Court’s local rules.
Finally, no court has decided how Owens impacts a timeliness analysis. The Supreme Court
did not discuss when the removal clock begins for a defendant who must merely make “plausible
allegations” of the amount in controversy. Nor did it expressly overrule Akin’s “clear and
unequivocal notice” requirement. It is possible Owens will have no impact on timeliness. Even
though a defendant can now file a notice of removal with less specificity, the clock may still begin
only when a plaintiff does something to provide “clear notice” of removability. However, this
would allow defendants to have it both ways -- light pleading requirements in the notice of removal
but specific information from a plaintiff to start the removal clock.
Another possibility is that the same “clear notice” rule applies but has less bite because
“removability” has now become an easier proposition. In other words, a defendant can “intelligently
ascertain removability” with less specific information. For example, in this case, Defendant knew
Plaintiff was suing over denied medical claims and knew such claims likely totaled over $200,000.
While it did not have “clear notice” from Plaintiff, Defendant likely had enough information to make
a plausible allegation of the jurisdictional amount when the case was filed. In light of Owens, there
is no need to wait for an admission from a dilatory plaintiff. However, in this case, it would be
inequitable to find removal untimely because the local rules are still in place and there was no case
law explaining the impact of Owens.
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V.
Summary
Most cases filed in an Oklahoma state court should be immediately removable (or not) based
on the initial pleading because plaintiffs are required to plead whether the amount in controversy
exceeds $75,000. In cases where a plaintiff seeks less than $75,000, seeks “in excess of $10,000”
as required under former Oklahoma law, or seeks an ambiguous amount, Owens permits removal
if a defendant has a plausible basis for alleging an amount in controversy of $75,000 or more. If a
plaintiff contests the amount in controversy upon removal, the federal court must permit limited
discovery and decide disputed facts. In short, it is becoming increasingly difficult for a plaintiff who
actually seeks in excess of $75,000 to avoid federal jurisdiction. It is unclear how Owens impacts
Akin’s “clear and unequivocal” notice rule for purposes of timeliness. However, defendants should
be aware that Owens’ defendant-friendly removal standards may result in an earlier trigger of the
removal clock.
VI.
Conclusion
Plaintiff’s Motion to Remand (Doc. 14) is DENIED. The parties are ordered to submit a
revised Joint Status Report no later than fourteen days from the date of this Order.
SO ORDERED this 14th day of April, 2016.
_______________________________________
TERENCE C. KERN
United States District Judge
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